As measles outbreaks – centered on unvaccinated children – continue to pop up in areas with low vaccine rates, one approach private schools and daycares reach to is keeping out unvaccinated children. An Ohio Jewish school announced it will not accept unvaccinated children, and I know other private facilities are considering this. So what does this all mean with respect to vaccine exemptions within private schools?
Note that this is a separate issue than the question of whether unvaccinated children can be kept home during an outbreak. All states have a provision in law to keep unvaccinated children at home during an outbreak, and some of the affected states – like New York – are doing that. Continue reading “Vaccine exemptions and private schools – what are the facts?”
Dorit Rubinstein Reiss, Professor of Law at the University of California Hastings College of the Law (San Francisco, CA), is a frequent contributor to this and many other blogs, providing in-depth, and intellectually stimulating, articles about vaccines, medical issues, social policy and the law.
Professor Reiss writes extensively in law journals about the social and legal policies of vaccination. Additionally, Reiss is also member of the Parent Advisory Board of Voices for Vaccines, a parent-led organization that supports and advocates for on-time vaccination and the reduction of vaccine-preventable disease.
A recurring question that comes up is whether a private school or daycare can increase its safety from disease by refusing to accept unvaccinated children. Generally speaking, private schools and daycares can reject or accept children for whatever reason it wants. If the school accept federal funds it cannot, under Title VI of the Civil Rights Act of 1964, discriminate based on “race, color, or national origin.” But that’s it.
However, some laws enacting exemptions from immunization requirements are phrased in ways that suggest that private institutions are required to accept exempt children. This varies from state to state. Continue reading “Maryland private schools can exclude unvaccinated children”
The Baltimore Sun is reporting that Maryland is proposing revised vaccination regulations that would require incoming kindergartners to receive a chicken pox booster vaccination (varicella vaccine). It is also requiring seventh graders to get a booster against tetanus, diphtheria and pertussis, (DTaP vaccine). In addition, Maryland also wants to include a vaccine against Meningococcus, a bacterium that causes meningitis, meningococcemia, septicemia, and rarely carditis, septic arthritis, or pneumonia. The state also wants to increase the requirement for the number of MMR vaccinations for measles, mumps and rubella.
If the proposed changes go into effect, Maryland would be aligned with standards recommended by the Centers for Disease Control and Prevention’s National Advisory Committee on Immunization Practices. To this date, 36 states have adopted such standards. The new guidelines, if adopted, would to into effect in 2014.
According to David Bundy, an assistant professor of pediatrics and childhood adolescence at the Johns Hopkins Children’s Center,
The recommendations for these immunizations are not new nationally, this is just updating the state’s requirement to reflect the existing recommendations. It just makes us all look like we’re in alignment with what we’re doing, and it tightens the safety net at schools for kids who may be missing vaccines.
I’m sure the anti-vaccine crowd will be complaining soon.
via Maryland proposes additional pertussis, chicken pox booster requirement | Vaccine News Daily.