The State Assembly this week approved SB 792, authored by Sen. Tony Mendoza (D-Artesia), in a bipartisan vote. The bill will protect California children in day care from contracting serious diseases by requiring family daycare home and daycare center workers and volunteers to be vaccinated against measles, pertussis and influenza. The bill now goes back to the State Senate for a concurrence vote and then to Governor Brown for consideration.
“I am very pleased SB 792 was approved today with overwhelming bipartisan support by the State Assembly,” Mendoza said. “With the deadly outbreaks of measles and influenza this year, we must do everything in our power to protect California’s children who spend time in day care. One child’s death is one too many, especially when it may be preventable.”
As recently as the year 2000, the Centers for Disease Control (CDC) had declared that measles was eliminated (absence of continuous disease transmission for greater than 12 months) from the United States. This was made possible due to a highly effective vaccination program and better measles control, according to Mendoza’s office.
However, from Dec. 28, 2014 to April 10, 2015, there have been 134 confirmed cases of measles in California according to the California Department of Public Health. The outbreak likely originated from a traveler who became infected overseas with measles and visited Disneyland in Anaheim, California while contagious. Additional cases emerged, including a Bay Area Rapid Transit (BART) passenger with measles who travelled from Millbrae to San Francisco, potentially exposing more than 1,500 riders. For influenza, in 2013-2014, there were 404 confirmed deaths, including ten pediatric deaths of which three were under the age of 5.
“Disease outbreaks of measles, once thought to have been eradicated in the United States, have resurfaced,” Mendoza said. “As a consequence, public health officials have been sounding the alarm that more should be done to protect the most vulnerable populations such as children and seniors.”
Currently, there are no immunization requirements for daycare workers. The bill allows for circumstances under which a person would be exempt from the immunization requirement, based on medical safety, current immunity or declining the influenza vaccination.
“My bill will require all daycare center and family daycare home personnel to be vaccinated,” Mendoza said. “This is not just a commonsense solution but makes scientific sense.”
Children in daycare settings have close, intimate contact with each other and with the staff who work there. Until they are fully vaccinated, children rely on those around them to maintain their immunizations to stop the spread of disease. Many of these children are too young to be fully immunized against potentially serious communicable diseases. Children are vaccinated against diseases according to a schedule determined by the CDC’s Advisory Committee on Immunization Practices.
According to this schedule, children are immunized against measles at age 12 months and receive the first dose of vaccine against pertussis (whooping cough) at age two months, which takes multiple doses for immunity to be fully effective. Children may also receive the annual flu vaccine at six months of age. Some diseases, such as the flu, may cause only a relative inconvenience to most healthy adults. However, this same disease can require hospitalization and perhaps even be fatal for an infant or an individual with a suppressed immune system.
“The health officers want to thank Sen. Mendoza for authoring this groundbreaking bill,” said Kat DeBurgh, MPH, executive director of the Health Officers Association of California, the sponsors of the bill. “It will help protect our most vulnerable citizens— infants and small children— from life-threatening communicable diseases, some of whom are too young to be vaccinated.”
