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6 Working Nurse l WorkingNurse.com July 15–August 12, 2019 ON THE QUICK Nursing & Healthcare News Vaccination Exemptions ANA rejects religious exemptions as California considers tighter rules W ith outbreaks of vaccine-preventable diseases on the rise, the ANA is saying no to religious exemptions and the California Legislature is weighing stricter rules for medical exemptions. Preventable Outbreaks In a statement issued on June 22, the American Nurses Association declared unequivocally, "Given the recent surge of measles cases and potentially uncontrollable outbreaks of other vaccine-preventable illnesses, ANA no longer supports religious exemption as a reason not to get vaccinated." California has already eliminated religious or personal belief exemptions for the vaccinations children must receive to attend school or daycare. Now, State Senator Richard Pan, M.D., MPH (D-Sacramento), who wrote that 2015 law, is pushing for tighter guidelines for medical exemptions as well. "Vaxx-friendly" Doctors Pan is concerned that vaccine-hesitant parents may be paying cooperative physicians (known as "vaxx-friendly" among anti- vaxxers) to write medically unfounded or fraudulent exemp- tions. In some areas, a handful of physicians are responsible for most vaccination exemptions. For example, San Diego M.D. Tara Zandvliet has written 29 percent of all medical exemptions in the San Diego Unified School District — an average of three dozen a year. California Department of Public Health (CDPH) data shows that the rate of medical exemptions for mandatory vaccinations has quadrupled since 2015, a trend Pan says "is putting kids and communities at risk." S.B. 276 Passes Senate To stem this tide while protecting "students who truly need a medical exemption," Pan introduced S.B. 276, which would require providers to issue vaccination exemptions electronically through the California Immunization Registry. Public health officials would be able to refuse or revoke exemp- tions not consistent with current medical guidelines. Parents or guardians could still appeal to an independent review panel. The bill would also crack down on "vaxx-friendly" doctors, calling for additional scrutiny of any provider who issues five or more exemptions in the same calendar year. S.B. 276 passed the Senate on May 22 and is now being con- sidered in the Assembly. WN • Behavioral Health • Burn Center • Critical Care—Medical, Surgical and Neonatal Intensive Care • Emergency Department • Interventional Radiology • Labor & Delivery • Operative Service Arrowhead Regional Medical Center, a 456-bed, university-affiliated teaching hospital located in Colton, California, is a Level II Trauma Center, Burn Center, Primary Stroke Center and has a 24-hour Emergency Dept. APPLY ONLINE OR CALL TODAY! www.SBCounty.Gov/Jobs (909) 387-6087 NOW HIRING! RNs & SPECIALTY RNs