Via The New York Times: Sick Child’s Father Seeks Vaccination Requirement in California. Excerpt:
In the latest salvo in the vaccination wars that have shaken California since a measles outbreak originated at Disneyland last month, the father of a 6-year-old boy with leukemia has asked the superintendent of his Marin County school district to keep unvaccinated children out of school.
“I respect people’s choices about what to do with their kids, but if someone’s kid gets sick and gets my kid sick, too, that’s a problem,” said the father, Carl Krawitt of Corte Madera, Calif., whose son, Rhett, was found to have leukemia in 2010. “What we need to do, for all our children, is increase the herd immunity.”
Rhett is in remission now, but four years of chemotherapy have left him vulnerable to infection and unable to be vaccinated. Until his immune system strengthens, his best protection from infectious diseases is the so-called herd immunity of a community where almost everyone has been vaccinated.
But he lives in a part of the Bay Area where an unusually high number of parents refuse vaccinations for their children. Over all, about 7 percent of the children at Rhett’s school, Reed Elementary, are unvaccinated — a rate that is higher than the statewide average but far lower than at some other schools in the county, where fully half of the students are not vaccinated, according to Dr. Matt Willis, the county health officer.
The legal authority for barring children from school rests with Dr. Willis, who said that although he was sympathetic to Mr. Krawitt’s concern, and delighted that he was raising awareness of the importance of childhood vaccines, such a measure would not be appropriate, given that there has not been a case of measles in Marin County for years.
“I obviously have to balance the responsibility to control communicable disease with everybody’s right to freedom, and the line right now would basically be if there’s a case in this school,” Dr. Willis said. “This is a decision being made and applied to a school community based on the fact that these children are collected together at the school.”
Steven Herzog, the superintendent of the Reed Union School District, said that Rhett Krawitt’s school placed medically fragile children in classrooms where as many students as possible were vaccinated. In Rhett’s first-grade class, he said, 19 of the 22 children have been vaccinated, excepting Rhett and another child who is medically fragile, and one whose allergies preclude vaccines.
Mr. Krawitt, though, says that not enough has been done to ensure real herd immunity.
“It’s not just schools where diseases can spread,” he said. “It’s the library, the playground, the airport, the whole community.”
As vaccine resistance has spread among parents, childhood diseases that were considered eradicated have been making a comeback. Measles has spread in California and other states since December, with cases traced to an outbreak that began at Disneyland. As of Friday, there were 68 cases in California, leading officials in Orange County to bar some unvaccinated children from going to school. Related cases of measles, which had been declared eliminated in the United States in 2000, have appeared in Utah, Washington, Oregon and Colorado, and also in Mexico.
