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Mon, May 20

Ducey won’t back ending vaccination exemption
He wants ultimate decision left up to parents

Gov. Doug Ducey

Gov. Doug Ducey

PHOENIX — Gov. Doug Ducey won’t support eliminating the ability of parents to claim a personal exemption for their children from vaccines despite a new published study showing the state’s largest county at risk for a measles epidemic.

“Ultimately, decisions are going to be left to parents,’’ he told a group of business journalists Friday meeting in Phoenix. “But there are things we can do in terms of public policy to incent that.’’

And the governor insisted that Arizona has been “pretty good’’ at using education to encourage vaccinations. But the numbers from his own health department tell a different story.

State Health Director Cara Christ has reported that the percentage of kindergartners who claim a “personal belief exemption’’ from one or more vaccines has increased from 1.4 percent in 2000 to 5.4 percent last year. And there was a big jump in the past 12 months, with the exemption level now at 5.9 percent.

And for sixth-graders, the parents of 6.1 percent of children have a personal exemption compared to 1 percent at the turn of the decade and 5.4 percent just a year ago.

Just this past week, the Lancet Infectious Disease journal said Maricopa County is one of 25 in the entire country where there is the greatest chance of an outbreak. Factors analyzed by the journal range from the prevalence of international travel to the rate of non-medical exemptions to laws requiring that children be vaccinated.

And also this past week, Washington Gov. Jay Inslee signed legislation that would no longer allow parents to claim a personal or philosophical objection to the measles, mumps and rubella vaccine and still send their children to school.

But Ducey said Friday that while he supports immunizations — he said his own three sons have been vaccinated — he wants to focus instead on educating parents about the benefits. And he specifically ruled out overriding their preferences.

Ducey could not unilaterally eliminate personal exemptions. That would require legislative approval.

The one bill to scrap that exemption, House Bill 2162 crafted by Rep. Alma Hernandez, D-Tucson, was stillborn when House Speaker Rusty Bowers, R-Mesa, refused to even assign the measure to a committee for a hearing.

Immunization rates

Immunization of kindergartners by county for current school year:

MMR Personal

County immunization exemption*

Apache 93.4% 6.1%

Cochise 95.5% 2.8%

Coconino 91.0% 5.9%

Gila 91.4% 5.9%

Graham 92.9% 5.8%

Greenlee 95.0% 1.3%

La Paz 96.8% 1.9%

Maricopa 92.7% 6.5%

Mohave 88.4% 10.3%

Navajo 88.4% 7.8%

Pima 95.9% 3.2%

Pinal 92.2% 5.5%

Santa Cruz 97.1% 1.7%

Yavapai 83.3% 12.5%

Yuma 97.3% 1.3%

*Exemption claimed for one or more vaccines, not just MMR.

— Source: Arizona Department of Health Services

But the governor has the ability to ask lawmakers to enact policies he wants.

So far, Ducey’s actions in this area have been more defensive.

While Hernandez’ bill failed to get a hearing, Rep. Nancy Barto, R-Phoenix, pushed three bills through her House Committee on Health and Human Services that some public health advocates said would deter parents from getting their children immunized.

Those bills would:

• Expand vaccination exemptions and eliminate a requirement that parents sign a state form in order for their children to receive an exemption;

• Require doctors to offer parents a blood test to determine if their child already is immune;

• Mandate that parents be given extensive information about the risks of vaccines, including materials generally reserved for doctors.

Ducey helped derail those bills earlier this year, before they got to the full House, by publicly declaring his opposition and vowing not to sign any legislation that he believes would result in fewer children getting immunized.

Actually asking lawmakers to eliminate the personal exemption, however, is something the governor won’t do.

“I think a lot of this is about public awareness and public education,’’ the governor said, noting “there are things that have been put out on the Internet’’ that he believes are misleading.

“Parents are concerned, especially with newborns and infants,’’ he said.

But Ducey said it is not his role as governor to impose mandates -- or to tell people who read anti-vaccination materials online that they must get their children inoculated. Instead, he said, it is public education.

“What I want to do is get above the noise and this conflict and make sure that people have the facts that these vaccinations are safe and effective,’’ the governor said. “And I’d like to see their kids be vaccinated.’’

Yet with all of that, Christ said the current rate of immunization of kindergartners statewide is 93 percent. That, she said is below the 95 percent level to create “herd immunity’’ that health professionals say is necessary to stop an epidemic should there be an outbreak of measles in the community.

In some areas, it’s far below that threshold.

Yavapai County, for example, has an MMR immunization rate of just 83.3 percent. There, according to state figures, one kindergartner out of every eight has claimed a personal exemption.

Mohave and Navajo counties are slightly better with an 88.4 percent immunization rate, with a personal exemption rate for kindergartners of 10.3 percent and 7.8 percent, respectively.

Part of what public health officials say makes the issue of herd immunity so crucial is that there are children who cannot be vaccinated.

Some of these have medical conditions. But some of that group includes newborns who are too young to get the MMR vaccine: The Centers for Disease Control recommends the first dose at 12 through 15 months of age, with a second dose between the ages of 4 and 6 years old.

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