VT S.199 & HB.527 Information

S.199 & HB.527

Information Briefing

• How Healthy is Vermont?• Are Vaccination Rates Dropping?• How do Philosophical Exemptions Work?• Is Vermont at Risk?• Are Philosophical Exemptions A Risk?• Is There an Non-Vermont Agenda Driving

this Legislation?

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Dtap Polio MMR Hep-B Varicella ExemptMedical

ExemptRel.

ExemptPhil.

ProvAdmit

ProvAdmit

No Rec

2010-11 Vermont Public School Vaccinations

Kindergarten

7th Grade

Does this reallylook like aproblem?

There is some confusion over the vaccination status of Vermont children.

This uncertainty is caused because there are

2 different vaccination schedulesbeing measured and referenced.

There is the Vermont School Attendance Required Vaccine Schedule ,the actual vaccines that will be affected by the proposed legislation.

The vaccination rates for this schedule are higher than ever, well above90% coverage for Kindergartners and over 98% for 7th Graders.

The other schedule is the Advisory Committee on Immunization Practices,ACIP’s, “Recommended Schedule”. This schedule, and the way it ismeasured, is the statistic that is lagging, not the compliance ofVermont children with the Vermont requirements.

This rate is dropping not because fewer children are being vaccinated butbecause more vaccines are being added to the schedule .

Are Vaccination Rates dropping?

The current ACIPschedule requires

39 injections and twooral doses. This is notthe VT School Sched.

These are the Vermont K-12 Req’d Shots.98%+ of Vermont 7th Graders Comply.

Kindergartner’s are given 12 months afterfirst enrollment to comply, called

“Provisional Admittance”, but even so over91% start school with these shots.Pre-K have no requirements unless they are in a

state licensed day-care or pre-school.

HepB and Chicken Pox (Varicella),were made requirements in 2008.

When Dr. Chen says only 65% of Vermontchildren are “Fully Immunized” for 14

vaccine preventable infections, he meansthey have every indicated vaccine on thislist, by a milestone age. For example thefirst dose of HepB within 24 hours of birth-

on some surveys that child is not “fullyimmunized” even if he catches up later.

Any infant 6 months or older who does notget an annual flu shot every year is not

“fully immunized”,and is part of “falling vaccination rates”.

There is no wholesale abandonment of thetraditional vaccines. Parents are

considering if their personal situationwarrants a vaccine for Diarrhea. Rotavirus

is dangerous in third world countries butvery treatable in the USA. HepA is not

casually contagious but transmitted by fecaloral transmission, and prevented by properhygiene. Chicken Pox was considered a

routine childhood illness, and was not evena state reportable infection until after the vaccine was created.

When the VT DOH is talking aboutLow Rates, they mean under 35month old toddlers getting all, or

some combination of the shots onthe list by certain age milestones.They are not talking about the VT

school Vaccine schedule.

What is the source of the “low rates” claims?VT DOH is citing all-inclusive CDC National Immunization Surveys (NIS) for the

ACIP Recommended Schedule, (Not the VT School Vaccines). NIS can be so restrictive that a

child fully compliant with VT regulations can be considered,“unvaccinated”.

VT Kinder VT 7th95.49% 98.27%91.55% 98.00%*91.89% 98.55%91.28% 98.72%88.38% 88.62%

Vermont law does not dictate a

dosing schedule. Vermont law

only requires that vaccines be

received prior to enrollment in

Kindergarten,(or licensed daycare or pre-school)

and grants a 1 year grace period

to come into full compliance

VT K-12

Required &

2010/11

Rates

Not required for

VT K-12

Health Vermont Immunization Summary Sheet 2010/2011Grade Prov Ex Phil Ex Polio MMR Hep B DTaP VaricellaKinder 10.44%** 5.08% 91.89% 91.28% 95.49% 91.55% 88.38%^ 7th 12.96%** 2.43% 98.55% 98.72% 98.27% 98.25%* 88.62%^

^ Chicken Pox is still circulating, children who have had the infection do not requirethe vaccination. Chicken Pox is a recent addition to the schedule and it is also themost commonly exempted.

* A 5th dose of tdap is a 7th grade requirement, the Provisional {Prov} Ex rate isstudents without documentation or late for their last of 5 doses. Percentagecalculated using the FY08 chart listing all grades showing DtaP & tdap to beconsistently within .5% of the other “core” vaccines, so the real rate is 98.25% +or-.5. Parents who do Polio, MMR, & Hep B don’t skip tdap.

** Students who are missing as little as one dose of a vaccine on the schedule requirea "Provisional Admittance" to be enrolled in school. This report closes December 31of each year, 9 months before the Provisional Admittance time period expires.

V. Provisional Admittance- These kids will have missing vaccines within 12 months(2) A student may be admitted to school provisionally if a health care providerindicates a student is in the process of complying with all immunizationrequirements. Such provisional admission shall be for a reasonable length of timebut shall not exceed one year.

http://healthvermont.gov/regs/documents/imm_regulations.pdf

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%


ExemptRel.

ExemptPhil.

ProvAdmit

ProvAdmit

No Rec


Kindergarten

7th Grade

Does this really looklike a problem?

How do exemptions work?To enroll in school a child must file eithera vaccination record or an exemptionform for the required vaccines.

A Exemption Form is needed for astudent to opt out of even one dose of aSchool Attendance Required Vaccine.

Less than 1% of children avoid allvaccines.

The “double” paperwork requirement ofboth vaccination records and exemptionforms for children that are opting out of ashot make for confusing statistics. The“exemption” rate only measures thenumber of children with a form on file, itdoes not mean they are unvaccinated.

A child with all of the “core”, traditionalvaccines- DTaP, MMR, Polio, will showup as both vaccinated, yet also asexempt for the Varicella or Hep B.

Vermont children have no vaccinerequirements prior to Kindergarten, (unless

enrolled in a daycare or pre-school). In recognitionof this fact they are allowed to startschool with a temporary “Provisional”exemption lasting up to one year to comeinto compliance.

Exemptions are grantedby individual vaccine

Exemptors areexcluded from

school during anoutbreak Most exemptions are

for Chicken Pox-Almost NO

exemptions arefor all shots

Vermon t K in dergarten Immu n ization Exemption s an d Prov ision a l Sta tu s

0%

2%

4%

6%

8%

10%

12%

14%

'10-11'09-10'08-09'07-08'06-07'05-06'04-05'03-04'02-03'01-02'00-01

Year of Enrollment

Per

cent

of S

tude

nts

Sur

veye

d

p hilosophic e xem ptions (%)p rovisional status (% )

V aricel la (2 doses) and hepat it is B requirement added to school rules in 2008.

Is the Philosophical Exemption Rate Climbing?

Vermont’s Kinder PE rate “jumped”, from about 2.5% to 5% when Chicken Pox andHep B were added as School Attendance Requirement, then dropped back and is

stabilizing. These statistics are deceptive due to Vermont’s small population. Parentsare not abandoning the traditional schedule but are being thoughtful of new additions.

VT 7th Grade2.43% PE

This map full of red dotsis misleading.

The small enrollment sizeof many schools inVermont leads to

deceptive percentages.The state average of

philosophical exemptionsis only 5.08%.

Is Vermont at Risk?

360 Children out of 6,695

Kindergartners have a

Philosophical Exemption

on file.

There are 273 schools offering

Kindergarten with enrollments

from 1 to 130.

253 schools have 4 or

fewer children with

exemptions.

134 schools have ZERO children

with exemptions.

Vermont’s small population

distorts statistics.

The red dots on this map represent 71 individual schoolswith Kindergarten classes that have a greater than

6% Philosophical Exemption Rate.

A single child with a Chicken Pox PhilosophicalExemption in a school with 16 Kindergartners results in a

6% plus exemption rate.

Two children with a Chicken Pox PhilosophicalExemption in a school with 32 Kindergartners results in a

6% plus exemption rate

One of these red dots is BrookfieldElementary, which in 2010/11 had a single 13

student Kindergarten class. All of the 13children are fully vaccinated for DTaP, Polio,

MMR, and Hep B. 12 of the 13 arevaccinated for Chicken Pox, with 1 studentrequiring a Philosophical Exemption to opt

out. Because of the way VT DOH measuresexemptions, this school has a

7.7% Philosophical Exemption Rate.

In 2007 this school would have had a “0%”exemption rate, because Chicken Pox was

not a requirement until 2008.

Is one child not receiving a Chicken Poxshot, which was not a requirement prior 2008,

a threat to Public Health?

Another red dot is Sudbury Country, a schoolwith a 33.33% Philosophical Exemption Rate!

Sudbury has 3 Kindergarten students.All 3 are fully vaccinated for

DTaP, Polio, MMR and Hep B.

Only 2 of the 3 are vaccinated for Chicken Pox,with 1 student using a Philosophical Exemption,

resulting in the school’s33.33% Philosophical Exemption rate .

In 2007 this school would have had a “0%”exemption rate, because Chicken Pox was

not a requirement until 2008.

Is this really an honest representationof this issue by VT DOH?

Does using percentages in populations thislow properly communicate the impact of

Philosophical exemptions onthe vaccination rates?

This is the second misleadingmap recently produced .

VT DOH submitted a map to the Senatecommittee that used the temporary,

Provisional Exemption rate, which is doublethe Philosophical Exemption rate, and implied

without clarification that it was thePhilosophical Exemption Rate.

Very few Philosophical Exemptions are for all shots .No school in Vermont has more than 13 Kindergarten students with

Philosophical Exemptions. Vermont’s population distorts statistical measurements.

Examine these schools to see why percentages are misleading.

School Name

Total

Enrollment

DTap

Met

Polio

Met

MMR

Met

Hep-B

Met

Varicella

Met

Exempt

Medical

Exempt

Religious

Prov

Admit

Thatcher Brook Primary US #45 73 71 72 72 68 68 1 0 6 8.2% 3

Champlain 43 42 41 41 41 40 0 0 6 14.0% 4

Hinesburg Community 67 65 64 64 66 62 1 0 6 9.0% 3

Highgate Elem. 46 46 46 45 46 40 0 0 4 8.7% 2

Sudbury Country 3 3 3 3 3 2 0 0 1 33.3% 0

North Bennington Graded School 14 13 13 13 13 11 0 0 7 50.0% 0

Dover Elem. 15 15 15 14 14 13 0 0 3 20.0% 1

Leicester Central 10 10 9 9 9 8 0 0 2 20.0% 0

Brookfield Elem. 13 13 13 13 13 12 0 0 1 7.7% 0

Exempt

Philosophical

This subject is much more nuanced than “Exemptions equal unvaccinatedchildren”. Consider North Bennington Grade School: 13 of 14 have DTaP,

Polio, MMR, and HepB; 11 of 14 have Chicken Pox, and 7 have Philosophicalexemptions. That means 3 Chicken Pox exemptions, and one exemption each

for the DTaP, Polio, MMR, & HepB vaccines.

Not 7 completely unvaccinated children

Vermont Kindergarten Averages

Vermont Public Schools

Kindergarten

Immunization Data

Rounded to

Whole Numbers

EnrollmentDTap

Met

Polio

Met

MMR

Met

Hep-B

Met

Varicella

Met

Exempt

Medical

Exempt

Religious

Exempt

Philosophical

Prov

Admit

Prov

Admit

NO IZ Rec

Average 28 26 26 26 27 25 0.1 0.0 1 3 0.22010-11

223 Schools

Percentage 91.6% 91.9% 91.3% 95.5% 88.4% 0.5% 0.1% 5.1% 10.4% 0.8%

Average 27 24 24 24 25 23 0.3 0.0 3 3 0.42010-11

Above 6%

71 Schools Percentage 88.7% 87.8% 87.6% 91.3% 83.7% 0.9% 0.1% 12.6% 10.3% 0.0%

Average 27 26 26 25 0.1 0.0 0.5 2 2007-08

226 SchoolsPercentage 97.4% 96.0% 92.2% 0.2% 0.1% 2.0% 6.1%

Average 22 21 20 20 0.1 0.0 2 0.8 2007-08

Above 6%

32 Schools Percentage 93.5% 90.7% 88.9% 0.3% 0.0% 9.3% 3.8%

Adding Chicken Pox in 2008/2009 more than doubledthe number of schools with 6% exemptions

VT 7th Grade Averages

Vermont Public Schools

2010-11 7th Grade

Immunization Data

Rounded

EnrollmentDTap

Met

Polio

Met

MMR

Met

Hep-B

Met

Varicella

Met

Exempt

Medical

Exempt

Religious

Exempt

Philosophical

Prov

Admit

Prov

Admit

NO IZ Rec

Average 50 45 50 50 50 45 0.1 0.1 1 7 0.1All

126 SchoolsPercentage 89.9% 98.6% 98.7% 98.3% 88.6% 0.3% 0.2% 2.4% 13.0% 0.1%

Average 40 36 39 39 38 36 0.0 0.0 4 3.0 0.0Above 6% PE


Average 72 66 71 71 70 65 0.2 0.1 3 8 0Above 0% PE


Average 33 29 33 33 33 29 0.1 0.1 0.0 6 00% PE


Over 98% of 7th graders have 4 of 4 DTaP. There is a TDaP booster scheduled in 7thgrade, and the report closes on December 31, before all students get the booster.

Notice the schools with 0% Philosophical Exemptions share the gap, and have17.2% Provisional Admittance while the kids catch u p.

Is a Parent Unscientific or Irrational for Using aPhilosophical Exemption to Modify the Schedule?

The following slides detail the increase in Febrile seizure risk, and Febrileemergency room visits associated with various combinations of the MMR andChicken Pox Vaccine, and the Flu and PCV13 Vaccines.

A Febrile seizure is a fever so high that it interrupts neurological function.According to the AAP “Practice Parameter: The neurodiagnostic evaluation ofthe child with a first simple febrile seizure” Pediatrics Vol. 97 No. 5 May 1, 1996 pp. 769 -772

“A lumbar puncture should be strongly considered in a childyounger than 12 months and should be considered in childrenbetween 12 and 18 months of age”.This spinal tap is to rule out bacterial meningitis.

Beyond the general unpleasantness of an infant requiring a spinal tap is thatevery interface with an emergency room is the risk of contracting a difficult totreat hospital acquired infection, or the adverse reaction to a therapeutictreatment. For example an unknown sensitivity or allergy to an anaesthetic,antibiotic, or other drug prescribed to treat the condition.

The United Kingdomdoes not recommend

universal ChickenPox vaccination.

“Studies showed that theincidence of severecomplications in childrenfollowing chickenpox was lessthan 1 per 100,000 childrenand ataxia was the complicationin less than a quarter of thesecases……..”

“ In summary, the availableresearch says that in childrenacute cerebellar ataxia mayfollow chicken pox and otherviral infections and whilstthere is some variability in thetime it takes, completerecovery does occur. There isno specific therapy indicated.”

The following slides look at seizure rates of the M MR alone, the VZV Chicken Poxalone, the MMR and Chicken Pox in separate injectio ns in the same visit, and

using the MMRV Pro-Quad 4 in 1 Combo injection

Which vaccine would you choose for your child?Keeping the MMR and delaying or skipping the

Chicken Pox dramatically reduces the possibility ofa febrile seizure without affecting Public Health.

ExcessChicken

PoxVaccineSeizures

OverMMRAlone

MMRV---------- , MMR+V-------------, MMR alone -------------------, VZV Chicken Pox alone--------------Yellow-----

189 / 83,107 = 1 / 439 598 / 376,354 = 1 / 629

Which vaccinewould you

choose for yourchild?

3000 / 100k = 3 / 100 Vaccinated ChildrenRequire Outpatient Fever Visits

ExcessChicken

Pox FeverVisitsOverMMRAlone

MMRV---------- , MMR+V-------------, MMR alone -------------------, VZV Chicken Pox alone--------------Yellow-----

36

Influenza Vaccine, PCV13, andFebrile Seizures

Influenza Vaccine, PCV13, andFebrile Seizures

• Both influenza vaccine and PCV13 cancause fever

• Some children with fever may have afebrile seizure– most common in children 12-23 months

of age– VSD data (2011) indicate about 1 febrile

seizure for every 2,225 children whoreceive both vaccines

• ACIP recommends both vaccines be givenat the same visit if indicated

• Both influenza vaccine and PCV13 cancause fever

• Some children with fever may have afebrile seizure– most common in children 12-23 months

of age– VSD data (2011) indicate about 1 febrile

seizure for every 2,225 children whoreceive both vaccines

• ACIP recommends both vaccines be givenat the same visit if indicated

The previous slides show that a parent can cut the seizure risk to their child by half simplythough product selection and using the MMR and a separate Chicken Pox shot, versus theMMRV combo shot.

A parent can then again achieve another significant risk reduction by either delaying, oropting out of, the Chicken Pox vaccine. Chicken Pox was not even a requirement until 2008.

According to the British UK Health Service a normal child has a less than 1/100k chance of aserious complication from Chicken Pox. This compares to a 12 to 24/100k seizure riskincrease adding the Chicken Pox to an MMR visit or using the MMRV.

Some parents are wondering what was the criteria to make Chicken Pox a requirement?The U.S. stands alone in recommending universal Chicken Pox vaccination.

Was there a public outcry by parents requesting this vaccine?

This medical, scientific documentation illustrates that there are very rational, reasonable, andfact-based reasons to modify the schedule to any individual child’s or family's needs.

While it is a given that the majority of children may tolerate the vaccine schedule withoutincidence, it is a irrefutable fact that some children experience catastrophic harm.

Just like some kids can eat peanut butter, while for others it is a life-threatening substance.

What is unscientific or unreasonable about a parentdoing everything they can to reduce the risk of

discomfort and injury to their child?

Isn’t that a parent’s primary responsibility ?

The previous slides document that it is a scientific, statistical fact that vaccine associatedseizures are occurring in Vermont children. All of the Vaccine Information Sheets list aseizure as a contra-indication for further doses of that vaccine.

About 7,000 Vermont children receive their first MMR, MMR+V, or MMRV vaccination everyyear. We know with scientific, statistical certainty that these vaccinations alone are resultingin some 2 to 5 or more seizures annually, depending on which combination of vaccines isadministered. The PCV & Flu = 3 seizures.

Yet even with this type of documentation it is almost impossible to get a Health CareProvider to concede that any adverse event following a vaccination is, or even could be,caused by or related to the vaccination.

Ask Vermont DOH how many confirmed vaccine associated seizures are reported to themevery year? If the number is zero, is that because Vermont is somehow “magicallyprotected” from this medically confirmed phenomenon, or is it because of an inability orunwillingness by Health Care Providers to identify that a drug they administer is the cause ofan Adverse Event?

It is in this context that the importance of the Ph ilosophicalExemption becomes paramount for a parent to make th e

best health care decisions for his child.

Why the Preservation of the Philosophical Exemption iscritical to the continuing excellent health of Verm ont citizens

The Medical Exemption alone is anInadequate safeguard to avoid further injury

Should a parent who’s son or daughter is one of the unfortunatechildren that suffers a vaccine associated seizure, a known andrecognized event as described in these statistics, be required toplead his case to an Health Care Provider for a Medical Exemptionto avoid further doses of that vaccine?

Should he be forced into a debate about causality, probability, andnecessity?

This is the way in which the Philosophical Exemptio n acts asa “Parent Administered” Medical Exemption.

The Philosophical Exemption guarantees a parent the right tomake an educated risk/benefit calculation on his own and thenmake appropriate health care decisions for his child.

Mandates, Injuries and theGreater Good Principle

The “Greater Good” principle is the concept that at times it isappropriate to withhold assistance from, or cause intentional harm ordeath to, some group of people in order to “save” another larger orculturally selected group. On a sinking ship a captain may order awatertight door closed, intentionally drowning the sailors behind it tosave the rest of the crew. When loading the lifeboats it is “women andchildren first”.

This is the ethical basis for requiring individuals to undergo a medicalprocedure, vaccination, that is known to cause injury in some people.What is the ratio of vaccine injury versus infection injury our society iswilling to accept?

Should the vaccine be 100 times safer? 10 times safer? 2 times safer?

When vaccination was restricted to truly deadly diseases this calculationwas self evident. Can we say the same for Chicken Pox?

Should the state be able to force a vaccination that is more dangerousthan the infection?

Are the unvaccinated a threat to the vaccinated?In the discussions surrounding vaccination mandates it is commonly asserted

that the unvaccinated are a deadly threat to the vaccinated.

Is this assertion supported by actual science, or is it asserted topromote vaccination percentage policy goals?

The immediate question that comes to mind is “If vaccines are truly effective at preventingthe contraction and transmission of infection how can it be that an unvaccinated personcould be a threat to a vaccinated?”

Isn’t that the whole point of being vaccinated--to protect you from the unvaccinated?

Consider what happens when an American travels internationally to an area where thevaccination rates are much lower than the US, or even non-existent.

Does the State Department or CDC give you a pamphlet that says, “Warning--you aretravelling to an area with endemic diseases and no vaccination program. Everyunvaccinated person is a mortal threat to you, just like in the US. Since you will be in anarea with no vaccine herd immunity you must consider your vaccines to be virtuallyworthless. Please put your papers in order before travelling”.

Of course not. You are reminded that vaccines can be very effective at suppressinginfection, and encouraged to either get booster vaccines or a test to be certain you stillhave coverage.

The argument that the unvaccinated are a threat to the vaccinated has little merit.

Is it true that “Everyone must be vaccinatedbecause sometimes vaccines don’t work”?

It is a scientific fact that all vaccines have an efficacy failure rate. A certainpercentage of people who receive the vaccine do not develop antibodies. That is whysome vaccines require multiple doses, because one dose does not sufficiently induceantibody response in a majority of the population.

Vaccine immunity can also wear off, unlike the permanent immunity from a naturallyacquired infection. These are some of the reasons is why outbreaks occur in highlyvaccinated populations. It is not the fault of the unvaccinated.

Antibody response is something that is easily tested.

As an alternative to forcing vaccination of those who don’t desire it, the protection of avaccinated person could be confirmed through testing, and then if the vaccinerecipient has not developed antibodies he can receive another dose.

This insures his protection, just like an American travelling in an under-vaccinatedforeign country.

It also respects the right of his fellow citizen to avoid an unwanted medical procedure.

Is it true that “Everyone who can be vaccinated, must be, to protect those who can’t be vaccinated” ?

Anyone who is so vulnerable that contracting a Vaccine PreventableDisease would be a life threat is also susceptible to a wide variety ofother infections and conditions for which there are not vaccines.

What level of risk may one citizen require of another to theoreticallyprotect his personal interest?

Previous slides demonstrate that the Chicken Pox vaccine has agreater risk profile than the contraction of the infection.

Is it appropriate that Citizen “A” should expect Citizen “B” toinvoluntarily subject his child to a Chicken Pox vaccination with a riskgreater than Citizen “B’s”’ child would experience by naturallycontracting the infection, in order to theoretically protect Citizen “A’s”immune compromised child?

Is that reasonable?

Is requiring vaccination for school attendanceequal to enforcing safeguards that preventstudents from bringing weapons to school?

This is a flawed argument because the process by which weaponsare kept out of school, student searches and metal detectors, donot pose a threat of physical harm to the students being screened.

This analogy would only hold true if the metal detector failed insome way, on a regular basis, harming students so that 3 per 100each year would require outpatient emergency room visits(analogous to the Fever visits in the VSD slide), and 1/1250suffered a seizure requiring a hospital admission and spinal tap.

What would the acceptable injury rate be if searching for weaponscaused harm in those being screened?

Abuse of School MandatesThe HPV and Hepatitis B vaccines raise another seri ous question.

Should a child be barred from school for missing a vaccine that suppressesan infection that cannot be transmitted or contract ed at school?

The original, rational intent of school required vaccines was to prevent schools frombeing contagion hubs for highly infectious, dangerous diseases that are easilycontracted in the classroom setting. HPV and Hepatitis B have infective profilesequal to HIV, all are blood borne pathogens. The risk of student to studenttransmission of HIV is considered so low that the law allows known HIV positivestudents to attend school. Yet without a philosophical exemption it is being proposedthat a student who is simply is not vaccinated for Hepatitis B be excluded from hisconstitutionally guaranteed, tax financed public education. Even though he is noinfection threat to anyone, whether Hepatitis B positive or not.

Doesn’t the inclusion of infections that cannot be contracted in the course of anormal school day represent an abuse of the School Attendance Requirement?

It is perfectly appropriate for Public Health to encourage use of vaccines, but shouldit be able to keep a child out of school for not getting a shot for something he canneither transmit nor contract without engaging in intimate, probably illegal behavior?

Hepatitis B in VermontHep B cases>14 years age

Acute Chronic

2011 0 0

2010 0 2

2009 0 3

2008 0 2

2007 0 4

“Hepatitis B is not

spread through

food, water,

kitchen utensils,

breastfeeding,

kissing, coughing or

sneezing”

http://healthvermont.gov/pubs/IDB/

Are All GovernmentAgencies Unified in

the Support ofVaccinationMandates?

No

The US Department ofLabor Occupational Healthand Safety Administration,OSHA, does not support

mandated influenzaprograms that do notinclude Personal and

Philosophical Exemptions

Do Philosophical ExemptionsHarm Public Health ?

No.

Vermont is currently the Number One HealthiestState according to the United Health Foundation.The UHF grades the states every year on morethan 20 criteria.

In this summary of the Top 15 states for InfantMortality rates it is notable that more than 50%of these Top states offer philosophicalexemptions to vaccination.

It is also notable that only 2 of this Top 15 BestInfant Mortality are in the Top 15 for vaccinationrates, (next slide), and actually 8 of the Top 15Infant Mortality states score 30 or lower inImmunization Rank .

This illustrates that there are many factors thatdetermine health outcomes, and vaccinationstatus is only one of them.

High vaccination rates do not guarantee health,and lower vaccination rates do not meansickness.

State Health Rankings by Infant Mortality *2011 values: http://www.americashealthrankings.org

Infant

Mortality

Rank*

State Immunization

Rank*

Philosophical

Exemption

Allowed?

1 New Hampshire 2 No

2 Vermont 22 Yes

3 Utah 47 Yes

4 Massachusetts 5 No

5 California 40 Yes

5 Washington 39 Yes

7 New Jersey 45 No

8 New York 41 No

8 Oregon 27 Yes

10 Iowa 17 No

11 Minnesota 24 Yes

12 Maine 36 Yes

12 Nevada 49 No

12 New Mexico 44 Yes

15 Hawaii 29 No

Vaccination Status isNot a Magic Bullet

Vaccination only one factor of manydetermining Health outcomes.

State Health Rankings by Immunization Ranking*2011 values: http://www.americashealthrankings.org

Immunization

Rank*State

Philosophical

Exemption

Allowed?

Infant

Mortality

* Rank

Infectious

Disease*

Rank

1 Connecticut No 20 3

2 New Hampshire No 1 14

3 Florida No 29 28

4 Rhode Island No 22 29

5 Massachusetts No 4 42

6 North Carolina No 46 15

7 North Dakota Yes 22 7

8 Tennessee No 45 32

9 Michigan Yes 39 31

10 Mississippi No 50 37

11 Alabama No 49 43

12 Nebraska No 16 44

13 Pennsylvania Yes 35 19

14 Georgia No 43 41

15 South Carolina No 46 24

Only 2 of the Top 15 mostvaccinated states are also in the Top15 best infant mortality rates.

6 of the Top 15 most vaccinatedstates rank in the bottom 7 statesfor infant mortality , including the50th rated Mississippi.

Only 4 of the Top 15 most vaccinatedstates are also in the Top 15 bestinfectious disease rates.

10 of the Top 15 most vaccinatedstates rank in the bottom 30 forInfectious disease rank.

High vaccination rates do notguarantee health, or the prevention ofinfection, and lower vaccination ratesdo not mean sickness.

Is Every Vaccine Manufactured Perfectly?

Vaccine vials with visible particles of charred shr ink wrap evaded all quality controlpoints and were only discovered by an astute Health Care Provider who noticedthem when preparing to administer the vaccine.

While it may be safe to inject burnt plastic into c hildren, if Merck’s Quality Controlis incapable of detecting visible contaminants, wha t does that say about the abilityto detect invisible viral, bacterial, and chemical potential pollutants?

Is Every Vaccine Administered Perfectly?Medication Errors are a Known Risk

Not every Injection intended to be a Vaccineis actually a Vaccine.

Medication Errors are a measurable Healthcare occur rence.

This study documented thatAdverse Drug Reactions toFDA approved, MD properlyprescribed, properly dosed,

properly administered drugs inthe clinical setting is the 4th to6th leading cause of death in

the United States.

This does not includemedication errors

Is it truly reasonable to think thatVaccines can somehow be a “special”category of pharmaceutical products?A category that is magnitudes saferthan the other product categories

developed by the same scientists, inthe same labs, manufactured by thesame companies, and regulated bythe same Government Agencies?

How safe are drugs ingeneral?

ErrorsExcluded

“Preventable medicalmistakes and infections areresponsible for about200,000 deaths in the U.S.each year”

“Deaths from avoidablemedical error more thandouble in past decade,investigation shows”

“The precise number ofthese deaths is still unknownbecause many states lack astandard or mandatoryreporting system for injuriesdue to medical mistakes”.

Did vaccines really “save us”?

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%


ExemptRel.

ExemptPhil.

ProvAdmit

ProvAdmit

No Rec


Kindergarten

7th Grade

Does this really looklike a problem?

Oppose S.199 & HB.527

• Vermont is Very Safe

• High Vaccination Rates

• Philosophical Exemptions Improve Health

• Vaccination is not a Magic Bullet

• Vermont is Very Healthy

• National Vaccine Agenda is being playedout on Vermont Citizens

Documents

VT S.199 & HB.527 Information