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RESOLUTION REQUESTING THE WISCONSIN LEGISLATURE END THE USE OF PERSONAL CONVICTION WAIVERS OR SCHOOL AND DAY CARE CENTER IMMUNIZATIONS
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Committee Status:
Committee Review
Budget Status:
No Fiscal Impact
Decision Impact:
Routine
FTE Impact:
No
Funding Source:
Other (see budget status)
Purpose
Wisconsin’s immunization law (Wis. Stat. § 252.04(3), Wis. Admin. Code § DHS 144.06) makes Wisconsin one of only a minority of states that permits parents to opt out or waive some or all of the vaccinations required to attend school or group day care based on their personal beliefs.
Wisconsin’s percentage of students with religious and medical waivers has remained relatively constant over the past decade at less than 1%, but the percentage of students with a personal conviction waiver in Wisconsin increased from 1.2% during the 1997-98 school year to an alarming 4.6% during 2018-19. Several other states have recently removed personal belief exemptions from their legal codes, such that 33 states now prohibit the use of personal belief exemptions for school and daycare immunizations.
Background
There are multiple potentially dangerous communicable diseases that are preventable by vaccinations which ae currently required by Wisconsin law for school and day care attendance. Vaccine-preventable diseases can be very contagious and can result in serious health complications, including pneumonia and encephalitis, and even lead to death.
The effectiveness and safety of vaccines is well established, and the Affordable Care Act has improved insurance coverage for vaccinations, which are readily available in medical offices and pharmacies, as well as public health departments that continue to serve those eligible for the Vaccines for Children Program. All states require certain vaccines for school entry in order to: a) assure that individual children do not contract disease in the social setting of school; b) protect other students from being at risk of disease and death from exposure to an individual student; and c) protect the broader community from these serious illnesses. This includes individuals who are immunocompromised and those who cannot receive vaccines for bona fide medical reasons.
Wisconsin’s immunization law (Wis. Stat. § 252.04(3), Wis. Admin. Code § DHS 144.06) makes Wisconsin one of only a minority of states that permits parents to opt out or waive some or all of the vaccinations required to attend school or group day care based on their personal beliefs.
Wisconsin’s percentage of students with religious and medical waivers has remained relatively constant over the past decade at less than 1%, but the percentage of students with a personal conviction waiver in Wisconsin increased from 1.2% during the 1997-98 school year to an alarming 4.6% during 2018-19. Several other states have recently removed personal belief exemptions from their legal codes, such that 33 states now prohibit the use of personal belief exemptions for school and daycare immunizations.
Outbreaks of measles have impacted multiple states in 2019, including some adjacent to Wisconsin. A number of other serious vaccine-preventable disease outbreaks have occurred in Wisconsin over the past 2 decades, including pertussis (whooping cough) and mumps. Immunizations are the most effective way to prevent these, and other, vaccine-preventable diseases.
The Wisconsin Public Health Association (WPHA) and the Wisconsin Association of Local Health Departments and Boards (WALHDAB) both support a change in school and day care center immunization law that eliminates personal conviction waivers for students in Wisconsin public and private schools and for children who attend group day cares.
Budget Status (Other/External Sources):
None
Resolution Body
RESOLUTION NO. _____ - 2019
RESOLUTION REQUESTING THE WISCONSIN LEGISLATURE END THE USE OF PERSONAL CONVICTION WAIVERS FOR SCHOOL AND DAY CARE CENTER IMMUNIZATIONS
Background:
There are multiple, potentially dangerous, communicable diseases that are preventable by vaccinations required by Wisconsin law for school and day care attendance. Vaccine-preventable diseases can be very contagious and can result in serious health complications, including pneumonia and encephalitis, and even lead to death.
The effectiveness and safety of vaccines is well established and the Affordable Care Act has improved insurance coverage for vaccinations, which are readily available in medical offices, pharmacies, and the Sauk County Health Department.
All states require certain vaccines for school entry to:
assure that individual children do not contract disease in the social setting of school;
protect other students from contracting a disease from exposure to an unvaccinated student;
protect the broader community from these serious illnesses. This includes individuals who have compromised immune systems from cancer treatment and other bona fide medical reasons.
Wisconsin’s immunization law (Wis. Stat. § 252.04(3), Wis. Admin. Code § DHS 144.06) makes Wisconsin one of only seventeen (17) states that permit parents to opt out or waive some or all of the vaccinations required to attend school or group day care based on their personal (non-medical, non-religious) beliefs.
Wisconsin’s percentage of students with religious and medical waivers has remained relatively constant over the past decade at less than 1%, but the percentage of students with a personal conviction waiver in Wisconsin increased from 0.7% in the 1989-1990 school year, to 1.2% during the 1997-98 school year, to an alarming 4.6% during the 2018-19 school year. Only four (4) states had higher exemption rates than Wisconsin. Sauk County’s rate of personal conviction waivers for children was even higher at 6.4% in 2018-2019, up from 6.0% the previous year. There are at least 23 schools in Sauk County with rates of personal conviction waivers even higher than the state average.
All of the data for the 2019-2020 school year is not yet in, but current data indicate that the rate of personal conviction waivers is continuing to increase, leaving more children unprotected against vaccine-preventable disease, and more members of the community at risk for contracting potentially deadly illnesses. Currently, more than 700 children in Sauk County schools are unprotected from vaccine-preventable disease this year.
Several other states have recently removed personal conviction waivers from their legal codes, such that 33 states now prohibit the use of personal conviction waivers of the required school and daycare immunizations.
Outbreaks of measles have impacted multiple states in 2019, including some adjacent to Wisconsin. There are now 22 states with measles cases. Prior to when the measles vaccination program started in 1963, 3-4 million people got measles every year, 48,000 were hospitalized, 4,000 developed encephalitis (brain swelling), and 500 died each year. Measles is preventable with one of the vaccines required to enter school and day care.
A number of other serious vaccine-preventable disease outbreaks have occurred in Wisconsin over the past 2 decades, including pertussis (whooping cough) and mumps. Immunizations are the most effective way to prevent these, and other, vaccine-preventable diseases.
The Wisconsin Public Health Association, the Wisconsin Association of Local Health Departments and Boards, Medical College of Wisconsin, Wisconsin Medical Society, and the Wisconsin Nurses Association all support a change in school and day care center immunization law that eliminates personal conviction waivers for students in Wisconsin public and private schools and for children who attend group day cares.
[Text Box: Fiscal Impact: [ X ] None [ ] Budgeted Expenditure [ ] Not Budgeted] [Text Box:]
NOW, THEREFORE, BE IT RESOLVED; that the Sauk County Board of Supervisors, met in regular session, and hereby requests the Wisconsin Legislature end the use of personal conviction waivers for school and day care center immunizations.
BE IT FURTHER RESOLVED; and that a copy of this resolution be sent to the Governor of Wisconsin, Wisconsin state legislators, WPHA, WALHDAB, Wisconsin Counties Association, and other organizations as appropriate.
For consideration by the Sauk County Board of Supervisors on December 17, 2019.
Respectfully submitted,
SAUK COUNTY BOARD OF HEALTH
_________________________________ _________________________________
Donna Stehling, Chair Glen Johnson
_________________________________ _________________________________
John Miller Scott Von Asten
_________________________________ _________________________________
Diane Reinfeldt Kiana Beaudin
_________________________________
Ken Carlson
EXECUTIVE & LEGISLATIVE COMMITTEE
_________________________________ _________________________________
Peter Vedro, Chair William Hambrecht
_________________________________ _________________________________
Wally Czuprynko David Riek
_________________________________
Thomas Kriegl
Fiscal Note: This resolution does not require an appropriation from the County or State budget.
Information System Note: None.
Requested Board Review Date:
Tuesday, January 15, 2019