Director’s Update

Director’s Update  – April 2019

Support for SB 276 (Pan) – Child Safety and Disease Prevention Act

On March 26, 2019 Senator Richard Pan, MD and Assemblymember Lorena Gonzalez introduced SB 276, a bill to combat fraudulent medical exemptions that are putting children and communities at risk for vaccine preventable diseases.  Medical exemptions have more than tripled since 2015 – from 0.2% in 2015-2016 to 0.7% in 2017-2018 – which may not sound like a lot in terms of percent, but in terms of California numbers – that is an increase from approximately 900 children with medical exemptions, to over 4,000 children with medical exemptions.

The Problem:

Young patients in California are receiving exemptions from some physicians that are not consistent with guidelines from the Centers for Disease Control and Prevention’s Advisory Committee on Immunization Practices (ACIP) and/ or the American Academy of Pediatrics (AP).  Many of these exemptions are coming from a relatively small number of physicians who have monetized the process and are charging fees to counsel parents on how to get a medical exemption and / or charging fees to obtain a medical exemption. In some cases, these physicians are also requiring parents to periodically renew the exemption. For a fee.

The increased numbers of permanent medical exemptions from school required vaccinations are a big concern for public health and if we do not address this problem, they are likely to increase.

We feel strongly that the practice of selling medical exemptions is unethical and has contributed to a dangerous increase in unvaccinated children and presents a danger to vulnerable children and adults. As we have seen over the past three months,  parental refusal to vaccinate – in some instances with the support of certain physicians – has led to outbreaks of diseases such as measles in California and in other states.


CIC supports the right of physicians to provide medial exemptions  to those patients that meet evidence based clinical criteria.  And we support the physician / patient (parent) relationship and the physician’s authority to make the appropriate determination for their patient – based on the standard of care.

We care about public rights and we care about community rights – and we are extra concerned for the rights of vulnerable children and adults.  We applaud and support Dr. Pan, the California Medical Association, the American Academy of Pediatrics – CA, Vaccinate California and other partners and the California legislature for taking this important action that will require needed oversight of the medical exemption approval process.

Text of SB 276

Fact Sheet – SB276

SB276 Analysis

Updated – April 23, 2019

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Dear  Coalition Members:

The House is moving forward on budget proposals for Fiscal Year 2018 (FY18) and has suggested a $50 million cut to immunization funding to the Centers for Disease Control and Prevention (CDC). This could mean serious reductions in our country’s and states’ abilities to:

  • Support the science that informs our national immunization policy;
  • Provide a safety net to uninsured, low-income adults by enabling vaccine purchases;
  • Monitor the safety of vaccines;
  • Educate healthcare providers;
  • Perform community outreach; and
  • Conduct surveillance, laboratory testing and epidemiology in response to disease outbreaks.

With the U.S. currently facing costly outbreaks of vaccine-preventable diseases such as measles and pertussis (also known as whooping cough), now is not the time to weaken the backbone of our nation’s public health infrastructure.

We are not asking for a funding increase, we are simply asking that Congress not reduce current levels of immunization funding. States have already had to make tough decisions because of a $4 million cut in funds in the 2017 budget.

Please call your Representative today and tell him or her:

“Please reject the proposed $50 million cut to the CDC Immunization Program and maintain level funding for FY18. A funding reduction for would have serious consequences for communities across the country at a time when outbreaks of vaccine-preventable diseases such as measles are on the rise.”

Please use Who Is My Representative? to quickly find your Member of Congress in the House.

Thank you for your continued support of immunizations and their critical role in protecting our health!

Public Health Is Not A Controversy

I am the herd - TIP
#I Am The Herd – courtesy of The Immunization Partnership in Texas

Back to school is an exciting time for children and their parents – albeit for different reasons perhaps. Children are excited to meet their new teacher and see who is in their class. Families are gathering supplies, filling out forms, perhaps shopping for new clothes. Some parents may find themselves also waiting in line at the health department or their doctors office to get copies of their child’s vaccine records. Others may find themselves waiting to get their child’s vaccines updated to make sure their children are able to start school on time with required vaccinations that may have been missed.

For a small number of families in California this year, back to school time may present a difficult choice. As of July 1, 2016, parents who have previously declined vaccinations for their children by utilizing a personal belief exemption from vaccination will no longer have that option if their child will be first entering kindergarten or 7th grade in California.  Medical exemptions are available to any child who cannot be immunized due to a medical reason or contraindication against vaccination.  However, all other children will need to have proof of vaccination or their parents will need to choose another option for educating their child which may include home school or independent study.

Since the 1960s’s California school children have been required to be vaccinated against certain diseases in order to protect the child, the school community and in turn the larger community. Every state and territory in the United States requires school children to be vaccinated against certain diseases specified by their legislature or their health departments. This is the law and the law is in place to protect everyone in the community.  Previous to 2001, childhood vaccination was not an issue for the vast majority of parents. The personal belief exemption rates in most states was near zero and in California, hovered around 1% for many years.

Changes in our culture, politics, media – the way we access information now – has changed the way some individuals view science and the role of public health. Perceptions about the risk of disease and the risk of vaccination have been flipped in some people’s minds. They fear the vaccines more than the disease and some celebrities and others in the media have labeled these misconceptions as “a controversy”.

There is no controversy.  The science is clear and the facts remain true that vaccines prevent disease, disabilities and death.  As public health professionals working to protect public health we look to the facts and the science to inform and educate about the importance of vaccines.  We acknowledge that no vaccine is 100% effective or completely without risk.  Nothing in life is without risk.  But the risk of disease, the potential for complications and spread of disease is far greater without protection of immunity conferred by vaccinations.

We encourage parents, health care providers and educators to review the Frequently Asked Questions (FAQ) pages at  for detailed information about the new law that helps protect our community from disease outbreaks and makes California schools safer for children.  For more information email us at [email protected] .  #IAmTheHerd #VaccinesWork ~ CM


Please Join Us in Sacramento for the 2016 California Immunization Coalition Summit     

IMG_1692 - CMFlores

The CIC Summit planning committee is putting together a fantastic agenda with plenary speakers and workshops that will provide a great two days of education, information and networking opportunities for everyone.  Please check out our Summit Home page and register today to get ‘early bird’ rates and a steal of a deal on a room at the Hyatt Regency Sacramento.

A draft agenda is posted there now with updates taking place weekly.  If you have any questions about the Summit or would like to participate as an exhibitor – we still have a couple of spaces available – please contact me or CIC Program Associate, Prabhjot Dhaliwal at [email protected] We look forward to seeing you in Sacramento!


We Heart Immunity and We Heart Our Coalition Partners – August 2015

This is an overdue thank you to all of our colleagues who came together to form the I Heart    Immunity campaign,  this past February.  In five quick months under the leadership of Senators  Richard Pan, MD and Ben Allen and their staff and the many co-authors at the California legislature,  we made history in California by working together to pass SB277 which removed the personal beliefs  exemption option from our immunization statute.

There are numerous people to acknowledge, however from the CIC Director’s perspective I particularly want to thank Alecia Sanchez and the entire team at the California Medical Association, Kat Deburgh of the Health Officers Association and  Kris Calvin of the American Academy of Pediatrics – California for their continued leadership in advocating for policies and practices that provide disease protection through immunization.

Getting to know and work with the parents of Vaccinate California has been quite a gift.  We are honored by their partnership and trust.  Watch the CIC website and Facebook pages for more details on how we can learn from and work with this terrific group of advocates.  Particular thanks to Leah Russin, Hannah Henry, Rachel Deutsch and many others – you can read about how they became involved here for their tireless efforts.

We just posted new FAQ’s on the new law that goes into effect on January 1, 2016 and we will be working to make sure that parents have the answers they need and that our partners in health care have the tools and resources to be able to help parents feel good, or better (hopefully great!) about their decisions to vaccinate.

Terrific work #TeamVax !

Ready, Set, Vaccinate

March 31, 2015 – On January 2, I was looking forward to a year that would focus on planning and development for our Coalition. Taking our shiny new strategic plan and churning out projects to support our goals for promoting immunization and the immunization registry.  Well, we’ll get back to that soon. It turns out that 2015 will be just as interesting, as changeable and as challenging as every year has been since I began my work with the Coalition.

Starting with the measles outbreak at one of my happiest places on earth – Disneyland that generated numerous inquiries from media, parents, colleagues and legislators. Then moving on to the introduction of several new pieces of immunization related legislation including SB 277 (Pan/Allen) which will remove the personal beliefs exemption from the Health & Safety code.  We started 2015 with a flying start and whatever happens during the upcoming hearings and meetings around the legislation, we are pleased to have the opportunity to educate our policymakers and the media about the key issues that impact our communities.

 Along with a dynamic legislative session, we are also looking forward to  our annual Coalition Summit on April 26-27.  We hope you will be able to join us in Riverside as we welcome some terrific keynote speakers including Dr. Bill Atkinson, and Colin McRoberts and immunization champions, Heidi S. Parker from Nevada and Anna Dragsbaek from Texas. See more about the Summit here.

We’ve grown so much as an organization and as advocates for public health and immunization.  We look forward to working with you as we expand our membership and our role in promoting immunizations and protecting our communities from vaccine preventable diseases.

Personal Belief Exemption Form Released

October 30, 2013 – The California Department of Public Health released the PBE form (CDPH 8262 10/13)

The form and a Frequently Asked Questions page can be found on the website here  The Immunization Branch has done a terrific job of gathering resources and materials that could be used in implementing the law that goes into effect January 1, 2014.  The FAQ will answer many, if not all of your remaining questions about the law.

The California Department of Public Health sent out a press release this afternoon that can be viewed here (attached).

While we disagree with the decision to include an option to exempt a child from immunization if a parent or guardian is “…are a member of a religion which prohibits me from seeking medical advice or treatment from authorized health care practitioners”,  the Coalition is in full support of the healthcare practitioners, school nurses and the CDPH Immunization Branch who are charged with implementing this new law.  As always we are committed to providing accurate information for families and the community.

CIC will share additional information and resources on our website and through our Committee Conference calls.

It is important to remember that if the form is used properly by parents seeking a true personal belief exemption, this will impact a relatively low number of families – however we recognize that certain areas will be impacted more.

On behalf of the CIC Board of Directors and the co-sponsors of AB 2109, we thank you for your support in passing this important legislation to reduce the casual use of PBE’s in California.  Please contact me at [email protected] if you have any questions or comments.


October 29, 2013 – Update: Still Waiting For Approval of Exemption Form

In his signing of AB 2109, Governor Brown directed the Department of Public Health to “allow for a separate religious exemption on the form.” The California Immunization Coalition does not support this addition because the personal belief exemption currently in statute already satisfies and includes those seeking exemption based on religious beliefs. We understand that the Governor has concerns about protecting the first amendment rights of parents who believe their religion does not allow them to seek medical treatment from health care practitioners. However, this new law does not require that parents vaccinate or treat their children, but that everyone receive accurate education and information about vaccines and vaccine-preventable diseases.

As you know, requiring vaccinations for children enrolled in childcare facilities and schools has been a major contributor to the success of the immunization program and the resultant decreases in devastating and preventable diseases. Our interest is in complimenting this mechanism by instituting an educational component whereby all families are guaranteed to receive clear and accurate information about vaccines and vaccine-preventable diseases and the risks and benefits. Parents then have the option to choose not to vaccinate their child by claiming a personal belief exemption including religious beliefs.

So on the one hand, I am in no hurry to see an exemption form that includes a religious exemption option (as we have heard rumored) because that is inconsistent with the law passed by the legislature. On the other hand, not having a form to share with healthcare practitioners who need to be prepared to appropriately speak with concerned parents and guardians, is frustrating. During our work to advocate for AB 2109 we assured our colleagues that we would have a form and the resources available well in advance of the implementation date. We have been waiting over a year. I apologize for not being able to make good on that commitment, yet.

With less than 9 weeks till January 2014, the Coalition is working to ensure that our partners in public health have the information to be able to implement this new rule. We look forward to working with you to make this a professional and organized process. Please check CIC’s Facebook, Twitter and website pages for updated information. Our thanks for your interest and support, Catherine

RE: AB 2109 Implementation – Personal Belief Exemptions and Immunization

Assembly Bill 2109 (Pan) was signed into law on September 30, 2012 and goes into effect January 2014. This law will require a parent or guardian seeking a personal belief exemption (PBE) from school required immunizations for their child, to first obtain a document signed by themselves and a licensed health care practitioner which will verify that the healthcare practitioner has informed the parent or guardian of the benefits and risks of immunization, as well as the health risks of the diseases that a child could contract.

The law preserves a parent’s option to exempt their child from immunizations, but also ensures that such a decision is an informed one and that the parent is aware of the individual and public health risks of not immunizing their child.

At this writing, the California Department of Public Health has not released the final document to be used in implementing AB 2109 and with less than 90 days before the law goes into effect, this has created a challenge for physicians, health departments and schools that are seeking information. Understandably, they want to be prepared to respond to parent and public questions and concerns and as we approach the holidays this will become a bigger challenge for our public health departments to provide this information in an expeditious manner.

As co-sponsors of this bill we are committed to supporting an organized and professional implementation. For more information and updates contact us at [email protected].

Sept.  30 – AB 2109 (Pan) – review signing statement.

Congratulations to all! AB2109 bill was signed today!

Many thanks to our supporters and colleagues who worked to inform their representatives and the media about the importance of this effort.

Watch this site for updates on the implementation of the new law and frequently asked questions.  Tremendous team effort and a great win for public health and immunizations in California!  Best regards, Catherine

This new law, co-sponsored by the California Immunization Coalition, the  California Medical Association, the American Academy of Pediatrics – CA and the Health Officers Association of California will help protect our children, our schools and our entire community from vaccine preventable diseases by strengthening the vaccine exemption process – .

August 22, 2012 – Passed out of Senate. Cards and letters to Governor Brown today!

May 30, 2012- After passing  out of the Assembly on May 10th, AB 2109 will next be heard  in Senate Health Committee sometime in June.

This bill is about protecting children and families and it will impact exemption rates in California  just as it has in Washington State  where their rate of exemption from vaccines required for school has dropped significantly in the first year since passage of a law that changed the parental opt-out process. Press release from May 17.  (Their Kindergarten exemption rates for required immunizations dropped to 4.5 percent for the 2011-2012 school year compared to 6.0 percent in 2010-2011 and 6.2 percent in 2009-2010.)

California’s public and private health care providers do not want our State’s immunization exemption rates to get to the point where the community is at risk for unnecessary exposure to preventable diseases.  We are proud of the bills author, co-sponsors and supporters for taking a dignified, respectful and professional stand in favor of the health of our community.  For the most current information on AB 2109 (Background, Fact Sheets,  FAQ, Bill Language) go to our Advocacy page on the CIC website and select Legislative Information 2012 .

You can make a difference: Reach out to your local State Senator and introduce yourself and your organization.  Let them know you are a source of accurate, credible, science based immunization information in their district.  The opposition is providing a considerable amount of misinformation on this bill and we need you to make sure our representatives and their staff know who their resources are in your area.  Please contact me directly if you have any questions.

Thank you for your support!


AB 2109 Passes Assembly Health and Appropriations

May 3, 2012 – The Assembly Health Committee (on 4/17)  and Appropriations Committee  (on 5/2) have passed AB2109 (Pan) Personal Belief Exemptions and the bill will next be heard on the Assembly Floor.  You can subscribe to receive updates directly from the California Legislative Information site at We will post updates on our website, Twitter site (@ImmunizeCa) and Facebook pages as well.

Two additional ways to stay up to date are to go to a website that has been set up by a terrific advocate for immunizations, Liz Ditz.  Find it here – .

There is also a Facebook page that has been created to generate support for and keep in touch about AB 2109. You will need to request to be added.!/groups/385230668174221

You can help: Reach out to your local representative and introduce yourself and your organization.  Let them know you are a source credible immunization information in their district.  After hearing some of the questions and concerns from some of the representatives, it is clear that we need to make sure they have the most up to date information.

The author needs your letters of support, as an individual or as an organization.  We would like to acknowledge the growing list of supporters of this bill including Co-Sponsors, AAP – California District IX, California Medical Association and the Health Officers Association of California.

Please contact me directly at [email protected] or at 916-447-7063 ext 333.  Thank you for your great work.

Action Alert – AB 2109

 April 4, 2012 – The California Immunization Coalition is proud to be a co-sponsor of AB 2109 (Pan) Vaccine Preventable Diseases along with the American Academy of Pediatrics – CA District, the California Medical Association, and the Health Officers Association of California which has the goal of improving vaccination rates and reducing the use of the personal belief exemption out of convenience. AB 2109 is scheduled to be heard in the Assembly Health Committee on Tuesday April 17 and we need you to act today to contact your Assembly Member, particularly if they are on the Assembly Health Committee. See list at

Letters and Calls

Your organization’s letter (or personal letter) of support and your phone calls will make a tremendous difference in this effort. Advocacy efforts may occur in person, via phone call, fax (preferred) or email to the local office of the legislator. Please let CIC know if you make any contacts and how they go!

Template letters to assist you in creating a letter to be sent on your letterhead can be found at  Please send a copy of your letter of support to Assembly Member Richard Pan (Fax 916.319.2105)

Please send your letters to arrive at the Assembly Health Committee and Assembly Member Richard Pan’s office no later than 5:00 pm on Tuesday, April 10.

Fact Sheet and Bill Text

You will find the AB 2109 Fact Sheet here and the current text of bill is at where you can also subscribe to bill updates. This bill does not prevent a family from refusing one or more school entry vaccines. Rather, it introduces an information step into the process, which is accomplished by the family and a physician, nurse practitioner or physician assistant signing a simple form that indicates the parent received information on the benefits and risks of vaccines from that health care provider.

If you run into questions from legislators or staff that you are not comfortable answering, please let them know that you will have your colleague at the California Immunization Coalition give them a call. Legislators prefer to hear from local constituents on this issue.  Your voice and support for AB 2109 is vital this week and next week.   

 For more information, please contact me at 916-447-7063 ext 333 or by e-mail at [email protected]

GOOD News Makes Headlines
January 25, 2012 – California recorded no deaths from pertussis (whooping cough) during 2011, a first since 1991.  The California Department of Public Health released information today about the number of pertussis (whooping cough) cases in 2011 and the fact that NO fatalities were recorded despite over 3,000 reported cases.
This is the first time in 20 years that no deaths from pertussis have been recorded and is a tribute to the efforts of the public health departments, school nurses, school districts and health care providers, health plans, hospitals and clinics (the list could go on) who dug in and made pertussis vaccination of children, adolescents, adults and seniors a high priority in their community.
Last year California  implemented a long sought after requirement for pertussis vaccination of 7th graders, which during the first year involved catching  up thousands of teenagers in 7th through 12th grade with Tdap, a pertussis containing vaccine.  As of January 1, the law reverts to a 7th grade only requirement.
This year California will observe Preteen Vaccine Week (Feb 12-18) and remind parents and school staff that preteens and teens need vaccinations that will need protect them from diseases such as by reminding students,  parents and school personnel that preteens and teens need their Tdap vaccinations as well as other immunizations that will protect them from diseases such as meningitis, chickenpox, hepatitis B and HPV.

Watch the CIC website and your In-Box for more updates and information in the weeks ahead!


Budget Cuts Endanger California’s Immunization Programs

On October 8, 2010 the Legislature passed a much delayed budget for California. At the last minute, the Legislative Analyst’s Office (LAO) reintroduced several recommendations as a way to bring the budget in line with available resources in California. Included in the LAO’s recommendations was the elimination of all $18 million of the local assistance funding that the California Department of Public Health Immunization Program has historically received.

CIC is unclear how this last minute decision was made and is outraged that our state legislators and the Governor’s office would cut all local assistance funding – funding that is essential for the public’s health.

Because the state funding was initially included in the Governor’s and Legislature’s prior budget proposals, California’s immunization programs had proceeded based on assumption of routine funding. Now that this funding has been eliminated, all Collaborative Projects, Community Health Center (CHC) immunization activities, and Registry activities will need to stop shortly or be dramatically curtailed. It is also uncertain how CDPH will provide adult flu vaccine next season (2011-12) in the absence of state funds.

The elimination of these funds will likely limit access to vaccines, stall registry implementation, and hamper efforts to promote immunizations in under-served communities.

Call to Action:

  • Contact your local legislator and let them know how these cuts will impact their local immunization program and the communities they represent.
  • Contact candidates running for office in your area. As a new legislators, they may be voting on a revised budget following the November election.
  • Customize your messages based on what is going on in your community. Let them know or remind them about the pertussis epidemic in California, the high number of pertussis cases or deaths (if any) in your area along with any numbers on jobs that may be lost.
  • Highlight any vaccine preventable disease outbreaks in your area, such as chickenpox, measles, and pertussis. Mention this is flu season and whether flu has started showing up in your community. Remind them about universal flu recommendations (6 months and older) and whether there will be sufficient staff to provide them to the community.
  • Contact the Governor’s office with the same information above.
    Contact the media in your community. Copy them on any letters you send out to your local legislator.

CIC is sensitive to the fact that many other important programs have been cut, however with the current pertussis epidemic and the passage of AB 354 which will require over a million 7th -12th grade students to get a pertussis vaccine booster by July 1, 2011, we have a very compelling story to share. The public should be concerned that funding for disease prevention is being eliminated.

Next Steps

Over the next days and weeks, CIC will be doing all of the above at the State level wherever possible, but this information cannot come only from us. It will take a concerted effort of all our partners to help our representatives understand the significance of these funds to public health and the impact on our community if these dollars are not reinstated.

Please contact me directly anytime at the number/ e-mail below. Thank you for your assistance.

Please call (916) 447-7063 ext. 333 or e-mail with any questions.

Catherine Flores Martin
California Immunization Coalition

September 29, 2010

AB 354 has been signed! Thanks to all for your support!

Congratulations and Thanks to CIC’s Adocacy Team and Assembly Members Arambula and Fletcher

CIC is thrilled to announce that Governor Schwarzenegger signed Assembly Bill No. 354 – Pertussis booster vaccination requirement for adolescents – on Wednesday, September 29, 2010. This is a major win for children and families in California and a major step for public health professionals to be able to prevent pertussis disease in California.

The bill has been Chaptered and you can read the full text here for full information on this bill. You will be able to find additional information on implementation of this law and Fact Sheets about AB 354 on the pertussis resources section.

It took 4 years to make this happen and we are eternally grateful for the work of our Board members and Coalition leaders for keeping the legislation alive. However none of this would have come together without the time and commitment from Lydia Bourne and Steve Barrow, Co-Chairs of the CIC Advocacy Committee. These long time Coalition and public health advocates have spent hours at the Capitol, educating legislators and their staff, testifying at hearings and training other advocates on how to work with our policy leaders in California.

I am honored and proud to be working with and for the public health community and immunization professionals who have worked so hard to get this legislation passed.

In Gratitude,
Catherine Flores-Martin, Director


Your Support Needed – Please Contact Governor Schwarzenegger

Assembly Bill No. 354 Student Immunizations (Arambula and Fletcher) is Enrolled and waiting for the Governor’s signature. CIC would like to emphasize however, that this process is not complete. We still need the Governor’s signature and for that to occur we need to make sure that he is aware of how important this legislation is in preventing the continued transmission of pertussis disease.

Each community in California needs to tell their story about how pertussis has impacted their hospital, their practice, clinic, local health department, their school or perhaps, your own family.

There have been numerous stories in the media which has helped to educate our legislators and as we learned from the nearly unanimous votes (highlighted below) we have had far reaching support. The Governor needs to know this too and it is up to you as a public health advocate or Coalition member. It is not too late to fax a one page letter or note today ( )

I am happy to answer questions about this legislation or you can go to and plug in AB 354 to get full history and analysis of the enrolled bill.

Catherine Flores – Martin
California Immunization Coalition

[email protected]

Re: AB 354 – Pertussis (Whooping Cough) Vaccines for Students

This afternoon (8/23), Assembly Bill AB 354 was passed off the Assembly floor with unanimous approval (final vote 72 -0) and is now headed to the Governor’s desk. It is imperative that you let the Governor know that you support disease prevention in California!

We are in the most critical phase of bill passage and we are very close to meeting this important goal. We urge you to please contact the office of Governor Arnold Schwarzenegger to ask for his signature on AB 354 (Arambula and Fletcher). Assembly Members Juan Arambula and Nathan Fletcher did a phenomenal job introducing this bill to their colleagues on the Assembly Floor today. Please copy CIC and their offices on any communications you send to the Governor’s office. And while you are feeling good about this current achievement, consider sending them a note of thanks as well!

As one of our partners stated a few weeks back, … ‘we would rather jump on home plate than have to slide in and avoid the tag.’ Your letters of support are an extremely important step in getting this bill passed and we ask your to help make this happen.

Please contact me at 916-447-7063 ext 333 or at [email protected] for assistance or answers. Thank you!

Brief Update on AB 354 – 8/12/ 2010

Just an hour ago, the Senate Appropriations Committee voted AB 354 – Arambula and Fletcher, off of the Suspense file and out of Appropriations! Amendments were taken and will be announced shortly. Next step is approval on the Senate Floor. Watch our Twitter feed ( and Facebook page for updates!

Home Stretch for AB 354 –

Your support will make the difference!

A brief update on AB 354 – Arambula and Fletcher. First, we are pleased to share that Assembly Member Nathan Fletcher (R-San Diego) has signed on as joint author on this bill. Mr. Fletcher has been a strong supporter of public health and immunizations, acting as author and co-author of other IZ legislation, AB 1937 and AB 2093.

Second, amendments have been taken which have removed Hepatitis B vaccination record check at 7th grade in order to drop the cost and have added the pertussis booster requirement for 7th graders. It is felt that this change will assist with moving the bill out of the Appropriations Committee Suspense file. The Senate Appropriations Committee hearing is scheduled for August 12.

After AB 354 is voted off suspense, it will go the Senate floor for a vote and then back to the Assembly for concurrence – agreement on the amendments taken in the Senate. Because of the huge number of bills heading to the Senate floor, this bill may not arrive and/or be voted on until next week.

Your calls, e-mails, letters and faxes do and will make a difference. As a Coalition, this is one of the most important things we do. Thank you for your support!

These Deaths are Preventable

July 30, 2010

San Diego County Public Health Department announced on Thursday (7/29) that a one month-old baby boy, who was diagnosed with whooping cough, died on July 27 at Rady Children’s Hospital San Diego.

As public health professionals and immunization advocates, we have a responsibility to let our representatives know that we are counting on them to protect public health and save taxpayer money by preventing disease and avoiding hospitalization and treatment costs.

Since 2006, CIC and partners have been telling the legislature that the disease of pertussis is cyclical and every 3-5 years we can expect to see a major outbreak. And we have told them that a mandate for pertussis vaccination would reduce the impact of disease the next time around. Four years later, with no action from the legislature, we are still without a mandate and we have the highest rates of pertussis disease in the Country.

The costs to the State for hospitalization and treatment for MediCal patients alone, averages 12 million per year. Costs this year will easily exceed 12 million and likely double or triple for hospitalizations and treatment.

We have a clear understanding of California’s budget challenges, however the very minor costs to the state for this bill are clearly outweighed by the importance of protecting infants and children from this disease. We need to use all of the options available to us to protect vulnerable infants and children, which includes vaccination of adolescents and adults.

Please contact your state representative and in particular Senate Appropriations Committee Chair, Christine Kehoe – to express your concern about these tragic infant deaths and your support for AB 354 which would allow the Department of Public Health to add a pertussis booster vaccine (Tdap – tetanus, diphtheria and pertussis) to the list of vaccines necessary for adolescent children to be considered fully immunized by age.

Contact Catherine Martin at 916-447-7063 ext 333 for additional information or resources.

July 15, 2010

The State of California Department of Public Health announced last week that as of June 30, 1,300 cases of pertussis were reported from across the state, and 700 more cases remained under investigation. Many areas of California are seeing five times the number of cases than were seen at this same time in 2009.

Dr. Mark Horton, director of the California Department of Public Health stated in mid June of this year, “Whooping cough is now an epidemic in California,” and. “Children should be vaccinated against the disease and parents, family members and caregivers of infants need a booster shot.”

It is all about protecting these newborn babies and the best way to accomplish that is to protect everyone around them. Number one priority for CIC is to get AB 354 passed. We have also started a California Pertussis Task Force which will be working with local hospitals to implement standing orders for postpartum Tdap administration and use of Tdap in Emergency Departments for advocating that Employee Health programs offer this vaccination to their staff.

Help get the word out about the dangers of whooping cough by:

Posting these new flyers in public spaces: Is It Whooping Cough? Poster | Spanish
Sharing personal stories about families affected by whooping cough at
Distributing informational materials from eziz’s new Pertussis Materials page.
Thank you for helping to educate the public and professionals in your community.

July 2, 2010

The California Immunization Coalition has worked for the past three years to pass legislation that would mandate pertussis (Tdap) vaccination for all incoming 7th graders in order to help break the cycle of pertussis transmission in California.

These bills, first AB 2580 and now AB 354, have received nearly unanimous bipartisan support and legislators have agreed that this is an important issue. However, the bill has fallen victim to the California budget crisis and has been caught in the Senate Appropriations Committee since last year due to a relatively modest cost associated with Medi-Cal administrative fees.

The bill was heard in the Senate Appropriations Committee on Monday (6-28) and due to the potential cost of the bill as analyzed, the bill is being held in Suspense.

What You Need To Do:

Contact your legislator about this bill, particularly if your representative is on the Senate Appropriations Committee (find that listing here) you should contact them personally either by phone or visit or faxed letter. Urge them to move this bill out of Suspense and highlight the cost savings to California. For Fact Sheets and sample language, go to .

CIC will keep you updated through e-mail, Twitter and Facebook re next steps for this bill. Media attention on this issue, along with your phone calls, letters and e-mails have made a difference in educating policymakers and we urge you to keep going. If you do contact your legislator, please send us a copy or note so we can follow up as well

Contact me by phone or e-mail [email protected] for more information.

June 2010 – Pertussis Deaths in California: A Preventable Tragedy – California has seen a dangerous upswing in pertussis (whooping cough) cases this year and at this writing (6-4-10) five California infants younger than 3 months are known to have died of pertussis. Pertussis is the only disease that despite high levels of vaccination in early childhood, continues to remain widespread in California.

CIC has been working for the past three years on legislation (AB 2580 and now AB 354) which would enable a requirement for pertussis vaccination of California’s seventh graders. Thirty seven States have recognized the importance of protecting their children from preventable diseases like pertussis, and it is troubling that California has refused to pass Legislation protecting adolescents and by extension, infants too young to be fully vaccinated. These infant deaths most likely could have been prevented (See map of 37 States with pertussis vaccination mandates).

Immunizing school-aged children is key to preventing pertussis from spreading in our communities, and school immunization requirements are the best tool for protecting public health from these preventable diseases.

Please contact your local representative, particularly those who are on the Senate Appropriation’s Committee, to register your concern about pertussis in California and urge their support of AB 354 to get it out of Senate Appropriations committee and to the Governor’s desk for approval this year.

Contact me anytime at [email protected]

Thank you for all you do, every day, to protect out communities from vaccine preventable diseases,

Catherine Flores Martin, Director, CIC

September 2009 – It has been over a year and a half since the California Adult Immunization Coalition (CAIC) merged with the California Coalition for Childhood Immunization (C3I) to become the California Immunization Coalition (CIC). Thanks to the vision and leadership of both Coalitions, it has been a positive experience and a great decision. Expanding our network of partners and members has helped create a stronger, more unified voice for immunizations.

It is an honor to work for and with some of the most dedicated, smart and creative people in public health alongside the many exceptional and talented individuals and organizations from the private sector who work together to promote and support the mission of CIC.

California is the largest state in the country and we are working hard as advocates for immunization and health to make our voices heard at the State and National level. Consider joining one of our committees to get directly involved or sign up for our newsletter and mini-updates to stay in touch and learn more about your resources in California.

Please call (916) 447-7063 ext. 333 or e-mail for more information about joining the California Immunization Coalition. We look forward to working with you,

Catherine Flores Martin
California Immunization Coalition