WHY WE SHOULD NOT
MANDATE HEPATITIS A VACCINE FOR COLORADO CHILDREN
02-206, sponsored by Senator Hernandez, would add hepatitis A vaccine to the
list of required immunizations for children entering kindergarten on or after
Sept. 1, 2003. This proposal should NOT be approved by the
legislature for many reasons.
already requires up to 36 doses of vaccine for 11 different diseases for school
age children (includes 4 doses of pneumococcal vaccine). (3) Does
intend to mandate every new vaccine?
less than 6 years of age, most infections (70%) are asymptomatic; if illness
does occur, it is not usually accompanied by jaundice. (1) Why
vaccinate children for hepatitis A when it is so mild and most wont even show
is acquired primarily by the fecal-oral route by either person-to-person contact
or ingestion of contaminated food or water. (1) Why vaccinate all children
when hepatitis A can be prevented with good hygiene?
and VAQTA Hepatitis A Vaccine are grown in the MRC5 human diploid cell line that
originated from an aborted baby and contains DNA and residual MRC5 cellular
proteins. (7)(8) Why mandate a vaccine that will cause a moral dilemma for
Colorado Counties had reported cases of hepatitis A of >20 per 100,000 people
between 1987 and 1997 and 6 counties reported no cases. (6) Why a mandate
for counties with zero or low reported hepatitis A cases?
studies are being conducted among infants and young children to evaluate whether
simultaneous administration of hepatitis A vaccine with DTP, DTaP, Hib,
hepatitis B, MMR, and oral and inactivated poliovirus vaccines affects the
immunogenicity and reactogenicity of these vaccines. (1)
Colorado legislators should
request copies of these studies, if they have been completed, before making a
decision on SB 206.
Two out of
three children are denied federal compensation for vaccine injuries (4) and The
National Vaccine Injury Compensation Program does not even cover hepatitis A
vaccine. (9) Does
Colorado plan to take full
responsibility for any damage caused to children by this vaccine?
2,500 hepatitis A vaccine adverse events have been reported to VAERS (Vaccine
Adverse Event Reporting System) since 1996 and it is estimated that less than 10
percent and possibly less than one percent of all doctors report serious health
problems that follow vaccination. (4) Most parents will never know this.
that have expected high rates of prior HAV infection, prevaccination testing may
be considered to reduce costs by not vaccinating persons who have prior
immunity. (1) Will Colorado test for prior immunity before vaccinating all
Increased Risk for Hepatitis A Virus are:
Persons traveling to or
working in countries that have high or intermediate endemicity of infection; men
who have sex with men; illegal-drug users; persons who have occupational risk
for infection; and persons who have clotting-factor disorders. (1) The
Legislature should not place the burden of attempting to control another disease
that primarily affects adults on Colorado children.
Hepatitis A Vaccine manufactured by Merck and Co., Inc. currently has a recall.
(2) How often does this happen?
allows exemptions for any or all vaccines for medical, religious, or personal
reasons, parents are still told by individual schools that they must have all
shots to register. (11) The legislature should consider a proposal to
enforce the requirement that schools inform parents of their rights.
vaccine, which was mandated in CO last May and will go into effect July 2002,
was given approval by the FDA with many requirements for post-licensure study
including evaluating less common adverse events in
children who will receive doses of Pneumococcal 7-valent Conjugate Vaccine
concomitantly with routinely recommended childhood vaccines, e.g., DTaP, HIB,
IPV and hepatitis B vaccine. (10)
legislators need to find out if these studies have been done and if any studies
with the addition of hepatitis A vaccine to the schedule will be done.
In her recent
testimony before the California Senate, Barbara Loe Fisher said, Before we go
any further and mandate one more vaccine for daycare or kindergarten entry
whether it is Prevnar or hepatitis A or some other vaccine we had better find
out if the repeated manipulation of the immune system with lab altered viruses
and bacteria adulterated with mercury, aluminum, formaldehyde and other toxins,
which are administered to our babies from birth through the first five years of
life when the brain and immune system is developing at its most rapid rate, is
contributing to these skyrocketing increases in chronic illness in our
children. (4), Hepatitis A vaccine contains aluminum, phenoxyethanol,
bovine albumin, and formaldehyde (7).
Children Program and the Colorado Immunization Program makes Hepatitis A vaccine
available to anyone who asks for it. According to former CO Chief Medical
Officer Richard Hoffman, arrangements have been made through the VFC program to
deliver Hepatitis A vaccine to indigent children in all areas of the state. (5)
Why a mandate when the vaccine is already available to those who want it?
$45.00 to immunize a child against hepatitis A and the birth cohort times that
number equals about $2.2 million per year. This is not cost effective to
prevent nine hospitalizations over the past two years at a cost of $9,000. (5)
Page 16. Why require a mandate that is not cost effective when
Colorado has a
health insurance affordability crisis?
Prevention of Hepatitis A Through Active or Passive Immunization:
Recommendations of the Advisory Committee on Immunization
Click here: CBER, Approval letter, Pneumococcal 7-valent Conjugate Vaccine
(Diphtheria CM<sub>197</sub> Protein),"Prevnar," fo
Information given out by individual schools varies. Some schools comply with
CRS 25-4-903 (4) which requires them to inform parents of their rights and some
Information compiled by Cindy Loveland,