WEBVTT

00:00:14.914 --> 00:00:17.050
GOOD MORNING, AND THANK YOU TO

00:00:17.117 --> 00:00:19.619
EVERYONE JOINING US HERE IN SAN

00:00:19.686 --> 00:00:21.421
DIEGO FOR THE SENATE HEALTH

00:00:21.488 --> 00:00:22.856
COMMITTEE'S INFORMATIONAL

00:00:22.922 --> 00:00:24.591
HEARING ON MEDICAL EXEMPTION

00:00:24.657 --> 00:00:26.760
FOR STATE IMMUNIZATION

00:00:26.826 --> 00:00:29.696
REQUIREMENTS. I FIRST WANT TO

00:00:29.763 --> 00:00:31.398
WELCOME EVERYONE TO SAN DIEGO

00:00:31.464 --> 00:00:34.000
WHO IS NOT A RESIDENT HERE. AND

00:00:34.067 --> 00:00:35.668
THANK YOU ALL SO MUCH FOR

00:00:35.735 --> 00:00:37.203
COMING DOWN. I ALSO WANT TO

00:00:37.270 --> 00:00:39.372
THANK THE COUNTY OF SAN DIEGO

00:00:39.439 --> 00:00:40.874
AND THE COUNTY BOARD OF

00:00:40.940 --> 00:00:41.875
SUPERVISORS FOR ALLOWING US TO

00:00:41.941 --> 00:00:44.778
USE THEIR CHAMBERS FOR TODAY'S

00:00:44.844 --> 00:00:46.946
HEARING. THIS IS A VERY

00:00:47.013 --> 00:00:48.748
IMPORTANT PUBLIC HEALTH ISSUE,

00:00:48.815 --> 00:00:50.917
AND IT DESERVES A THOUGHTFUL,

00:00:50.984 --> 00:00:53.420
FACT BASED DISCUSSION,

00:00:53.486 --> 00:00:54.821
ESPECIALLY AS WE CONTINUE TO

00:00:54.888 --> 00:00:57.357
SEE VACCINE PREVENTABLE

00:00:57.424 --> 00:01:00.293
DISEASES OUTBREAKS ACROSS THIS

00:01:00.360 --> 00:01:03.830
COUNTRY AND ACROSS THIS STATE.

00:01:03.897 --> 00:01:06.766
IN FACT, THIS WEEK, THE PAN

00:01:06.833 --> 00:01:09.269
AMERICAN HEALTH ORGANIZATION IS

00:01:09.335 --> 00:01:11.070
REVIEWING THE UNITED STATES

00:01:11.137 --> 00:01:13.273
MEASLES ELIMINATION STATUS,

00:01:13.339 --> 00:01:14.808
WHICH WE ARE AT RISK OF LOSING

00:01:14.874 --> 00:01:16.843
FOR THE FIRST TIME SINCE

00:01:16.910 --> 00:01:20.413
ACHIEVING IT IN 2000. WE HAVE A

00:01:20.480 --> 00:01:21.514
RESPONSIBILITY TO PROTECT

00:01:21.581 --> 00:01:22.982
CHILDREN FROM VACCINE

00:01:23.049 --> 00:01:25.084
PREVENTABLE DISEASE, INCLUDING

00:01:25.151 --> 00:01:26.920
CHILDREN WHO CANNOT BE

00:01:26.986 --> 00:01:29.055
VACCINATED AND MUST RELY ON

00:01:29.122 --> 00:01:31.591
COMMUNITY IMMUNITY. WE ALSO

00:01:31.658 --> 00:01:33.393
HAVE A RESPONSIBILITY TO ENSURE

00:01:33.460 --> 00:01:35.195
THAT THE SYSTEMS WE ESTABLISH

00:01:35.261 --> 00:01:38.398
ARE WORKING AS INTENDED.

00:01:38.465 --> 00:01:40.266
EARLIER THIS YEAR, DURING OUR

00:01:40.333 --> 00:01:43.369
COMMITTEE HEARING ON SB 13, 77,

00:01:43.436 --> 00:01:45.872
QUESTIONS WERE RAISED ABOUT THE

00:01:45.939 --> 00:01:47.273
NUMBER OF MEDICAL EXEMPTIONS

00:01:47.340 --> 00:01:49.476
BEING REVOKED AND WHETHER

00:01:49.542 --> 00:01:51.277
PHYSICIANS ARE EXPERIENCING

00:01:51.344 --> 00:01:53.046
DIFFICULTIES WITH THE LEVEL OF

00:01:53.112 --> 00:01:54.080
OVERSIGHT IN THE CURRENT

00:01:54.147 --> 00:01:56.683
MEDICAL EXEMPTION PROCESS. AT

00:01:56.749 --> 00:01:58.051
THAT HEARING, I TALKED ABOUT

00:01:58.117 --> 00:02:00.086
THE IMPORTANCE OF UNDERSTANDING

00:02:00.153 --> 00:02:01.721
HOW THE MEDICAL EXEMPTION

00:02:01.788 --> 00:02:03.857
PROCESS IS WORKING AND WHETHER

00:02:03.923 --> 00:02:06.025
IT IS ACCOMPLISHING WHAT IT WAS

00:02:06.092 --> 00:02:08.127
DESIGNED TO DO. BEFORE

00:02:08.194 --> 00:02:09.929
CONSIDERING CHANGES IN EXISTING

00:02:09.996 --> 00:02:13.266
LAW, I HAD SOME CONCERN THAT

00:02:13.333 --> 00:02:14.667
SOME OF THE INFORMATION

00:02:14.734 --> 00:02:16.069
PRESENTED AT THE HEARING DID

00:02:16.135 --> 00:02:17.837
NOT APPEAR TO ALIGN WITH THE

00:02:17.904 --> 00:02:20.006
DATA BEING REPORTED BY THE

00:02:20.073 --> 00:02:21.841
ENTITIES RESPONSIBLE FOR

00:02:21.908 --> 00:02:24.444
IMPLEMENTING THE LAW. WE WANT

00:02:24.511 --> 00:02:27.647
TO MOVE WITH FACTS AND NOT

00:02:27.714 --> 00:02:31.518
FICTION, TO UNDERSTAND WHAT IS

00:02:31.584 --> 00:02:33.353
WORKING AND WHERE CHALLENGES

00:02:33.419 --> 00:02:34.787
EXIST. IT IS IMPORTANT THAT WE

00:02:34.854 --> 00:02:37.023
ARE WORKING WITH THE ACCURATE

00:02:37.090 --> 00:02:38.925
INFORMATION. SO TODAY'S HEARING

00:02:38.992 --> 00:02:40.560
IS AN OPPORTUNITY TO TAKE A

00:02:40.627 --> 00:02:42.362
CLOSER LOOK AT THE DATA AND

00:02:42.428 --> 00:02:44.063
HEAR DIRECTLY FROM PHYSICIANS

00:02:44.130 --> 00:02:46.332
AND THE IMPLEMENTING AGENCIES

00:02:46.399 --> 00:02:48.167
TO UNDERSTAND HOW THE PROCESS

00:02:48.234 --> 00:02:50.403
IS WORKING, WHAT THE DATA SHOW,

00:02:50.470 --> 00:02:52.071
AND WHETHER THERE IS A

00:02:52.138 --> 00:02:54.240
LEGITIMATE GAP OR UNINTENDED

00:02:54.307 --> 00:02:55.375
CONSEQUENCES THAT WARRANT

00:02:55.441 --> 00:02:58.311
FURTHER ATTENTION. I ALSO WANT

00:02:58.378 --> 00:03:00.013
TO ACKNOWLEDGE THE FACT THAT

00:03:00.079 --> 00:03:02.215
SINCE THIS IS A SENATE HEALTH

00:03:02.282 --> 00:03:03.616
COMMITTEE HEARING, WE DID

00:03:03.683 --> 00:03:05.051
INVITE ALL OF THE MEMBERS OF

00:03:05.118 --> 00:03:07.587
THE SENATE HEALTH COMMITTEE, IN

00:03:07.654 --> 00:03:09.722
ADDITION TO A COUPLE OF THE

00:03:09.789 --> 00:03:12.292
SENATORS WHO WERE CONCERNED

00:03:12.358 --> 00:03:14.427
SPECIFICALLY ABOUT VACCINES,

00:03:14.494 --> 00:03:15.461
INCLUDING SENATOR ALLEN,

00:03:15.528 --> 00:03:17.997
SENATOR CORTEZ AND SENATOR

00:03:18.064 --> 00:03:19.866
JONES, WHO I THANK YOU SO MUCH

00:03:19.933 --> 00:03:21.634
FOR COMING. REALLY APPRECIATE

00:03:21.701 --> 00:03:24.070
YOU BEING HERE. I APPRECIATE

00:03:24.137 --> 00:03:25.905
ALL OUR WITNESSES BEING HERE

00:03:25.972 --> 00:03:28.074
TODAY, AND I LOOK FORWARD TO

00:03:28.141 --> 00:03:30.209
VERY SUBSTANTIAL DISCUSSION.

00:03:30.276 --> 00:03:32.045
AND WE WILL BEGIN WITH OUR

00:03:32.111 --> 00:03:34.814
FIRST SPEAKER WOULD BE OKAY IF

00:03:34.881 --> 00:03:36.015
I SAID SOME WELCOMING REMARKS

00:03:36.082 --> 00:03:38.184
RIGHT AFTER SENATOR JONES SAYS

00:03:38.251 --> 00:03:40.053
WELCOMING REMARKS. THANK YOU

00:03:40.119 --> 00:03:41.421
VERY MUCH, CHAIRWOMAN. I

00:03:41.487 --> 00:03:42.589
APPRECIATE THE OPPORTUNITY TO

00:03:42.655 --> 00:03:43.856
BE HERE THIS MORNING, AND THANK

00:03:43.923 --> 00:03:46.793
YOU VERY MUCH FOR FOLLOWING

00:03:46.859 --> 00:03:48.261
THROUGH WITH THIS VERY

00:03:48.328 --> 00:03:50.096
IMPORTANT COMMITTEE HEARING. IT

00:03:50.163 --> 00:03:51.898
IS ENCOURAGING TO ME THAT WE'VE

00:03:51.965 --> 00:03:52.899
HAD SOME VERY ROBUST

00:03:52.966 --> 00:03:54.367
CONVERSATIONS IN THE CAPITOL

00:03:54.434 --> 00:03:56.536
BUILDING OVER THE LAST YEAR,

00:03:56.603 --> 00:03:58.638
AND PARTICULARLY IN REGARDS TO

00:03:58.705 --> 00:03:59.806
THE BILL THAT I PROPOSED

00:03:59.872 --> 00:04:04.444
EARLIER IN THE YEAR 1377, THE,

00:04:04.510 --> 00:04:06.613
YOU KNOW, THE DISCUSSION AND I

00:04:06.679 --> 00:04:08.047
AGREE WITH ALL OF YOUR YOUR

00:04:08.114 --> 00:04:09.482
COMMENTS IN THE OPENING. YOU

00:04:09.549 --> 00:04:11.985
KNOW, ONE OF THE THINGS THAT

00:04:12.051 --> 00:04:14.153
HAS CONCERNED ME ABOUT THE

00:04:14.220 --> 00:04:17.357
VACCINATION CONVERSATION, AS IT

00:04:17.423 --> 00:04:20.326
AS THE MEDIA DIGS INTO IT AND

00:04:20.393 --> 00:04:22.495
PAYS ATTENTION TO IT, THEY HAVE

00:04:22.562 --> 00:04:26.833
A TENDENCY TO PORTRAY SIDES AND

00:04:26.899 --> 00:04:30.003
TRY TO MAKE IT INTO A PARTIZAN

00:04:30.069 --> 00:04:31.537
ISSUE. I DO NOT BELIEVE THAT

00:04:31.604 --> 00:04:33.239
THIS IS A PARTIZAN ISSUE AT ALL,

00:04:33.306 --> 00:04:36.809
AND I. IT'S WHY I'M VERY

00:04:36.876 --> 00:04:38.578
THANKFUL THAT WE HAD A

00:04:38.645 --> 00:04:40.847
COALITION, BICAMERAL COALITION

00:04:40.913 --> 00:04:43.716
AND BIPARTISAN COALITION

00:04:43.783 --> 00:04:44.817
DISCUSSION EARLIER IN THE YEAR

00:04:44.884 --> 00:04:49.822
ON THIS. I HAVE THREE KIDS, TWO

00:04:49.889 --> 00:04:51.324
A DAUGHTER IN LAW, A SON IN LAW.

00:04:51.391 --> 00:04:53.159
I HAVE TWO GRANDCHILDREN, A

00:04:53.226 --> 00:04:55.328
THIRD GRANDCHILD ON THE WAY, MY.

00:04:55.395 --> 00:04:56.996
I'M VACCINATED. MY WIFE IS

00:04:57.063 --> 00:04:58.431
VACCINATED. ALL OF MY KIDS ARE

00:04:58.498 --> 00:04:59.499
VACCINATED. MY GRANDKIDS ARE

00:04:59.565 --> 00:05:03.970
VACCINATED. AND THE. SO WHAT

00:05:04.037 --> 00:05:06.039
I'M HOPING THAT WE'LL WILL GAIN

00:05:06.105 --> 00:05:08.207
OUT OF THIS CONVERSATION IS,

00:05:08.274 --> 00:05:10.243
YOU KNOW, TO YOUR POINT, WHAT

00:05:10.309 --> 00:05:12.211
YOU SAID IT IS THERE A GAP? IS

00:05:12.278 --> 00:05:13.379
THERE A CHALLENGE THAT NEEDS TO

00:05:13.446 --> 00:05:15.748
BE SOLVED? YOU KNOW, SOME

00:05:15.815 --> 00:05:17.116
PEOPLE ARE GOING TO SAY THAT

00:05:17.183 --> 00:05:18.217
THERE ISN'T. SOME PEOPLE ARE

00:05:18.284 --> 00:05:19.986
GOING TO SAY THAT THERE ISN'T.

00:05:20.053 --> 00:05:21.087
BUT THAT'S THE REASON THAT

00:05:21.154 --> 00:05:23.289
WE'RE HERE TODAY. YOU KNOW, MY

00:05:23.356 --> 00:05:25.792
CONCERN IS IN THE STATE OF

00:05:25.858 --> 00:05:26.826
CALIFORNIA, OUR PARENTS ARE

00:05:26.893 --> 00:05:29.062
GOING TO HAVE THE AUTHORITY

00:05:29.128 --> 00:05:31.230
OVER THEIR CHILDREN TO MAKE

00:05:31.297 --> 00:05:32.265
MEDICAL DECISIONS THAT ARE

00:05:32.331 --> 00:05:34.067
IMPORTANT TO THEIR FAMILY. AND

00:05:34.133 --> 00:05:36.569
SO I'M HOPING THAT I DON'T I

00:05:36.636 --> 00:05:41.007
DON'T KNOW THAT. I DON'T KNOW

00:05:41.074 --> 00:05:42.775
THAT WE'LL DRAW ANY CONCLUSIONS

00:05:42.842 --> 00:05:45.278
TODAY. BUT I WHAT I AM HOPEFUL

00:05:45.344 --> 00:05:47.413
IS THAT WE'RE ON THE ROAD TO

00:05:47.480 --> 00:05:49.615
HAVING A MORE AND CONTINUOUS,

00:05:49.682 --> 00:05:50.717
ROBUST CONVERSATION ON THIS,

00:05:50.783 --> 00:05:52.819
AND THAT CALIFORNIA CAN LEAD

00:05:52.885 --> 00:05:54.620
THE WAY FOR THE REST OF THE

00:05:54.687 --> 00:05:57.123
COUNTRY ON A COMMON SENSE

00:05:57.190 --> 00:05:58.925
ANSWER TO THESE VERY IMPORTANT

00:05:58.991 --> 00:06:00.359
QUESTIONS. AND AGAIN, THANK YOU

00:06:00.426 --> 00:06:02.161
VERY MUCH FOR DOING THIS. IT'S

00:06:02.228 --> 00:06:04.831
IT'S THIS IS ONE OF THE ISSUES

00:06:04.897 --> 00:06:06.599
THAT MAKES ME DISAPPOINTED THAT

00:06:06.666 --> 00:06:08.668
I'M TURNED OUT BECAUSE IT IS

00:06:08.735 --> 00:06:10.470
ONE OF THE THINGS I WOULD LIKE

00:06:10.536 --> 00:06:12.305
TO CONTINUE WORKING ON, BUT I

00:06:12.371 --> 00:06:13.406
KNOW THAT I'M LEAVING IT IN

00:06:13.473 --> 00:06:15.308
GOOD HANDS. WITH YOU AT THE

00:06:15.374 --> 00:06:16.476
HELM OF THE HEALTH COMMITTEE,

00:06:16.542 --> 00:06:17.510
AND I'LL STILL BE LIVING IN

00:06:17.577 --> 00:06:19.312
CALIFORNIA AND I'LL STILL BE A

00:06:19.378 --> 00:06:20.480
CONSTITUENT, SO WE'LL HAVE LOTS

00:06:20.546 --> 00:06:22.381
TO SAY ABOUT IT. SO THANK YOU

00:06:22.448 --> 00:06:24.450
ALL VERY MUCH. THANK YOU,

00:06:24.517 --> 00:06:25.952
SENATOR JONES. YOU WILL

00:06:26.018 --> 00:06:26.819
DEFINITELY BE MISSED, BUT YOU

00:06:26.886 --> 00:06:28.454
WON'T BE TOO FAR AWAY FROM ME.

00:06:28.521 --> 00:06:30.323
SO THAT'S THE GOOD PART. WE

00:06:30.389 --> 00:06:33.459
WILL NOW START WITH OUR FIRST

00:06:33.526 --> 00:06:34.894
PRESENTER, WHO WILL BE

00:06:34.961 --> 00:06:36.362
PRESENTING ON IMMUNIZATION

00:06:36.429 --> 00:06:38.231
REQUIREMENTS AS A PUBLIC HEALTH

00:06:38.297 --> 00:06:56.516
POLICY DOCTOR, ELENA CONIS.

00:06:56.582 --> 00:06:58.651
THANK YOU, MADAM CHAIR AND

00:06:58.718 --> 00:07:00.186
SENATOR, FOR THE OPPORTUNITY TO

00:07:00.253 --> 00:07:02.288
SPEAK BEFORE YOU TODAY. MY NAME

00:07:02.355 --> 00:07:04.457
IS DOCTOR ELENA CONIS. I AM

00:07:04.524 --> 00:07:05.658
PROFESSOR AT NORTHGATE CHAIR IN

00:07:05.725 --> 00:07:07.160
THE SCHOOL OF JOURNALISM AND

00:07:07.226 --> 00:07:08.227
THE DEPARTMENT OF HISTORY AT

00:07:08.294 --> 00:07:09.829
THE UNIVERSITY OF CALIFORNIA,

00:07:09.896 --> 00:07:12.031
BERKELEY. I AM A HISTORIAN OF

00:07:12.098 --> 00:07:13.866
MEDICINE AND PUBLIC HEALTH, AND

00:07:13.933 --> 00:07:15.234
MY SCHOLARSHIP EXAMINES THE

00:07:15.301 --> 00:07:17.370
HISTORY OF INFECTIOUS DISEASE,

00:07:17.436 --> 00:07:18.070
VACCINATION, VACCINE

00:07:18.137 --> 00:07:19.605
PREVENTABLE DISEASE, AND PUBLIC

00:07:19.672 --> 00:07:21.741
TRUST IN MEDICINE AND HEALTH.

00:07:21.808 --> 00:07:23.309
I'M HERE TODAY IN MY CAPACITY

00:07:23.376 --> 00:07:25.011
AS A HISTORIAN AND SUBJECT

00:07:25.077 --> 00:07:26.846
MATTER EXPERT EXCLUSIVELY, AND

00:07:26.913 --> 00:07:28.548
THE VIEWS I OFFER REFLECT MY

00:07:28.614 --> 00:07:30.216
OWN PROFESSIONAL EXPERTISE.

00:07:30.283 --> 00:07:32.084
THEY ARE NOT TO BE TAKEN AS AN

00:07:32.151 --> 00:07:33.586
OFFICIAL POSITION OF EITHER UC

00:07:33.653 --> 00:07:35.822
BERKELEY OR THE UNIVERSITY OF

00:07:35.888 --> 00:07:38.624
CALIFORNIA SYSTEM. AS A

00:07:38.691 --> 00:07:39.859
HISTORIAN, I STUDY THE FORCES

00:07:39.926 --> 00:07:41.894
THAT HAVE BOTH SUPPORTED AND

00:07:41.961 --> 00:07:43.362
CONSTRAINED A WIDELY VACCINATED

00:07:43.429 --> 00:07:46.199
U.S. PUBLIC OVER THE LAST 200

00:07:46.265 --> 00:07:48.034
YEARS. THIS WIDE ARRAY OF

00:07:48.100 --> 00:07:49.468
FACTORS INCLUDES EVERYTHING

00:07:49.535 --> 00:07:50.870
FROM SCIENTIFIC DEVELOPMENTS

00:07:50.937 --> 00:07:53.072
COMING FROM LABS AND CLINICS TO

00:07:53.139 --> 00:07:54.941
THE POLITICAL, ECONOMIC, SOCIAL

00:07:55.007 --> 00:07:57.343
AND CULTURAL TRENDS THAT DEFINE

00:07:57.410 --> 00:07:59.912
MOMENTS IN TIME. MY WORK HAS

00:07:59.979 --> 00:08:02.048
SHOWN, FOR EXAMPLE, THE

00:08:02.114 --> 00:08:03.816
INFLUENCE OF POSTWAR SOCIAL

00:08:03.883 --> 00:08:05.284
MOVEMENTS ON VACCINATION

00:08:05.351 --> 00:08:07.119
ACCEPTANCE IN THE 20TH CENTURY,

00:08:07.186 --> 00:08:09.021
THE ROLE OF VACCINATION POLICY

00:08:09.088 --> 00:08:10.356
WITHIN THE BROADER HEALTH

00:08:10.423 --> 00:08:12.625
POLICY LANDSCAPE, AND THE WHAT

00:08:12.692 --> 00:08:14.260
I CALL FRAMING EFFECT THAT

00:08:14.327 --> 00:08:16.395
BEGINS WHEN A NEW VACCINE IS

00:08:16.462 --> 00:08:18.598
DEVELOPED, WHICH RECONFIGURES

00:08:18.664 --> 00:08:21.968
HOW WE CONCEPTUALIZE AND ATTACK

00:08:22.034 --> 00:08:23.369
INFECTION, WHETHER THAT'S

00:08:23.436 --> 00:08:27.707
SMALLPOX, POLIO, MEASLES OR HPV.

00:08:27.773 --> 00:08:29.208
THE HISTORY OF VACCINATION IN

00:08:29.275 --> 00:08:31.310
THE US IS ALSO THE HISTORY OF

00:08:31.377 --> 00:08:34.180
RESISTANCE TO VACCINATION AND

00:08:34.247 --> 00:08:34.947
ANTI-VACCINATION, WHICH HAS

00:08:35.014 --> 00:08:36.349
CHALLENGED GOVERNMENT

00:08:36.415 --> 00:08:38.117
VACCINATION REQUIREMENTS, ALSO

00:08:38.184 --> 00:08:40.219
CALLED MANDATES. AS LONG AS

00:08:40.286 --> 00:08:42.622
THESE HAVE EXISTED, MANDATES

00:08:42.688 --> 00:08:43.890
WERE FIRST INTRODUCED IN

00:08:43.956 --> 00:08:45.324
EARNEST IN THE MIDDLE OF THE

00:08:45.391 --> 00:08:47.860
19TH CENTURY. ANTI-VACCINATION

00:08:47.927 --> 00:08:49.262
BECAME AN ORGANIZED SOCIAL

00:08:49.328 --> 00:08:51.497
MOVEMENT A FEW DECADES LATER,

00:08:51.564 --> 00:08:52.899
WITH LOCAL CHAPTERS IN

00:08:52.965 --> 00:08:54.100
SOCIETIES FORMING IN U.S.

00:08:54.166 --> 00:08:55.868
CITIES. FROM THE 1870S THROUGH

00:08:55.935 --> 00:08:59.338
THE 1900S. AT THE TURN OF THE

00:08:59.405 --> 00:09:01.140
20TH CENTURY, THESE GROUPS

00:09:01.207 --> 00:09:03.009
LOBBIED FOR AND GENERALLY

00:09:03.075 --> 00:09:04.477
SUCCEEDED IN ACHIEVING

00:09:04.543 --> 00:09:05.511
MODIFICATIONS TO STATE AND

00:09:05.578 --> 00:09:07.647
LOCAL VACCINATION LAWS AND

00:09:07.713 --> 00:09:09.115
REGULATIONS, WHICH WE NOW REFER

00:09:09.181 --> 00:09:11.617
TO AS VACCINE OR VACCINATION

00:09:11.684 --> 00:09:13.719
EXEMPTIONS. TODAY, WE TALK OF

00:09:13.786 --> 00:09:15.988
THREE KINDS OF EXEMPTIONS

00:09:16.055 --> 00:09:17.690
MEDICAL, RELIGIOUS AND

00:09:17.757 --> 00:09:19.592
PHILOSOPHICAL. THESE EXEMPTIONS

00:09:19.659 --> 00:09:21.327
WERE NOT INCLUDED IN OUR

00:09:21.394 --> 00:09:23.162
EARLIEST MANDATES. THEY WERE

00:09:23.229 --> 00:09:25.698
LARGELY LOBBIED FOR. OVER TIME,

00:09:25.765 --> 00:09:27.066
THOUGH, THE TOPIC OF TODAY'S

00:09:27.133 --> 00:09:29.268
HEARING IS MEDICAL EXEMPTIONS.

00:09:29.335 --> 00:09:31.037
THIS. EXEMPTIONS ORIGINS ARE

00:09:31.103 --> 00:09:32.471
ENTWINED WITH THOSE OF

00:09:32.538 --> 00:09:33.940
NONMEDICAL EXEMPTIONS AND THE

00:09:34.006 --> 00:09:36.142
HISTORY OF MANDATES GENERALLY.

00:09:36.208 --> 00:09:37.543
SO I'LL PROVIDE A BRIEF

00:09:37.610 --> 00:09:39.345
OVERVIEW OF THE ORIGINS. THE

00:09:39.412 --> 00:09:40.713
ORIGINS OF VACCINE MANDATES IN

00:09:40.780 --> 00:09:42.949
THE U.S. STATES, FOLLOWED BY A

00:09:43.015 --> 00:09:44.517
DESCRIPTION OF THE FOUR PHASES

00:09:44.583 --> 00:09:46.886
OF EXEMPTIONS. I'LL HIGHLIGHT

00:09:46.953 --> 00:09:48.721
ASPECTS OF CALIFORNIA'S

00:09:48.788 --> 00:09:51.223
SPECIFIC POLICY EXPERIENCE AND

00:09:51.290 --> 00:09:52.625
CONCLUDE WITH SOME BRIEF

00:09:52.692 --> 00:09:53.759
COMMENTS ON THE POLITICAL

00:09:53.826 --> 00:09:57.396
MEANING OF EXEMPTIONS. ALTHOUGH

00:09:57.463 --> 00:09:58.497
VACCINATION WAS INTRODUCED TO

00:09:58.564 --> 00:10:01.701
THE U.S. IN THE 1790S, MANDATES

00:10:01.767 --> 00:10:03.836
FOLLOWED MUCH LATER. AROUND THE

00:10:03.903 --> 00:10:06.339
1850S. THESE EARLY IMMUNIZATION

00:10:06.405 --> 00:10:08.174
REQUIREMENTS WERE VERY LOCAL.

00:10:08.240 --> 00:10:10.276
THEY FOCUSED ON CITIES, THEY

00:10:10.343 --> 00:10:11.877
TARGETED ONLY SMALLPOX, AND

00:10:11.944 --> 00:10:13.145
THEY WERE GENERALLY INVOKED

00:10:13.212 --> 00:10:15.681
ONLY IN THE FACE OF ACTIVE

00:10:15.748 --> 00:10:18.951
EPIDEMICS. IN MOST CASES, THESE

00:10:19.018 --> 00:10:20.353
IMMUNIZATION REQUIREMENTS WERE

00:10:20.419 --> 00:10:22.154
ONE OF SEVERAL POLICE POWERS,

00:10:22.221 --> 00:10:23.923
AS THEY ARE CALLED, ASSUMED BY

00:10:23.990 --> 00:10:25.491
LOCAL GOVERNMENTS AS THEY

00:10:25.558 --> 00:10:26.859
FORMED THEIR FIRST BOARDS OF

00:10:26.926 --> 00:10:28.260
HEALTH IN THEIR GROWING CITIES

00:10:28.327 --> 00:10:31.130
AND TOWNS. BECAUSE ENFORCEMENT

00:10:31.197 --> 00:10:32.932
WAS INTERMITTENT, UNEVEN AND

00:10:32.999 --> 00:10:35.101
HIGHLY LOCAL, OPPOSITION WAS

00:10:35.167 --> 00:10:37.670
LIMITED AND HIGHLY CONTAINED.

00:10:37.737 --> 00:10:39.438
BUT UNDER THE LAWS OF THAT TIME,

00:10:39.505 --> 00:10:40.973
AGAIN, THIS IS THE MID TO LATE

00:10:41.040 --> 00:10:43.609
19TH CENTURY VACCINE. REFUSERS

00:10:43.676 --> 00:10:45.211
COULD BE BARRED FROM SCHOOL OR

00:10:45.277 --> 00:10:47.380
WORK. THEY COULD BE ISOLATED OR

00:10:47.446 --> 00:10:48.848
QUARANTINED. THEY COULD ALSO BE

00:10:48.914 --> 00:10:51.317
FINED OR JAILED. THERE WERE NO

00:10:51.384 --> 00:10:52.852
MANDATES WITH EXEMPTIONS AS WE

00:10:52.918 --> 00:10:55.988
NOW KNOW THEM. THE FIRST

00:10:56.055 --> 00:10:57.390
ORGANIZED ANTI-VACCINATION

00:10:57.456 --> 00:10:59.291
GROUPS FORMED IN THE 1870S, AND

00:10:59.358 --> 00:11:00.860
THEY GAINED MOMENTUM IN THE

00:11:00.926 --> 00:11:02.862
FACE OF STEPPED UP IMMUNIZATION

00:11:02.928 --> 00:11:06.132
ENFORCEMENT IN THE 1880S. THEIR

00:11:06.198 --> 00:11:07.533
FORMATION ACTUALLY SET THE

00:11:07.600 --> 00:11:09.368
CONDITIONS FOR THE FIRST ERA OF

00:11:09.435 --> 00:11:10.469
VACCINATION EXEMPTIONS. THE

00:11:10.536 --> 00:11:12.238
FIRST OF FOUR, WHICH I REFER TO

00:11:12.304 --> 00:11:14.707
AS THE SMALLPOX ERA OF

00:11:14.774 --> 00:11:17.543
EXEMPTIONS. IN THE SMALLPOX ERA,

00:11:17.610 --> 00:11:19.412
STATE GOVERNMENTS BEGAN

00:11:19.478 --> 00:11:21.280
ENACTING STATEWIDE SMALLPOX

00:11:21.347 --> 00:11:23.349
IMMUNIZATION REQUIREMENTS,

00:11:23.416 --> 00:11:24.650
AUTHORIZING LOCAL AUTHORITIES

00:11:24.717 --> 00:11:27.353
TO ENFORCE THEM. THE LAWS WERE

00:11:27.420 --> 00:11:29.522
WIDELY CONTESTED ALL ACROSS THE

00:11:29.588 --> 00:11:31.657
COUNTRY. THEY FACED OPPOSITION

00:11:31.724 --> 00:11:33.492
FROM SCHOOL BOARDS. WHEN SCHOOL

00:11:33.559 --> 00:11:35.294
ENROLLMENT WAS INVOLVED, THEY

00:11:35.361 --> 00:11:36.729
FACED OPPOSITION IN COMMUNITIES

00:11:36.796 --> 00:11:38.864
THAT FELT UNFAIRLY, UNFAIRLY

00:11:38.931 --> 00:11:41.100
TARGETED WITH ENFORCEMENT AND

00:11:41.167 --> 00:11:42.835
ORGANIZED. ANTI-VACCINE GROUPS

00:11:42.902 --> 00:11:44.236
DECRIED THE LAWS AS AFFRONTS TO

00:11:44.303 --> 00:11:45.337
PERSONAL FREEDOMS AND

00:11:45.404 --> 00:11:48.607
INDIVIDUAL LIBERTY.

00:11:48.674 --> 00:11:50.009
CALIFORNIA'S EXPERIENCE AT THIS

00:11:50.076 --> 00:11:51.811
TIME SHOWS HOW THIS EARLY

00:11:51.877 --> 00:11:53.946
PERIOD OF THE EXEMPTION HISTORY

00:11:54.013 --> 00:11:55.347
HELPED CONFIGURE THE

00:11:55.414 --> 00:11:57.950
IMMUNIZATION EXEMPTION.

00:11:58.017 --> 00:11:59.051
CALIFORNIA ENACTED A LAW

00:11:59.118 --> 00:12:00.786
REQUIRING SMALLPOX VACCINATION

00:12:00.853 --> 00:12:02.188
FOR SCHOOL ADMISSION. PUBLIC

00:12:02.254 --> 00:12:05.825
SCHOOL ADMISSION. IN 1889,

00:12:05.891 --> 00:12:06.625
ANTI-VACCINATION GROUPS

00:12:06.692 --> 00:12:08.060
ORGANIZED UP AND DOWN THE STATE

00:12:08.127 --> 00:12:09.895
OVER THE NEXT TEN YEARS, AND

00:12:09.962 --> 00:12:12.631
FROM 1901 TO 1911, THE

00:12:12.698 --> 00:12:13.532
LEGISLATURE CONSIDERED ROUGHLY

00:12:13.599 --> 00:12:15.935
A DOZEN BILLS TO REPEAL OR

00:12:16.001 --> 00:12:18.504
LIMIT THAT MANDATE. THE

00:12:18.571 --> 00:12:19.605
LEGISLATURE ACTUALLY PASSED A

00:12:19.672 --> 00:12:22.441
BAN ON SCHOOL MANDATES IN 1905.

00:12:22.508 --> 00:12:24.143
THIS WAS THE SAME YEAR THAT THE

00:12:24.210 --> 00:12:26.745
U.S. SUPREME COURT UPHELD STATE

00:12:26.812 --> 00:12:28.848
VACCINATION MANDATES, ALBEIT

00:12:28.914 --> 00:12:29.849
RECOGNIZING THE NEED FOR

00:12:29.915 --> 00:12:32.118
MEDICAL EXEMPTION. BUT THE

00:12:32.184 --> 00:12:34.186
GOVERNOR VETOED THAT BILL AT

00:12:34.253 --> 00:12:37.556
THE TIME. IN 1911, ANOTHER BILL

00:12:37.623 --> 00:12:38.824
PASSED, THIS ONE SUCCESSFULLY

00:12:38.891 --> 00:12:40.359
SIGNED BY GOVERNOR, GOVERNOR

00:12:40.426 --> 00:12:42.561
HIRAM JOHNSON, AND IT ALLOWED

00:12:42.628 --> 00:12:44.763
ANYONE WHO WAS CONSCIENTIOUSLY

00:12:44.830 --> 00:12:46.132
OPPOSED TO MANDATORY

00:12:46.198 --> 00:12:47.633
VACCINATION TO BE EXEMPT FROM

00:12:47.700 --> 00:12:50.669
IT. THIS NON-MEDICAL EXEMPTION

00:12:50.736 --> 00:12:52.304
WAS ONE OF SEVERAL APPROACHES

00:12:52.371 --> 00:12:54.073
TO NULLIFYING THE VACCINATION

00:12:54.140 --> 00:12:56.242
MANDATE IN THE SMALLPOX ERA.

00:12:56.308 --> 00:12:58.410
SOME STATES REPEALED THEIR

00:12:58.477 --> 00:12:59.845
MANDATES ENTIRELY. OTHERS

00:12:59.912 --> 00:13:01.680
PASSED LAWS PROHIBITING

00:13:01.747 --> 00:13:04.216
MANDATES, SOME ADDED CLAUSES TO

00:13:04.283 --> 00:13:05.251
MANDATES ALLOWING INDIVIDUALS

00:13:05.317 --> 00:13:07.052
TO EXERCISE THEIR OWN WILL OR

00:13:07.119 --> 00:13:08.821
THEIR CONSENT. OTHER STATES,

00:13:08.888 --> 00:13:10.990
LIKE MASSACHUSETTS, HAD MEDICAL

00:13:11.056 --> 00:13:12.124
EXEMPTIONS THAT WERE SO LOOSELY

00:13:12.191 --> 00:13:13.926
WORDED THEY COULD BE USED BY

00:13:13.993 --> 00:13:16.729
ANYONE. THE SMALLPOX ERA WAS

00:13:16.795 --> 00:13:18.931
FOLLOWED BY DECADES OF A TURN

00:13:18.998 --> 00:13:20.699
AWAY FROM IMMUNIZATION

00:13:20.766 --> 00:13:22.168
REQUIREMENTS IN FAVOR OF

00:13:22.234 --> 00:13:23.702
PERSUASION. BUT THIS CHANGED IN

00:13:23.769 --> 00:13:25.304
THE 50S, FOLLOWING THE ROLLOUT

00:13:25.371 --> 00:13:28.340
OF THE FIRST POLIO VACCINE USED

00:13:28.407 --> 00:13:30.242
ON AN ENTIRELY VOLUNTARY BASIS.

00:13:30.309 --> 00:13:32.578
THE VACCINE QUICKLY DROVE DOWN

00:13:32.645 --> 00:13:34.780
POLIO RATES ACROSS THE COUNTRY,

00:13:34.847 --> 00:13:36.549
BUT AFTER A FEW YEARS,

00:13:36.615 --> 00:13:37.983
PERSISTENT SMALL OUTBREAKS

00:13:38.050 --> 00:13:39.118
PROMPTED A FEW STATES TO

00:13:39.185 --> 00:13:41.253
CONSIDER NEW MANDATES, THIS

00:13:41.320 --> 00:13:43.422
TIME FOCUSED EXCLUSIVELY ON

00:13:43.489 --> 00:13:46.258
CHILDREN. THIS TIME AROUND,

00:13:46.325 --> 00:13:47.726
EXEMPTION CLAUSES WERE WRITTEN

00:13:47.793 --> 00:13:49.595
INTO THESE IMMUNIZATION

00:13:49.662 --> 00:13:51.664
REQUIREMENTS FROM THE OUTSET.

00:13:51.730 --> 00:13:53.299
MICHIGAN, FOR EXAMPLE, TEMPERED

00:13:53.365 --> 00:13:55.334
ITS MANDATE WITH A RELIGIOUS OR

00:13:55.401 --> 00:13:57.836
OTHER OBJECTION CLAUSE. OHIO

00:13:57.903 --> 00:13:59.238
ALLOWED PARENTS TO OBJECT ON

00:13:59.305 --> 00:14:01.807
ANY GROUNDS, AND CALIFORNIA'S

00:14:01.874 --> 00:14:03.175
PROPOSED BILL, WHICH WAS

00:14:03.242 --> 00:14:05.711
INTRODUCED IN 1961, WAS WRITTEN

00:14:05.778 --> 00:14:07.513
TO ALLOW MEDICAL AND RELIGIOUS

00:14:07.580 --> 00:14:09.715
BELIEF EXEMPTIONS. BUT

00:14:09.782 --> 00:14:10.849
OPPONENTS CONVINCED ITS

00:14:10.916 --> 00:14:12.918
SPONSORS TO STRIKE THE WORD

00:14:12.985 --> 00:14:15.521
RELIGIOUS. THE OPPONENTS THIS

00:14:15.588 --> 00:14:17.223
TIME AROUND WERE NOT

00:14:17.289 --> 00:14:18.424
ANTI-VACCINATION GROUPS. THEY

00:14:18.490 --> 00:14:20.192
WERE MEDICAL LIBERTARIAN GROUPS

00:14:20.259 --> 00:14:21.927
FOCUSED ON LIMITING GOVERNMENT

00:14:21.994 --> 00:14:23.028
REGULATION OF HEALTH CARE AND

00:14:23.095 --> 00:14:25.264
THE MEDICAL MARKETPLACE. TWO OF

00:14:25.331 --> 00:14:26.632
THE GROUPS WERE BASED IN SAN

00:14:26.699 --> 00:14:28.100
FRANCISCO, BUT NATIONAL IN

00:14:28.167 --> 00:14:29.935
SCOPE HELPING CITIZENS FIGHT

00:14:30.002 --> 00:14:31.270
AGAINST VACCINATION,

00:14:31.337 --> 00:14:32.404
FLUORIDATION, DRUG REGULATION

00:14:32.471 --> 00:14:34.240
AND OTHER ISSUES ACROSS THE

00:14:34.306 --> 00:14:37.443
U.S. CALIFORNIA'S EARLIER

00:14:37.509 --> 00:14:38.844
SMALLPOX MANDATE HAD NOT

00:14:38.911 --> 00:14:41.347
ACTUALLY LASTED PAST THE 1920S.

00:14:41.413 --> 00:14:43.249
SO THIS NEW MANDATE, REPLETE

00:14:43.315 --> 00:14:44.984
WITH ITS OWN BROAD EXEMPTION

00:14:45.050 --> 00:14:46.785
CLAUSE, ENDED UP BEING APPLIED

00:14:46.852 --> 00:14:48.554
TO EACH VACCINE ADDED TO THE

00:14:48.621 --> 00:14:50.389
STATE CODE FOR THE NEXT 50

00:14:50.456 --> 00:14:53.626
YEARS. THE THIRD OF THE FOUR

00:14:53.692 --> 00:14:54.827
STAGES OF EXEMPTIONS CAME WITH

00:14:54.893 --> 00:14:56.428
THE WAVE OF LAWS PASSED FROM

00:14:56.495 --> 00:14:58.998
THE MID 60S TO THE LATE 70S,

00:14:59.064 --> 00:15:01.100
FOCUSED ON REQUIRING MEASLES

00:15:01.166 --> 00:15:02.234
VACCINATION FOR SCHOOL

00:15:02.301 --> 00:15:04.770
ENROLLMENT. IN CONTRAST TO

00:15:04.837 --> 00:15:06.639
SMALLPOX, MEASLES AT THE TIME

00:15:06.705 --> 00:15:08.007
WAS NOT CONSIDERED A PUBLIC

00:15:08.073 --> 00:15:10.509
HEALTH EMERGENCY. IN CONTRAST

00:15:10.576 --> 00:15:12.911
TO POLIO, MEASLES VACCINATION

00:15:12.978 --> 00:15:15.180
AT THE TIME WAS NOT QUICKLY OR

00:15:15.247 --> 00:15:17.516
WIDELY USED. MEASLES MANDATES

00:15:17.583 --> 00:15:19.218
WERE INTRODUCED IN THE 60S FOR

00:15:19.285 --> 00:15:21.287
A DISTINCTLY MODERN SET OF

00:15:21.353 --> 00:15:23.822
REASONS TO LIMIT DISEASE

00:15:23.889 --> 00:15:25.257
COMPLICATIONS, TO REDUCE

00:15:25.324 --> 00:15:27.092
CLIMBING HEALTHCARE SPENDING,

00:15:27.159 --> 00:15:29.328
TO ENSURE EQUITABLE ACCESS TO

00:15:29.395 --> 00:15:31.764
NEW BIOMEDICAL TECHNOLOGIES,

00:15:31.830 --> 00:15:33.932
AND TO NOT JUST CONTROL LOCAL

00:15:33.999 --> 00:15:35.768
OUTBREAKS, BUT NATIONALLY

00:15:35.834 --> 00:15:37.169
ERADICATE THE DISEASE. A

00:15:37.236 --> 00:15:38.604
FEDERAL GOAL THAT HAD BEEN

00:15:38.671 --> 00:15:42.608
DECLARED IN 1967. FEDERAL

00:15:42.675 --> 00:15:44.009
SUPPORT FROM WASHINGTON AND

00:15:44.076 --> 00:15:46.912
FROM ATLANTA ENCOURAGED STATE

00:15:46.979 --> 00:15:48.781
MEASLES MANDATES, AND AGAIN,

00:15:48.847 --> 00:15:50.849
FROM THE OUTSET, THE STATE

00:15:50.916 --> 00:15:51.984
BILLS THAT WERE INTRODUCED IN

00:15:52.051 --> 00:15:53.585
THIS PERIOD WERE CHARACTERIZED

00:15:53.652 --> 00:15:55.721
BY VERY BROAD EXEMPTION CLAUSES

00:15:55.788 --> 00:15:58.390
THAT REFERENCED MEDICAL,

00:15:58.457 --> 00:16:00.192
RELIGIOUS, AND PERSONAL OR

00:16:00.259 --> 00:16:02.061
PHILOSOPHICAL CONVICTIONS OR

00:16:02.127 --> 00:16:04.930
BELIEFS, OR THE RIGHT TO REFUSE.

00:16:04.997 --> 00:16:06.699
SOME OF THESE EXEMPTIONS, LIKE

00:16:06.765 --> 00:16:07.800
CALIFORNIA'S, WERE CARRIED OVER

00:16:07.866 --> 00:16:09.968
FROM PREEXISTING LAWS. OTHERS

00:16:10.035 --> 00:16:12.104
WERE DRAFTED ANEW. THEY

00:16:12.171 --> 00:16:13.372
REFLECTED THE RIGHTS, MOVEMENTS

00:16:13.439 --> 00:16:14.673
AND LEGAL BATTLES OF THE 60S

00:16:14.740 --> 00:16:17.142
AND 70S, WHICH ADVOCATED FOR

00:16:17.209 --> 00:16:18.711
INFORMED CONSENT, CIVIL RIGHTS

00:16:18.777 --> 00:16:21.780
AND SECULAR RIGHTS. THEY ALSO,

00:16:21.847 --> 00:16:23.048
IMPORTANTLY, REFLECTED THINKING

00:16:23.115 --> 00:16:24.650
ABOUT THE NEW TARGETS OF

00:16:24.717 --> 00:16:27.553
VACCINES IN THE 60S AND 70S,

00:16:27.619 --> 00:16:29.188
MEASLES AND SOON AFTER, MUMPS

00:16:29.254 --> 00:16:30.889
AND RUBELLA WERE CONSIDERED

00:16:30.956 --> 00:16:32.991
MILD DISEASES RELATIVE TO

00:16:33.058 --> 00:16:35.127
SMALLPOX, DIPHTHERIA AND POLIO,

00:16:35.194 --> 00:16:36.528
WHICH HAD BEEN THE EARLIER

00:16:36.595 --> 00:16:38.430
TARGETS OF IMMUNIZATION

00:16:38.497 --> 00:16:41.633
REQUIREMENTS. SO THESE BROAD

00:16:41.700 --> 00:16:43.435
NONMEDICAL EXEMPTIONS WERE

00:16:43.502 --> 00:16:45.637
READILY EMBRACED IN AN ERA THAT

00:16:45.704 --> 00:16:47.373
EXPANDED MANDATES TO WHAT WERE

00:16:47.439 --> 00:16:51.677
THEN CALLED THE MILD DISEASES.

00:16:51.744 --> 00:16:53.545
THE FINAL ERA OF EXEMPTIONS IS

00:16:53.612 --> 00:16:55.948
ONE MARKED BY A STRONG SHIFT

00:16:56.014 --> 00:16:57.783
TOWARD AND THEN AWAY FROM

00:16:57.850 --> 00:16:59.985
NONMEDICAL EXEMPTIONS. OR, PUT

00:17:00.052 --> 00:17:02.621
ANOTHER WAY, FROM, AWAY FROM,

00:17:02.688 --> 00:17:04.289
AND THEN TOWARD STRICTLY

00:17:04.356 --> 00:17:06.825
MEDICAL EXEMPTIONS. AS MULTIPLE

00:17:06.892 --> 00:17:08.627
NEW VACCINES WERE ADDED TO THE

00:17:08.694 --> 00:17:09.862
CHILDHOOD IMMUNIZATION SCHEDULE

00:17:09.928 --> 00:17:12.598
IN THE 90S AND 2000, THE

00:17:12.664 --> 00:17:13.999
EXEMPTION MODIFIED MANDATE

00:17:14.066 --> 00:17:15.801
BECAME A DE FACTO POLICY

00:17:15.868 --> 00:17:17.603
APPROACH TO ENCOURAGING

00:17:17.669 --> 00:17:19.037
WIDESPREAD CHILDHOOD

00:17:19.104 --> 00:17:21.640
IMMUNIZATION. SOME STATES, LIKE

00:17:21.707 --> 00:17:23.409
CALIFORNIA, AGAIN CONTINUED THE

00:17:23.475 --> 00:17:25.177
TREND OF CARRYING OVER

00:17:25.244 --> 00:17:27.379
PREEXISTING EXEMPTIONS. OTHER

00:17:27.446 --> 00:17:29.281
STATES EXPANDED EARLIER MEDICAL

00:17:29.348 --> 00:17:30.916
OR RELIGIOUS EXEMPTIONS TO

00:17:30.983 --> 00:17:33.819
INCLUDE BROAD BELIEF EXEMPTIONS.

00:17:33.886 --> 00:17:35.320
OTHERS ADOPTED SUCH EXEMPTIONS

00:17:35.387 --> 00:17:37.423
FOR THE FIRST TIME, AND

00:17:37.489 --> 00:17:39.224
SOMETIMES ONLY FOR NEW VACCINES

00:17:39.291 --> 00:17:42.461
LIKE HPV. THIS PATTERN LASTED

00:17:42.528 --> 00:17:44.997
UNTIL THE 20 TENS, WHEN FIRST

00:17:45.063 --> 00:17:46.131
CALIFORNIA AND THEN A HANDFUL

00:17:46.198 --> 00:17:48.600
OF OTHER STATES REMOVED OR

00:17:48.667 --> 00:17:50.035
RESTRICTED THE NONMEDICAL

00:17:50.102 --> 00:17:51.503
EXEMPTIONS IN THEIR SCHOOL OR

00:17:51.570 --> 00:17:53.272
CHILDHOOD VACCINATION MANDATES,

00:17:53.338 --> 00:17:54.673
A TREND THAT SLOWED WITH THE

00:17:54.740 --> 00:17:57.609
START OF THE COVID PANDEMIC. SO

00:17:57.676 --> 00:18:00.145
TO CONCLUDE, EXEMPTIONS HAVE

00:18:00.212 --> 00:18:01.213
CHARACTERIZED VACCINATION

00:18:01.280 --> 00:18:03.048
MANDATES SINCE THEY BEGAN TO BE

00:18:03.115 --> 00:18:04.783
ENACTED AND ENFORCED AT THE

00:18:04.850 --> 00:18:06.418
STATE LEVEL AT THE END OF THE

00:18:06.485 --> 00:18:08.587
19TH CENTURY. HISTORICALLY,

00:18:08.654 --> 00:18:10.556
THEY'VE BEEN MOST ENERGETICALLY

00:18:10.622 --> 00:18:12.357
SOUGHT IN THE IN THE CONTEXT OF

00:18:12.424 --> 00:18:14.193
HEIGHTENED IMMUNIZATION

00:18:14.259 --> 00:18:15.994
REQUIREMENTS. WHEN THEY FIRST

00:18:16.061 --> 00:18:17.396
EMERGED IN THE SMALLPOX ERA,

00:18:17.463 --> 00:18:18.797
THEY REFLECTED THE RELIGIOUS

00:18:18.864 --> 00:18:20.632
RIGHTS BASED AND RISK BASED

00:18:20.699 --> 00:18:22.768
OBJECTIONS TO VACCINATION THAT

00:18:22.835 --> 00:18:24.536
ARE AS OLD AS VACCINATION

00:18:24.603 --> 00:18:27.139
ITSELF. IN THAT ERA, THEY

00:18:27.206 --> 00:18:29.241
SPECIFICALLY SOUGHT TO NULLIFY

00:18:29.308 --> 00:18:32.177
VACCINATION AS A COMPULSORY ACT

00:18:32.244 --> 00:18:33.645
IN THE POLIO ERA, THEY SOUGHT

00:18:33.712 --> 00:18:36.081
TO CONSTRAIN GOVERNMENT MEDICAL

00:18:36.148 --> 00:18:38.016
REGULATION GENERALLY, AND IN

00:18:38.083 --> 00:18:40.085
THE MEASLES ERA, THEY SOUGHT TO

00:18:40.152 --> 00:18:41.487
RECOGNIZE AND PRESERVE A BROAD

00:18:41.553 --> 00:18:44.389
SPECTRUM OF INDIVIDUAL RIGHTS.

00:18:44.456 --> 00:18:45.791
TODAY, THEIR PRESENCE IN

00:18:45.858 --> 00:18:47.459
IMMUNIZATION POLICIES TESTIFIES

00:18:47.526 --> 00:18:50.162
TO THEIR UTILITY IN MAINTAINING

00:18:50.229 --> 00:18:51.196
POLITICAL SUPPORT FOR

00:18:51.263 --> 00:18:53.365
IMMUNIZATION MANDATES OR

00:18:53.432 --> 00:18:55.133
DIFFUSING OPPOSITION TO THEM

00:18:55.200 --> 00:18:57.302
ACROSS A LONG HISTORY OF

00:18:57.369 --> 00:18:59.137
CONTESTATION OVER REQUIRED

00:18:59.204 --> 00:19:02.841
VACCINATIONS. THANK YOU. THANK

00:19:02.908 --> 00:19:05.978
YOU SO MUCH FOR THAT HISTORICAL

00:19:06.044 --> 00:19:07.513
BACKGROUND. I DON'T KNOW IF

00:19:07.579 --> 00:19:09.548
THERE ARE ANY QUESTIONS. THANK

00:19:09.615 --> 00:19:10.983
YOU SO MUCH FOR YOUR

00:19:11.049 --> 00:19:16.054
PRESENTATION. WE WILL NOW HAVE

00:19:16.121 --> 00:19:19.024
A PRESENTATION ON VACCINE

00:19:19.091 --> 00:19:21.493
PREVENTABLE DISEASE OUTBREAKS

00:19:21.560 --> 00:19:25.464
FROM DOCTOR SHAW, WHO'S HERE AT

00:19:25.531 --> 00:19:27.900
THE COUNTY OF SAN DIEGO. THANK

00:19:27.966 --> 00:19:33.405
YOU. GREAT. THANK YOU CHAIR

00:19:33.472 --> 00:19:35.207
DOCTOR WEBER PEARSON, MEMBERS

00:19:35.274 --> 00:19:37.776
OF THE SENATE HEALTH COMMITTEE,

00:19:37.843 --> 00:19:39.478
MEMBERS OF THE PUBLIC FOR THE

00:19:39.545 --> 00:19:41.313
OPPORTUNITY TO COMMENT TODAY ON

00:19:41.380 --> 00:19:42.414
BEHALF OF THE COUNTY OF SAN

00:19:42.481 --> 00:19:44.149
DIEGO HEALTH AND HUMAN SERVICES

00:19:44.216 --> 00:19:45.517
AGENCY. MY NAME IS SIMCHA

00:19:45.584 --> 00:19:46.518
SCHORR. I'M THE MEDICAL

00:19:46.585 --> 00:19:48.487
DIRECTOR FOR EPIDEMIOLOGY AND

00:19:48.554 --> 00:19:51.089
IMMUNIZATION SERVICES. AS BOTH

00:19:51.156 --> 00:19:53.525
A PEDIATRIC EMERGENCY MEDICINE

00:19:53.592 --> 00:19:55.327
PHYSICIAN AND PUBLIC HEALTH

00:19:55.394 --> 00:19:57.129
OFFICIAL, I HAVE CARED FOR

00:19:57.195 --> 00:19:58.530
CHILDREN AND FAMILIES AFFECTED

00:19:58.597 --> 00:20:01.133
BY VACCINE PREVENTABLE DISEASES

00:20:01.199 --> 00:20:02.701
AND HAVE RESPONDED TO OUTBREAKS

00:20:02.768 --> 00:20:05.404
IN OUR COMMUNITY. THESE

00:20:05.470 --> 00:20:07.539
EXPERIENCES HAVE REINFORCED A

00:20:07.606 --> 00:20:10.108
FUNDAMENTAL PUBLIC HEALTH TRUTH.

00:20:10.175 --> 00:20:11.610
VACCINES WORK BEST WHEN THEY

00:20:11.677 --> 00:20:13.345
WORK NOT ONLY FOR INDIVIDUALS

00:20:13.412 --> 00:20:16.315
BUT FOR COMMUNITIES. RECENTLY,

00:20:16.381 --> 00:20:18.350
SAN DIEGO COUNTY PUBLIC HEALTH

00:20:18.417 --> 00:20:20.185
RESPONDED TO A MUMPS OUTBREAK

00:20:20.252 --> 00:20:21.987
ASSOCIATED WITH SAN DIEGO STATE

00:20:22.054 --> 00:20:24.156
UNIVERSITY THAT RESULTED IN 27

00:20:24.222 --> 00:20:26.224
CASES. WHILE MANY PEOPLE THINK

00:20:26.291 --> 00:20:28.427
OF MUMPS AS A MILD CHILDHOOD

00:20:28.493 --> 00:20:30.996
ILLNESS, IT CAN CAUSE SERIOUS

00:20:31.063 --> 00:20:32.397
COMPLICATIONS SUCH AS EXTENSIVE

00:20:32.464 --> 00:20:34.600
BRAIN INFLAMMATION, HEARING

00:20:34.666 --> 00:20:36.735
LOSS, INFLAMMATION OF THE

00:20:36.802 --> 00:20:38.236
OVARIES AND TESTICLES THAT CAN

00:20:38.303 --> 00:20:41.039
HAVE LONG TERM FERTILITY

00:20:41.106 --> 00:20:42.541
CONSEQUENCES. AS A MATTER OF

00:20:42.608 --> 00:20:43.842
FACT, BEFORE THE INTRODUCTION

00:20:43.909 --> 00:20:45.877
OF THE MMR VACCINE, MUMPS WAS

00:20:45.944 --> 00:20:47.446
THE LEADING ONE OF THE LEADING

00:20:47.512 --> 00:20:48.647
CAUSES OF VIRAL MENINGITIS IN

00:20:48.714 --> 00:20:52.150
THE U.S. AND EVEN WITH MUMPS

00:20:52.217 --> 00:20:53.652
VACCINATION, WE MUST ALSO

00:20:53.719 --> 00:20:56.221
CONTEND WITH WANING IMMUNITY.

00:20:56.288 --> 00:20:57.255
UNFORTUNATELY, THIS ISN'T

00:20:57.322 --> 00:20:58.724
SOMETHING THAT IS EASILY

00:20:58.790 --> 00:21:00.125
MEASURED, WHICH IS WHY

00:21:00.192 --> 00:21:01.560
MAINTAINING HIGH LEVELS OF

00:21:01.627 --> 00:21:03.328
COLLECTIVE COMMUNITY

00:21:03.395 --> 00:21:06.298
VACCINATION IS CRITICAL. AT

00:21:06.365 --> 00:21:08.834
UCSD, SORRY, SDSU, WE

00:21:08.900 --> 00:21:10.268
EXPERIENCED FIRSTHAND THE

00:21:10.335 --> 00:21:12.404
REALITY OF A MUMPS OUTBREAK.

00:21:12.471 --> 00:21:13.805
RESPONDING TO AN OUTBREAK

00:21:13.872 --> 00:21:15.140
REQUIRES AN ENORMOUS COMMITMENT

00:21:15.207 --> 00:21:17.442
OF TIME, RESOURCES AND

00:21:17.509 --> 00:21:19.244
COORDINATION. IT WAS

00:21:19.311 --> 00:21:20.312
HEARTBREAKING TO HAVE ASKED

00:21:20.379 --> 00:21:22.481
STUDENTS TO MISS CLASSES,

00:21:22.547 --> 00:21:24.616
ATHLETIC COMPETITIONS,

00:21:24.683 --> 00:21:25.317
PERFORMANCES AND OTHER

00:21:25.384 --> 00:21:27.152
IMPORTANT MILESTONES BECAUSE OF

00:21:27.219 --> 00:21:28.887
ILLNESS OR EXCLUSION

00:21:28.954 --> 00:21:31.123
REQUIREMENTS, WE PROVIDED

00:21:31.189 --> 00:21:32.858
EXTENSIVE EDUCATION AND HEALTH

00:21:32.924 --> 00:21:35.460
PROMOTION TO SCHOOL LEADERSHIP,

00:21:35.527 --> 00:21:37.262
STUDENTS, FAMILIES AND STAFF.

00:21:37.329 --> 00:21:39.031
WE COORDINATED CLOSELY WITH THE

00:21:39.097 --> 00:21:40.565
CENTERS FOR DISEASE CONTROL AND

00:21:40.632 --> 00:21:42.234
OUR PARTNERS AT CALIFORNIA

00:21:42.300 --> 00:21:44.469
DEPARTMENT OF PUBLIC HEALTH

00:21:44.536 --> 00:21:45.470
COMMUNICATIONS WERE SENT TO

00:21:45.537 --> 00:21:47.706
MORE THAN 42,000 MEMBERS OF THE

00:21:47.773 --> 00:21:49.074
STUDENT BODY, AS WELL AS THE

00:21:49.141 --> 00:21:51.576
PUBLIC. ATHLETES WERE SCREENED

00:21:51.643 --> 00:21:53.812
DAILY FOR SYMPTOMS. MORE THAN

00:21:53.879 --> 00:21:55.614
200 DIAGNOSTIC TESTS WERE

00:21:55.681 --> 00:21:57.749
PERFORMED AND GENOMIC TESTING

00:21:57.816 --> 00:22:00.619
CONTINUES EVEN TO THROUGH TODAY

00:22:00.686 --> 00:22:03.188
TO BOOST IMMUNITY. NEARLY 600

00:22:03.255 --> 00:22:05.190
VACCINE DOSES WERE ADMINISTERED

00:22:05.257 --> 00:22:07.125
TO HELP STOP TRANSMISSION AND

00:22:07.192 --> 00:22:09.928
TO PROTECT THE CAMPUS COMMUNITY,

00:22:09.995 --> 00:22:12.164
AND MUMPS IS JUST ONE EXAMPLE

00:22:12.230 --> 00:22:13.899
OF THE DISRUPTION THAT THESE

00:22:13.965 --> 00:22:15.734
NEARLY ONCE DEFEATED DISEASES

00:22:15.801 --> 00:22:18.303
ARE NOW CAUSING ACROSS THE

00:22:18.370 --> 00:22:19.705
COUNTRY. WE HAVE SEEN THIS YEAR

00:22:19.771 --> 00:22:21.506
THOUSANDS OF MEASLES CASES AND

00:22:21.573 --> 00:22:22.641
MULTIPLE DEATHS FROM A DISEASE

00:22:22.708 --> 00:22:24.009
THAT WAS ONCE DECLARED

00:22:24.076 --> 00:22:26.178
ELIMINATED IN THE U.S. FOR

00:22:26.244 --> 00:22:27.946
EVERY FAMILY WHOSE CHILD

00:22:28.013 --> 00:22:29.815
BECOMES SERIOUSLY ILL,

00:22:29.881 --> 00:22:31.950
STATISTICS BECOME PERSONAL. THE

00:22:32.017 --> 00:22:33.385
HUMAN TOLL OF VACCINE

00:22:33.452 --> 00:22:34.820
PREVENTABLE DISEASES EXTENDS

00:22:34.886 --> 00:22:37.689
FAR BEYOND THOSE INFECTED

00:22:37.756 --> 00:22:40.192
FAMILIES EXPERIENCE UNCERTAINTY,

00:22:40.258 --> 00:22:42.394
STRESS, FEAR. STUDENTS AND

00:22:42.461 --> 00:22:43.862
CHILDREN CAN BE EXCLUDED FROM

00:22:43.929 --> 00:22:46.665
SCHOOL FOR DAYS OR EVEN WEEKS.

00:22:46.732 --> 00:22:48.233
PARENTS MAY LOSE WAGES WHILE

00:22:48.300 --> 00:22:49.968
CARING FOR SICK CHILDREN OR

00:22:50.035 --> 00:22:51.369
EVEN WHEN COMPLYING WITH

00:22:51.436 --> 00:22:53.538
QUARANTINE RECOMMENDATIONS.

00:22:53.605 --> 00:22:55.373
ENTIRE COMMUNITIES EXPERIENCE

00:22:55.440 --> 00:22:56.775
ANXIETY, PARTICULARLY WHEN

00:22:56.842 --> 00:22:58.276
OUTBREAKS INVOLVE DISEASES THAT

00:22:58.343 --> 00:22:59.678
MANY PEOPLE HAVE NEVER

00:22:59.745 --> 00:23:01.079
ENCOUNTERED. BECAUSE THESE

00:23:01.146 --> 00:23:02.147
VACCINES HAVE BEEN SO

00:23:02.214 --> 00:23:04.416
SUCCESSFUL. NOW VACCINATION

00:23:04.483 --> 00:23:06.151
RATES ARE DECLINING AND OUR

00:23:06.218 --> 00:23:07.552
COLLECTIVE PROTECTION IS

00:23:07.619 --> 00:23:09.788
WEAKENING. THE CONSEQUENCES ARE

00:23:09.855 --> 00:23:12.324
MANY. OUTBREAKS REQUIRE

00:23:12.390 --> 00:23:13.725
INTENSIVE PUBLIC HEALTH

00:23:13.792 --> 00:23:16.261
RESPONSES, INCLUDING CASE

00:23:16.328 --> 00:23:18.330
INVESTIGATIONS, CONTACT TRACING,

00:23:18.396 --> 00:23:20.198
EXPOSURE NOTIFICATIONS,

00:23:20.265 --> 00:23:21.933
QUARANTINE RECOMMENDATIONS AND

00:23:22.000 --> 00:23:24.803
EMERGENCY VACCINATION CLINICS,

00:23:24.870 --> 00:23:26.671
SCHOOLS, UNIVERSITIES, HEALTH

00:23:26.738 --> 00:23:29.207
CARE SYSTEMS, EMPLOYERS AND

00:23:29.274 --> 00:23:30.976
LOCAL GOVERNMENTS ALL BEAR THE

00:23:31.042 --> 00:23:32.477
BURDEN OF THIS RESPONSE, AND

00:23:32.544 --> 00:23:34.412
THESE RESPONSES ARE COSTLY AND

00:23:34.479 --> 00:23:37.682
RESOURCE INTENSIVE, AND THEY'RE

00:23:37.749 --> 00:23:40.218
ENTIRELY PREVENTABLE. THE.

00:23:40.285 --> 00:23:41.653
RECENTLY, THE JOHNS HOPKINS

00:23:41.720 --> 00:23:42.721
UNIVERSITY SCHOOL OF PUBLIC

00:23:42.788 --> 00:23:44.523
HEALTH PERFORMED A SYSTEMATIC

00:23:44.589 --> 00:23:46.324
REVIEW TO EXAMINE THE COST OF

00:23:46.391 --> 00:23:48.126
MEASLES OUTBREAKS IN THE UNITED

00:23:48.193 --> 00:23:51.696
STATES BETWEEN 2000 AND 2025.

00:23:51.763 --> 00:23:52.798
THE STUDY FOUND THAT THE

00:23:52.864 --> 00:23:54.666
AVERAGE COST PER CASE WAS

00:23:54.733 --> 00:23:56.902
APPROXIMATELY 43,000, RANGING

00:23:56.968 --> 00:23:58.637
FROM JUST UNDER 7000 TO MORE

00:23:58.703 --> 00:24:02.307
THAN 243,000. OUR OWN ANALYSIS

00:24:02.374 --> 00:24:04.376
AND ANALYSIS IN SAN DIEGO

00:24:04.442 --> 00:24:06.144
SHOWED THAT EACH CASE,

00:24:06.211 --> 00:24:09.047
ESTIMATED HERE AT APPROXIMATELY

00:24:09.114 --> 00:24:10.448
150,000. AND THAT'S JUST THE

00:24:10.515 --> 00:24:13.318
PUBLIC HEALTH SIDE. A 2016

00:24:13.385 --> 00:24:15.153
HEALTH AFFAIRS ANALYSIS

00:24:15.220 --> 00:24:16.922
ESTIMATED COSTS FROM DOCTORS

00:24:16.988 --> 00:24:18.757
VISITS, HOSPITALIZATIONS AND

00:24:18.824 --> 00:24:20.892
LOST INCOME ATTRIBUTED TO THESE

00:24:20.959 --> 00:24:23.061
VACCINE PREVENTABLE DISEASES

00:24:23.128 --> 00:24:25.597
AMONG ADULTS TO BE NEARLY 9

00:24:25.664 --> 00:24:28.099
BILLION IN A SINGLE YEAR, WITH

00:24:28.166 --> 00:24:29.201
UNVACCINATED INDIVIDUALS

00:24:29.267 --> 00:24:30.669
ACCOUNTING FOR ALMOST 80% OF

00:24:30.735 --> 00:24:33.505
THAT BURDEN. IN MANY WAYS,

00:24:33.572 --> 00:24:34.573
VACCINES ARE THE VICTIMS OF

00:24:34.639 --> 00:24:36.741
THEIR OWN SUCCESS. MANY

00:24:36.808 --> 00:24:38.143
AMERICANS HAVE NEVER WITNESSED

00:24:38.210 --> 00:24:39.978
THE DEVASTATING EFFECTS OF

00:24:40.045 --> 00:24:42.180
WIDESPREAD POLIO, DIPHTHERIA,

00:24:42.247 --> 00:24:43.982
MEASLES, CONGENITAL RUBELLA

00:24:44.049 --> 00:24:45.684
SYNDROME THAT PREVIOUS

00:24:45.750 --> 00:24:47.252
GENERATIONS HAD ENDURED. BUT

00:24:47.319 --> 00:24:49.754
THESE DISEASES BECAME RARE. IT

00:24:49.821 --> 00:24:51.456
CAN BE EASY TO FORGET THE

00:24:51.523 --> 00:24:53.658
SUFFERING THAT THEY CAUSED. YET

00:24:53.725 --> 00:24:55.794
THESE PATHOGENS HAVE NOT

00:24:55.861 --> 00:24:57.229
DISAPPEARED. AND IN OUR

00:24:57.295 --> 00:24:58.296
INTERCONNECTED WORLD, THEY

00:24:58.363 --> 00:25:00.899
REMAIN ONLY A PLANE RIDE AWAY.

00:25:00.966 --> 00:25:02.434
THE LESSON FROM EVERY OUTBREAK

00:25:02.500 --> 00:25:05.136
IS CLEAR PREVENTION THROUGH

00:25:05.203 --> 00:25:07.372
VACCINATION IS EASIER, SAFER,

00:25:07.439 --> 00:25:09.474
AND FAR LESS COSTLY THAN THE

00:25:09.541 --> 00:25:11.276
RESPONSE. THANK YOU FOR THE

00:25:11.343 --> 00:25:13.445
OPPORTUNITY TO TESTIFY TODAY.

00:25:13.511 --> 00:25:15.580
THANK YOU SO MUCH. WE DO HAVE

00:25:15.647 --> 00:25:17.048
SOME QUESTIONS, SENATOR JONES.

00:25:17.115 --> 00:25:18.116
YEAH, JUST A QUICK QUESTION.

00:25:18.183 --> 00:25:19.918
YOU SAID IN PART OF YOUR

00:25:19.985 --> 00:25:21.019
TESTIMONY THAT THE VACCINATION

00:25:21.086 --> 00:25:23.521
RATES ARE DECLINING. CAN YOU

00:25:23.588 --> 00:25:24.723
QUANTIFY THAT FOR ME? DOES THAT

00:25:24.789 --> 00:25:27.092
MEAN GLOBALLY, NATIONALLY,

00:25:27.158 --> 00:25:28.960
CALIFORNIA, SAN DIEGO COUNTY?

00:25:29.027 --> 00:25:31.463
WHAT WHAT WHERE ARE THEY

00:25:31.529 --> 00:25:32.931
DECLINING? SO THAT'S A GREAT

00:25:32.998 --> 00:25:34.532
QUESTION. SO, YES, THROUGHOUT

00:25:34.599 --> 00:25:35.934
THE UNITED STATES, ESPECIALLY

00:25:36.001 --> 00:25:38.336
IN STATES, WHEN WE LOOK AT

00:25:38.403 --> 00:25:41.239
THOSE THAT HAVE IMPLEMENTED

00:25:41.306 --> 00:25:42.340
EXEMPTIONS, AND I THINK THAT A

00:25:42.407 --> 00:25:44.242
LOT OF THAT WILL BE COVERED

00:25:44.309 --> 00:25:45.477
LATER, BUT ESPECIALLY IN STATES.

00:25:45.543 --> 00:25:47.312
AND THAT'S BEEN ADDED

00:25:47.379 --> 00:25:48.747
THROUGHOUT. SO CONSCIOUS AND

00:25:48.813 --> 00:25:50.582
MEDICAL EXEMPTIONS, THOSE

00:25:50.649 --> 00:25:52.317
NUMBERS HAVE BEEN HAVE BEEN

00:25:52.384 --> 00:25:54.920
DECLINING RAPIDLY, OBVIOUSLY,

00:25:54.986 --> 00:25:57.689
EVEN FOR AND GLOBALLY. THAT IS

00:25:57.756 --> 00:25:58.823
ALSO THE CASE. YOU KNOW, WE'VE

00:25:58.890 --> 00:26:00.926
SEEN THAT IN ESPECIALLY IN, IN

00:26:00.992 --> 00:26:05.263
IN COUNTRIES THAT, YOU KNOW,

00:26:05.330 --> 00:26:06.831
CANADA, YOU KNOW, THE UK, WE'VE

00:26:06.898 --> 00:26:08.199
SEEN THOSE NUMBERS DECLINE AS

00:26:08.266 --> 00:26:09.467
WELL. AND THOSE ARE VERY

00:26:09.534 --> 00:26:11.403
GENERAL. IF YOU WANT SPECIFICS,

00:26:11.469 --> 00:26:13.605
STATISTICS FOR SAN DIEGO COUNTY,

00:26:13.672 --> 00:26:16.107
FOR EXAMPLE, OUR NUMBERS FOR,

00:26:16.174 --> 00:26:17.442
YOU KNOW, THE BEST NUMBER TO

00:26:17.509 --> 00:26:19.711
LOOK AT IS MMR COVERAGE FOR

00:26:19.778 --> 00:26:21.513
ENTERING KINDERGARTNERS. OUR

00:26:21.579 --> 00:26:25.116
NUMBER HERE IS AT 92.3% FOR OUR

00:26:25.183 --> 00:26:26.551
LAST YEAR OF COVERAGE. SO THAT

00:26:26.618 --> 00:26:30.188
WAS 2526. AND THAT IS SHOWING A

00:26:30.255 --> 00:26:31.556
DECLINE. AND AGAIN, THIS IS

00:26:31.623 --> 00:26:33.491
WHERE WHY THOSE. AND IN ORDER

00:26:33.558 --> 00:26:36.594
TO MAINTAIN STRONG COMMUNITY

00:26:36.661 --> 00:26:38.063
THRESHOLDS FOR THINGS LIKE

00:26:38.129 --> 00:26:40.165
MEASLES, YOU NEED GREATER THAN

00:26:40.231 --> 00:26:43.768
95% COMMUNITY VACCINATION RATES.

00:26:43.835 --> 00:26:46.271
CAN YOU SPEAK TO IF WITH

00:26:46.338 --> 00:26:49.240
CURRENT CALIFORNIA LAW AND THE

00:26:49.307 --> 00:26:52.110
VACCINE REQUIREMENTS, YOU KNOW,

00:26:52.177 --> 00:26:54.212
THEY'RE PRETTY ROBUST IN

00:26:54.279 --> 00:26:55.714
CALIFORNIA, I'VE GOT, YOU KNOW,

00:26:55.780 --> 00:26:57.482
MY GRANDKIDS ARE GOING TO BE

00:26:57.549 --> 00:26:58.550
CHECKING INTO SCHOOL HERE IN

00:26:58.616 --> 00:27:00.085
THE NEXT COUPLE OF YEARS. HOW

00:27:00.151 --> 00:27:01.853
HOW IS THE VACCINE RATE

00:27:01.920 --> 00:27:03.722
DROPPING IF CALIFORNIA HAS SUCH

00:27:03.788 --> 00:27:06.191
A STRONG REQUIREMENT THAT THAT

00:27:06.257 --> 00:27:07.692
IS A GREAT QUESTION, BECAUSE

00:27:07.759 --> 00:27:09.594
THERE ARE VARIOUS LOOPHOLES

00:27:09.661 --> 00:27:11.496
THAT UNFORTUNATELY, THAT CAN

00:27:11.563 --> 00:27:13.665
SPEAK TO THAT. SO AGAIN, I

00:27:13.732 --> 00:27:16.267
THINK THAT THERE AND WE

00:27:16.334 --> 00:27:17.669
CONTINUE TO WORK WITH SCHOOLS

00:27:17.736 --> 00:27:19.504
AND ENSURE THAT THOSE

00:27:19.571 --> 00:27:22.340
VACCINATION RATES IMPROVE. BUT

00:27:22.407 --> 00:27:24.876
BUT AGAIN, THIS IS NOT JUST OUR

00:27:24.943 --> 00:27:25.944
COUNTY. THIS IS THROUGHOUT

00:27:26.011 --> 00:27:27.145
THROUGHOUT CALIFORNIA THAT

00:27:27.212 --> 00:27:28.813
WE'VE SEEN THOSE NUMBERS

00:27:28.880 --> 00:27:30.682
CONTINUE TO, TO, TO DECLINE

00:27:30.749 --> 00:27:33.885
DESPITE THE LACK OF. OKAY. AND

00:27:33.952 --> 00:27:35.320
FINAL QUESTION, AND I MEANT TO

00:27:35.387 --> 00:27:36.488
ASK THE PREVIOUS SPEAKER THIS

00:27:36.554 --> 00:27:38.256
TO JUST KIND OF MAYBE AN

00:27:38.323 --> 00:27:40.658
OPINION. I, YOU KNOW, THE, THE

00:27:40.725 --> 00:27:42.460
FOCUS OF THIS MORNING IS

00:27:42.527 --> 00:27:44.262
CURRENT CALIFORNIA LAW

00:27:44.329 --> 00:27:48.366
REGARDING EXEMPTIONS. AND, YOU

00:27:48.433 --> 00:27:50.235
KNOW, WHERE SHOULD WE BE ON

00:27:50.301 --> 00:27:52.937
THAT? I GUESS I'LL CALL IT A

00:27:53.004 --> 00:27:55.440
SCALE OF ZERO EXEMPTIONS TO,

00:27:55.507 --> 00:27:56.875
YOU KNOW, OPEN EXEMPTIONS,

00:27:56.941 --> 00:27:58.343
WHICH I DON'T THINK ANYBODY'S

00:27:58.410 --> 00:28:00.512
ARGUING FOR EITHER ONE OF THOSE

00:28:00.578 --> 00:28:03.348
EXTREMES. DO YOU FEEL LIKE THAT

00:28:03.415 --> 00:28:06.284
THE CURRENT CALIFORNIA LAW IS

00:28:06.351 --> 00:28:09.120
WORKING REGARDING EXEMPTIONS

00:28:09.187 --> 00:28:11.689
FOR PHYSICIANS, PARENTS AND

00:28:11.756 --> 00:28:13.425
CHILDREN AND THE I GUESS I

00:28:13.491 --> 00:28:15.226
WOULD ADD TO THE THE PUBLIC

00:28:15.293 --> 00:28:18.897
INTO THAT AS WELL. YES. AND I

00:28:18.963 --> 00:28:20.665
CAN SAY THAT ON BOTH AS A

00:28:20.732 --> 00:28:22.801
PUBLIC HEALTH OFFICIAL AND

00:28:22.867 --> 00:28:24.269
REVIEWING. AND AGAIN, WE DO SEE

00:28:24.335 --> 00:28:25.870
THOSE NUMBERS AS WELL, BUT ALSO

00:28:25.937 --> 00:28:29.307
AS A PRACTICING PEDIATRIC

00:28:29.374 --> 00:28:30.375
EMERGENCY MEDICINE PHYSICIAN.

00:28:30.442 --> 00:28:31.810
AND WHAT I SEE, AND ACTUALLY I

00:28:31.876 --> 00:28:33.611
ALSO WORK IN A PEDIATRIC CLINIC.

00:28:33.678 --> 00:28:36.081
SO IN ALL THREE OF THOSE REALMS,

00:28:36.147 --> 00:28:37.916
AND I ACTUALLY INTERFACE ON A

00:28:37.982 --> 00:28:39.784
REGULAR BASIS WITH OUR LOCAL

00:28:39.851 --> 00:28:41.219
CHAPTER WITH THE AMERICAN

00:28:41.286 --> 00:28:42.987
ACADEMY OF PEDIATRICS. AND I'M

00:28:43.054 --> 00:28:45.156
NOT, YOU KNOW, AGAIN, I FEEL

00:28:45.223 --> 00:28:47.292
THAT WHERE THERE'S APPROPRIATE

00:28:47.358 --> 00:28:49.060
LEVELS OF, YOU KNOW, WHERE

00:28:49.127 --> 00:28:50.161
EXEMPTIONS NEED TO BE APPLIED,

00:28:50.228 --> 00:28:53.064
THEY'RE BEING APPLIED AND WHERE

00:28:53.131 --> 00:28:54.466
THERE'S SITUATIONS WHERE THEY

00:28:54.532 --> 00:28:55.266
SHOULDN'T BE APPLIED. THEY'RE

00:28:55.333 --> 00:28:57.335
NOT, THEY ARE BEING CORRECTLY

00:28:57.402 --> 00:28:59.504
APPLIED. SO THIS HAS NOT BEEN

00:28:59.571 --> 00:29:02.440
AN ISSUE FOR US. THANK YOU.

00:29:02.507 --> 00:29:03.875
THANK YOU SO MUCH FOR YOUR

00:29:03.942 --> 00:29:04.576
PRESENTATIONS. I DO HAVE A

00:29:04.642 --> 00:29:08.913
COUPLE QUESTIONS. YES. SO, YOU

00:29:08.980 --> 00:29:14.319
KNOW, I THINK. ONE OF THE THE

00:29:14.385 --> 00:29:16.121
CHALLENGES THAT WE AS

00:29:16.187 --> 00:29:19.324
LEGISLATORS HAVE, AS SENATOR

00:29:19.390 --> 00:29:21.159
JONES TALKED ABOUT PARENTAL

00:29:21.226 --> 00:29:22.627
RIGHTS AS A PARENT, I

00:29:22.694 --> 00:29:25.163
COMPLETELY UNDERSTAND THAT. I

00:29:25.230 --> 00:29:30.101
THINK WHEN WE DEAL WITH THESE.

00:29:30.168 --> 00:29:33.404
PREVENTABLE CONDITIONS THAT

00:29:33.471 --> 00:29:36.941
COULD CAUSE SIGNIFICANT PUBLIC

00:29:37.008 --> 00:29:40.545
HARM, WE HAVE TO FIGURE OUT OR

00:29:40.612 --> 00:29:42.347
WEIGH THE GOOD OF THE ONE DOES

00:29:42.413 --> 00:29:44.482
THE GOOD OF THE ONE, THE ONE

00:29:44.549 --> 00:29:46.351
FAMILY OUTWEIGH THE GOOD OF THE

00:29:46.417 --> 00:29:49.587
MANY, WHICH IS THE COMMUNITY.

00:29:49.654 --> 00:29:51.723
BECAUSE WE ARE INTERCONNECTED.

00:29:51.789 --> 00:29:53.525
SO WHAT YOU DECIDE TO DO FOR

00:29:53.591 --> 00:29:57.462
YOUR FAMILY MAY ULTIMATELY

00:29:57.529 --> 00:29:59.097
IMPACT YOUR ENTIRE COMMUNITY.

00:29:59.164 --> 00:30:02.834
AND THAT'S KIND OF WHERE WE ARE.

00:30:02.901 --> 00:30:08.273
I AM. CONCERNED ABOUT THE FACT,

00:30:08.339 --> 00:30:11.476
AND WITH THE SAN DIEGO

00:30:11.543 --> 00:30:12.610
UNIVERSITY OUTBREAK OF THEIR

00:30:12.677 --> 00:30:14.779
FOOTBALL TEAM, I GOT A LOT OF A

00:30:14.846 --> 00:30:18.082
LOT OF CALLS ABOUT THAT ONE FOR

00:30:18.149 --> 00:30:19.517
A COUPLE OF REASONS. ONE, IT

00:30:19.584 --> 00:30:21.986
WAS AROUND WHAT OUR VACCINE

00:30:22.053 --> 00:30:23.188
REQUIREMENTS FOR OUR COLLEGES.

00:30:23.254 --> 00:30:24.822
AND I KNOW THAT'S NOT THAT'S

00:30:24.889 --> 00:30:26.724
NOT YOUR AREA. BUT DOCTOR PAN,

00:30:26.791 --> 00:30:28.660
I WILL BE ASKING YOU THAT LATER

00:30:28.726 --> 00:30:34.199
ON. BUT ALSO THE FACT THAT MANY

00:30:34.265 --> 00:30:36.701
OF THOSE INDIVIDUALS HAD

00:30:36.768 --> 00:30:38.836
RECEIVED A VACCINE BUT WERE AT

00:30:38.903 --> 00:30:40.038
SOME POINT POTENTIALLY EXPOSED

00:30:40.104 --> 00:30:42.507
TO SOMEONE WHO WAS NOT

00:30:42.574 --> 00:30:44.676
VACCINATED, AND THEREFORE THEY

00:30:44.742 --> 00:30:47.478
NEEDED TO GET ANOTHER ONE. A

00:30:47.545 --> 00:30:56.187
THIRD SHOT. SO. I'M NOT SURE.

00:30:56.254 --> 00:30:58.056
THAT'S A LITTLE CONCERNING TO

00:30:58.122 --> 00:31:00.491
HEAR. THE 92% IN SAN DIEGO IS

00:31:00.558 --> 00:31:02.660
ALSO A LITTLE CONCERNING TO

00:31:02.727 --> 00:31:06.965
HEAR IF WE NEED TO BE AT 95.

00:31:07.031 --> 00:31:08.733
AND I TOO AM WONDERING WHY OUR

00:31:08.800 --> 00:31:10.902
NUMBERS ARE NOT A LITTLE HIGHER.

00:31:10.969 --> 00:31:12.770
WHAT IS IT THAT WE'RE DOING

00:31:12.837 --> 00:31:15.974
HERE? SO YOU MAY NOT HAVE THAT

00:31:16.040 --> 00:31:17.775
INFORMATION TODAY, BUT I WOULD

00:31:17.842 --> 00:31:21.379
LIKE. SOMEONE TO FOLLOW UP WITH

00:31:21.446 --> 00:31:23.314
MY OFFICE ON THAT OR THE HEALTH

00:31:23.381 --> 00:31:24.582
STAFF COMMITTEE ON THAT, BUT

00:31:24.649 --> 00:31:25.717
I'M JUST WONDERING IF YOU COULD

00:31:25.783 --> 00:31:28.953
COMMENT A LITTLE BIT MORE ON

00:31:29.020 --> 00:31:31.122
THE IMPACT FOR PEOPLE WHO MAY

00:31:31.189 --> 00:31:34.359
BE VACCINATED, BEING IN A

00:31:34.425 --> 00:31:35.827
SOCIETY WHERE THE VACCINATION

00:31:35.893 --> 00:31:37.929
RATE IS LOW AND WHAT KIND OF

00:31:37.996 --> 00:31:41.566
RISK THAT PUTS THEM AT? YEAH, I

00:31:41.633 --> 00:31:46.904
THINK SO. HAD THIS BEEN IN A

00:31:46.971 --> 00:31:49.474
COMMUNITY OF UNVACCINATED

00:31:49.540 --> 00:31:50.441
INDIVIDUALS, IT WOULD HAVE

00:31:50.508 --> 00:31:51.943
TAKEN OFF LIKE WILDFIRE,

00:31:52.010 --> 00:31:54.445
BECAUSE I THINK THAT WE FORGET

00:31:54.512 --> 00:31:57.782
JUST HOW INFECTIOUS THESE

00:31:57.849 --> 00:31:59.584
DISEASES LIKE MEASLES AND MUMPS

00:31:59.651 --> 00:32:04.956
TRULY ARE. SO AGAIN, I THINK

00:32:05.023 --> 00:32:06.357
AND ALL THE MUMPS OUTBREAKS

00:32:06.424 --> 00:32:08.893
THAT HAVE OCCURRED IN THE LAST

00:32:08.960 --> 00:32:11.396
POST MMR IMPLEMENTATION HAVE

00:32:11.462 --> 00:32:14.966
REALLY OCCURRED IN POPULATIONS

00:32:15.033 --> 00:32:16.534
THAT HAVE BEEN IN CLOSE

00:32:16.601 --> 00:32:18.236
QUARTERS. SO, FOR EXAMPLE,

00:32:18.303 --> 00:32:19.370
DETENTION FACILITIES,

00:32:19.437 --> 00:32:20.471
UNFORTUNATELY, WE'VE SEEN THAT

00:32:20.538 --> 00:32:21.873
IN THOSE SITUATIONS. AND THE

00:32:21.939 --> 00:32:24.042
OTHER KEY PLACE IS REALLY

00:32:24.108 --> 00:32:26.311
SCHOOLS AND UNIVERSITIES. AND

00:32:26.377 --> 00:32:28.713
SO THIS NOT A COMPLETELY

00:32:28.780 --> 00:32:30.148
UNUSUAL OCCURRENCE FOR THAT TO

00:32:30.214 --> 00:32:33.751
HAPPEN. BUT THAT'S WHY I

00:32:33.818 --> 00:32:35.953
IMPLIED IN MY TESTIMONY THAT

00:32:36.020 --> 00:32:37.388
THAT'S WHY THE ENTIRE COMMUNITY

00:32:37.455 --> 00:32:39.190
NEEDS TO BE VACCINATED, BECAUSE

00:32:39.257 --> 00:32:41.292
WE WANT TO BE ABLE TO PREVENT

00:32:41.359 --> 00:32:42.794
SPILLOVER OF THESE EVENTS.

00:32:42.860 --> 00:32:44.929
THAT'S WHY WE WERE ABLE TO

00:32:44.996 --> 00:32:48.299
LIMIT TO ONLY 27 CASES. THAT'S

00:32:48.366 --> 00:32:49.801
WHY WE WERE WE IMPLEMENTED

00:32:49.867 --> 00:32:51.736
THESE MEASURES. WE MADE SURE

00:32:51.803 --> 00:32:53.171
THAT WE BROUGHT PEOPLE'S

00:32:53.237 --> 00:32:55.006
IMMUNITY UP. YOU KNOW,

00:32:55.073 --> 00:32:57.809
UNFORTUNATELY, WITH MMR, A LOT

00:32:57.875 --> 00:32:59.310
OF THE THINGS THAT COME UP

00:32:59.377 --> 00:33:01.379
AROUND EXEMPTIONS IS THAT, YOU

00:33:01.446 --> 00:33:02.613
KNOW, WE PEOPLE ARE LIKE, WELL,

00:33:02.680 --> 00:33:04.449
I CAN CHECK TITERS AND ALL THE

00:33:04.515 --> 00:33:05.583
VARIOUS THINGS, BUT YOU CAN'T

00:33:05.650 --> 00:33:06.884
CHECK FOR MUMPS TITERS. THAT'S

00:33:06.951 --> 00:33:08.686
I ALSO IMPLY THAT IN MY

00:33:08.753 --> 00:33:09.721
TESTIMONY. AND THAT'S THE,

00:33:09.787 --> 00:33:11.522
THAT'S KIND OF ANOTHER

00:33:11.589 --> 00:33:12.957
DIFFICULT NUANCE. AND MUMPS

00:33:13.024 --> 00:33:16.627
ONLY CONFERS ABOUT 86% IMMUNITY

00:33:16.694 --> 00:33:19.097
AFTER TWO DOSES OF THE VACCINE.

00:33:19.163 --> 00:33:20.598
AND SO AGAIN, FOR MOST OF US,

00:33:20.665 --> 00:33:22.333
IT'S NOT AN ISSUE BECAUSE WE

00:33:22.400 --> 00:33:23.468
HAVE REALLY GOOD IMMUNITY. BUT

00:33:23.534 --> 00:33:25.236
IF YOU'RE IN CLOSE QUARTERS, IT

00:33:25.303 --> 00:33:26.771
CERTAINLY DOES PUT YOU AT RISK.

00:33:26.838 --> 00:33:28.806
AND SO THAT'S WHY WE SEE THESE

00:33:28.873 --> 00:33:30.341
OUTBREAKS OFTEN HAPPEN. AND

00:33:30.408 --> 00:33:31.909
THAT'S WHY YOU HAVE TO MAKE

00:33:31.976 --> 00:33:33.177
SURE YOUR IMMUNITY LEVELS ARE

00:33:33.244 --> 00:33:34.979
ADEQUATE. SO YOU DON'T HAVE

00:33:35.046 --> 00:33:36.381
SPILLOVER. YOU DON'T HAVE TO

00:33:36.447 --> 00:33:38.549
INTO INTO THE LARGER INTO THE

00:33:38.616 --> 00:33:41.352
LARGER CAMPUS COMMUNITY AS WELL.

00:33:41.419 --> 00:33:43.588
SO THAT'S WHY WE, WE WERE VERY

00:33:43.654 --> 00:33:45.390
AGGRESSIVE. WE WERE ABLE TO, AT

00:33:45.456 --> 00:33:46.791
THIS POINT, OUTBREAKS NOT

00:33:46.858 --> 00:33:47.925
OFFICIALLY OVER YET, BUT AT

00:33:47.992 --> 00:33:49.527
THIS POINT, WE WERE ABLE TO

00:33:49.594 --> 00:33:54.732
LIMIT TO THAT TO 27 CASES. WELL,

00:33:54.799 --> 00:33:55.933
THANK YOU SO MUCH FOR COMING

00:33:56.000 --> 00:33:57.969
AND ANSWERING OUR QUESTIONS. WE

00:33:58.035 --> 00:34:03.341
WILL NOW MOVE TO OUR NEXT PANEL.

00:34:03.408 --> 00:34:04.776
OUR NEXT PRESENTATION, OUR

00:34:04.842 --> 00:34:06.611
FIRST PANEL, WHICH WILL BE ON

00:34:06.677 --> 00:34:09.847
MEDICAL EXEMPTION. WE HAVE

00:34:09.914 --> 00:34:13.818
DOCTOR SAWYER FROM PEDIATRIC

00:34:13.885 --> 00:34:15.686
INFECTIOUS DISEASE SPECIALIST

00:34:15.753 --> 00:34:18.923
FROM UCSD, DOCTOR BALL, A

00:34:18.990 --> 00:34:21.025
PRIMARY CARE PEDIATRICIAN AND

00:34:21.092 --> 00:34:22.627
CHAIR OF THE AMERICAN ACADEMY

00:34:22.693 --> 00:34:26.764
OF PEDIATRICS, AND DOCTOR GRAF,

00:34:26.831 --> 00:34:28.599
WHO'S A CLINICAL PROFESSOR IN

00:34:28.666 --> 00:34:30.401
PEDIATRICS AT UCSD. THANK YOU

00:34:30.468 --> 00:34:31.903
ALL SO MUCH FOR BEING HERE. YOU

00:34:31.969 --> 00:34:35.373
MAY BEGIN. THANKS VERY MUCH FOR

00:34:35.440 --> 00:34:37.608
HAVING US AND ALLOWING US TO

00:34:37.675 --> 00:34:39.343
PARTICIPATE IN THIS

00:34:39.410 --> 00:34:40.812
CONVERSATION. I PRACTICE

00:34:40.878 --> 00:34:42.213
PEDIATRIC INFECTIOUS DISEASE

00:34:42.280 --> 00:34:44.449
HERE AT UC SAN DIEGO FOR OVER

00:34:44.515 --> 00:34:47.051
35 YEARS, AND HAVE LIVED

00:34:47.118 --> 00:34:48.753
THROUGH SOME OF THAT HISTORY

00:34:48.820 --> 00:34:50.588
THAT WAS LAID OUT ABOUT THE

00:34:50.655 --> 00:34:52.323
DEVELOPMENT OF NEW VACCINES.

00:34:52.390 --> 00:34:54.192
AND I'VE SEEN THE NEAR

00:34:54.258 --> 00:34:55.293
DISAPPEARANCE OF CHICKEN POX,

00:34:55.359 --> 00:35:00.264
FOR EXAMPLE, AND I'VE SEEN THE

00:35:00.331 --> 00:35:01.799
ABILITY TO PREVENT CERVICAL

00:35:01.866 --> 00:35:03.201
CANCER WITH HPV VACCINE. NOT

00:35:03.267 --> 00:35:04.602
THAT THAT'S A MANDATE ISSUE,

00:35:04.669 --> 00:35:07.104
BUT I'M JUST BRINGING UP SOME

00:35:07.171 --> 00:35:10.641
POIGNANT EXAMPLES. AND THE

00:35:10.708 --> 00:35:12.477
CONCEPT OF COMMUNITY IMMUNITY

00:35:12.543 --> 00:35:15.046
IS CENTRAL TO THIS DISCUSSION.

00:35:15.112 --> 00:35:17.048
AT THE END OF MY CAREER, I WAS

00:35:17.114 --> 00:35:18.249
THE PEDIATRIC PROGRAM DIRECTOR

00:35:18.316 --> 00:35:20.418
FOR THE RESIDENCY HERE AT UCSD,

00:35:20.485 --> 00:35:22.553
TRAINING OVER 60 PEDIATRICIANS

00:35:22.620 --> 00:35:25.456
AT ONE TIME AT A TIME. AND I

00:35:25.523 --> 00:35:27.992
CAN SAY DURING MY TENURE, MOST

00:35:28.059 --> 00:35:30.127
OF MY RESIDENTS HAVE NEVER SEEN

00:35:30.194 --> 00:35:32.363
A CASE OF MEASLES OR EVEN

00:35:32.430 --> 00:35:34.799
CHICKEN POX, WHEREAS IN MY

00:35:34.866 --> 00:35:35.900
GENERATION, THOSE WERE

00:35:35.967 --> 00:35:36.968
UNIVERSAL THINGS THAT WE ALL

00:35:37.034 --> 00:35:38.803
COULD RECOGNIZE BY WALKING IN

00:35:38.870 --> 00:35:42.106
THE DOOR. SO VACCINES WORK, BUT

00:35:42.173 --> 00:35:44.208
AS WE'RE LEARNING ACROSS THE

00:35:44.275 --> 00:35:45.376
WORLD RIGHT NOW, IF YOU LET

00:35:45.443 --> 00:35:48.513
YOUR COMMUNITY IMMUNITY DROP,

00:35:48.579 --> 00:35:50.314
THE THE ILLNESSES WILL COME

00:35:50.381 --> 00:35:52.083
BACK. MEASLES IS, OF COURSE,

00:35:52.149 --> 00:35:54.619
THE CURRENT DRAMATIC EXAMPLE OF

00:35:54.685 --> 00:35:56.787
THAT. SO THERE'S THIS CONCEPT

00:35:56.854 --> 00:35:58.322
OF HERD IMMUNITY THAT'S TALKED

00:35:58.389 --> 00:36:01.092
ABOUT IN VACCINE AND THE

00:36:01.158 --> 00:36:03.594
VACCINE POLICY WORLD. AND HERD

00:36:03.661 --> 00:36:05.062
IMMUNITY WORKS AS LONG AS YOU

00:36:05.129 --> 00:36:06.764
HAVE A CERTAIN LEVEL. AND IT

00:36:06.831 --> 00:36:07.932
ALSO DEPENDS ON WHAT HERD

00:36:07.999 --> 00:36:10.167
YOU'RE IN. THESE OUTBREAKS TEND

00:36:10.234 --> 00:36:13.304
TO OCCUR IN COMMUNITIES THAT

00:36:13.371 --> 00:36:15.907
ARE LIKE MINDED INDIVIDUALS WHO

00:36:15.973 --> 00:36:17.942
EITHER DO OR DON'T IMMUNIZE.

00:36:18.009 --> 00:36:19.810
THE OUTBREAKS TEND TO OCCUR IN

00:36:19.877 --> 00:36:21.279
THE COMMUNITIES THAT DON'T

00:36:21.345 --> 00:36:23.381
IMMUNIZE AS WELL. AND THEY JUST

00:36:23.447 --> 00:36:25.616
ARE SORT OF THE BEGINNING OF

00:36:25.683 --> 00:36:27.785
THE EROSION OF THE PROBLEM THAT

00:36:27.852 --> 00:36:29.153
WE ARE TRYING TO ADDRESS WITH

00:36:29.220 --> 00:36:30.588
THIS ISSUE OF EXEMPTIONS. SO I

00:36:30.655 --> 00:36:32.023
JUST I WANT TO ILLUSTRATE THE

00:36:32.089 --> 00:36:34.225
IMPORTANCE OF COMMUNITY

00:36:34.292 --> 00:36:35.993
IMMUNITY. I THOUGHT I'D SPEND A

00:36:36.060 --> 00:36:37.461
MINUTE ON WHAT WE'RE TALKING

00:36:37.528 --> 00:36:40.331
ABOUT HERE IN TERMS OF WHAT

00:36:40.398 --> 00:36:42.500
CONSTITUTES A MEDICAL EXEMPTION.

00:36:42.567 --> 00:36:44.602
SO THERE ARE CONTRAINDICATIONS

00:36:44.669 --> 00:36:46.437
AND PRECAUTIONS TO VACCINES

00:36:46.504 --> 00:36:48.940
THAT ARE ESTABLISHED. THESE ARE

00:36:49.006 --> 00:36:51.108
MEDICAL CONDITIONS THAT MAKE

00:36:51.175 --> 00:36:53.644
YOUR RISK OF GETTING VACCINATED

00:36:53.711 --> 00:36:55.079
HIGHER THAN THE RISK OF THE

00:36:55.146 --> 00:36:57.281
DISEASE, OR THE RISK OF GETTING

00:36:57.348 --> 00:36:58.583
SOME SERIOUS CONSEQUENCE FROM

00:36:58.649 --> 00:37:00.451
THE VACCINE, OR IN THE CASE OF

00:37:00.518 --> 00:37:04.121
A PRECAUTION, A SITUATION WHERE

00:37:04.188 --> 00:37:05.523
SOME JUDGMENT MIGHT NEED TO BE

00:37:05.590 --> 00:37:07.692
MADE ABOUT WHETHER A VACCINE IS

00:37:07.758 --> 00:37:10.928
INDICATED OR NOT. THESE

00:37:10.995 --> 00:37:11.996
CONTRAINDICATIONS AND

00:37:12.063 --> 00:37:13.464
PRECAUTIONS ARE ESTABLISHED BY

00:37:13.531 --> 00:37:17.068
THE FDA AND THE CDC, IN

00:37:17.134 --> 00:37:18.869
CONSULTATION WITH MEDICAL

00:37:18.936 --> 00:37:20.638
SPECIALISTS OF MANY DIFFERENT

00:37:20.705 --> 00:37:26.410
TYPES. THEY ARE REVIEWED

00:37:26.477 --> 00:37:28.546
EXTENSIVELY BY THE TIME OF

00:37:28.613 --> 00:37:29.981
VACCINE RECOMMENDATION COMES

00:37:30.047 --> 00:37:32.950
FROM CDC. MORE THAN 100 EXPERTS

00:37:33.017 --> 00:37:35.052
IN THE FIELD OF VACCINES.

00:37:35.119 --> 00:37:36.821
PEDIATRICS EPIDEMIOLOGY HAVE

00:37:36.887 --> 00:37:38.990
REVIEWED THE CONTRAINDICATIONS

00:37:39.056 --> 00:37:41.892
AND THE PRECAUTIONS, AND THEY

00:37:41.959 --> 00:37:44.028
ARE BASED VERY STRONGLY ON THE

00:37:44.095 --> 00:37:46.564
EVIDENCE OF WHAT PUTS PEOPLE AT

00:37:46.631 --> 00:37:47.665
RISK AND WHAT DOESN'T PUT

00:37:47.732 --> 00:37:50.534
PEOPLE AT RISK FROM VACCINES.

00:37:50.601 --> 00:37:52.336
FURTHER GUIDANCE IS PROVIDED BY

00:37:52.403 --> 00:37:53.404
PROFESSIONAL MEDICAL

00:37:53.471 --> 00:37:54.872
ASSOCIATIONS LIKE THE AMERICAN

00:37:54.939 --> 00:37:56.340
ACADEMY OF PEDIATRICS AND LOCAL

00:37:56.407 --> 00:37:59.543
HEALTH DEPARTMENTS. THESE

00:37:59.610 --> 00:38:01.345
SITUATIONS MAY BE TEMPORARY, OR

00:38:01.412 --> 00:38:03.180
THEY MAY BE PERMANENT. SO YOU

00:38:03.247 --> 00:38:04.582
MAY HAVE A CONDITION THAT AT

00:38:04.649 --> 00:38:05.683
THE MOMENT INDICATES YOU

00:38:05.750 --> 00:38:07.451
SHOULDN'T GET A VACCINE. BUT A

00:38:07.518 --> 00:38:08.886
YEAR FROM NOW, IT MAY BE OKAY

00:38:08.953 --> 00:38:10.554
TO GET A VACCINE. AND THAT'S

00:38:10.621 --> 00:38:13.290
IMPORTANT TO KEEP IN MIND. WHAT

00:38:13.357 --> 00:38:14.625
CONDITIONS WARRANT MEDICAL

00:38:14.692 --> 00:38:16.093
EXEMPTIONS? SO THE THINGS THAT

00:38:16.160 --> 00:38:17.962
ARE WELL ESTABLISHED IN THE

00:38:18.029 --> 00:38:19.296
LITERATURE ARE IF YOU'RE

00:38:19.363 --> 00:38:20.731
ALLERGIC TO A VACCINE, YOU

00:38:20.798 --> 00:38:22.900
SHOULDN'T GET ANOTHER DOSE. IF

00:38:22.967 --> 00:38:25.102
YOU HAVE AN IMMUNE COMPROMISING

00:38:25.169 --> 00:38:25.870
CONDITION, THAT MIGHT PUT YOU

00:38:25.936 --> 00:38:28.105
AT RISK FROM THE VACCINE

00:38:28.172 --> 00:38:29.407
BECAUSE YOUR IMMUNE SYSTEM

00:38:29.473 --> 00:38:32.309
CAN'T HANDLE IT. PREGNANCY IS A

00:38:32.376 --> 00:38:33.778
CONTRAINDICATION TO CERTAIN

00:38:33.844 --> 00:38:35.546
VACCINES, BUT OBVIOUSLY IS A

00:38:35.613 --> 00:38:37.682
TEMPORARY STATE. IF YOU HAVE A

00:38:37.748 --> 00:38:39.150
HISTORY OF A PAST SERIOUS

00:38:39.216 --> 00:38:40.918
REACTION TO A VACCINE LIKE

00:38:40.985 --> 00:38:41.719
GUILLAIN-BARRE SYNDROME, WHICH

00:38:41.786 --> 00:38:44.121
IS AN IMMUNOLOGIC PHENOMENON

00:38:44.188 --> 00:38:46.691
THAT LEADS TO TEMPORARY

00:38:46.757 --> 00:38:48.859
PARALYSIS OR SOMETHING THAT MAY

00:38:48.926 --> 00:38:50.327
PREVENT THE PERSON FROM

00:38:50.394 --> 00:38:52.063
RESPONDING TO THESE VACCINES

00:38:52.129 --> 00:38:54.231
ALTOGETHER. THESE SORTS OF

00:38:54.298 --> 00:38:57.134
CONDITIONS AFFECT ABOUT 0.2% OF

00:38:57.201 --> 00:39:01.439
THE POPULATION. WHAT ISN'T A

00:39:01.505 --> 00:39:02.540
CONTRAINDICATION OR A

00:39:02.606 --> 00:39:03.507
PRECAUTION? THESE ARE THINGS

00:39:03.574 --> 00:39:05.176
THAT MANY PEOPLE THINK SHOULD

00:39:05.242 --> 00:39:07.578
BE OR MIGHT BE. IT MAKES SOME

00:39:07.645 --> 00:39:09.180
SENSE IF YOU HAVEN'T REVIEWED

00:39:09.246 --> 00:39:11.215
THE LITERATURE OR THE EVIDENCE.

00:39:11.282 --> 00:39:13.150
SO, FOR EXAMPLE, FAMILY HISTORY

00:39:13.217 --> 00:39:15.486
OF A REACTION TO A VACCINE. SO

00:39:15.553 --> 00:39:16.954
JUST BECAUSE YOUR COUSIN OR

00:39:17.021 --> 00:39:19.090
YOUR UNCLE HAD A REACTION TO A

00:39:19.156 --> 00:39:20.858
VACCINE IS THERE'S NO EVIDENCE

00:39:20.925 --> 00:39:24.161
THAT THAT SORT OF GENETIC

00:39:24.228 --> 00:39:27.031
PREDISPOSITION IS, IS THERE TO

00:39:27.098 --> 00:39:28.432
INDICATE THAT YOU WOULD BE AT

00:39:28.499 --> 00:39:29.900
THE SAME RISK AS THE PERSON WHO

00:39:29.967 --> 00:39:33.104
HAD THE REACTION? BEHAVIORAL

00:39:33.170 --> 00:39:35.272
AND DEVELOPMENTAL DISORDERS IN

00:39:35.339 --> 00:39:38.175
GENERAL ARE NOT FOUND TO BE

00:39:38.242 --> 00:39:39.977
WORSENED BY GETTING

00:39:40.044 --> 00:39:43.214
VACCINATIONS. ALLERGY TO THE

00:39:43.280 --> 00:39:46.784
VACCINE TO. UNLESS IN GENERAL,

00:39:46.851 --> 00:39:48.319
UNLESS IT'S TO THE VACCINE. SO

00:39:48.385 --> 00:39:49.687
FOR EXAMPLE, IF YOU'RE ALLERGIC

00:39:49.754 --> 00:39:51.856
TO EGGS, THAT DOESN'T MEAN YOU

00:39:51.922 --> 00:39:54.759
CAN'T GET A VACCINE EVEN. IN

00:39:54.825 --> 00:39:56.026
FACT, IT TURNS OUT VACCINES

00:39:56.093 --> 00:39:57.261
THAT ARE MADE IN EGGS. BUT WE

00:39:57.328 --> 00:40:02.666
WON'T GO INTO THAT DETAIL. AN

00:40:02.733 --> 00:40:04.502
EXEMPTION TO ONE VACCINE OR A

00:40:04.568 --> 00:40:05.903
REACTION TO ONE VACCINE DOESN'T

00:40:05.970 --> 00:40:07.404
INDICATE YOU'RE GOING TO HAVE A

00:40:07.471 --> 00:40:09.140
REACTION TO A DIFFERENT VACCINE.

00:40:09.206 --> 00:40:10.574
SO IF YOU PUT ALL THOSE

00:40:10.641 --> 00:40:11.709
CONDITIONS TOGETHER, THAT

00:40:11.776 --> 00:40:13.778
PROBABLY MAKES UP 10% OF THE

00:40:13.844 --> 00:40:16.680
POPULATION. SO IF WE WERE TO

00:40:16.747 --> 00:40:18.048
PROVIDE EXEMPTIONS FOR ALL OF

00:40:18.115 --> 00:40:19.950
THOSE CONDITIONS, WE WOULD

00:40:20.017 --> 00:40:21.752
CERTAINLY LOSE OUR COMMUNITY

00:40:21.819 --> 00:40:24.588
IMMUNITY. YEAH. I TEXTED HIM

00:40:24.655 --> 00:40:26.791
THESE GUIDELINES AND THE

00:40:26.857 --> 00:40:27.525
CONTRAINDICATIONS AND

00:40:27.591 --> 00:40:28.993
PRECAUTIONS ARE PUBLISHED ON

00:40:29.059 --> 00:40:30.728
THE WEBSITE AS PART OF THE

00:40:30.795 --> 00:40:33.631
ANNUAL CDC AND AAP IMMUNIZATION

00:40:33.697 --> 00:40:35.032
SCHEDULE. SO THEY'RE READILY

00:40:35.099 --> 00:40:36.534
AVAILABLE AND THEY'RE UNDER

00:40:36.600 --> 00:40:39.737
CONSTANT REVIEW. THE FEDERAL

00:40:39.804 --> 00:40:40.838
GOVERNMENT HAS ESTABLISHED A

00:40:40.905 --> 00:40:42.973
VERY ROBUST VACCINE SAFETY

00:40:43.040 --> 00:40:44.208
MONITORING SYSTEM, WHICH ALLOWS

00:40:44.275 --> 00:40:45.509
US TO FIND NEW SIDE EFFECTS

00:40:45.576 --> 00:40:48.012
FROM VACCINES OR STUDY NEW

00:40:48.078 --> 00:40:49.480
VACCINES VERY CAREFULLY TO MAKE

00:40:49.547 --> 00:40:50.681
SURE WE ARE AWARE OF WHAT THE

00:40:50.748 --> 00:40:53.083
SIDE EFFECTS ARE. IT IS

00:40:53.150 --> 00:40:54.118
IMPORTANT TO NOTE THAT A

00:40:54.185 --> 00:40:55.586
PHYSICIAN CAN ISSUE A MEDICAL

00:40:55.653 --> 00:40:56.921
EXEMPTION FOR ANY REASON, AS

00:40:56.987 --> 00:40:58.455
LONG AS IT'S MEDICALLY

00:40:58.522 --> 00:40:59.857
JUSTIFIABLE AND BASED ON THE

00:40:59.924 --> 00:41:01.659
EVIDENCE AND DOCUMENTED IN THE

00:41:01.725 --> 00:41:03.861
MEDICAL RECORD. SO I WOULD SAY

00:41:03.928 --> 00:41:05.296
OVERALL, THE SYSTEM IS QUITE

00:41:05.362 --> 00:41:08.532
ROBUST AND IT IS WORKING, AND I

00:41:08.599 --> 00:41:10.334
HOPE WE WILL CONTINUE TO KEEP

00:41:10.401 --> 00:41:12.069
OUR COMMUNITY IMMUNITY SO WE

00:41:12.136 --> 00:41:13.270
DON'T GO DOWN THE ROAD THAT

00:41:13.337 --> 00:41:15.372
SOME OTHER COMMUNITIES AND

00:41:15.439 --> 00:41:16.874
COUNTRIES HAVE WITH REGARD TO

00:41:16.941 --> 00:41:19.310
OUTBREAKS OF INFECTIOUS DISEASE.

00:41:19.376 --> 00:41:23.781
THANKS VERY MUCH. THANK YOU SO

00:41:23.848 --> 00:41:25.349
MUCH FOR THE OPPORTUNITY TO

00:41:25.416 --> 00:41:26.183
ATTEND THIS INFORMATIONAL

00:41:26.250 --> 00:41:27.318
HEARING AND SPEAK ABOUT MY

00:41:27.384 --> 00:41:28.319
EXPERIENCES WITH MEDICAL

00:41:28.385 --> 00:41:29.854
EXEMPTIONS TO IMMUNIZATIONS. MY

00:41:29.920 --> 00:41:31.455
NAME IS ERIC BALL. I'M A

00:41:31.522 --> 00:41:32.656
PRIMARY CARE PEDIATRICIAN IN

00:41:32.723 --> 00:41:34.158
ORANGE COUNTY, AND I HAVE THE

00:41:34.225 --> 00:41:35.793
HONOR OF SERVING AS THE CHAIR

00:41:35.860 --> 00:41:36.827
OF THE AMERICAN ACADEMY OF

00:41:36.894 --> 00:41:37.795
PEDIATRICS OF CALIFORNIA,

00:41:37.862 --> 00:41:39.096
REPRESENTING NEARLY 4000

00:41:39.163 --> 00:41:40.965
CALIFORNIA PEDIATRICIANS,

00:41:41.031 --> 00:41:41.999
PEDIATRIC MEDICAL

00:41:42.066 --> 00:41:43.100
SUBSPECIALISTS, AND PEDIATRIC

00:41:43.167 --> 00:41:44.935
SURGEONS. I COME TO YOU TODAY

00:41:45.002 --> 00:41:46.036
IN THREE CAPACITIES. FIRST, AS

00:41:46.103 --> 00:41:47.438
A PEDIATRICIAN WHO WITNESSED A

00:41:47.504 --> 00:41:49.240
MEASLES OUTBREAK FIRSTHAND.

00:41:49.306 --> 00:41:50.641
ALSO, AS A FULL TIME PHYSICIAN

00:41:50.708 --> 00:41:52.076
WHO ROUTINELY WRITES MEDICAL

00:41:52.142 --> 00:41:53.510
EXEMPTIONS FOR MY PATIENTS AND

00:41:53.577 --> 00:41:54.979
AS A REPRESENTATIVE OF

00:41:55.045 --> 00:41:56.480
CALIFORNIA'S PEDIATRICIANS. IN

00:41:56.547 --> 00:41:59.350
THE WINTER OF 2014 2015, MY

00:41:59.416 --> 00:42:00.351
COMMUNITY IN SOUTHERN ORANGE

00:42:00.417 --> 00:42:01.719
COUNTY WAS AT THE EPICENTER OF

00:42:01.785 --> 00:42:02.853
WHAT BECAME KNOWN AS THE

00:42:02.920 --> 00:42:04.755
DISNEYLAND MEASLES OUTBREAK. AT

00:42:04.822 --> 00:42:06.123
THE TIME, VACCINATION RATES IN

00:42:06.190 --> 00:42:08.292
MY COMMUNITY WERE AROUND 85%,

00:42:08.359 --> 00:42:09.760
FAR BELOW THE LEVEL NEEDED TO

00:42:09.827 --> 00:42:11.862
PROTECT AGAINST AN OUTBREAK. I

00:42:11.929 --> 00:42:13.697
SAW AND CARED FOR UNVACCINATED

00:42:13.764 --> 00:42:14.798
CHILDREN WHO CONTRACTED AND

00:42:14.865 --> 00:42:17.001
SUFFERED FROM MEASLES. WE HAD

00:42:17.067 --> 00:42:18.335
BABIES, TODDLERS AND

00:42:18.402 --> 00:42:19.136
CHRONICALLY ILL CHILDREN WHO

00:42:19.203 --> 00:42:20.938
WERE EXPOSED TO MEASLES IN MY

00:42:21.005 --> 00:42:22.973
WAITING ROOM. AND MOST OF ALL,

00:42:23.040 --> 00:42:24.475
I SAW THE HAVOC THAT SUCH AN

00:42:24.541 --> 00:42:25.576
OUTBREAK CAUSED IN OUR

00:42:25.643 --> 00:42:27.344
COMMUNITY. I CARE FOR MANY

00:42:27.411 --> 00:42:29.213
CHILDREN WITH CHRONIC MEDICAL

00:42:29.280 --> 00:42:30.281
CONDITIONS, WEAKENED IMMUNE

00:42:30.347 --> 00:42:32.449
SYSTEMS, AND LEGITIMATE MEDICAL

00:42:32.516 --> 00:42:33.484
CONTRAINDICATIONS TO

00:42:33.550 --> 00:42:34.585
IMMUNIZATION. SEVERAL OF THESE

00:42:34.652 --> 00:42:36.020
CHILDREN WERE UNABLE TO ATTEND

00:42:36.086 --> 00:42:37.821
SCHOOL OR GATHER IN COMMUNITY

00:42:37.888 --> 00:42:38.889
SPACES FOR FEAR OF BEING

00:42:38.956 --> 00:42:39.957
EXPOSED TO THIS HIGHLY

00:42:40.024 --> 00:42:41.926
CONTAGIOUS DISEASE. FAMILIES

00:42:41.992 --> 00:42:43.594
STAYED HOME, BUSINESSES

00:42:43.661 --> 00:42:45.062
SUFFERED, AND THE EFFECTS

00:42:45.129 --> 00:42:46.463
EXTENDED FAR BEYOND THOSE WHO

00:42:46.530 --> 00:42:48.265
ACTUALLY CONTRACTED THE DISEASE.

00:42:48.332 --> 00:42:49.333
THE CALIFORNIA DEPARTMENT OF

00:42:49.400 --> 00:42:50.167
PUBLIC HEALTH ESTIMATED THAT

00:42:50.234 --> 00:42:51.769
THAT OUTBREAK ALONE, WHICH WAS

00:42:51.835 --> 00:42:53.470
ABOUT 100 PEOPLE, COST THE

00:42:53.537 --> 00:42:56.106
STATE NEARLY $4 MILLION IN THE

00:42:56.173 --> 00:42:57.641
PUBLIC HEALTH RESPONSE ALONE.

00:42:57.708 --> 00:42:58.642
OUTBREAKS OF VACCINE

00:42:58.709 --> 00:43:00.177
PREVENTABLE INFECTIOUS DISEASES

00:43:00.244 --> 00:43:01.578
HARM NOT ONLY THE CHILDREN WHO

00:43:01.645 --> 00:43:03.047
BECOME SICK, BUT OUR

00:43:03.113 --> 00:43:05.182
COMMUNITIES AS A WHOLE. I HAVE

00:43:05.249 --> 00:43:06.016
PRACTICED PEDIATRICS FOR MORE

00:43:06.083 --> 00:43:07.651
THAN 20 YEARS AND HAVE WRITTEN

00:43:07.718 --> 00:43:09.186
MANY MEDICAL EXEMPTIONS FOR

00:43:09.253 --> 00:43:11.288
PATIENTS WITH LEGITIMATE

00:43:11.355 --> 00:43:12.756
CONTRAINDICATIONS. ACCORDING TO

00:43:12.823 --> 00:43:15.159
CDPH, BEFORE 2016, THE RATE OF

00:43:15.225 --> 00:43:15.960
PERMANENT MEDICAL EXEMPTIONS

00:43:16.026 --> 00:43:17.461
FOR CHILDREN ENTERING

00:43:17.528 --> 00:43:21.098
KINDERGARTEN WAS CONSISTENTLY

00:43:21.165 --> 00:43:22.099
BETWEEN 0.1 AND 0.2%,

00:43:22.166 --> 00:43:23.567
REFLECTING HOW UNCOMMON MEDICAL

00:43:23.634 --> 00:43:24.268
CONTRAINDICATIONS ARE TO

00:43:24.335 --> 00:43:27.538
ROUTINE IMMUNIZATIONS. AFTER SB

00:43:27.604 --> 00:43:29.273
277 ELIMINATED PERSONAL BELIEF

00:43:29.340 --> 00:43:30.741
EXEMPTIONS, MEDICAL EXEMPTIONS

00:43:30.808 --> 00:43:32.943
INCREASED FIVE FOLD, REACHING

00:43:33.010 --> 00:43:35.412
1% IN 2019. THIS RAISED

00:43:35.479 --> 00:43:36.547
CONCERNS THAT MEDICAL

00:43:36.613 --> 00:43:37.514
EXEMPTIONS WERE BEING ISSUED

00:43:37.581 --> 00:43:39.049
FOR WHAT WERE ACTUALLY PERSONAL

00:43:39.116 --> 00:43:41.652
BELIEFS. FOLLOWING SB 276 AND

00:43:41.719 --> 00:43:43.687
SB 714, THE MEDICAL EXEMPTION

00:43:43.754 --> 00:43:46.623
RATE DECLINED BACK TO 0.1%,

00:43:46.690 --> 00:43:48.025
CONSISTENT WITH CALIFORNIA'S

00:43:48.092 --> 00:43:49.460
HISTORICAL RATES AND THOSE OF

00:43:49.526 --> 00:43:52.029
OUR OTHER STATES. THESE NUMBERS

00:43:52.096 --> 00:43:53.464
CORRELATE WITH MY OWN

00:43:53.530 --> 00:43:54.865
EXPERIENCE. I CARE FOR A FEW

00:43:54.932 --> 00:43:56.000
THOUSAND CHILDREN AND GENERALLY

00:43:56.066 --> 00:43:57.368
WRITE A FEW EXEMPTIONS EACH

00:43:57.434 --> 00:43:58.836
YEAR. REMEMBER THAT MOST

00:43:58.902 --> 00:43:59.903
CHILDREN WITH PERMANENT

00:43:59.970 --> 00:44:01.705
EXEMPTIONS ONLY NEED ONE. I'M

00:44:01.772 --> 00:44:03.107
TYPICALLY WRITING THEM FOR NEW

00:44:03.173 --> 00:44:04.274
PATIENTS OR CHILDREN WITH NEWLY

00:44:04.341 --> 00:44:05.509
DIAGNOSED MEDICAL CONDITIONS,

00:44:05.576 --> 00:44:07.845
SUCH AS CANCER TRANSPLANTS OR

00:44:07.911 --> 00:44:09.313
IMMUNOSUPPRESSION. I FIND THE

00:44:09.380 --> 00:44:10.814
CARE MEDICAL EXEMPTION SYSTEM

00:44:10.881 --> 00:44:12.249
EASY TO USE, AND WE WERE WELL

00:44:12.316 --> 00:44:14.051
TRAINED ON IT WHEN IT WAS

00:44:14.118 --> 00:44:15.119
LAUNCHED. THE VAST MAJORITY OF

00:44:15.185 --> 00:44:16.487
MY EXEMPTIONS HAVE BEEN

00:44:16.553 --> 00:44:17.521
ACCEPTED, ALTHOUGH I DID HAVE

00:44:17.588 --> 00:44:19.289
ONE THAT WAS REVOKED WHEN THAT

00:44:19.356 --> 00:44:20.924
OCCURRED. I RECEIVED FEEDBACK

00:44:20.991 --> 00:44:22.559
ABOUT THE DECISION AND

00:44:22.626 --> 00:44:23.293
SUBSEQUENTLY HAD A DISCUSSION

00:44:23.360 --> 00:44:25.062
ABOUT IT WITH THE FAMILY. THEY

00:44:25.129 --> 00:44:26.130
UNDERSTOOD THE MEDICAL

00:44:26.196 --> 00:44:27.631
REASONING BEHIND THE DECISION

00:44:27.698 --> 00:44:28.665
AND HAD THEIR CHILDREN

00:44:28.732 --> 00:44:30.167
IMMUNIZED WITHOUT INCIDENT.

00:44:30.234 --> 00:44:31.535
THIS IS HOW A FUNCTIONING

00:44:31.602 --> 00:44:33.003
MEDICAL EXEMPTION REVIEW SYSTEM

00:44:33.070 --> 00:44:35.472
SHOULD WORK. FINALLY, I COME TO

00:44:35.539 --> 00:44:36.673
YOU AS CHAIR OF THE AMERICAN

00:44:36.740 --> 00:44:37.641
ACADEMY OF PEDIATRICS,

00:44:37.708 --> 00:44:38.809
CALIFORNIA. WE ROUTINELY HEAR

00:44:38.876 --> 00:44:40.010
FROM PEDIATRICIANS THROUGHOUT

00:44:40.077 --> 00:44:42.046
THE STATE ABOUT CHALLENGES THEY

00:44:42.112 --> 00:44:44.548
THEY ENCOUNTER IN PRACTICE. YET

00:44:44.615 --> 00:44:46.316
SINCE CARE M TOOK EFFECT, WE

00:44:46.383 --> 00:44:48.285
HAVE RECEIVED ZERO COMPLAINTS

00:44:48.352 --> 00:44:50.320
OR QUESTIONS ABOUT THE PROCESS.

00:44:50.387 --> 00:44:52.122
NO PEDIATRICIAN HAS EVER

00:44:52.189 --> 00:44:53.223
APPROACHED ME BECAUSE THEY WERE

00:44:53.290 --> 00:44:54.625
AFRAID OF WRITING EXEMPTIONS OR

00:44:54.691 --> 00:44:56.460
DID NOT KNOW HOW TO DO IT. BUT

00:44:56.527 --> 00:44:58.629
FOR COMING HERE, I SURVEYED ALL

00:44:58.695 --> 00:45:00.397
17 PHYSICIANS IN MY PRACTICE,

00:45:00.464 --> 00:45:02.132
AND NONE OF THEM EXPRESSED ANY

00:45:02.199 --> 00:45:03.667
CONCERNS. FROM THOSE OF US ON

00:45:03.734 --> 00:45:05.769
THE GROUND SEEING PATIENTS AND

00:45:05.836 --> 00:45:07.571
USING CARE M, THE SYSTEM IS

00:45:07.638 --> 00:45:09.740
WORKING WELL AND THE STAKES ARE

00:45:09.807 --> 00:45:11.175
ENORMOUS. THE UNITED STATES HAS

00:45:11.241 --> 00:45:13.310
RECORDED MORE THAN 5000 MEASLES

00:45:13.377 --> 00:45:15.813
CASES IN 2026 ALONE, MORE THAN

00:45:15.879 --> 00:45:17.247
DOUBLE LAST YEAR'S TOTAL AND

00:45:17.314 --> 00:45:19.783
THE MOST SINCE 1991. AT LEAST

00:45:19.850 --> 00:45:21.051
FIVE CHILDREN AND TEENAGERS

00:45:21.118 --> 00:45:23.020
HAVE DIED, INCLUDING INFANTS.

00:45:23.087 --> 00:45:24.288
WE ARE WITNESSING THE RETURN OF

00:45:24.354 --> 00:45:24.955
PREVENTABLE DEATHS FROM A

00:45:25.022 --> 00:45:26.990
DISEASE THAT WAS DECLARED A

00:45:27.057 --> 00:45:28.058
ELIMINATED IN THIS COUNTRY MORE

00:45:28.125 --> 00:45:30.561
THAN 25 YEARS AGO. MEANWHILE,

00:45:30.627 --> 00:45:31.995
CALIFORNIA HAS REPORTED LESS

00:45:32.062 --> 00:45:34.998
THAN 60 CASES. MORE THAN 11% OF

00:45:35.065 --> 00:45:36.633
THE U.S. POPULATION LIVES IN

00:45:36.700 --> 00:45:38.135
CALIFORNIA. YET WE ACCOUNT FOR

00:45:38.202 --> 00:45:40.637
ONLY 1% OF THE NATION'S MEASLES

00:45:40.704 --> 00:45:42.072
CASES. CALIFORNIA'S

00:45:42.139 --> 00:45:43.140
IMMUNIZATION POLICIES ARE

00:45:43.207 --> 00:45:44.775
HELPING PROTECT OUR CHILDREN,

00:45:44.842 --> 00:45:46.710
OUR COMMUNITIES, AND OUR

00:45:46.777 --> 00:45:47.778
ECONOMY FROM THE SICKNESS,

00:45:47.845 --> 00:45:49.246
DEATH, AND DISRUPTION THAT

00:45:49.313 --> 00:45:50.347
MEASLES HAS BROUGHT TO OTHER

00:45:50.414 --> 00:45:51.782
PARTS OF THE COUNTRY. OUR

00:45:51.849 --> 00:45:53.550
MEDICAL EXEMPTION SYSTEM WORKS.

00:45:53.617 --> 00:45:55.052
I URGE YOU NOT TO PUT

00:45:55.119 --> 00:45:56.086
CALIFORNIA'S FAMILIES AND

00:45:56.153 --> 00:45:57.154
COMMUNITIES AT RISK BY

00:45:57.221 --> 00:45:58.622
WEAKENING IT. THANK YOU SO MUCH

00:45:58.689 --> 00:46:05.429
FOR YOUR TIME. GOOD MORNING,

00:46:05.496 --> 00:46:06.930
MADAM CHAIR. MY NAME IS DOCTOR

00:46:06.997 --> 00:46:08.966
NANCY GRAF. I'M A PRIMARY CARE

00:46:09.032 --> 00:46:10.868
PEDIATRICIAN HERE IN SAN DIEGO.

00:46:10.934 --> 00:46:12.636
SPEAKING TODAY ON BEHALF OF THE

00:46:12.703 --> 00:46:14.805
CALIFORNIA MEDICAL ASSOCIATION,

00:46:14.872 --> 00:46:16.440
I BEGAN MY CAREER WHEN VACCINES

00:46:16.507 --> 00:46:17.875
WERE NOT YET FREELY AVAILABLE

00:46:17.941 --> 00:46:19.877
TO ALL CHILDREN. MY TRAINING

00:46:19.943 --> 00:46:21.311
OCCURRED IN LA DURING THE WORST

00:46:21.378 --> 00:46:24.615
OF THE MEASLES EPIDEMIC IN 1988

00:46:24.681 --> 00:46:25.816
TO 90, WHEN THERE WERE MORE

00:46:25.883 --> 00:46:27.584
THAN 40,000 CASES OF MEASLES IN

00:46:27.651 --> 00:46:29.920
THE UNITED STATES. I TREATED

00:46:29.987 --> 00:46:31.288
MANY CHILDREN FOR MEASLES WHO

00:46:31.355 --> 00:46:33.524
WERE MISERABLY SICK. TRAGICALLY,

00:46:33.590 --> 00:46:36.026
SOME PATIENTS WITH MEASLES DIED.

00:46:36.093 --> 00:46:37.528
I ALSO AT THAT TIME TREATED

00:46:37.594 --> 00:46:38.529
CHILDREN WHO WERE LEFT

00:46:38.595 --> 00:46:39.630
NEUROLOGICALLY DEVASTATED OR

00:46:39.696 --> 00:46:41.098
DIED FROM INFECTIONS FROM

00:46:41.165 --> 00:46:43.200
HAEMOPHILUS INFLUENZA OR STREP

00:46:43.267 --> 00:46:44.668
PNEUMO BEFORE THESE VACCINES

00:46:44.735 --> 00:46:46.837
WERE AVAILABLE. WHEN CHILDHOOD

00:46:46.904 --> 00:46:48.338
VACCINES BECAME A COVERED

00:46:48.405 --> 00:46:49.740
BENEFIT AND NEW VACCINES WERE

00:46:49.806 --> 00:46:51.175
DEVELOPED AND DEVELOPED, MY

00:46:51.241 --> 00:46:52.976
COLLEAGUES AND I REJOICED. I

00:46:53.043 --> 00:46:54.044
HOPE PARENTS NEVER HAVE TO

00:46:54.111 --> 00:46:55.112
WATCH THEIR CHILDREN SUFFER

00:46:55.179 --> 00:46:57.281
THROUGH THESE ILLNESSES.

00:46:57.347 --> 00:46:58.382
VACCINES ARE AMONG THE MOST

00:46:58.448 --> 00:46:59.449
EFFECTIVE TOOLS WE HAVE TO

00:46:59.516 --> 00:47:00.651
PROTECT CHILDREN FROM SERIOUS

00:47:00.717 --> 00:47:02.653
AND DEADLY DISEASES. THEY ARE

00:47:02.719 --> 00:47:03.754
AMONG THE MOST THOROUGHLY

00:47:03.820 --> 00:47:05.189
STUDIED AND CLOSELY MONITORED.

00:47:05.255 --> 00:47:07.024
MEDICAL INTERVENTIONS AND

00:47:07.090 --> 00:47:08.458
DECADES OF RESEARCH HAVE

00:47:08.525 --> 00:47:09.927
DEMONSTRATED THEIR SAFETY AND

00:47:09.993 --> 00:47:11.695
EFFECTIVENESS. HIGH VACCINATION

00:47:11.762 --> 00:47:13.897
RATES HELP PROTECT ENTIRE

00:47:13.964 --> 00:47:14.998
COMMUNITIES. NOWHERE IS THIS

00:47:15.065 --> 00:47:16.733
MORE IMPORTANT THAN A DAYCARE

00:47:16.800 --> 00:47:18.535
AND SCHOOLS, WHERE CHILDREN

00:47:18.602 --> 00:47:20.671
SPEND HOURS EACH DAY

00:47:20.737 --> 00:47:21.772
VACCINATING ALL ELIGIBLE

00:47:21.838 --> 00:47:23.240
CHILDREN PROTECTS EVERYONE,

00:47:23.307 --> 00:47:24.608
INCLUDING THOSE UNABLE TO BE

00:47:24.675 --> 00:47:26.476
IMMUNIZED DUE TO THEIR AGE OR

00:47:26.543 --> 00:47:28.979
CERTAIN MEDICAL CONDITIONS. CMA

00:47:29.046 --> 00:47:30.781
AND OUR 50,000 PHYSICIANS ARE

00:47:30.847 --> 00:47:31.815
STRONG PROPONENTS OF ROUTINE

00:47:31.882 --> 00:47:33.617
CHILDHOOD IMMUNIZATION, AS

00:47:33.684 --> 00:47:34.718
RECOMMENDED BY THE AMERICAN

00:47:34.785 --> 00:47:36.820
ACADEMY OF PEDIATRICS.

00:47:36.887 --> 00:47:37.921
FOLLOWING THE ELIMINATION OF

00:47:37.988 --> 00:47:39.389
PERSONAL BELIEF EXEMPTIONS FOR

00:47:39.456 --> 00:47:40.857
CHILDREN ATTENDING SCHOOLS OR

00:47:40.924 --> 00:47:42.626
DAYCARE. CALIFORNIA SAW SHARP

00:47:42.693 --> 00:47:44.428
INCREASE IN MEDICAL EXEMPTIONS,

00:47:44.494 --> 00:47:45.829
RAISING CONCERNS ABOUT WHETHER

00:47:45.896 --> 00:47:47.231
THE EXEMPTIONS WERE BEING USED

00:47:47.297 --> 00:47:48.699
IN LINE WITH ESTABLISHED

00:47:48.765 --> 00:47:51.268
CLINICAL STANDARDS. IN 2019,

00:47:51.335 --> 00:47:53.170
CMA PROUDLY CO-SPONSORED SENATE

00:47:53.237 --> 00:47:55.639
BILL 276 TO ADDRESS THESE

00:47:55.706 --> 00:47:57.007
CONCERNS AND RESTORE INTEGRITY

00:47:57.074 --> 00:47:58.041
OF THE MEDICAL EXEMPTION

00:47:58.108 --> 00:47:59.543
PROCESS AMID GROWING CONCERNS

00:47:59.610 --> 00:48:01.011
ABOUT VACCINE PREVENTABLE

00:48:01.078 --> 00:48:02.446
DISEASE OUTBREAKS, INCLUDING

00:48:02.512 --> 00:48:04.982
THE RECENT MEASLES OUTBREAKS.

00:48:05.048 --> 00:48:07.517
SB 276 ESTABLISHED CALIFORNIA

00:48:07.584 --> 00:48:08.552
STATEWIDE MEDICAL EXEMPTION

00:48:08.619 --> 00:48:10.354
FRAMEWORK TO REVIEW MEDICAL

00:48:10.420 --> 00:48:11.421
EXEMPTIONS AND PROVIDE

00:48:11.488 --> 00:48:12.489
MEANINGFUL PUBLIC HEALTH

00:48:12.556 --> 00:48:13.757
OVERSIGHT TO ENSURE EXEMPTIONS

00:48:13.824 --> 00:48:14.725
ARE CONSISTENT WITH THE

00:48:14.791 --> 00:48:16.893
STANDARD OF MEDICAL CARE. SINCE

00:48:16.960 --> 00:48:17.928
ITS ESTABLISHMENT, WE'VE SEEN

00:48:17.995 --> 00:48:19.062
THE NUMBER OF MEDICAL

00:48:19.129 --> 00:48:20.464
EXEMPTIONS RETURN TO LEVELS WE

00:48:20.530 --> 00:48:22.232
EXPECT TO SEE GIVEN THE

00:48:22.299 --> 00:48:22.966
RELATIVELY SMALL NUMBER OF

00:48:23.033 --> 00:48:24.034
CHILDREN WHO HAVE MEDICAL

00:48:24.101 --> 00:48:25.469
CONDITIONS THAT WARRANT AN

00:48:25.535 --> 00:48:27.337
EXEMPTION. WE BELIEVE

00:48:27.404 --> 00:48:28.305
CALIFORNIA'S MEDICAL EXEMPTION

00:48:28.372 --> 00:48:29.773
FRAMEWORK IS WORKING AS

00:48:29.840 --> 00:48:31.608
INTENDED. PHYSICIANS USE THEIR

00:48:31.675 --> 00:48:33.010
CLINICAL JUDGMENT TO PROVIDE

00:48:33.076 --> 00:48:34.845
VALID MEDICAL EXEMPTIONS WHEN

00:48:34.911 --> 00:48:37.014
APPROPRIATE. ONLY A SUBSET OF

00:48:37.080 --> 00:48:37.981
EXEMPTIONS ARE FLAGGED FOR

00:48:38.048 --> 00:48:39.549
REVIEW BY CLINICALLY TRAINED

00:48:39.616 --> 00:48:41.285
PROFESSIONALS, AND AN EVEN

00:48:41.351 --> 00:48:43.086
SMALLER PERCENTAGE ARE REVOKED

00:48:43.153 --> 00:48:44.921
WHEN EXEMPTIONS ARE REVOKED, IT

00:48:44.988 --> 00:48:46.757
IS OFTEN BECAUSE THEY ARE

00:48:46.823 --> 00:48:48.191
INCOMPLETE OR INCONSISTENT WITH

00:48:48.258 --> 00:48:49.593
ESTABLISHED CLINICAL GUIDELINES,

00:48:49.660 --> 00:48:50.594
INCLUDING THOSE FROM THE

00:48:50.661 --> 00:48:52.863
AMERICAN ACADEMY OF PEDIATRICS.

00:48:52.929 --> 00:48:53.897
FAMILIES HAVE THE RIGHT TO

00:48:53.964 --> 00:48:55.399
APPEAL REVOCATIONS THROUGH AN

00:48:55.465 --> 00:48:56.800
ESTABLISHED PROCESS THAT

00:48:56.867 --> 00:48:57.901
INCLUDES REVIEW BY AN

00:48:57.968 --> 00:48:59.336
INDEPENDENT PHYSICIAN PANEL.

00:48:59.403 --> 00:49:00.504
THESE SAFEGUARDS HELP ENSURE

00:49:00.570 --> 00:49:01.838
THAT MEDICAL EXEMPTIONS ARE

00:49:01.905 --> 00:49:02.939
RESERVED FOR CHILDREN WHO

00:49:03.006 --> 00:49:04.708
GENUINELY NEED THEM, WHILE

00:49:04.775 --> 00:49:05.776
MAINTAINING THE INTEGRITY OF

00:49:05.842 --> 00:49:06.910
CALIFORNIA'S SCHOOL

00:49:06.977 --> 00:49:09.413
IMMUNIZATION REQUIREMENTS. WE

00:49:09.479 --> 00:49:10.447
UNDERSTAND THERE HAVE BEEN

00:49:10.514 --> 00:49:11.548
ALLEGATIONS THAT CERTAIN HEALTH

00:49:11.615 --> 00:49:13.350
SYSTEMS OR MEDICAL GROUPS HAVE

00:49:13.417 --> 00:49:14.785
POLICIES PREVENTING PHYSICIANS

00:49:14.851 --> 00:49:16.586
FROM USING CALIFORNIA'S MEDICAL

00:49:16.653 --> 00:49:18.188
EXEMPTION SYSTEM OR ISSUING

00:49:18.255 --> 00:49:20.524
MEDICAL EXEMPTIONS ALTOGETHER.

00:49:20.590 --> 00:49:22.726
CMA TAKES THESE CONCERNS VERY

00:49:22.793 --> 00:49:24.194
SERIOUSLY, AND IN RESPONSE TO

00:49:24.261 --> 00:49:25.929
THESE ALLEGATIONS ALLEGATIONS,

00:49:25.996 --> 00:49:27.898
CMA SURVEYED ITS MEMBERSHIP AND

00:49:27.964 --> 00:49:29.533
FOUND NO EVIDENCE OF POLICIES

00:49:29.599 --> 00:49:31.001
THAT CATEGORICALLY PREVENT

00:49:31.068 --> 00:49:32.436
PHYSICIANS FROM USING THE STATE

00:49:32.502 --> 00:49:34.604
SYSTEM OR ISSUING MEDICAL

00:49:34.671 --> 00:49:36.073
EXEMPTIONS. I CAN ATTEST TO

00:49:36.139 --> 00:49:37.107
HAVING USED THE SYSTEM AND

00:49:37.174 --> 00:49:38.675
FOUND IT STRAIGHTFORWARD TO USE.

00:49:38.742 --> 00:49:40.377
I CAN ALSO SAY THAT THE MEDICAL

00:49:40.444 --> 00:49:42.145
EXEMPTION PROCESS IS NOT A

00:49:42.212 --> 00:49:43.613
MAJOR TOPIC OF DISCUSSION AMONG

00:49:43.680 --> 00:49:45.349
MY COLLEAGUES. WHAT DOES

00:49:45.415 --> 00:49:46.850
CONCERN US IS VACCINE

00:49:46.917 --> 00:49:47.851
SKEPTICISM, AND THE GROWING

00:49:47.918 --> 00:49:48.919
NUMBER OF FAMILIES CHOOSING NOT

00:49:48.985 --> 00:49:51.121
TO VACCINATE THEIR CHILDREN.

00:49:51.188 --> 00:49:52.222
PHYSICIANS WILL CONTINUE TO

00:49:52.289 --> 00:49:53.423
WORK WITH FAMILIES TO ANSWER

00:49:53.490 --> 00:49:55.425
THEIR QUESTIONS, ADDRESS

00:49:55.492 --> 00:49:57.294
CONCERNS, AND COUNTER

00:49:57.361 --> 00:49:58.695
MISINFORMATION. AT A TIME WHEN

00:49:58.762 --> 00:50:00.530
AMERICANS, MOSTLY CHILDREN, ARE

00:50:00.597 --> 00:50:01.965
DYING FROM MEASLES, WE SHOULD

00:50:02.032 --> 00:50:03.400
FOCUS ON STRENGTHENING PUBLIC

00:50:03.467 --> 00:50:05.569
CONFIDENCE IN IMMUNIZATIONS AND

00:50:05.635 --> 00:50:06.636
ENSURING CALIFORNIA'S MEDICAL

00:50:06.703 --> 00:50:08.572
EXEMPTION FRAMEWORKS CONTINUES

00:50:08.638 --> 00:50:10.240
TO PROTECT BOTH INDIVIDUAL

00:50:10.307 --> 00:50:12.008
PATIENTS AND PUBLIC HEALTH. WE

00:50:12.075 --> 00:50:14.177
THANK CHAIR DOCTOR WEBER FOR

00:50:14.244 --> 00:50:15.278
CONVENING THIS IMPORTANT, DATA

00:50:15.345 --> 00:50:17.047
DRIVEN DISCUSSION OF

00:50:17.114 --> 00:50:18.448
CALIFORNIA'S MEDICAL EXEMPTION

00:50:18.515 --> 00:50:21.118
FRAMEWORK. CMA LOOKS FORWARD TO

00:50:21.184 --> 00:50:22.152
CONTINUING TO WORK WITH

00:50:22.219 --> 00:50:23.387
POLICYMAKERS AND STAKEHOLDERS

00:50:23.453 --> 00:50:24.988
TO ENSURE THE FRAMEWORK REMAINS

00:50:25.055 --> 00:50:26.857
GROUNDED IN CLINICAL EVIDENCE,

00:50:26.923 --> 00:50:27.858
PROTECTS ACCESS TO MEDICALLY

00:50:27.924 --> 00:50:29.326
NECESSARY EXEMPTIONS, AND

00:50:29.393 --> 00:50:30.394
SAFEGUARDS THE HEALTH OF

00:50:30.460 --> 00:50:31.595
CALIFORNIA'S CHILDREN. THANK

00:50:31.661 --> 00:50:33.730
YOU, THANK YOU. THANK YOU ALL

00:50:33.797 --> 00:50:35.665
SO MUCH. I HAVE A COUPLE OF

00:50:35.732 --> 00:50:36.633
QUESTIONS, SENATOR JONES. YES,

00:50:36.700 --> 00:50:40.437
THANK YOU, DOCTOR. IN YOUR

00:50:40.504 --> 00:50:41.905
TESTIMONY, YOU MENTIONED THE

00:50:41.972 --> 00:50:43.607
MEASLES OUTBREAK. DID YOU CALL

00:50:43.673 --> 00:50:45.175
IT THE DISNEYLAND MEASLES

00:50:45.242 --> 00:50:47.477
OUTBREAK? OKAY. AND YOU SAID

00:50:47.544 --> 00:50:49.112
THAT THERE WAS ABOUT 100

00:50:49.179 --> 00:50:50.914
MEASLES CASES OUT OF THAT

00:50:50.981 --> 00:50:52.015
PARTICULAR OUTBREAK. IS THAT

00:50:52.082 --> 00:50:53.417
CORRECT? THERE WERE 106 IN

00:50:53.483 --> 00:50:55.619
CALIFORNIA, 101, 106 THAT YEAR.

00:50:55.685 --> 00:50:58.088
106 OKAY. DO YOU HAVE NUMBERS

00:50:58.155 --> 00:51:00.323
ON OR STATISTICS ON HOW MANY OF

00:51:00.390 --> 00:51:04.628
THOSE 106 WERE PREVIOUSLY

00:51:04.694 --> 00:51:06.763
VACCINATED FOR MEASLES? I DON'T

00:51:06.830 --> 00:51:08.198
KNOW OFFHAND. THE PUBLIC HEALTH

00:51:08.265 --> 00:51:09.499
OFFICERS MIGHT. I KNOW THE VAST

00:51:09.566 --> 00:51:10.767
MAJORITY WERE UNVACCINATED. THE

00:51:10.834 --> 00:51:11.835
THREE PATIENTS THAT I

00:51:11.902 --> 00:51:12.602
PERSONALLY TOOK CARE OF WERE

00:51:12.669 --> 00:51:14.738
ALL UNVACCINATED, UNVACCINATED,

00:51:14.805 --> 00:51:16.273
UNVACCINATED. SO OUT OF 106,

00:51:16.339 --> 00:51:18.175
YOU TOOK CARE OF THREE. I TOOK

00:51:18.241 --> 00:51:19.376
CARE OF THREE OF THEM. YES.

00:51:19.443 --> 00:51:20.510
OKAY. ALL RIGHT. THANK YOU.

00:51:20.577 --> 00:51:21.411
THAT'S ALL. ARE THOSE

00:51:21.478 --> 00:51:22.512
STATISTICS AVAILABLE SOMEWHERE?

00:51:22.579 --> 00:51:25.549
DO YOU KNOW? I'M SURE THEY ARE.

00:51:25.615 --> 00:51:27.984
THEY ARE? YEAH. OKAY. DOCTOR

00:51:28.051 --> 00:51:29.519
PAN CAN ADDRESS THAT. OKAY,

00:51:29.586 --> 00:51:33.423
GREAT. THANK YOU. THE YOU

00:51:33.490 --> 00:51:34.858
MENTIONED THAT YOU SURVEYED

00:51:34.925 --> 00:51:37.694
YOUR THE DOCTORS IN IN YOUR

00:51:37.761 --> 00:51:39.863
MEDICAL GROUP. AND AND I

00:51:39.930 --> 00:51:41.631
APPRECIATE THAT. DO YOU FEEL

00:51:41.698 --> 00:51:44.901
LIKE IS IT IS IT A POSSIBILITY

00:51:44.968 --> 00:51:47.771
THAT SOME PHYSICIANS ARE

00:51:47.838 --> 00:51:51.041
SKEPTICAL OF BRINGING FORWARD

00:51:51.107 --> 00:51:53.210
CONCERNS ABOUT THE EXEMPTION

00:51:53.276 --> 00:51:55.745
SYSTEM IN CALIFORNIA OUT OF

00:51:55.812 --> 00:51:58.215
FEAR OF REBUKE FROM EITHER

00:51:58.281 --> 00:52:00.750
THEIR PEERS OR FROM DEPARTMENT

00:52:00.817 --> 00:52:03.286
OF PUBLIC HEALTH OR THE MEDIA

00:52:03.353 --> 00:52:06.223
OR ANY PLACE ELSE THAT, YOU

00:52:06.289 --> 00:52:08.325
KNOW, WE ALL WE ALL CONTEND IN

00:52:08.391 --> 00:52:10.393
THAT IN OUR PROFESSIONS, YOU

00:52:10.460 --> 00:52:12.596
KNOW, WE HAVE TO SOMETIMES

00:52:12.662 --> 00:52:15.832
WATCH WHAT WE SAY SO THAT WE

00:52:15.899 --> 00:52:18.401
DON'T CAUSE A RIOT ON THE

00:52:18.468 --> 00:52:22.038
SENATE FLOOR. I MEAN, I'M BEING

00:52:22.105 --> 00:52:24.241
A LITTLE BIT PROVOCATIVE HERE.

00:52:24.307 --> 00:52:27.310
YEAH. SO SO I'M JUST WONDERING

00:52:27.377 --> 00:52:28.512
IF THAT MIGHT BE A CASE WITH

00:52:28.578 --> 00:52:30.380
SOME OF THESE DOCTORS THAT DO

00:52:30.447 --> 00:52:31.414
HAVE LEGITIMATE CONCERNS THAT

00:52:31.481 --> 00:52:32.582
ARE JUST AFRAID TO BRING THEM

00:52:32.649 --> 00:52:33.583
FORWARD. I GUESS THAT'S

00:52:33.650 --> 00:52:35.352
CERTAINLY POSSIBLE. BUT I CAN

00:52:35.418 --> 00:52:36.453
TELL YOU, AS CHAIR OF THE

00:52:36.520 --> 00:52:37.387
AMERICAN PEDIATRIC IN

00:52:37.454 --> 00:52:38.588
CALIFORNIA, I GET AN INORDINATE

00:52:38.655 --> 00:52:40.357
AMOUNT OF EMAILS, AND OUR STAFF

00:52:40.423 --> 00:52:41.625
GETS A LOT OF PHONE CALLS FROM

00:52:41.691 --> 00:52:42.659
PEDIATRICIANS WHO HAVE CONCERNS

00:52:42.726 --> 00:52:44.694
ABOUT ALL MANNER OF THINGS,

00:52:44.761 --> 00:52:45.729
PAYMENTS AND THINGS THAT ARE

00:52:45.795 --> 00:52:46.830
MORE CONTROVERSIAL THAN THIS

00:52:46.897 --> 00:52:48.064
GENDER AFFIRMING CARE, THINGS

00:52:48.131 --> 00:52:49.165
LIKE THAT. AND WE HEAR ABOUT

00:52:49.232 --> 00:52:51.034
THAT ALL THE TIME. I HAVE

00:52:51.101 --> 00:52:52.636
LITERALLY NEVER HAD ANYONE HAVE

00:52:52.702 --> 00:52:54.170
ANY ISSUES ABOUT THE WAY THIS

00:52:54.237 --> 00:52:55.805
SYSTEM HAS BEEN WORKING. THANK

00:52:55.872 --> 00:52:59.910
YOU. I REALLY WANT TO THANK YOU

00:52:59.976 --> 00:53:03.713
ALL SO MUCH BECAUSE YOU HEAR A

00:53:03.780 --> 00:53:09.119
LOT ABOUT WHAT PHYSICIANS ARE

00:53:09.185 --> 00:53:10.954
FEELING, WHAT THEY'RE DOING,

00:53:11.021 --> 00:53:12.355
WHY THEY'RE DOING SOMETHING OR

00:53:12.422 --> 00:53:13.790
WHY THEY'RE NOT DOING SOMETHING.

00:53:13.857 --> 00:53:15.992
AND SO THAT'S WHY I THINK THAT

00:53:16.059 --> 00:53:18.862
THIS PANEL IS SO VERY IMPORTANT,

00:53:18.929 --> 00:53:20.730
BECAUSE YOU ALL ARE THE ONES

00:53:20.797 --> 00:53:23.266
THAT ARE ON THE GROUND. YOU ARE

00:53:23.333 --> 00:53:25.001
THE ONES WHO ARE INTERFACING

00:53:25.068 --> 00:53:28.271
WITH FAMILIES. AND DOCTOR PAUL,

00:53:28.338 --> 00:53:29.873
YOU ARE THE ONE WHO REPRESENTS

00:53:29.940 --> 00:53:32.175
ALL OF PEDIATRICIANS HERE IN

00:53:32.242 --> 00:53:33.510
CALIFORNIA. YOU HAVE A VERY,

00:53:33.577 --> 00:53:35.011
VERY SIGNIFICANT ROLE, AND I

00:53:35.078 --> 00:53:38.648
KNOW THAT PHYSICIANS WILL

00:53:38.715 --> 00:53:43.420
OFTENTIMES USE THEIR SOCIETY TO

00:53:43.486 --> 00:53:45.522
COMPLAIN ABOUT A LOT OF THINGS.

00:53:45.589 --> 00:53:49.159
I USE ACOG AS AS I'M AN OB GYN,

00:53:49.225 --> 00:53:51.962
AND PEDIATRICIANS WILL USE THE

00:53:52.028 --> 00:53:53.797
AMERICAN ACADEMY OF PEDIATRICS.

00:53:53.863 --> 00:53:58.101
SO I WAS VERY SHOCKED TO HEAR

00:53:58.168 --> 00:54:00.303
THAT YOU HAVE NOT HAD ANY

00:54:00.370 --> 00:54:01.471
COMPLAINTS ABOUT THIS SYSTEM.

00:54:01.538 --> 00:54:04.240
YOU HAVE NOT HAD ANYONE COME TO

00:54:04.307 --> 00:54:08.545
YOU TO STATE THAT THEY'RE

00:54:08.612 --> 00:54:11.514
AFRAID TO GIVE VACCINES, THAT

00:54:11.581 --> 00:54:14.317
IT'S COMPLICATED, THAT IT'S

00:54:14.384 --> 00:54:16.486
CUMBERSOME, THAT IT'S DIFFICULT,

00:54:16.553 --> 00:54:19.089
OR THESE VACCINE EXEMPTIONS

00:54:19.155 --> 00:54:22.926
THAT YOU HAVEN'T. NO ONE, NO

00:54:22.993 --> 00:54:26.963
ONE. OKAY. ALL RIGHT. SO THAT

00:54:27.030 --> 00:54:29.132
IS INTERESTING. AND LIKE I SAID,

00:54:29.199 --> 00:54:30.533
THIS IS A HEARING FOR FACTS.

00:54:30.600 --> 00:54:32.135
AND I WONDER WHAT HAPPENS AFTER

00:54:32.202 --> 00:54:34.104
TODAY. WELL, BUT I'M JUST I'M

00:54:34.170 --> 00:54:36.272
SAYING LIKE, YOU KNOW, WE, WE,

00:54:36.339 --> 00:54:38.842
WE HAVE A, WE WILL OFTENTIMES

00:54:38.908 --> 00:54:40.276
REACH OUT TO OUR ACADEMIES OR

00:54:40.343 --> 00:54:42.712
OUR SOCIETIES. SO DOCTOR BALL,

00:54:42.779 --> 00:54:45.649
IT'S INTERESTING BECAUSE YOU,

00:54:45.715 --> 00:54:46.750
I'M ASSUMING PROBABLY ALL OF

00:54:46.816 --> 00:54:47.851
YOU HAVE DONE MEDICAL

00:54:47.917 --> 00:54:49.185
EXEMPTIONS, BUT DOCTOR BALL,

00:54:49.252 --> 00:54:50.720
YOU SPECIFICALLY TOUCHED ON

00:54:50.787 --> 00:54:56.459
THAT YOURSELF AND YOU HAD A

00:54:56.526 --> 00:54:59.062
REVIEW. SO I'M GOING TO ASSUME

00:54:59.129 --> 00:55:00.764
THAT YOU GIVE OUT MORE THAN

00:55:00.830 --> 00:55:02.565
FIVE OR YOU HAVE GIVEN UP MORE

00:55:02.632 --> 00:55:05.402
THAN FIVE. NO. SO THEY REVIEW.

00:55:05.468 --> 00:55:06.870
SO ACCORDING TO THE THE

00:55:06.936 --> 00:55:07.937
EXCELLENT INFORMATION THAT WAS

00:55:08.004 --> 00:55:10.106
GIVEN TO US BEFORE. SO ABOUT

00:55:10.173 --> 00:55:12.208
65% OF OF ALL EXEMPTIONS ARE

00:55:12.275 --> 00:55:13.643
REVIEWED. SO AND REVIEWED. JUST

00:55:13.710 --> 00:55:14.711
SOMEONE CHECKS TO MAKE SURE

00:55:14.778 --> 00:55:16.546
THAT THEY ARE THEY ARE

00:55:16.613 --> 00:55:18.481
APPROPRIATE. OKAY. SO YEAH, GO

00:55:18.548 --> 00:55:20.583
AHEAD. SO DID THAT THE FACT

00:55:20.650 --> 00:55:21.618
THAT IT WAS GOING TO

00:55:21.685 --> 00:55:23.620
POTENTIALLY BE REVIEWED, IF YOU

00:55:23.687 --> 00:55:24.888
GIVE OUT A MEDICAL EXEMPTION,

00:55:24.954 --> 00:55:26.189
THAT THAT MAKE YOU CONCERNED TO

00:55:26.256 --> 00:55:27.590
GIVE OUT A MEDICAL EXEMPTION,

00:55:27.657 --> 00:55:28.992
THE FACT THAT SOMEONE MIGHT

00:55:29.059 --> 00:55:30.260
REVIEW IT? NO, NOT AT ALL. I

00:55:30.326 --> 00:55:31.995
EXPECT THAT'S PART OF THE

00:55:32.062 --> 00:55:34.230
PROCESS. OKAY, SO WHEN YOU HAD

00:55:34.297 --> 00:55:38.201
ONE THAT WAS REJECTED, HOW

00:55:38.268 --> 00:55:39.769
EXACTLY DID CAN YOU WALK ME

00:55:39.836 --> 00:55:41.071
THROUGH THAT PROCESS? YEAH. SO

00:55:41.137 --> 00:55:42.639
THE SYSTEM WORKED WELL. SO I

00:55:42.706 --> 00:55:44.674
HAVE A LOT OF FAMILIES WHO, YOU

00:55:44.741 --> 00:55:45.742
KNOW, HAVE QUESTIONS ABOUT

00:55:45.809 --> 00:55:46.910
VACCINES. AND WE SPEND A LOT OF

00:55:46.976 --> 00:55:48.912
TIME, I HAVE A LOT OF FAMILIES

00:55:48.978 --> 00:55:50.413
WHO HAVE NONSTANDARD

00:55:50.480 --> 00:55:51.881
VACCINATION SCHEDULES. SO

00:55:51.948 --> 00:55:53.316
INSTEAD OF FOLLOWING THE

00:55:53.383 --> 00:55:54.784
TRADITIONAL SCHEDULE, THEY'RE

00:55:54.851 --> 00:55:56.219
GETTING A FEW SHOTS HERE, A FEW

00:55:56.286 --> 00:55:57.887
SHOTS THERE. SO THIS WAS ONE OF

00:55:57.954 --> 00:55:58.988
THOSE FAMILIES AND THEY WERE

00:55:59.055 --> 00:56:00.790
VERY SLOWLY GETTING THEIR CHILD

00:56:00.857 --> 00:56:01.925
CAUGHT UP ON THEIR VACCINES

00:56:01.991 --> 00:56:03.393
BEFORE HE STARTED KINDERGARTEN.

00:56:03.460 --> 00:56:07.397
AND AT AGE FOUR, I THINK WE GOT

00:56:07.464 --> 00:56:09.165
TITERS DONE TO SEE WHETHER HE

00:56:09.232 --> 00:56:11.735
WAS IMMUNE TO CHICKENPOX,

00:56:11.801 --> 00:56:13.236
MEASLES, MUMPS AND RUBELLA. AND

00:56:13.303 --> 00:56:14.904
AS WE. AND CHICKENPOX HE WAS

00:56:14.971 --> 00:56:16.372
IMMUNE TO. AND I WROTE AN

00:56:16.439 --> 00:56:17.440
EXEMPTION FOR THAT WHICH IS

00:56:17.507 --> 00:56:18.875
ACCEPTED. THAT'S AN ACCEPTABLE

00:56:18.942 --> 00:56:20.243
REVIEW. I HAVE A LOT OF

00:56:20.310 --> 00:56:21.277
PATIENTS WHO HAVE HAD

00:56:21.344 --> 00:56:22.278
CHICKENPOX WHEN THEY WERE

00:56:22.345 --> 00:56:23.279
BABIES, BEFORE THEY WERE

00:56:23.346 --> 00:56:24.647
VACCINATED, AND THOSE KIDS ALL

00:56:24.714 --> 00:56:26.716
GET EXEMPTIONS. AND THEN, AS

00:56:26.783 --> 00:56:27.817
YOU HEARD FROM BEFORE, FROM

00:56:27.884 --> 00:56:29.686
DOCTOR SHAH, THAT ACTUALLY

00:56:29.753 --> 00:56:31.521
TITERS FOR MUMPS DON'T REALLY

00:56:31.588 --> 00:56:33.289
CONVEY A GOOD. THEY'RE NOT VERY

00:56:33.356 --> 00:56:34.724
INDICATIVE OF PROTECTION

00:56:34.791 --> 00:56:36.159
AGAINST MUMPS. AND ACTUALLY

00:56:36.226 --> 00:56:37.961
GETTING, YOU KNOW, TWO VACCINES

00:56:38.027 --> 00:56:39.362
IS BETTER THAN GETTING ONE AND

00:56:39.429 --> 00:56:40.730
CHECKING TITERS. AND THAT'S WHY

00:56:40.797 --> 00:56:42.298
THOSE KIDS WERE GETTING THREE

00:56:42.365 --> 00:56:45.168
IN, IN THE, IN COLLEGE. SO I

00:56:45.235 --> 00:56:48.037
WAS SO SO MY REVIEW FOR THE MMR

00:56:48.104 --> 00:56:50.173
GOT REVOKED AND I GOT AN

00:56:50.240 --> 00:56:51.641
INFORMATION FROM WHOEVER THE

00:56:51.708 --> 00:56:53.409
REVIEWER WAS AND EXPLAINED THE

00:56:53.476 --> 00:56:54.511
SITUATION, WHICH WAS CLEARLY ON

00:56:54.577 --> 00:56:56.613
THEIR WEBSITE AS WELL. SO I HAD

00:56:56.679 --> 00:56:57.680
A CONVERSATION WITH THE FAMILY

00:56:57.747 --> 00:56:58.815
AND EXPLAINED THIS TO THEM AND

00:56:58.882 --> 00:57:00.650
THEY WERE LIKE, OKAY, WE DON'T

00:57:00.717 --> 00:57:01.851
WANT OUR KID GETTING MUMPS. WE

00:57:01.918 --> 00:57:03.686
WERE TRYING TO, YOU KNOW, AVOID

00:57:03.753 --> 00:57:04.754
GETTING AN ADDITIONAL SHOT. BUT

00:57:04.821 --> 00:57:06.589
WHEN PUSH CAME TO SHOVE, THEY

00:57:06.656 --> 00:57:07.557
KNEW THE MEDICAL REASONING

00:57:07.624 --> 00:57:08.758
BEHIND IT. AND THE KID GOT HIS

00:57:08.825 --> 00:57:10.693
VACCINE AND HE WAS FINE. DID

00:57:10.760 --> 00:57:13.263
YOU HAVE ANY CONCERNS THAT YOU

00:57:13.329 --> 00:57:14.998
MAY END UP LOSING YOUR MEDICAL

00:57:15.064 --> 00:57:19.702
LICENSE? NEVER. OKAY. NO, NEVER.

00:57:19.769 --> 00:57:22.972
DOCTOR SAWYER, YOU WENT THROUGH

00:57:23.039 --> 00:57:24.908
THE CONTRAINDICATIONS OR SOME

00:57:24.974 --> 00:57:26.276
OF THE CONTRAINDICATIONS FOR

00:57:26.342 --> 00:57:29.078
THE VACCINE APPRECIATE FOR THE

00:57:29.145 --> 00:57:31.181
FOR VACCINES. APPRECIATE THAT.

00:57:31.247 --> 00:57:35.885
AND YOU MENTIONED THAT ABOUT

00:57:35.952 --> 00:57:38.054
0.2% OF THE POPULATION FALLS

00:57:38.121 --> 00:57:40.623
INTO THAT GROUP. THAT WOULD

00:57:40.690 --> 00:57:42.058
HAVE ONE OF THOSE

00:57:42.125 --> 00:57:43.193
CONTRAINDICATIONS. DID I HEAR

00:57:43.259 --> 00:57:44.928
THAT CORRECTLY? RIGHT. YEAH.

00:57:44.994 --> 00:57:46.629
AND THAT'S SORT OF REFLECTED BY

00:57:46.696 --> 00:57:48.531
WHAT THE MEDICAL EXEMPTION RATE

00:57:48.598 --> 00:57:50.633
WAS AT ITS BASE, BASELINE OR

00:57:50.700 --> 00:57:51.768
LOWEST LEVEL, AND WHAT IT

00:57:51.835 --> 00:57:54.103
RETURNED TO WHEN WE ELIMINATED

00:57:54.170 --> 00:57:56.739
THE OTHER EXEMPTIONS. OKAY. SO

00:57:56.806 --> 00:57:59.008
WITH OUR CURRENT LEVEL BEING

00:57:59.075 --> 00:58:02.579
AROUND 0.1, 0.2, WE'RE KIND OF

00:58:02.645 --> 00:58:06.149
AT NATIONAL LEVEL OF WHAT WE

00:58:06.216 --> 00:58:07.584
WOULD SEE FOR MEDICAL

00:58:07.650 --> 00:58:08.718
EXEMPTIONS. WE'RE NOT

00:58:08.785 --> 00:58:11.154
NECESSARILY EXTREMELY BELOW OR

00:58:11.221 --> 00:58:13.656
EXTREMELY ABOVE WHAT NATIONALLY.

00:58:13.723 --> 00:58:15.525
YES. I BELIEVE THE NATIONAL

00:58:15.592 --> 00:58:16.993
NUMBERS ARE EXACTLY THE SAME.

00:58:17.060 --> 00:58:20.530
SOMEWHERE BETWEEN 0.1 0.2% OF

00:58:20.597 --> 00:58:21.598
CHILDREN HAVE SOME CONDITION

00:58:21.664 --> 00:58:23.433
THAT WARRANTS AN EXEMPTION.

00:58:23.499 --> 00:58:24.601
OKAY. WHEN WE'RE TALKING ABOUT

00:58:24.667 --> 00:58:26.469
OUR MEDICAL EXEMPTIONS. OKAY.

00:58:26.536 --> 00:58:28.171
ALL RIGHT. WELL, THANK YOU ALL

00:58:28.238 --> 00:58:30.139
SO MUCH. AND THANK YOU FOR WHAT

00:58:30.206 --> 00:58:32.408
YOU DO EVERY DAY TO KEEP OUR

00:58:32.475 --> 00:58:36.713
KIDS HEALTHY. WE WILL NOW MOVE

00:58:36.779 --> 00:58:40.450
TO OUR NEXT PANEL THAT REVIEWS

00:58:40.516 --> 00:58:42.518
THE MEDICAL EXEMPTION REVIEW

00:58:42.585 --> 00:58:45.755
PROCESS AND DISCIPLINARY ACTION.

00:58:45.822 --> 00:58:47.223
WE WILL BE JOINED BY DOCTOR

00:58:47.290 --> 00:58:48.992
ERICA POND, DIRECTOR OF THE

00:58:49.058 --> 00:58:50.994
STATE AND PUBLIC HEALTH OFFICER

00:58:51.060 --> 00:58:55.131
AT THE CDPH, AND KARRIE WEBB,

00:58:55.198 --> 00:58:56.599
WHO'S STAFF COUNSEL FOR THE

00:58:56.666 --> 00:58:58.668
MEDICAL BOARD OF CALIFORNIA.

00:58:58.735 --> 00:59:00.203
THANK YOU ALL FOR BEING HERE,

00:59:00.270 --> 00:59:04.874
AND YOU MAY BEGIN. GREAT. THANK

00:59:04.941 --> 00:59:05.909
YOU VERY MUCH. GOOD MORNING,

00:59:05.975 --> 00:59:07.710
CHAIR, DOCTOR WEBER PEARSON AND

00:59:07.777 --> 00:59:09.479
SENATOR JONES AND THE HEALTH

00:59:09.545 --> 00:59:11.714
COMMITTEE. AS A PARENT, A

00:59:11.781 --> 00:59:13.449
PEDIATRIC INFECTIOUS DISEASE

00:59:13.516 --> 00:59:14.584
SPECIALIST AND YOUR STATE

00:59:14.651 --> 00:59:16.019
PUBLIC HEALTH OFFICER, I THANK

00:59:16.085 --> 00:59:17.487
YOU FOR THIS OPPORTUNITY TO

00:59:17.553 --> 00:59:18.888
SHARE INFORMATION ON

00:59:18.955 --> 00:59:19.956
IMMUNIZATION REQUIREMENTS AND

00:59:20.023 --> 00:59:21.424
MEDICAL EXEMPTIONS IN SCHOOLS

00:59:21.491 --> 00:59:23.927
AND CHILDCARE IN CALIFORNIA.

00:59:23.993 --> 00:59:26.129
THIS IS A TIMELY DISCUSSION. AS

00:59:26.195 --> 00:59:27.497
CHAIR WEBER PEARSON MENTIONED,

00:59:27.563 --> 00:59:29.465
AS WE SPEAK, THE PAN AMERICAN

00:59:29.532 --> 00:59:30.700
HEALTH ORGANIZATION IS

00:59:30.767 --> 00:59:32.168
REVIEWING THE U.S. MEASLES

00:59:32.235 --> 00:59:33.970
ELIMINATION STATUS DECLARED IN

00:59:34.037 --> 00:59:36.239
2000, WHICH WE MAY LOSE. WE'VE

00:59:36.306 --> 00:59:37.907
HAD THOUSANDS OF CASES THIS

00:59:37.974 --> 00:59:39.075
YEAR IN THE UNITED STATES AND

00:59:39.142 --> 00:59:40.810
RECORD BREAKING NUMBERS OF

00:59:40.877 --> 00:59:41.911
HOSPITALIZATIONS AND DEATHS

00:59:41.978 --> 00:59:45.848
SINCE THE EARLY 1990S. THIS IS

00:59:45.915 --> 00:59:47.684
PREVENTABLE. LIKE ALL OTHER

00:59:47.750 --> 00:59:49.152
STATES, CALIFORNIA HAS REQUIRED

00:59:49.218 --> 00:59:49.819
IMMUNIZATIONS TO ATTEND

00:59:49.886 --> 00:59:51.421
LICENSED CHILD CARE AND SCHOOLS

00:59:51.487 --> 00:59:52.588
FROM TRANSITIONAL KINDERGARTEN

00:59:52.655 --> 00:59:54.557
THROUGH 12TH GRADE, WITH SOME

00:59:54.624 --> 00:59:55.992
EXCEPTIONS. I WOULD LIKE TO

00:59:56.059 --> 00:59:57.593
WALK YOU THROUGH SOME TRENDS IN

00:59:57.660 --> 00:59:59.529
THE FIRST FIGURE IN YOUR PACKET.

00:59:59.595 --> 01:00:01.030
THE PERSONAL BELIEF EXEMPTIONS

01:00:01.097 --> 01:00:03.166
IN ORANGE STARTED TO INCREASE,

01:00:03.232 --> 01:00:07.470
WITH A PEAK IN 2013 AT 3.2%.

01:00:07.537 --> 01:00:08.938
THIS INCREASE WAS CREEPING

01:00:09.005 --> 01:00:10.707
TOWARDS CONCERNING LEVELS

01:00:10.773 --> 01:00:13.276
THREATENING COMMUNITY IMMUNITY.

01:00:13.343 --> 01:00:15.945
THEN, IN EARLY 2015, CALIFORNIA

01:00:16.012 --> 01:00:17.547
HAD, AS MENTIONED, THE LARGEST

01:00:17.613 --> 01:00:19.048
MEASLES OUTBREAK SINCE

01:00:19.115 --> 01:00:21.117
ELIMINATION OF OVER 130 CASES.

01:00:21.184 --> 01:00:24.087
WE HAD 110 IN CALIFORNIA AND 20

01:00:24.153 --> 01:00:25.488
ELSEWHERE LINKED TO THIS

01:00:25.555 --> 01:00:27.690
AMUSEMENT PARK. TO ADDRESS THIS,

01:00:27.757 --> 01:00:29.459
SENATE BILL 277 WAS PASSED AND

01:00:29.525 --> 01:00:30.860
REMOVED. PERSONAL BELIEF

01:00:30.927 --> 01:00:34.497
EXEMPTIONS IN 2015 PRIOR TO SB

01:00:34.564 --> 01:00:36.532
277. AS YOU CAN SEE HERE IN THE

01:00:36.599 --> 01:00:37.667
GREEN, THE RATE OF PERMANENT

01:00:37.734 --> 01:00:38.835
MEDICAL EXEMPTIONS FOR CHILDREN

01:00:38.901 --> 01:00:39.936
ENTERING KINDERGARTEN WAS

01:00:40.003 --> 01:00:43.139
STABLE AT ABOUT 0.1 TO 0.2%,

01:00:43.206 --> 01:00:44.173
REFLECTING THE RARITY OF

01:00:44.240 --> 01:00:45.641
CONDITIONS ALREADY MENTIONED.

01:00:45.708 --> 01:00:47.377
MEETING STANDARD MEDICAL

01:00:47.443 --> 01:00:48.144
CONTRAINDICATIONS TO

01:00:48.211 --> 01:00:50.346
IMMUNIZATIONS. AFTER THAT

01:00:50.413 --> 01:00:51.347
REMOVAL OF PERSONAL BELIEF

01:00:51.414 --> 01:00:52.749
EXEMPTIONS, THERE WAS A FIVE

01:00:52.815 --> 01:00:54.283
FOLD INCREASE IN THE MEDICAL

01:00:54.350 --> 01:00:58.621
EXEMPTION RATE UP TO 1.0% IN

01:00:58.688 --> 01:01:00.456
2019, RAISING CONCERNS THAT

01:01:00.523 --> 01:01:01.858
MEDICAL EXEMPTIONS WERE BEING

01:01:01.924 --> 01:01:03.659
ISSUED INAPPROPRIATELY FOR WHAT

01:01:03.726 --> 01:01:04.527
PREVIOUSLY HAD BEEN SUBMITTED

01:01:04.594 --> 01:01:07.230
AS PERSONAL BELIEF EXEMPTIONS.

01:01:07.296 --> 01:01:08.698
AS A LOCAL HEALTH OFFICIAL,

01:01:08.765 --> 01:01:10.867
THEN I REMEMBER SEEING WEBSITES

01:01:10.933 --> 01:01:13.770
OFFERING EXPENSIVE ONLINE

01:01:13.836 --> 01:01:15.138
EVALUATIONS, AND SCHOOL NURSES

01:01:15.204 --> 01:01:16.973
SHARED MEDICAL EXEMPTIONS FROM

01:01:17.040 --> 01:01:18.374
ANTI-AGING CLINICS AND

01:01:18.441 --> 01:01:20.176
HYPERBARIC MEDICINE DOCTORS,

01:01:20.243 --> 01:01:22.011
RATHER THAN PRIMARY CARE

01:01:22.078 --> 01:01:25.314
PROVIDERS. IN RESPONSE, SB 714,

01:01:25.381 --> 01:01:28.384
SB 276 ENACTED IN SEPTEMBER

01:01:28.451 --> 01:01:30.653
2019 BEFORE THE COVID 19

01:01:30.720 --> 01:01:32.088
PANDEMIC, REQUIRED A

01:01:32.155 --> 01:01:33.523
STANDARDIZED PROCESS AND

01:01:33.589 --> 01:01:34.957
CRITERIA FOR ISSUING MEDICAL

01:01:35.024 --> 01:01:37.827
EXEMPTIONS, THE CALIFORNIA

01:01:37.894 --> 01:01:38.895
IMMUNIZATION REGISTRY MEDICAL

01:01:38.961 --> 01:01:40.096
EXEMPTION SYSTEM WAS THEN BUILT

01:01:40.163 --> 01:01:42.532
AS A SECURE PLATFORM FOR

01:01:42.598 --> 01:01:43.800
PHYSICIANS, PARENTS, SCHOOLS,

01:01:43.866 --> 01:01:44.734
CHILD CARE FACILITIES AND

01:01:44.801 --> 01:01:46.102
HEALTH DEPARTMENT STAFF TO

01:01:46.169 --> 01:01:47.236
MANAGE THE STANDARD MEDICAL

01:01:47.303 --> 01:01:50.106
EXEMPTION PROCESS. UNDER THESE

01:01:50.173 --> 01:01:51.274
LAWS, THE RATE OF MEDICAL

01:01:51.340 --> 01:01:52.275
EXEMPTIONS FOR KINDERGARTNERS

01:01:52.341 --> 01:01:55.111
DECREASED AGAIN, BACK TO THE

01:01:55.178 --> 01:01:56.546
0.1%, SIMILAR TO RATES OF

01:01:56.612 --> 01:01:58.748
MEDICAL EXEMPTIONS BEFORE SB

01:01:58.815 --> 01:02:00.016
277. AND AS MENTIONED EARLIER,

01:02:00.083 --> 01:02:02.051
THE SAME RATES AS NATIONALLY.

01:02:02.118 --> 01:02:03.519
ON YOUR SECOND PAGE, I WANTED

01:02:03.586 --> 01:02:05.121
TO POINT OUT DOCTOR BALL ALSO

01:02:05.188 --> 01:02:06.956
MENTIONED THIS, BUT WITH OUR

01:02:07.023 --> 01:02:08.724
MEASLES TRENDS IN CALIFORNIA,

01:02:08.791 --> 01:02:09.892
WE HAVE A DISPROPORTIONATELY

01:02:09.959 --> 01:02:11.694
LOW CONTRIBUTION TO CASES

01:02:11.761 --> 01:02:13.863
REPORTED. NATIONALLY, STRONG

01:02:13.930 --> 01:02:14.997
IMMUNIZATION REQUIREMENTS AND

01:02:15.064 --> 01:02:16.699
PROCESSES WILL HELP US SUSTAIN

01:02:16.766 --> 01:02:20.236
THAT SUCCESS. NEXT, I CAN WALK

01:02:20.303 --> 01:02:21.471
YOU THROUGH THE PROCESS FOR

01:02:21.537 --> 01:02:22.472
REQUESTING AN EMMY THROUGH THE

01:02:22.538 --> 01:02:23.706
CARE MEDICAL EXEMPTION SYSTEM

01:02:23.773 --> 01:02:24.707
TO FULFILL THE HEALTH AND

01:02:24.774 --> 01:02:26.442
SAFETY CODE REQUIREMENTS. THIS

01:02:26.509 --> 01:02:27.877
IS ON PAGE THREE OF YOUR

01:02:27.944 --> 01:02:30.446
HANDOUT. TYPICALLY, A PARENT OR

01:02:30.513 --> 01:02:32.014
GUARDIAN INITIATES THE PROCESS

01:02:32.081 --> 01:02:33.649
BY CREATING AN ACCOUNT IN THE

01:02:33.716 --> 01:02:35.485
CARE MEDICAL EXEMPTION SYSTEM,

01:02:35.551 --> 01:02:36.886
SUBMITTING THE REQUEST, AND

01:02:36.953 --> 01:02:37.954
NOTIFYING THEIR CHILD'S DOCTOR

01:02:38.020 --> 01:02:40.523
OF THE REQUEST. AFTER CREATING

01:02:40.590 --> 01:02:41.958
THE ACCOUNT, THE PHYSICIAN LOGS

01:02:42.024 --> 01:02:43.860
INTO CRM, LOCATES THE CHILD'S

01:02:43.926 --> 01:02:45.895
EMMY REQUEST, DOCUMENTS THE

01:02:45.962 --> 01:02:47.330
MEDICAL BASIS FOR EACH

01:02:47.396 --> 01:02:48.598
REQUESTED VACCINE EXEMPTION,

01:02:48.664 --> 01:02:49.866
AND UPLOADS ANY SUPPORTING

01:02:49.932 --> 01:02:52.135
CLINICAL DOCUMENTATION. ONCE

01:02:52.201 --> 01:02:53.436
THAT EMMY IS ISSUED, THE

01:02:53.503 --> 01:02:54.604
PHYSICIAN PROVIDES AN

01:02:54.670 --> 01:02:55.705
ELECTRONIC OR PAPER COPY TO THE

01:02:55.771 --> 01:02:57.240
PARENT OR GUARDIAN WHO SUBMITS

01:02:57.306 --> 01:03:00.309
IT TO THE SCHOOL OR CHILD CARE.

01:03:00.376 --> 01:03:02.745
ON THE NEXT PAGE, WE REVIEW.

01:03:02.812 --> 01:03:05.014
WHEN DO WE AT CDPH REVIEW A

01:03:05.081 --> 01:03:06.382
MEDICAL EXEMPTION? THERE'S A

01:03:06.449 --> 01:03:08.618
SUBSET THAT WE LOOK AT IF THE

01:03:08.684 --> 01:03:10.386
SCHOOL OR CHILD CARE FACILITY

01:03:10.453 --> 01:03:12.555
IMMUNIZATION RATE FALLS BELOW

01:03:12.622 --> 01:03:13.823
95%, OR THEY'RE NOT REPORTING

01:03:13.890 --> 01:03:16.092
TO OUR DEPARTMENT, IF A DOCTOR

01:03:16.159 --> 01:03:17.793
ISSUES FIVE OR MORE MEDICAL

01:03:17.860 --> 01:03:19.462
EXEMPTIONS IN A YEAR, WE ALSO

01:03:19.529 --> 01:03:20.830
HAVE THE AUTHORITY TO REVIEW

01:03:20.897 --> 01:03:22.265
MEDICAL EXEMPTION IF WE

01:03:22.331 --> 01:03:23.332
DETERMINE IT'S NECESSARY TO

01:03:23.399 --> 01:03:24.800
PROTECT PUBLIC HEALTH, BUT WE

01:03:24.867 --> 01:03:26.602
HAVE NOT YET NEEDED TO EXERCISE

01:03:26.669 --> 01:03:29.805
THIS CRITERIA TO REVIEW. NOW, I

01:03:29.872 --> 01:03:31.440
CAN WALK YOU THROUGH OUR REVIEW

01:03:31.507 --> 01:03:34.510
PROCESS IN FIGURE FIVE. TWO

01:03:34.577 --> 01:03:35.945
CDPH CLINICAL REVIEWERS

01:03:36.012 --> 01:03:37.180
DETERMINE IF MEDICAL EXEMPTIONS

01:03:37.246 --> 01:03:38.447
MEET THE APPLICABLE AMERICAN

01:03:38.514 --> 01:03:40.283
ACADEMY OF PEDIATRICS CRITERIA

01:03:40.349 --> 01:03:42.051
FOR APPROPRIATE EMMYS, AND ARE

01:03:42.118 --> 01:03:42.718
CONSISTENT WITH THE RELEVANT

01:03:42.785 --> 01:03:44.954
STANDARD OF CARE. THESE

01:03:45.021 --> 01:03:45.988
CLINICAL REVIEWERS OFTEN

01:03:46.055 --> 01:03:47.089
REQUEST ADDITIONAL MEDICAL

01:03:47.156 --> 01:03:48.124
INFORMATION FROM THE ISSUING

01:03:48.191 --> 01:03:49.559
PHYSICIAN WHEN NEEDED, AND THEY

01:03:49.625 --> 01:03:50.927
MUST MAKE THESE DETERMINATIONS

01:03:50.993 --> 01:03:52.495
BASED ON THE INFORMATION

01:03:52.562 --> 01:03:54.997
SUBMITTED. IF CDPH REVOKES A

01:03:55.064 --> 01:03:56.098
MEDICAL EXEMPTION, THE PARENT

01:03:56.165 --> 01:03:57.867
OR GUARDIAN HAS 30 DAYS TO

01:03:57.934 --> 01:03:59.335
APPEAL AND THEY APPEAL. THE

01:03:59.402 --> 01:04:00.203
DECISION TO THE CALIFORNIA

01:04:00.269 --> 01:04:01.504
HEALTH AND HUMAN SERVICES

01:04:01.571 --> 01:04:03.673
AGENCY. AT THAT POINT, AN

01:04:03.739 --> 01:04:05.508
INDEPENDENT EXPERT REVIEW PANEL

01:04:05.575 --> 01:04:07.243
CONVENED BY CAL HHS EVALUATES

01:04:07.310 --> 01:04:09.445
THESE APPEALS ALSO USING THE

01:04:09.512 --> 01:04:10.846
AAP GUIDELINES AND RELEVANT

01:04:10.913 --> 01:04:12.748
STANDARDS OF CARE. THIS PANEL

01:04:12.815 --> 01:04:14.083
CAN ALSO REQUEST ADDITIONAL

01:04:14.150 --> 01:04:15.151
INFORMATION AND MEDICAL RECORDS

01:04:15.218 --> 01:04:16.419
FROM THE PARENT REGARDING THE

01:04:16.485 --> 01:04:19.155
CHILD'S MEDICAL CONDITION. CAL

01:04:19.222 --> 01:04:20.590
HHS ISSUES THAT INDEPENDENT

01:04:20.656 --> 01:04:22.024
EXPERT REVIEW PANELS, FINAL

01:04:22.091 --> 01:04:23.392
DETERMINATION AND WRITING TO

01:04:23.459 --> 01:04:26.362
THE CHILD'S PARENT OR GUARDIAN.

01:04:26.429 --> 01:04:28.264
ALSO OF NOTE A CHILD CAN REMAIN

01:04:28.331 --> 01:04:29.832
IN ATTENDANCE AT SCHOOL OR

01:04:29.899 --> 01:04:31.033
CHILD CARE. ONCE AN EMMY HAS

01:04:31.100 --> 01:04:32.902
BEEN SUBMITTED, INCLUDING WHILE

01:04:32.969 --> 01:04:34.670
THEY'RE UNDER REVIEW AND WHEN

01:04:34.737 --> 01:04:36.572
AN APPEAL IS PENDING AND WHEN

01:04:36.639 --> 01:04:38.507
AN APPEAL IS UPHELD. AND FOR

01:04:38.574 --> 01:04:40.009
ANY ISSUED EMMYS THAT HAVE NOT

01:04:40.076 --> 01:04:43.613
BEEN REVOKED ON THE NEXT PAGE

01:04:43.679 --> 01:04:45.014
IN FIGURE SIX. REAL QUICK, HOW

01:04:45.081 --> 01:04:47.216
MANY PEOPLE YOU SAID THE TWO

01:04:47.283 --> 01:04:48.284
REVIEWERS, HOW MANY PEOPLE SIT

01:04:48.351 --> 01:04:51.187
ON THAT PANEL FOR THE CAL HHS

01:04:51.254 --> 01:04:52.989
PANEL FOR THE EMMY INITIALLY

01:04:53.055 --> 01:04:54.423
REVOKED? IF TWO REVIEWERS FIND

01:04:54.490 --> 01:04:56.225
THAT THE MEDICAL EXEMPTION DOES

01:04:56.292 --> 01:04:57.827
NOT MEET CRITERIA IN CALIFORNIA,

01:04:57.893 --> 01:04:59.462
HOW MANY REVIEWERS ARE THERE?

01:04:59.528 --> 01:05:01.230
SURE. SO THE INITIAL REVIEW AT

01:05:01.297 --> 01:05:03.065
CDPH IS TYPICALLY A NURSE AND

01:05:03.132 --> 01:05:04.834
THEN A PHYSICIAN. SO IT'S TWO

01:05:04.900 --> 01:05:06.335
TYPICALLY FOR THAT. OKAY. SO

01:05:06.402 --> 01:05:08.938
TWO OUT OF TWO. IF THEY IF THEY

01:05:09.005 --> 01:05:10.206
AGREE THAT THAT'S NOT

01:05:10.273 --> 01:05:11.340
APPROPRIATE, THEN IT'S REVOKED.

01:05:11.407 --> 01:05:15.244
CORRECT. OKAY. SO MOVING ON TO

01:05:15.311 --> 01:05:16.579
PAGE SIX. THE MEDICAL EXEMPTION

01:05:16.646 --> 01:05:18.547
IS PERMANENTLY REVOKED IF THE

01:05:18.614 --> 01:05:19.715
PANEL DETERMINES THAT THE

01:05:19.782 --> 01:05:21.017
MEDICAL EXEMPTION DOESN'T MEET

01:05:21.083 --> 01:05:23.252
APPLICABLE CRITERIA, OR IF AN

01:05:23.319 --> 01:05:24.854
APPEAL IS NOT REQUESTED BY THE

01:05:24.920 --> 01:05:25.921
PARENT OR GUARDIAN WITHIN 30

01:05:25.988 --> 01:05:28.257
DAYS OF THE REVOCATION APPEAL

01:05:28.324 --> 01:05:29.258
DECISIONS ARE NOT SUBJECT TO

01:05:29.325 --> 01:05:31.460
FURTHER ADMINISTRATIVE REVIEW

01:05:31.527 --> 01:05:32.962
AND THAT AT THAT POINT,

01:05:33.029 --> 01:05:33.629
PHYSICIANS WHO HAVE AT LEAST

01:05:33.696 --> 01:05:35.064
FIVE MEDICAL EXEMPTIONS REVOKED

01:05:35.131 --> 01:05:36.465
WITHIN A YEAR ARE REPORTED TO

01:05:36.532 --> 01:05:38.334
THE MEDICAL BOARD OF CALIFORNIA.

01:05:38.401 --> 01:05:39.702
SO WHAT HAS THIS TRANSLATED TO

01:05:39.769 --> 01:05:40.936
IN IMPLEMENTATION OVER THE LAST

01:05:41.003 --> 01:05:42.872
FIVE YEARS? WHEN WE LOOK AT THE

01:05:42.938 --> 01:05:44.473
NUMBERS, AS YOU CAN SEE FROM

01:05:44.540 --> 01:05:46.609
FIGURES SEVEN AND EIGHT, OVER

01:05:46.676 --> 01:05:48.444
90% OF THE 33,000 MEDICAL

01:05:48.511 --> 01:05:50.579
EXEMPTIONS ISSUED REMAIN VALID.

01:05:50.646 --> 01:05:51.947
ABOUT TWO THIRDS OF THESE

01:05:52.014 --> 01:05:52.948
MEDICAL EXEMPTIONS ARE REVIEWED

01:05:53.015 --> 01:05:54.350
BY CDPH. BASED ON THE CRITERIA

01:05:54.417 --> 01:05:56.452
I OUTLINED, AND ABOUT 9% OF

01:05:56.519 --> 01:05:57.853
THOSE SUBMITTED HAVE BEEN

01:05:57.920 --> 01:06:01.490
REVOKED, 876 HAVE BEEN APPEALED,

01:06:01.557 --> 01:06:03.292
AND MOST OF THOSE ARE DENIED

01:06:03.359 --> 01:06:06.462
THE APPEAL. ABOUT OUR UPDATED

01:06:06.529 --> 01:06:07.830
NUMBER. SORRY, THERE'S A SMALL

01:06:07.897 --> 01:06:09.165
TYPO IN THAT. WE'LL GET UPDATED

01:06:09.231 --> 01:06:11.434
FIGURE FOR YOU, BUT 132 OF

01:06:11.500 --> 01:06:13.636
THOSE APPEALED WERE UPHELD AND

01:06:13.703 --> 01:06:16.839
SOME ARE WITHDRAWN. IN CLOSING,

01:06:16.906 --> 01:06:18.040
THANK YOU FOR THE OPPORTUNITY

01:06:18.107 --> 01:06:19.342
TO SHARE THE IMPORTANCE OF

01:06:19.408 --> 01:06:21.110
ROBUST VACCINE REQUIREMENTS AND

01:06:21.177 --> 01:06:22.812
OUR COMMITMENT TO A FAIR AND

01:06:22.878 --> 01:06:24.113
TRANSPARENT PROCESS TO UPHOLD

01:06:24.180 --> 01:06:26.215
CALIFORNIA LAWS SUPPORTING THE

01:06:26.282 --> 01:06:27.983
APPROPRIATE USE OF MEDICAL

01:06:28.050 --> 01:06:29.118
EXEMPTIONS FOR SCHOOL AND CHILD

01:06:29.185 --> 01:06:32.321
CARE ATTENDANTS. THANK YOU.

01:06:32.388 --> 01:06:33.522
THANK YOU. AND BEFORE YOU BEGIN,

01:06:33.589 --> 01:06:36.292
WE JUST WANT EVERYONE TO KNOW

01:06:36.359 --> 01:06:39.528
THAT THE SLIDES WILL BE POSTED

01:06:39.595 --> 01:06:40.996
TO THE WEBSITE SO THAT EVERYONE

01:06:41.063 --> 01:06:42.331
WILL HAVE ACCESS TO THESE,

01:06:42.398 --> 01:06:44.767
THESE FIGURES. OKAY. SENATE

01:06:44.834 --> 01:06:48.237
HEALTH WEBSITE. YES. OKAY. GOOD

01:06:48.304 --> 01:06:49.638
MORNING, DOCTOR WEBER PEARSON

01:06:49.705 --> 01:06:52.174
AND SENATOR JONES. MY NAME IS

01:06:52.241 --> 01:06:53.576
KERRY WEBB. I'M THE STAFF

01:06:53.642 --> 01:06:54.810
COUNSEL FOR THE MEDICAL BOARD

01:06:54.877 --> 01:06:57.213
OF CALIFORNIA. THANK YOU FOR

01:06:57.279 --> 01:06:59.648
THE OPPORTUNITY TO DISCUSS THE

01:06:59.715 --> 01:07:01.117
BOARD'S INVESTIGATION AND

01:07:01.183 --> 01:07:03.686
ENFORCEMENT PROCESS RELATING TO

01:07:03.753 --> 01:07:04.720
PHYSICIANS, REFERRED TO THE

01:07:04.787 --> 01:07:06.522
BOARD BY THE CALIFORNIA

01:07:06.589 --> 01:07:08.357
DEPARTMENT OF PUBLIC HEALTH,

01:07:08.424 --> 01:07:09.492
PURSUANT TO HEALTH AND SAFETY

01:07:09.558 --> 01:07:13.662
CODE, SECTION 12, 0372. THE

01:07:13.729 --> 01:07:14.764
MEDICAL BOARD'S MISSION IS

01:07:14.830 --> 01:07:17.933
CONSUMER PROTECTION. THE

01:07:18.000 --> 01:07:20.102
PROTECTS PATIENTS THROUGH THE

01:07:20.169 --> 01:07:23.372
LICENSING REGULATION, EDUCATION

01:07:23.439 --> 01:07:25.875
INVESTIGATION AND DISCIPLINE OF

01:07:25.941 --> 01:07:27.343
CALIFORNIA ALLOPATHIC

01:07:27.410 --> 01:07:30.546
PHYSICIANS. AS YOU KNOW, THE

01:07:30.613 --> 01:07:32.014
LEGISLATURE ENACTED THE CURRENT

01:07:32.081 --> 01:07:33.816
MEDICAL EXEMPTION FRAMEWORK

01:07:33.883 --> 01:07:35.985
AFTER IDENTIFYING CONCERNS THAT

01:07:36.051 --> 01:07:38.454
SOME PHYSICIANS WERE ISSUING

01:07:38.521 --> 01:07:40.256
UNUSUALLY HIGH VOLUMES OF

01:07:40.322 --> 01:07:42.024
MEDICAL EXEMPTIONS THAT

01:07:42.091 --> 01:07:43.492
APPEARED INCONSISTENT WITH

01:07:43.559 --> 01:07:45.661
ACCEPTED STANDARDS OF MEDICAL

01:07:45.728 --> 01:07:48.297
PRACTICE, HEALTH AND SAFETY

01:07:48.364 --> 01:07:51.767
CODE SECTION 120372 SETS FORTH

01:07:51.834 --> 01:07:53.569
A STANDARDIZED STATEWIDE SYSTEM

01:07:53.636 --> 01:07:55.771
FOR DOCUMENTING MEDICAL

01:07:55.838 --> 01:07:57.540
EXEMPTIONS THROUGH THE CARE

01:07:57.606 --> 01:07:59.842
PLATFORM AND CREATES MECHANISMS

01:07:59.909 --> 01:08:02.945
TO IDENTIFY EXEMPTION PRACTICES

01:08:03.012 --> 01:08:06.515
THAT MAY WARRANT FURTHER REVIEW.

01:08:06.582 --> 01:08:09.084
IMPORTANTLY, THE LAW ALSO

01:08:09.151 --> 01:08:11.153
PROVIDES THE BOARD ACCESS TO

01:08:11.220 --> 01:08:13.722
MEDICAL RECORDS NECESSARY TO

01:08:13.789 --> 01:08:15.524
EVALUATE WHETHER A PHYSICIAN

01:08:15.591 --> 01:08:16.959
COMPLIED WITH THE STANDARD OF

01:08:17.026 --> 01:08:19.462
CARE IN ISSUING A MEDICAL

01:08:19.528 --> 01:08:23.499
EXEMPTION. WHEN CDPH REFERS A

01:08:23.566 --> 01:08:25.634
PHYSICIAN TO THE BOARD, THIS

01:08:25.701 --> 01:08:27.369
REFERRAL PROMPTS THE BOARD TO

01:08:27.436 --> 01:08:28.871
CONDUCT AN INDEPENDENT REVIEW

01:08:28.938 --> 01:08:30.673
TO DETERMINE WHETHER THE

01:08:30.739 --> 01:08:32.441
PHYSICIAN MAY HAVE VIOLATED THE

01:08:32.508 --> 01:08:35.377
MEDICAL PRACTICE ACT. AS WITH

01:08:35.444 --> 01:08:37.813
ALL QUALITY OF CARE CASES, THE

01:08:37.880 --> 01:08:39.682
BOARD'S PROCESS BEGINS WITH

01:08:39.748 --> 01:08:41.383
OBTAINING THE RELEVANT MEDICAL

01:08:41.450 --> 01:08:42.918
RECORDS AND PROVIDING THE

01:08:42.985 --> 01:08:45.087
PHYSICIAN AN OPPORTUNITY TO

01:08:45.154 --> 01:08:47.189
SUBMIT A WRITTEN EXPLANATION OF

01:08:47.256 --> 01:08:52.228
CARE PROVIDED. I'M SORRY, AN

01:08:52.294 --> 01:08:55.498
EXPLANATION OF THE WRITTEN. AN

01:08:55.564 --> 01:08:56.932
EXPLANATION OF THE CARE

01:08:56.999 --> 01:08:59.068
PROVIDED, AND SUPPORTING

01:08:59.134 --> 01:09:00.569
INFORMATION THEY BELIEVE IS

01:09:00.636 --> 01:09:01.971
RELEVANT TO THEIR MEDICAL

01:09:02.037 --> 01:09:03.806
DECISION MAKING, LEADING THEM

01:09:03.873 --> 01:09:05.674
TO ISSUE A MEDICAL EXEMPTION

01:09:05.741 --> 01:09:09.545
FOR THEIR PATIENT. THAT

01:09:09.612 --> 01:09:10.980
INFORMATION IS REVIEWED BY A

01:09:11.046 --> 01:09:13.148
MEDICAL CONSULTANT WHO IS A

01:09:13.215 --> 01:09:14.950
PHYSICIAN WITH RELEVANT

01:09:15.017 --> 01:09:17.052
EDUCATION, TRAINING AND

01:09:17.119 --> 01:09:19.655
EXPERIENCE. IF THE CONSULTANT

01:09:19.722 --> 01:09:20.823
DETERMINES THAT THE EVIDENCE

01:09:20.890 --> 01:09:22.825
DOES NOT SUPPORT A POTENTIAL

01:09:22.892 --> 01:09:23.926
VIOLATION OF THE MEDICAL

01:09:23.993 --> 01:09:26.095
PRACTICE ACT, THE MATTER IS

01:09:26.161 --> 01:09:28.597
CLOSED. IF THE MEDICAL

01:09:28.664 --> 01:09:29.665
CONSULTANT DETERMINES THAT

01:09:29.732 --> 01:09:31.834
FURTHER REVIEW IS WARRANTED,

01:09:31.901 --> 01:09:34.370
THE MATTER PROCEEDS TO A FIELD

01:09:34.436 --> 01:09:36.906
INVESTIGATION. DEPENDING ON THE

01:09:36.972 --> 01:09:38.374
CIRCUMSTANCES, INVESTIGATORS

01:09:38.440 --> 01:09:40.876
MAY OBTAIN ADDITIONAL RECORDS.

01:09:40.943 --> 01:09:42.478
INTERVIEW THE SUBJECT PHYSICIAN

01:09:42.545 --> 01:09:44.413
AND WITNESSES AND GATHER OTHER

01:09:44.480 --> 01:09:47.349
RELEVANT EVIDENCE. THE

01:09:47.416 --> 01:09:49.518
COMPLETED INVESTIGATION IS THEN

01:09:49.585 --> 01:09:51.654
REVIEWED BY AN INDEPENDENT

01:09:51.720 --> 01:09:53.789
MEDICAL EXPERT WHO EVALUATES

01:09:53.856 --> 01:09:54.957
WHETHER THE PHYSICIAN'S CARE

01:09:55.024 --> 01:09:56.592
AND TREATMENT MET THE STANDARD

01:09:56.659 --> 01:10:00.696
OF CARE FOR THE BOARD TO PURSUE

01:10:00.763 --> 01:10:01.730
DISCIPLINARY ACTION IN A

01:10:01.797 --> 01:10:03.933
QUALITY OF CARE CASE. THE

01:10:03.999 --> 01:10:06.068
EVIDENCE MUST SUPPORT

01:10:06.135 --> 01:10:07.536
ALLEGATIONS SUCH AS GROSS

01:10:07.603 --> 01:10:09.271
NEGLIGENCE, REPEATED NEGLIGENT

01:10:09.338 --> 01:10:11.073
ACTS, INCOMPETENCE OR OTHER

01:10:11.140 --> 01:10:13.976
FORMS OF UNPROFESSIONAL CONDUCT.

01:10:14.043 --> 01:10:15.744
THESE CASES MUST BE PROVEN BY

01:10:15.811 --> 01:10:19.381
CLEAR AND CONVINCING EVIDENCE.

01:10:19.448 --> 01:10:20.983
IF THE BOARD'S EXPERT CONCLUDES

01:10:21.050 --> 01:10:22.217
THAT THE PHYSICIAN MET THE

01:10:22.284 --> 01:10:24.019
STANDARD OF CARE WHEN ISSUING

01:10:24.086 --> 01:10:25.921
THE MEDICAL EXEMPTION, THE CASE

01:10:25.988 --> 01:10:29.091
IS CLOSED. IF THE EXPERT

01:10:29.158 --> 01:10:30.159
CONCLUDES THAT THE PHYSICIAN

01:10:30.225 --> 01:10:31.660
DEPARTED FROM THE STANDARD OF

01:10:31.727 --> 01:10:33.329
CARE. THE MATTER IS THEN

01:10:33.395 --> 01:10:34.530
REFERRED TO THE OFFICE OF THE

01:10:34.597 --> 01:10:37.433
ATTORNEY GENERAL FOR REVIEW. IF

01:10:37.499 --> 01:10:39.568
THE OIG DETERMINES THAT THERE

01:10:39.635 --> 01:10:41.370
IS SUFFICIENT EVIDENCE TO

01:10:41.437 --> 01:10:43.505
PROCEED, AN ACCUSATION THAT

01:10:43.572 --> 01:10:45.975
SETS FORTH THE DETAILED CHARGES

01:10:46.041 --> 01:10:49.612
MAY BE PREPARED AND FILED, THE

01:10:49.678 --> 01:10:51.413
PHYSICIAN MAY RETAIN LEGAL

01:10:51.480 --> 01:10:52.982
COUNSEL IS AFFORDED THE RIGHT

01:10:53.048 --> 01:10:54.783
TO CONTEST THE CHARGES BEFORE

01:10:54.850 --> 01:10:56.719
AN ADMINISTRATIVE LAW JUDGE.

01:10:56.785 --> 01:10:59.355
THEY MAY PRESENT EVIDENCE, CALL

01:10:59.421 --> 01:11:01.156
THEIR OWN WITNESSES, INCLUDING

01:11:01.223 --> 01:11:04.460
THEIR OWN EXPERT WITNESSES,

01:11:04.526 --> 01:11:05.828
CROSS-EXAMINE THE BOARD'S

01:11:05.894 --> 01:11:08.664
WITNESSES AND APPEAL A FINAL

01:11:08.731 --> 01:11:10.165
DISCIPLINARY ORDER TO A STATE

01:11:10.232 --> 01:11:13.369
SUPERIOR COURT. IF THE

01:11:13.435 --> 01:11:14.803
PHYSICIAN DOES NOT WISH TO

01:11:14.870 --> 01:11:16.105
CONTEST THE BOARD'S CHARGES AT

01:11:16.171 --> 01:11:18.340
A HEARING, THEY MAY ENTER INTO

01:11:18.407 --> 01:11:20.175
A STIPULATED SETTLEMENT TO

01:11:20.242 --> 01:11:23.412
RESOLVE THE CASE, AS INDICATED

01:11:23.479 --> 01:11:26.382
IN THE BACKGROUND PAPER. AS OF

01:11:26.448 --> 01:11:28.851
OCTOBER 20TH, 2026, THIS

01:11:28.917 --> 01:11:30.352
ENFORCEMENT PROCESS HAS

01:11:30.419 --> 01:11:31.754
RESULTED IN THE DISCIPLINE OF

01:11:31.820 --> 01:11:34.723
34 PHYSICIANS REFERRED BY CDPH

01:11:34.790 --> 01:11:37.493
TO THE MEDICAL BOARD. THOSE

01:11:37.559 --> 01:11:38.961
DISCIPLINARY OUTCOMES RANGE

01:11:39.028 --> 01:11:41.463
FROM SURRENDERS TO PROBATION TO

01:11:41.530 --> 01:11:46.702
PUBLIC REPRIMANDS. ADDITIONALLY,

01:11:46.769 --> 01:11:48.437
THERE ARE FIVE ACCUSATIONS THAT

01:11:48.504 --> 01:11:51.540
ARE CURRENTLY PENDING PENDING

01:11:51.607 --> 01:11:53.375
BOARD ACCUSATIONS AND

01:11:53.442 --> 01:11:54.743
DISCIPLINARY ORDERS ARE POSTED

01:11:54.810 --> 01:11:56.945
ON A PHYSICIAN'S PROFILE PAGE

01:11:57.012 --> 01:11:58.714
ON THE BOARD'S WEBSITE, AS

01:11:58.781 --> 01:12:01.984
REQUIRED BY LAW. PHYSICIANS

01:12:02.051 --> 01:12:04.486
WHOSE LICENSES ARE REVOKED,

01:12:04.553 --> 01:12:05.954
SURRENDERED, SUSPENDED, OR WHO

01:12:06.021 --> 01:12:07.790
ARE OTHERWISE PROHIBITED FROM

01:12:07.856 --> 01:12:09.892
PRACTICING MEDICINE ARE

01:12:09.958 --> 01:12:11.293
PREVENTED FROM ACCESSING THE

01:12:11.360 --> 01:12:13.495
CARE SYSTEM AND THEREFORE

01:12:13.562 --> 01:12:17.099
CANNOT ISSUE MEDICAL EXEMPTIONS.

01:12:17.166 --> 01:12:18.867
SIMILARLY, PHYSICIANS WITH

01:12:18.934 --> 01:12:21.070
PENDING ACCUSATIONS WHO ARE

01:12:21.136 --> 01:12:22.471
CURRENTLY SERVING PROBATION OR

01:12:22.538 --> 01:12:24.306
WHO ARE CURRENTLY SERVING

01:12:24.373 --> 01:12:27.109
PROBATION RELATED TO

01:12:27.176 --> 01:12:28.977
IMMUNIZATION STANDARDS OF CARE

01:12:29.044 --> 01:12:30.746
ARE ALSO PROHIBITED FROM

01:12:30.813 --> 01:12:33.649
ISSUING MEDICAL EXEMPTIONS.

01:12:33.716 --> 01:12:35.484
THANK YOU FOR THE OPPORTUNITY

01:12:35.551 --> 01:12:37.352
TO PROVIDE THIS OVERVIEW, AND I

01:12:37.419 --> 01:12:39.221
WOULD BE HAPPY TO ANSWER ANY

01:12:39.288 --> 01:12:45.461
QUESTIONS. THANK YOU SO MUCH.

01:12:45.527 --> 01:12:46.628
WE WILL GO TO QUESTIONS,

01:12:46.695 --> 01:12:48.430
SENATOR JONES. THANK YOU,

01:12:48.497 --> 01:12:50.232
DOCTOR POND. NICE TO SEE YOU IN

01:12:50.299 --> 01:12:55.738
PERSON. I APPRECIATE YOUR BEING

01:12:55.804 --> 01:12:57.206
A PART OF MY COVID JOURNEY.

01:12:57.272 --> 01:12:59.241
WHEN I WAS ONE OF THE FIRST

01:12:59.308 --> 01:13:01.710
LEGISLATORS TO CATCH COVID AND

01:13:01.777 --> 01:13:03.512
WALK ME THROUGH THE PROCESS OF

01:13:03.579 --> 01:13:04.346
DEALING WITH THAT, YOU WERE

01:13:04.413 --> 01:13:07.783
VERY HELPFUL. NICE TO SEE YOU

01:13:07.850 --> 01:13:08.550
UNDER DIFFERENT CIRCUMSTANCES.

01:13:08.617 --> 01:13:12.287
YEAH, I'M A SURVIVOR. BACK TO

01:13:12.354 --> 01:13:15.057
THE DISNEYLAND EXAMPLE

01:13:15.124 --> 01:13:16.458
REGARDING THE MEASLES OUTBREAK

01:13:16.525 --> 01:13:18.060
THERE, THE QUESTION WAS HOW

01:13:18.127 --> 01:13:21.897
MANY OF THE 106 WERE PREVIOUSLY

01:13:21.964 --> 01:13:23.432
VACCINATED? SURE, WE CAN SEND

01:13:23.499 --> 01:13:24.967
YOU KIND OF A PUBLICATION ON

01:13:25.033 --> 01:13:26.568
THAT OUTBREAK, BUT IN THAT

01:13:26.635 --> 01:13:27.703
PUBLICATION, ONLY SEVEN OF

01:13:27.770 --> 01:13:30.539
THOSE OVER 110 OR SO ACTUALLY

01:13:30.606 --> 01:13:32.241
HAD ANY HAD DOCUMENTATION OF AT

01:13:32.307 --> 01:13:34.143
LEAST TWO DOSES OF MMR VACCINE.

01:13:34.209 --> 01:13:36.311
OKAY. AND THE CURRENT MMR

01:13:36.378 --> 01:13:37.746
DOSAGE IS THREE. IS THAT

01:13:37.813 --> 01:13:38.947
CORRECT? SO WOULD YOU WOULD SAY

01:13:39.014 --> 01:13:40.649
THOSE WERE INCOMPLETE VACCINE

01:13:40.716 --> 01:13:43.118
VACCINATIONS OR. NO, THOSE WERE

01:13:43.185 --> 01:13:44.186
COMPLETE. THOSE WOULD BE

01:13:44.253 --> 01:13:45.754
CONSIDERED OKAY. WHAT'S IF YOU

01:13:45.821 --> 01:13:47.523
CAN SHARE THE MEDICAL SCIENCE

01:13:47.589 --> 01:13:49.591
BEHIND, YOU KNOW, THE SEVEN

01:13:49.658 --> 01:13:51.460
THAT WERE VACCINATED, HOW HOW

01:13:51.527 --> 01:13:55.097
WOULD THEY CATCH THE DISEASE?

01:13:55.164 --> 01:13:57.199
SURE. YOU KNOW, NO VACCINE IS

01:13:57.266 --> 01:13:58.300
100%. UNFORTUNATELY, WE HAVE

01:13:58.367 --> 01:14:00.002
SOME THAT ARE VERY CLOSE, LIKE

01:14:00.068 --> 01:14:01.870
HPV ACTUALLY IS CLOSE. BUT

01:14:01.937 --> 01:14:04.373
MEASLES IS IT'S AFTER THE FIRST

01:14:04.439 --> 01:14:05.808
DOSE. ACTUALLY, I'M BLANKING ON

01:14:05.874 --> 01:14:07.409
THAT, BUT OVER 90%. AND THEN

01:14:07.476 --> 01:14:08.544
AFTER THE SECOND DOSE, IT'S, I

01:14:08.610 --> 01:14:10.879
THINK OVER 95%. I'M SURE DOCTOR

01:14:10.946 --> 01:14:12.314
SAWYER OTHERS HAS IT AT THEIR

01:14:12.381 --> 01:14:13.782
FINGERTIPS. BUT BUT IT'S NOT,

01:14:13.849 --> 01:14:15.117
YOU KNOW, 100%. THERE ARE VERY

01:14:15.184 --> 01:14:17.653
FEW THINGS IN MEDICINE THAT ARE

01:14:17.719 --> 01:14:19.121
100%. SO WE DO HAVE

01:14:19.188 --> 01:14:19.922
BREAKTHROUGHS, ESPECIALLY WITH

01:14:19.988 --> 01:14:21.290
SUCH A HIGHLY INFECTIOUS

01:14:21.356 --> 01:14:23.492
DISEASE LIKE MEASLES. OKAY,

01:14:23.559 --> 01:14:25.327
GREAT. THANK YOU. AND, YOU KNOW,

01:14:25.394 --> 01:14:26.395
AS I'M SITTING HERE THIS

01:14:26.461 --> 01:14:27.496
MORNING, I'M TRYING TO LIKE

01:14:27.563 --> 01:14:29.331
DRILL DOWN TO THE BOTTOM LINE

01:14:29.398 --> 01:14:31.266
OF WHAT MY CONCERNS ARE IN THIS

01:14:31.333 --> 01:14:33.569
WHOLE CONVERSATION. AND, AND I,

01:14:33.635 --> 01:14:35.737
AND I WAS REMINDED, YOU KNOW,

01:14:35.804 --> 01:14:38.941
THE POINT OF THE SB 1377, WHICH

01:14:39.007 --> 01:14:40.776
WAS COAUTHORED BY MYSELF AND A

01:14:40.843 --> 01:14:42.010
COUPLE OF DEMOCRATIC COLLEAGUES.

01:14:42.077 --> 01:14:45.047
SO IT WAS A BIPARTISAN BILL. I

01:14:45.113 --> 01:14:47.549
THINK THE THE CONCERN THAT I

01:14:47.616 --> 01:14:49.284
HAVE IN MY BOTTOM LINE CONCERN

01:14:49.351 --> 01:14:51.119
IN ALL THIS IS, IS THE FIVE OR

01:14:51.186 --> 01:14:56.225
MORE MEDICAL EXEMPTIONS KICKING

01:14:56.291 --> 01:14:58.727
IN AND AUTOMATIC REVIEW OF THAT

01:14:58.794 --> 01:15:00.863
PHYSICIAN. IF THEY IF THEY

01:15:00.929 --> 01:15:04.132
ISSUE FIVE, WHAT DO YOU KNOW?

01:15:04.199 --> 01:15:05.667
AND I KNOW IT'S GOING TO RANGE,

01:15:05.734 --> 01:15:07.736
YOU KNOW, BUT A TYPICAL

01:15:07.803 --> 01:15:09.905
PEDIATRICIAN, HOW MANY PATIENTS

01:15:09.972 --> 01:15:12.841
DO THEY HAVE IN THEIR ROSTER ON

01:15:12.908 --> 01:15:16.078
AN ANNUAL BASIS? DO YOU KNOW, I

01:15:16.144 --> 01:15:17.446
THINK IT REALLY VARIES BASED ON

01:15:17.512 --> 01:15:18.881
WHAT PERCENT TIME THEY HAVE.

01:15:18.947 --> 01:15:20.382
I'M TRYING TO THINK OF MY

01:15:20.449 --> 01:15:21.116
HUSBAND'S PRACTICE, WHICH I

01:15:21.183 --> 01:15:22.918
THINK IS OVER 25,000. I THINK

01:15:22.985 --> 01:15:23.919
PATIENTS ON HIS PANEL,

01:15:23.986 --> 01:15:29.358
SOMETHING LIKE THAT. 25. YEAH,

01:15:29.424 --> 01:15:34.363
25 YEAH. 1020 525 WE'RE GETTING

01:15:34.429 --> 01:15:35.731
SOME CONSENSUS FROM THE CROWD.

01:15:35.797 --> 01:15:39.401
THAT'S AROUND 2000. OKAY. OKAY.

01:15:39.468 --> 01:15:42.704
APOLOGIES. AND THAT'S FINE. I'M

01:15:42.771 --> 01:15:44.273
NOT ASKING FOR LIKE A REAL I

01:15:44.339 --> 01:15:45.407
MEAN, I'M, I'M ASKING FOR A

01:15:45.474 --> 01:15:47.309
REAL NUMBER, BUT NOT A SPECIFIC

01:15:47.376 --> 01:15:48.310
NUMBER WITHOUT HAVING THE

01:15:48.377 --> 01:15:51.647
OPPORTUNITY TO, TO I GOOGLED IT,

01:15:51.713 --> 01:15:54.683
GOOGLE SAYS 1800. SO. OKAY,

01:15:54.750 --> 01:15:58.487
DOCTOR. SO I GUESS THAT'S WHAT

01:15:58.553 --> 01:15:59.955
MY CONCERN IS, YOU KNOW, AND

01:16:00.022 --> 01:16:02.124
WAS WHAT RAISED WITH 1377 IS

01:16:02.190 --> 01:16:04.259
FIVE IS NOT A VERY BIG NUMBER

01:16:04.326 --> 01:16:07.162
FOR A PEDIATRICIAN OR ANY

01:16:07.229 --> 01:16:08.897
DOCTOR THAT'S, THAT'S TREATING,

01:16:08.964 --> 01:16:12.901
YOU KNOW, 1500 TO 2000 PEOPLE.

01:16:12.968 --> 01:16:14.770
IT'S A SMALL PERCENTAGE. AND SO

01:16:14.836 --> 01:16:16.872
I, YOU KNOW, THAT'S KIND OF THE

01:16:16.939 --> 01:16:18.440
DIRECTION WE WERE TRYING TO GO

01:16:18.507 --> 01:16:19.741
LAST YEAR WITH THIS WAS JUST

01:16:19.808 --> 01:16:21.543
GIVING THE THE PHYSICIANS A

01:16:21.610 --> 01:16:26.548
LITTLE BIT LESS ONEROUS

01:16:26.615 --> 01:16:27.549
OVERSIGHT FROM THE DEPARTMENT

01:16:27.616 --> 01:16:29.084
OF PUBLIC HEALTH ON THE BASED

01:16:29.151 --> 01:16:32.688
ON THE NUMBERS OF OF EXEMPTIONS,

01:16:32.754 --> 01:16:34.856
I APPRECIATE THE PREVIOUS

01:16:34.923 --> 01:16:36.925
PANEL'S TESTIMONY. I THOUGHT IT

01:16:36.992 --> 01:16:38.794
WAS VERY WELL LAID OUT ON ON

01:16:38.860 --> 01:16:40.562
THE PROCESS AND HOW IT WORKS

01:16:40.629 --> 01:16:42.331
AND THE APPEAL PROCESS AND ALL

01:16:42.397 --> 01:16:45.267
THAT, WHICH I THINK IS, IS GOOD.

01:16:45.334 --> 01:16:46.468
AND I DON'T KNOW. I'M NOT I

01:16:46.535 --> 01:16:48.370
DON'T KNOW IF I'M GOING TO A

01:16:48.437 --> 01:16:49.538
SPECIFIC QUESTION HERE OR JUST,

01:16:49.604 --> 01:16:51.340
YOU KNOW, WHAT MY CONCERNS ARE

01:16:51.406 --> 01:16:52.507
PERSONALLY. IS FIVE THE RIGHT

01:16:52.574 --> 01:16:54.276
NUMBER? CAN IT BE A BIGGER

01:16:54.343 --> 01:16:55.877
NUMBER? IS, IS THE PUBLIC

01:16:55.944 --> 01:16:59.748
HEALTH REALLY DRASTICALLY

01:16:59.815 --> 01:17:01.616
AFFECTED IF THE NUMBER IS 25 OR

01:17:01.683 --> 01:17:05.253
30 OR EVEN 50 OUT OF 1000 OR

01:17:05.320 --> 01:17:09.124
2000 PATIENTS? THAT'S MY

01:17:09.191 --> 01:17:10.692
CONCERN. I DON'T KNOW IF YOU

01:17:10.759 --> 01:17:11.893
WANT TO RESPOND TO THAT. IT'S

01:17:11.960 --> 01:17:13.061
NOT REALLY A SPECIFIC QUESTION,

01:17:13.128 --> 01:17:14.896
BUT IF YOU WANT TO RESPOND TO

01:17:14.963 --> 01:17:16.732
THAT, THAT'D BE FINE. SURE. I'M

01:17:16.798 --> 01:17:17.899
HAPPY TO RESPOND. I THINK, YOU

01:17:17.966 --> 01:17:19.067
KNOW, THE THE IMPORTANT POINT

01:17:19.134 --> 01:17:20.769
HERE IS THAT THE WORK IS

01:17:20.836 --> 01:17:21.970
ACTUALLY ON THE DEPARTMENT OF

01:17:22.037 --> 01:17:22.938
PUBLIC HEALTH. IF THERE ARE

01:17:23.005 --> 01:17:24.740
FIVE OR MORE MEDICAL EXEMPTIONS

01:17:24.806 --> 01:17:25.941
ISSUED BY A SINGLE PRIMARY CARE

01:17:26.008 --> 01:17:27.743
PROVIDER OR PROVIDER, IF ALL OF

01:17:27.809 --> 01:17:29.544
THOSE MEET STANDARD AAFP

01:17:29.611 --> 01:17:31.380
CRITERIA, THERE'S NO OTHER WORK

01:17:31.446 --> 01:17:33.148
NEEDED FOR. IF ALL THE

01:17:33.215 --> 01:17:34.616
DOCUMENTATION IS THERE, THERE

01:17:34.683 --> 01:17:35.751
IS NO OTHER WORK NEEDED FROM

01:17:35.817 --> 01:17:37.119
THE PEDIATRICIAN NECESSARILY.

01:17:37.185 --> 01:17:40.389
SO. SO IT ISN'T. I THINK THE

01:17:40.455 --> 01:17:42.924
BURDEN IS IF THERE'S INADEQUATE

01:17:42.991 --> 01:17:43.658
DOCUMENTATION. SO SOMETIMES

01:17:43.725 --> 01:17:45.093
THAT HAPPENS. AND I, I DID WANT

01:17:45.160 --> 01:17:46.995
TO ALSO MENTION THAT I THINK OF

01:17:47.062 --> 01:17:48.764
MY UNDERSTANDING OF WHAT SOME

01:17:48.830 --> 01:17:50.499
OF THE APPEALS THAT HAVE BEEN

01:17:50.565 --> 01:17:51.900
UPHELD ARE, BECAUSE WHEN OUR

01:17:51.967 --> 01:17:53.301
TEAM TRIED TO FOLLOW UP AND GET

01:17:53.368 --> 01:17:54.336
MORE DOCUMENTATION, THERE WAS

01:17:54.403 --> 01:17:56.171
NO RESPONSE. AND THEN THERE WAS

01:17:56.238 --> 01:17:57.205
A CLOSEOUT PERIOD AFTER A

01:17:57.272 --> 01:17:58.774
CERTAIN NUMBER OF ATTEMPTS. AND

01:17:58.840 --> 01:18:01.243
THEN ONCE THE EMMY WAS REVOKED,

01:18:01.309 --> 01:18:02.411
THEN WHEN WENT TO APPEAL, THEY

01:18:02.477 --> 01:18:04.179
ARE MORE RESPONSIVE TO GET THAT

01:18:04.246 --> 01:18:05.213
INFORMATION. AND THEN ONCE THE

01:18:05.280 --> 01:18:06.448
INFORMATION IS THERE, SHOWING

01:18:06.515 --> 01:18:08.784
WHAT THE MEDICAL RATIONALE AND

01:18:08.850 --> 01:18:10.252
CLINICAL DOCUMENTATION IS, THEN

01:18:10.318 --> 01:18:11.987
THOSE ARE TYPICALLY THE ONES

01:18:12.054 --> 01:18:13.655
THAT ARE UPHELD. OKAY. THANK

01:18:13.722 --> 01:18:20.328
YOU. SO THANK YOU SO MUCH FOR

01:18:20.395 --> 01:18:24.299
BOTH OF YOUR PRESENTATIONS. AS

01:18:24.366 --> 01:18:26.101
FAR AS IS IT THE CORRECT NUMBER

01:18:26.168 --> 01:18:29.738
ARE AMAZING FELLOW WHO I'M

01:18:29.805 --> 01:18:32.207
GONNA MISS JUST DID THE

01:18:32.274 --> 01:18:33.408
CALCULATIONS. AND SO IF YOU

01:18:33.475 --> 01:18:35.877
HAVE ABOUT 2000 PATIENTS AND WE

01:18:35.944 --> 01:18:41.917
KNOW THAT THERE'S A 2%, A 0.2%

01:18:41.983 --> 01:18:43.351
POPULATION THAT SHOULD BE

01:18:43.418 --> 01:18:44.553
CONTRAINDICATED, THAT'S ABOUT

01:18:44.619 --> 01:18:47.022
FOUR PATIENTS. SO THE FACT THAT

01:18:47.089 --> 01:18:49.524
THAT'S FIVE IT'S RIGHT THERE.

01:18:49.591 --> 01:18:52.060
BUT CAN CAN SOMEONE CLARIFY

01:18:52.127 --> 01:18:53.195
PART OF THE CONCERN ON THIS.

01:18:53.261 --> 01:18:55.897
AND I MISSED IT AGAIN, I'M

01:18:55.964 --> 01:18:56.698
BRINGING THIS ALL BACK FROM

01:18:56.765 --> 01:18:58.233
MEMORY IS IT'S NOT FIVE

01:18:58.300 --> 01:18:59.768
PATIENTS. IT'S FIVE EXEMPTIONS.

01:18:59.835 --> 01:19:01.703
SO ONE ONE PATIENT OUT OF THOSE

01:19:01.770 --> 01:19:04.639
2000 COULD CONSUME ALL FIVE

01:19:04.706 --> 01:19:05.740
EXEMPTIONS. SO I THINK THAT'S

01:19:05.807 --> 01:19:06.741
AN ADDITIONAL CONCERN THAT

01:19:06.808 --> 01:19:08.977
MIGHT BE WELL CAN SOMEONE

01:19:09.044 --> 01:19:11.847
CLARIFY FOR ME. IS IT TRIGGERED

01:19:11.913 --> 01:19:14.683
IF YOU GIVE FIVE EXEMPTIONS OR

01:19:14.749 --> 01:19:16.451
IS IT TRIGGERED IF YOU HAVE

01:19:16.518 --> 01:19:18.320
FIVE EXEMPTIONS THAT WERE

01:19:18.386 --> 01:19:21.890
REVOKED? SENATOR, ARE YOU

01:19:21.957 --> 01:19:23.725
ASKING ABOUT WHO IS REFERRED TO

01:19:23.792 --> 01:19:25.460
THE MEDICAL BOARD? YES, IT'S

01:19:25.527 --> 01:19:27.996
FIVE REVOCATIONS. SO LET'S

01:19:28.063 --> 01:19:34.870
LET'S. LET'S IS IT A PHYSICIAN

01:19:34.936 --> 01:19:37.372
WHO DOES FIVE MEDICAL

01:19:37.439 --> 01:19:39.341
EXEMPTIONS OR IS IT A PHYSICIAN

01:19:39.407 --> 01:19:42.077
WHO HAS DONE FIVE WHO HAS HAD

01:19:42.144 --> 01:19:45.280
FIVE MEDICAL EXEMPTIONS REVOKED,

01:19:45.347 --> 01:19:48.950
REVOKED? SO I CAN WELL, I MEAN,

01:19:49.017 --> 01:19:50.452
I'M NOT A PEDIATRICIAN, BUT IF

01:19:50.519 --> 01:19:55.390
I WAS IF I, YOU KNOW, ONE,

01:19:55.457 --> 01:19:56.458
DESPITE WHAT PEOPLE THINK,

01:19:56.525 --> 01:19:57.626
SINCE I'M AT THE CHILDREN'S

01:19:57.692 --> 01:19:58.627
HOSPITAL, I'M NOT A

01:19:58.693 --> 01:20:03.665
PEDIATRICIAN. SO I CAN DO 20

01:20:03.732 --> 01:20:05.967
MEDICAL EXEMPTIONS. AND IF NONE

01:20:06.034 --> 01:20:07.636
OF THEM ARE REVOKED, THEN I

01:20:07.702 --> 01:20:10.105
WILL NEVER BE REFERRED. EXACTLY.

01:20:10.172 --> 01:20:13.375
OKAY, SO IT'S NOT THE NUMBER.

01:20:13.441 --> 01:20:15.544
IT'S ABOUT THE AMOUNT THAT IT'S

01:20:15.610 --> 01:20:17.345
ACTUALLY REVOKED BECAUSE IT HAS

01:20:17.412 --> 01:20:19.781
BEEN REVIEWED AND DETERMINED

01:20:19.848 --> 01:20:22.717
THAT IT WAS INAPPROPRIATE. YES.

01:20:22.784 --> 01:20:25.587
SO I WANT TO SAY THAT AGAIN SO

01:20:25.654 --> 01:20:27.389
EVERYBODY CAN UNDERSTAND AS A

01:20:27.455 --> 01:20:30.725
PHYSICIAN, YOU CAN WRITE AS

01:20:30.792 --> 01:20:33.128
MANY MEDICAL EXEMPTIONS AS YOU

01:20:33.195 --> 01:20:35.997
WANT. YOU ARE NOT LIMITED BY

01:20:36.064 --> 01:20:40.335
FIVE, RIGHT? THE TRIGGER OCCURS

01:20:40.402 --> 01:20:42.938
IF YOU HAVE FIVE EXEMPTIONS

01:20:43.004 --> 01:20:44.372
THAT YOU HAVE WRITTEN THAT HAVE

01:20:44.439 --> 01:20:47.209
BEEN REVIEWED AND REVOKED. AT

01:20:47.275 --> 01:20:49.010
THAT POINT, IT IS REFERRED TO

01:20:49.077 --> 01:20:51.213
THE MEDICAL BOARD. THAT'S

01:20:51.279 --> 01:20:52.881
CORRECT. SO AND JUST TO RESTATE

01:20:52.948 --> 01:20:55.183
IT ONE MORE TIME. SO THE FIVE

01:20:55.250 --> 01:20:56.651
AS FAR AS ISSUING MORE THAN

01:20:56.718 --> 01:20:58.386
FIVE IN A YEAR JUST MEANS THAT

01:20:58.453 --> 01:21:00.155
IS, YOU KNOW, OF THOSE SORT OF

01:21:00.222 --> 01:21:01.356
TWO THIRDS THAT ARE REVIEWED,

01:21:01.423 --> 01:21:02.657
THAT MIGHT BE ONE OF THE

01:21:02.724 --> 01:21:04.492
CRITERIA, OR MAYBE BECAUSE OF A

01:21:04.559 --> 01:21:05.927
CHILDCARE OR A SCHOOL THAT HAS

01:21:05.994 --> 01:21:08.096
A LOW VACCINATION RATE UNDER

01:21:08.163 --> 01:21:10.966
95%. SO IF YOU HAPPEN TO ISSUE

01:21:11.032 --> 01:21:12.367
SIX, OUR TEAM WILL LOOK AT THAT.

01:21:12.434 --> 01:21:14.369
AND IF ALL OF THOSE ARE IF NONE

01:21:14.436 --> 01:21:16.037
OF THOSE ARE REVOKED OR

01:21:16.104 --> 01:21:17.239
ACTUALLY, YOU KNOW, IF EVEN IF

01:21:17.305 --> 01:21:19.107
FOUR OF THEM ARE REVOKED, IT

01:21:19.174 --> 01:21:20.275
DIDN'T IT WOULDN'T GET REFERRED

01:21:20.342 --> 01:21:21.776
TO THE MEDICAL BOARD. I THINK

01:21:21.843 --> 01:21:22.811
THAT'S ALSO AN IMPORTANT

01:21:22.877 --> 01:21:24.279
DISTINCTION TO MAKE, TOO. AND I

01:21:24.346 --> 01:21:25.547
APPRECIATE THE CHAIR CLEARING

01:21:25.614 --> 01:21:28.250
THAT UP. BUT IF YOU WRITE FIVE

01:21:28.316 --> 01:21:30.719
EXEMPTIONS ON THE SIXTH ONE,

01:21:30.785 --> 01:21:32.220
YOU'RE AUTOMATICALLY KICKED

01:21:32.287 --> 01:21:34.689
INTO REVIEW. YES, BUT IT

01:21:34.756 --> 01:21:36.024
DOESN'T SLOW THE PROCESS DOWN.

01:21:36.091 --> 01:21:37.225
IT JUST MEANS THAT WE'RE

01:21:37.292 --> 01:21:39.227
REVIEWING MEDICAL EXEMPTIONS.

01:21:39.294 --> 01:21:40.161
AND THEN IF THEY'RE

01:21:40.228 --> 01:21:40.895
INAPPROPRIATE, THEN THEY'RE

01:21:40.962 --> 01:21:41.963
REVOKED. AND THEN THERE'S A

01:21:42.030 --> 01:21:43.565
PROCESS. YES. AND I AND I

01:21:43.632 --> 01:21:44.666
APPRECIATE THAT. AND MY POINT

01:21:44.733 --> 01:21:45.767
REMAINS THE SAME THAT THAT

01:21:45.834 --> 01:21:47.569
STILL IS A CHILLING YES, YOU

01:21:47.636 --> 01:21:49.838
CAN WRITE 20, BUT NUMBER SIX,

01:21:49.904 --> 01:21:50.972
SEVEN, EIGHT, NINE, TEN THROUGH

01:21:51.039 --> 01:21:52.574
20 ARE GOING TO BE REVIEWED

01:21:52.641 --> 01:21:54.209
AUTOMATICALLY. IS THAT CORRECT?

01:21:54.276 --> 01:21:55.944
YES. ONCE ONCE A PHYSICIAN HAS

01:21:56.011 --> 01:21:57.412
ISSUED MORE THAN FIVE. YES.

01:21:57.479 --> 01:22:00.248
THAT'S THEN ISSUED BY THAT

01:22:00.315 --> 01:22:02.817
PHYSICIAN ARE REVIEWED. YES.

01:22:02.884 --> 01:22:04.052
AND AS A PHYSICIAN, I JUST WANT

01:22:04.119 --> 01:22:05.854
TO SAY THAT OUR CHARTS ARE

01:22:05.920 --> 01:22:06.988
REVIEWED FOR A VARIETY OF

01:22:07.055 --> 01:22:08.790
THINGS ON A REGULAR BASIS, AND

01:22:08.857 --> 01:22:11.860
THAT DOES NOT PREVENT US FROM

01:22:11.926 --> 01:22:13.328
DOING THINGS. THE FACT THAT I

01:22:13.395 --> 01:22:14.796
MY CHARTS GET REVIEWED TO MAKE

01:22:14.863 --> 01:22:16.498
SURE THAT MY BILLING IS CORRECT

01:22:16.564 --> 01:22:17.565
DOESN'T MEAN THAT ALL OF A

01:22:17.632 --> 01:22:19.467
SUDDEN I'M GOING TO STOP SEEING

01:22:19.534 --> 01:22:21.936
OR BILLING PATIENTS. IT IS JUST

01:22:22.003 --> 01:22:24.472
A PART OF HEALTH CARE TO ENSURE

01:22:24.539 --> 01:22:28.310
THAT WE ARE. PROVIDING THE

01:22:28.376 --> 01:22:29.811
APPROPRIATE TREATMENT. WE ARE

01:22:29.878 --> 01:22:31.680
PROVIDING THE APPROPRIATE

01:22:31.746 --> 01:22:33.748
MEDICATION THAT WE ARE BILLING

01:22:33.815 --> 01:22:37.686
CORRECTLY. IT IS ABOUT

01:22:37.752 --> 01:22:39.921
TRANSPARENCY AND OVERSIGHT THAT

01:22:39.988 --> 01:22:41.156
EVERYONE WANTS WITHIN THE

01:22:41.222 --> 01:22:42.590
HEALTH CARE SYSTEM TO ENSURE

01:22:42.657 --> 01:22:44.526
THAT THERE'S NOT WASTE, FRAUD,

01:22:44.592 --> 01:22:47.462
ABUSE, AND THAT WE ARE NOT

01:22:47.529 --> 01:22:49.631
MISMANAGING ANY OF OUR PATIENTS

01:22:49.698 --> 01:22:51.066
SO THAT THAT'S JUST A PART OF

01:22:51.132 --> 01:22:59.341
OF HEALTH CARE. I DO WANT TO.

01:22:59.407 --> 01:23:05.780
ASK ABOUT OF THE PHYSICIANS WHO

01:23:05.847 --> 01:23:07.982
HAVE HAD THEIR EMMYS REVOKED,

01:23:08.049 --> 01:23:09.384
FIVE OR MORE REVOKED, AND IT

01:23:09.451 --> 01:23:10.852
HAS BEEN REFERRED TO THE

01:23:10.919 --> 01:23:12.654
MEDICAL BOARD. HOW MANY

01:23:12.721 --> 01:23:14.089
PHYSICIANS HAVE HAD THEIR

01:23:14.155 --> 01:23:21.262
MEDICAL LICENSE REMOVED? TWO OF

01:23:21.329 --> 01:23:22.764
THOSE PHYSICIANS HAVE

01:23:22.831 --> 01:23:24.532
SURRENDERED THEIR LICENSE. THE

01:23:24.599 --> 01:23:27.068
BOARD HAS NOT REVOKED ANY

01:23:27.135 --> 01:23:28.870
LICENSES BASED ON THESE

01:23:28.937 --> 01:23:31.373
REFERRALS, AND IS THAT OF THE

01:23:31.439 --> 01:23:33.875
34 YOU WERE TALKING ABOUT? YES.

01:23:33.942 --> 01:23:38.546
OKAY. SO OF THE 34, TWO HAVE

01:23:38.613 --> 01:23:40.715
VOLUNTARILY REVOKED OR

01:23:40.782 --> 01:23:42.150
SURRENDERED THEIR LICENSE, BUT

01:23:42.217 --> 01:23:45.086
THE MEDICAL BOARD HAS NOT, AT

01:23:45.153 --> 01:23:48.289
THIS POINT, REMOVED ANYONE

01:23:48.356 --> 01:23:49.691
ELSE'S MEDICAL LICENSE FROM

01:23:49.758 --> 01:23:55.830
PRACTICING. CORRECT. OKAY. AND

01:23:55.897 --> 01:23:58.666
LOOKING AT A TABLE THAT WE HAVE

01:23:58.733 --> 01:24:01.603
IN OUR CHART, IT SAYS, FOR THIS

01:24:01.669 --> 01:24:03.738
YEAR SO FAR, PHYSICIANS WITH

01:24:03.805 --> 01:24:07.008
FIVE OR MORE MEDICAL EXEMPTIONS

01:24:07.075 --> 01:24:08.410
REVOKED THAT HAVE BEEN SENT

01:24:08.476 --> 01:24:10.211
OVER. IS THAT JUST ONE

01:24:10.278 --> 01:24:11.646
PHYSICIAN SO FAR THIS YEAR, AM

01:24:11.713 --> 01:24:16.017
I? LOOKING AT THAT? CORRECT. I

01:24:16.084 --> 01:24:17.385
DON'T KNOW IF YOU HAVE. NO, NO,

01:24:17.452 --> 01:24:27.262
NO, IT'S IN THE SENATE. THOSE

01:24:27.328 --> 01:24:31.132
ARE CDPH NUMBERS. SO YOU'RE NOT

01:24:31.199 --> 01:24:32.934
ASKING THE ABOUT MEDICAL BOARD

01:24:33.001 --> 01:24:37.105
ACTION. OH, OKAY. SO PHYSICIANS

01:24:37.172 --> 01:24:38.740
WITH FIVE OR MORE MEDICAL

01:24:38.807 --> 01:24:39.841
REVOKED IN THE CALENDAR YEAR.

01:24:39.908 --> 01:24:42.310
THERE'S BEEN ONE THIS YEAR I

01:24:42.377 --> 01:24:43.344
BELIEVE. THAT'S RIGHT. BUT WE

01:24:43.411 --> 01:24:45.914
WILL QUADRUPLE CHECK THAT. AND

01:24:45.980 --> 01:24:48.450
SINCE THIS HAS BEEN MONITORED,

01:24:48.516 --> 01:24:50.585
THERE HAVE BEEN NO PHYSICIANS

01:24:50.652 --> 01:24:52.787
THAT HAVE BEEN DEEMED OR

01:24:52.854 --> 01:24:54.189
CONTRIBUTING TO A PUBLIC HEALTH

01:24:54.255 --> 01:24:56.124
RISK BY CDPH. THAT'S CORRECT.

01:24:56.191 --> 01:24:57.725
WE HAVE NOT EXERCISED THAT

01:24:57.792 --> 01:25:05.300
CRITERIA. OKAY. HAVE YOU ALL

01:25:05.366 --> 01:25:07.469
HEARD OF ANY CONCERNS,

01:25:07.535 --> 01:25:09.304
COMPLAINTS ABOUT THE PROCESS

01:25:09.370 --> 01:25:12.140
BEING ONEROUS, DIFFICULT,

01:25:12.207 --> 01:25:16.110
SOMETHING THAT PHYSICIANS FEAR

01:25:16.177 --> 01:25:19.380
OF HAVING THEIR CHARTS REVIEWED

01:25:19.447 --> 01:25:21.516
THAT IS NOT BEEN BROUGHT TO MY

01:25:21.583 --> 01:25:23.318
ATTENTION. ANYONE FROM THE

01:25:23.384 --> 01:25:28.056
MEDICAL BOARD? PHYSICIANS WHO

01:25:28.122 --> 01:25:29.457
ARE REFERRED TO THE MEDICAL

01:25:29.524 --> 01:25:31.993
BOARD, OBVIOUSLY IT'S

01:25:32.060 --> 01:25:34.496
DISTRESSING, BUT OUR BURDEN OF

01:25:34.562 --> 01:25:36.264
PROOF IS HIGH, CLEAR AND

01:25:36.331 --> 01:25:37.866
CONVINCING EVIDENCE. IT'S MORE

01:25:37.932 --> 01:25:39.534
THAN PREPONDERANCE OF THE

01:25:39.601 --> 01:25:41.035
EVIDENCE. AND SO THERE DOES

01:25:41.102 --> 01:25:43.171
HAVE TO BE COMPELLING PROOF

01:25:43.238 --> 01:25:44.939
THAT THE PHYSICIAN VIOLATED THE

01:25:45.006 --> 01:25:46.341
STANDARD OF CARE. AND SO

01:25:46.407 --> 01:25:48.176
PHYSICIANS ARE AFFORDED

01:25:48.243 --> 01:25:51.479
SIGNIFICANT DUE PROCESS RIGHTS.

01:25:51.546 --> 01:25:57.552
OKAY. ALL RIGHT. ANY OTHER. A

01:25:57.619 --> 01:25:58.953
COUPLE JUST CLARIFYING

01:25:59.020 --> 01:26:01.456
QUESTIONS WHEN WHEN THE REVIEW

01:26:01.523 --> 01:26:03.291
IS KICKED IN FOR WHATEVER

01:26:03.358 --> 01:26:06.561
REASON ARE AND THAT PHYSICIAN'S

01:26:06.628 --> 01:26:11.199
OFFICE ARE ONLY THE VACCINATION,

01:26:11.266 --> 01:26:12.667
WHAT'S REVIEWED, JUST THE

01:26:12.734 --> 01:26:14.469
VACCINATION PRACTICE OF THAT

01:26:14.536 --> 01:26:16.638
PHYSICIAN OR IS HIS OR HER

01:26:16.704 --> 01:26:19.173
ENTIRE PRACTICE REVIEWED? WHAT,

01:26:19.240 --> 01:26:20.575
WHAT, WHAT ALL IS LOOKED AT

01:26:20.642 --> 01:26:22.744
WHEN THAT HAPPENS? SO THERE'S

01:26:22.810 --> 01:26:24.879
THIS NEW SORT OF CARE

01:26:24.946 --> 01:26:25.613
CALIFORNIA IMMUNIZATION

01:26:25.680 --> 01:26:27.015
REGISTRY MEDICAL EXEMPTION

01:26:27.081 --> 01:26:28.816
PLATFORM THAT WAS CREATED WITH

01:26:28.883 --> 01:26:32.487
THE BILL. AND IN THAT PLATFORM,

01:26:32.554 --> 01:26:34.622
WHEN THERE'S A FLAG, ONCE A

01:26:34.689 --> 01:26:35.857
PHYSICIAN HAS ISSUED MORE THAN

01:26:35.924 --> 01:26:37.158
FIVE WITHIN A YEAR, THEN ALL

01:26:37.225 --> 01:26:38.693
THE MEDICAL EXEMPTIONS ISSUED

01:26:38.760 --> 01:26:40.328
IN THAT PLATFORM FROM THAT

01:26:40.395 --> 01:26:41.763
PHYSICIAN ARE REVIEWED. THAT'S

01:26:41.829 --> 01:26:43.631
IT. SO THE REST OF THE PRACTICE

01:26:43.698 --> 01:26:45.033
ISN'T REVIEWED FOR ANY

01:26:45.099 --> 01:26:46.234
PARTICULAR REASON OR LOOKING

01:26:46.301 --> 01:26:48.236
FOR ANYTHING. OKAY. ALL RIGHT.

01:26:48.303 --> 01:26:56.477
THANK YOU. DOCTOR PAN. DO YOU

01:26:56.544 --> 01:26:58.379
KNOW IS IT SIMILAR TO OUR CURES

01:26:58.446 --> 01:27:00.882
DATABASE WHERE IF A PHYSICIAN

01:27:00.949 --> 01:27:04.485
IS POTENTIALLY PRESCRIBING

01:27:04.552 --> 01:27:05.887
NARCOTICS TOO MUCH THAT THAT

01:27:05.954 --> 01:27:09.190
THEY'RE FLAGGED? THAT'S A GREAT

01:27:09.257 --> 01:27:10.992
QUESTION. I AM NOT SURE. BUT WE

01:27:11.059 --> 01:27:12.393
CAN FOLLOW UP WITH YOU ON THAT.

01:27:12.460 --> 01:27:15.997
OKAY. THANK YOU. ALL RIGHT.

01:27:16.064 --> 01:27:17.632
WELL, SEEING NO OTHER QUESTIONS,

01:27:17.699 --> 01:27:19.434
I REALLY WANT TO THANK YOU ALL

01:27:19.500 --> 01:27:21.436
SO MUCH FOR COMING. I THINK YOU

01:27:21.502 --> 01:27:23.004
HAVE, AT LEAST FOR ME, ANSWERED

01:27:23.071 --> 01:27:25.740
A LOT OF QUESTIONS THAT I HAD

01:27:25.807 --> 01:27:27.442
AND A LOT OF THINGS THAT I HAD

01:27:27.508 --> 01:27:28.610
BEEN HEARING ABOUT. IT'S ALWAYS

01:27:28.676 --> 01:27:30.011
REALLY IMPORTANT TO ACTUALLY

01:27:30.078 --> 01:27:33.314
SEE THE DATA AND JUST TO REMIND

01:27:33.381 --> 01:27:35.416
EVERYONE THAT WE WILL POST

01:27:35.483 --> 01:27:39.387
THESE SLIDES TO THE TO THE

01:27:39.454 --> 01:27:41.556
SENATE HEALTH WEBSITE. SO THANK

01:27:41.623 --> 01:27:42.957
YOU. THANK YOU BOTH. THANK YOU

01:27:43.024 --> 01:27:44.459
FOR THE OPPORTUNITY. WE WILL

01:27:44.525 --> 01:27:49.063
NOW THANK YOU TO PUBLIC COMMENT.

01:27:49.130 --> 01:27:51.599
YOU ALL WILL HAVE ONE MINUTE

01:27:51.666 --> 01:28:04.912
PER COMMENT. HOLD ON JUST A

01:28:04.979 --> 01:28:19.327
MOMENT. OKAY. SORRY. YOU MAY

01:28:19.394 --> 01:28:23.331
BEGIN. I'M CHAIR SENATOR JONES,

01:28:23.398 --> 01:28:25.099
MY NAME IS ANGELA HILL. I'M

01:28:25.166 --> 01:28:26.734
HERE AS A LEGISLATIVE ADVOCATE

01:28:26.801 --> 01:28:28.002
ON BEHALF OF THE CALIFORNIA

01:28:28.069 --> 01:28:29.804
MEDICAL ASSOCIATION. I'M ALSO

01:28:29.871 --> 01:28:31.606
PROVIDING PUBLIC COMMENT TODAY

01:28:31.673 --> 01:28:33.741
ON BEHALF OF THE FOLLOWING

01:28:33.808 --> 01:28:34.809
ORGANIZATIONS THE AMERICAN

01:28:34.876 --> 01:28:36.611
ACADEMY OF PEDIATRICS,

01:28:36.678 --> 01:28:37.645
CALIFORNIA, THE CHILDREN'S

01:28:37.712 --> 01:28:39.514
SPECIALTY CARE COALITION, THE

01:28:39.580 --> 01:28:41.649
CALIFORNIA CHILDREN'S HOSPITAL

01:28:41.716 --> 01:28:42.750
ASSOCIATION, THE CALIFORNIA

01:28:42.817 --> 01:28:44.552
ACADEMY OF FAMILY PHYSICIANS,

01:28:44.619 --> 01:28:46.721
THE CALIFORNIA PRIMARY CARE

01:28:46.788 --> 01:28:48.489
ASSOCIATION, THE COUNTY HEALTH

01:28:48.556 --> 01:28:49.991
EXECUTIVE ASSOCIATION OF

01:28:50.058 --> 01:28:51.392
CALIFORNIA, AND THE PLANNED

01:28:51.459 --> 01:28:52.860
PARENTHOOD AFFILIATES OF

01:28:52.927 --> 01:28:53.928
CALIFORNIA. WE ALL WANT TO

01:28:53.995 --> 01:28:55.763
THANK YOU FOR THIS CONVERSATION

01:28:55.830 --> 01:28:57.598
TODAY, AS WELL AS STAFF FOR A

01:28:57.665 --> 01:29:00.068
REALLY GREAT ANALYSIS. AS

01:29:00.134 --> 01:29:01.803
STATED TODAY BY OUR PHYSICIAN,

01:29:01.869 --> 01:29:03.604
WE DO BELIEVE THAT THE

01:29:03.671 --> 01:29:04.605
FRAMEWORK HERE IN CALIFORNIA IS

01:29:04.672 --> 01:29:06.407
WORKING WELL AND AS INTENDED,

01:29:06.474 --> 01:29:08.810
AND IT'S PROTECTING COMMUNITIES

01:29:08.876 --> 01:29:10.078
AND THE MOST VULNERABLE

01:29:10.144 --> 01:29:11.446
STUDENTS FROM PREVENTABLE

01:29:11.512 --> 01:29:13.247
INFECTIOUS DISEASES. THANK YOU

01:29:13.314 --> 01:29:14.582
AGAIN FOR THIS CONVERSATION.

01:29:14.649 --> 01:29:15.550
AND WE'RE AVAILABLE IF THERE

01:29:15.616 --> 01:29:17.618
ARE ANY QUESTIONS. THANK YOU.

01:29:17.685 --> 01:29:21.189
THANK YOU. HI THERE. ZACH

01:29:21.255 --> 01:29:22.290
FLOWERS WITH THE HEALTH

01:29:22.356 --> 01:29:25.493
OFFICERS ASSOCIATION. WE ARE

01:29:25.560 --> 01:29:28.162
STRONGLY SUPPORTED SB 276, AND

01:29:28.229 --> 01:29:30.031
WE APPRECIATE ALL THE STATE HAS

01:29:30.098 --> 01:29:31.933
DONE TO IMPLEMENT THIS LAW,

01:29:31.999 --> 01:29:34.135
WHICH PROTECTS OUR COMMUNITIES.

01:29:34.202 --> 01:29:36.304
WE ALIGN OUR. WE STAND WITH THE

01:29:36.370 --> 01:29:38.806
COMMENTS MADE BY CMA AND AAP

01:29:38.873 --> 01:29:40.608
AND WE ARE IN SUPPORT OF

01:29:40.675 --> 01:29:42.009
VACCINES AND IN SUPPORT OF THE

01:29:42.076 --> 01:29:44.879
FRAMEWORK TO PROVIDE NECESSARY

01:29:44.946 --> 01:29:48.483
EXEMPTIONS. THANKS. HELLO.

01:29:48.549 --> 01:29:49.984
CATHERINE FLORES, EXECUTIVE

01:29:50.051 --> 01:29:51.419
DIRECTOR FOR THE CALIFORNIA

01:29:51.486 --> 01:29:52.487
IMMUNIZATION COALITION. I WANT

01:29:52.553 --> 01:29:54.122
TO THANK YOU, DOCTOR WEBER

01:29:54.188 --> 01:29:55.156
PEARSON, FOR HOLDING THIS

01:29:55.223 --> 01:29:57.558
HEARING. IT'S RAISED A LOT OF

01:29:57.625 --> 01:29:58.626
CONVERSATIONS IN OUR WORLD, YOU

01:29:58.693 --> 01:29:59.994
KNOW, PROTECTING OUR

01:30:00.061 --> 01:30:01.462
COMMUNITIES AND SUPPORTING OUR

01:30:01.529 --> 01:30:03.598
PHYSICIANS CLINICIANS AND

01:30:03.664 --> 01:30:06.234
KNOWING THAT THERE'S NOT A LOT

01:30:06.300 --> 01:30:08.336
OF DISCUSSION OR ANY, AS DOCTOR

01:30:08.402 --> 01:30:09.504
BALL AND OTHERS HAVE SAID ABOUT

01:30:09.570 --> 01:30:11.038
OUR CONCERNS, WE ALSO WORK VERY

01:30:11.105 --> 01:30:12.306
CLOSELY WITH SCHOOL NURSES. WE

01:30:12.373 --> 01:30:13.975
HAVE NOT HEARD A LOT. WE'VE

01:30:14.041 --> 01:30:15.576
ONLY HEARD LIKE, THIS IS SO

01:30:15.643 --> 01:30:18.446
MUCH MORE CONCISE AND CLEAR FOR

01:30:18.513 --> 01:30:19.881
PARENTS THAT THEY WORK WITH AND

01:30:19.947 --> 01:30:21.649
FOR THEMSELVES AND PHYSICIANS.

01:30:21.716 --> 01:30:23.751
BUT, BUT WE HEAR FOLKS, WE

01:30:23.818 --> 01:30:25.219
WELCOME QUESTIONS, WE WELCOME

01:30:25.286 --> 01:30:27.388
THE DIALOG. AND IT'S GIVEN US A

01:30:27.455 --> 01:30:29.257
CHANCE TO LOOK AT MAYBE THERE'S

01:30:29.323 --> 01:30:31.159
SOME WAYS THAT WE NEED TO, AS A

01:30:31.225 --> 01:30:32.460
COALITION, HELP THOSE

01:30:32.527 --> 01:30:34.228
PHYSICIANS THAT ARE NOT AS

01:30:34.295 --> 01:30:35.730
CLEAR ABOUT THE PROCESS AND MAY

01:30:35.797 --> 01:30:36.931
FEAR THE PROCESS. AND WE WANT

01:30:36.998 --> 01:30:38.766
TO BE A CONDUIT FOR THAT

01:30:38.833 --> 01:30:40.368
INFORMATION. CALIFORNIA IS THE

01:30:40.434 --> 01:30:42.170
ENVY OF, YOU KNOW, WHEN IT

01:30:42.236 --> 01:30:43.938
COMES TO POLICIES, THE ENVY OF

01:30:44.005 --> 01:30:45.439
THE COUNTRY WHEN IT COMES TO

01:30:45.506 --> 01:30:47.608
OUR STRONG POLICIES. AND THE

01:30:47.675 --> 01:30:48.676
LEGISLATURE AND THE GOVERNORS

01:30:48.743 --> 01:30:50.144
HAVE DONE AN AMAZING JOB. AND

01:30:50.211 --> 01:30:51.979
THAT'S WHY WE HAVE NOT SEEN

01:30:52.046 --> 01:30:54.816
THESE THESE DISEASES REOCCUR IN

01:30:54.882 --> 01:30:56.217
CALIFORNIA AS STRONGLY. BUT IT

01:30:56.284 --> 01:30:58.085
IS IT IS ON ITS WAY. AND WE

01:30:58.152 --> 01:30:59.687
NEED TO BE MINDFUL OF THAT.

01:30:59.754 --> 01:31:04.892
THANK YOU VERY MUCH AGAIN.

01:31:04.959 --> 01:31:08.129
HELLO, I'M DOCTOR KHATIB. I AM

01:31:08.196 --> 01:31:09.897
HERE TO TALK ABOUT THE

01:31:09.964 --> 01:31:10.965
INADEQUACY OF THIS HEARING. WE

01:31:11.032 --> 01:31:12.834
NEED MORE TRANSPARENCY ON HOW

01:31:12.900 --> 01:31:14.235
CDPH AND THE INDEPENDENT REVIEW

01:31:14.302 --> 01:31:16.404
PANEL APPLY. SB 276 IS RELEVANT

01:31:16.470 --> 01:31:17.805
STANDARD OF CARE REQUIREMENT

01:31:17.872 --> 01:31:19.707
WHEN EVALUATING MEDICAL

01:31:19.774 --> 01:31:20.708
EXEMPTIONS. THE LAW WAS

01:31:20.775 --> 01:31:22.143
INTENDED TO GIVE PHYSICIAN'S

01:31:22.210 --> 01:31:23.177
DISCRETION BEYOND THE NARROW

01:31:23.244 --> 01:31:25.046
AAP GUIDELINES. AND NOW THOSE

01:31:25.112 --> 01:31:26.681
GUIDELINES ARE GOING SEPARATING

01:31:26.747 --> 01:31:27.882
FROM WHAT THE CDC AND ACIP

01:31:27.949 --> 01:31:29.483
SAYING. THERE'S SOME GRAY AREAS.

01:31:29.550 --> 01:31:30.718
NOW, WE NEED TO CONFIRM THAT

01:31:30.785 --> 01:31:31.752
THESE PUBLIC HEALTH AGENCIES

01:31:31.819 --> 01:31:33.454
ARE ACTING IN LINE WITH WHAT'S

01:31:33.521 --> 01:31:34.455
LEGALLY ALLOWED FOR PATIENTS

01:31:34.522 --> 01:31:35.523
AND DOCTORS, AND NOT ALL

01:31:35.590 --> 01:31:37.625
DOCTORS HAVE TO BE PCP'S AND

01:31:37.692 --> 01:31:38.693
PEDIATRICIANS WHO WRITE THESE.

01:31:38.759 --> 01:31:40.194
THE INTENDED LATITUDE GRANTED

01:31:40.261 --> 01:31:41.062
TO PHYSICIANS AND THE PUBLIC

01:31:41.128 --> 01:31:42.697
HEALTH AGENCIES RESPONSIBILITY

01:31:42.763 --> 01:31:44.131
TO MAINTAIN THEM NEED

01:31:44.198 --> 01:31:45.600
ACCOUNTABILITY AND OVERSIGHT.

01:31:45.666 --> 01:31:46.667
FURTHERMORE, I APPRECIATE THAT

01:31:46.734 --> 01:31:47.835
WE NEED TO HAVE FACT BASED

01:31:47.902 --> 01:31:48.903
DISCUSSIONS. WE NEED FACTS. WE

01:31:48.970 --> 01:31:50.638
NEED FACTS ON REAL WORLD

01:31:50.705 --> 01:31:51.372
BARRIERS TO EXEMPTIONS,

01:31:51.439 --> 01:31:52.807
INCLUDING PHYSICIAN REFUSAL

01:31:52.874 --> 01:31:54.208
RATES, CORPORATE AND

01:31:54.275 --> 01:31:54.909
ORGANIZATIONAL POLICIES.

01:31:54.976 --> 01:31:57.044
REFUSING EXEMPTIONS. LOOK, A

01:31:57.111 --> 01:31:58.880
SURVEY OF THE CMA, WHICH IS AN

01:31:58.946 --> 01:32:00.681
ORGANIZATION THAT DOESN'T EVEN

01:32:00.748 --> 01:32:02.116
REPRESENT HALF OF THE DOCTORS,

01:32:02.183 --> 01:32:03.985
AND IT'S A BIASED LOBBY

01:32:04.051 --> 01:32:05.753
ORGANIZATION THAT HAS BACKED

01:32:05.820 --> 01:32:06.454
UNCONSTITUTIONAL LAWS IN

01:32:06.520 --> 01:32:08.522
CALIFORNIA. I KNOW BECAUSE I

01:32:08.589 --> 01:32:09.790
HAD TO SUE THE GOVERNMENT FOR

01:32:09.857 --> 01:32:17.632
THAT. THANK YOU. THANK YOU.

01:32:17.698 --> 01:32:19.734
GOOD MORNING, MADAM CHAIR.

01:32:19.800 --> 01:32:24.138
SENATOR MELANIE AND NATALIE. MY

01:32:24.205 --> 01:32:27.308
NAME IS BRENNA SHEEHY,

01:32:27.375 --> 01:32:29.443
REPRESENTING INFORMED POLICY

01:32:29.510 --> 01:32:32.046
ADVOCATES AND ADVOCACY

01:32:32.113 --> 01:32:33.414
ORGANIZATION WHOSE THREE MAIN

01:32:33.481 --> 01:32:35.616
PILLARS ARE INFORMED CONSENT,

01:32:35.683 --> 01:32:38.119
CONSUMER PROTECTION AND CIVIL

01:32:38.185 --> 01:32:40.655
RIGHTS. OVER THE LAST SEVERAL

01:32:40.721 --> 01:32:43.157
YEARS, IPA HAS SHARED THEIR OWN

01:32:43.224 --> 01:32:46.060
PERSONAL STORIES AND THOSE OF

01:32:46.127 --> 01:32:48.195
FAMILIES WHO HAVE STRUGGLED

01:32:48.262 --> 01:32:50.364
WITH MEDICAL EXEMPTIONS.

01:32:50.431 --> 01:32:52.133
THEY'VE ALSO HEARD FROM

01:32:52.199 --> 01:32:53.100
PEDIATRICIANS WHO HAVE HAD

01:32:53.167 --> 01:32:55.036
THEIR OWN CHALLENGES WITH THE

01:32:55.102 --> 01:32:59.307
MEDICAL EXEMPTION PROCESS. IPA

01:32:59.373 --> 01:33:03.377
HAS RESPECTFULLY MET WITH

01:33:03.444 --> 01:33:07.581
LEGISLATORS, THEIR STAFF AND

01:33:07.648 --> 01:33:09.483
VARIOUS STAKEHOLDERS TO HAVE

01:33:09.550 --> 01:33:12.653
THEIR VOICES HEARD AND TO FIND

01:33:12.720 --> 01:33:16.223
SOLUTIONS. LIKE YOU, MADAM

01:33:16.290 --> 01:33:20.561
CHAIR, IPA IS DATA DRIVEN. WE

01:33:20.628 --> 01:33:21.996
LOOK FORWARD TO WORKING WITH

01:33:22.063 --> 01:33:25.232
YOU IN THE FUTURE TO FIND

01:33:25.299 --> 01:33:27.034
COMMON GROUND ON MEDICAL

01:33:27.101 --> 01:33:30.304
EXEMPTIONS AND RELATED ISSUES.

01:33:30.371 --> 01:33:36.043
THANK YOU. THANK YOU. GOOD

01:33:36.110 --> 01:33:38.579
MORNING, MADAM CHAIR. SENATOR

01:33:38.646 --> 01:33:40.748
JONES AND COMMITTEE STAFF TOM

01:33:40.815 --> 01:33:42.183
SHEEHY HERE ON BEHALF OF THE

01:33:42.249 --> 01:33:45.820
INFORMED POLICY ADVOCATES ABOUT

01:33:45.886 --> 01:33:48.255
THIS TIME LAST YEAR, MY CLIENT

01:33:48.322 --> 01:33:49.690
AND I STARTED WORKING DIRECTLY

01:33:49.757 --> 01:33:51.625
WITH YOUR COLLEAGUE, SENATOR

01:33:51.692 --> 01:33:54.462
BEN ALLEN, AND HE HAD A NUMBER

01:33:54.528 --> 01:33:55.863
OF CONCERNS WITH SOME OF THE

01:33:55.930 --> 01:33:57.331
ISSUES THAT HAVE BEEN RAISED

01:33:57.398 --> 01:33:59.166
TODAY IN THIS DISCUSSION, AND

01:33:59.233 --> 01:34:00.935
IT RESULTED IN A LETTER THAT HE

01:34:01.002 --> 01:34:02.336
WROTE IN JANUARY. I HAVE THAT

01:34:02.403 --> 01:34:04.005
LETTER HERE. I HAVE TWO COPIES

01:34:04.071 --> 01:34:05.106
OF THAT LETTER I'M GOING TO

01:34:05.172 --> 01:34:07.008
GIVE TO THE SERGEANT TO ENTER

01:34:07.074 --> 01:34:08.075
INTO THE RECORD. THIS LETTER

01:34:08.142 --> 01:34:09.176
IDENTIFIES ABOUT A DOZEN

01:34:09.243 --> 01:34:12.346
DIFFERENT QUESTIONS, 2 OR 3 OF

01:34:12.413 --> 01:34:13.514
WHICH WERE TOUCHED ON BRIEFLY

01:34:13.581 --> 01:34:14.582
IN THIS HEARING, BUT THE REST

01:34:14.648 --> 01:34:16.350
OF WHICH HAVE NEVER BEEN

01:34:16.417 --> 01:34:17.351
ANSWERED. IN FACT, SENATOR

01:34:17.418 --> 01:34:18.586
ALLEN, IF YOU ASK HIM, HE WILL

01:34:18.652 --> 01:34:20.388
TELL YOU HE'S NEVER GOTTEN A

01:34:20.454 --> 01:34:21.522
WRITTEN RESPONSE TO ANY OF THE

01:34:21.589 --> 01:34:23.357
INFORMATION IN THIS LETTER. I'M

01:34:23.424 --> 01:34:24.392
BRINGING THIS UP BECAUSE WE

01:34:24.458 --> 01:34:25.626
WOULD LIKE TO CONTINUE WORKING

01:34:25.693 --> 01:34:27.328
WITH YOU, THE NEW MEMBERS OF

01:34:27.395 --> 01:34:28.362
THE COMMITTEE, WHEN YOU

01:34:28.429 --> 01:34:29.363
RECONVENE AND WITH YOUR

01:34:29.430 --> 01:34:30.364
COMMITTEE STAFF, BECAUSE WE

01:34:30.431 --> 01:34:31.432
THINK THESE QUESTIONS ARE GOOD

01:34:31.499 --> 01:34:32.700
QUESTIONS. THEY'RE NOT THEY'RE

01:34:32.767 --> 01:34:34.035
NOT HYPERBOLIC. THEY'RE JUST

01:34:34.101 --> 01:34:35.169
GOOD, SOLID QUESTIONS. TO GET

01:34:35.236 --> 01:34:36.904
MORE DATA, WE'D LIKE TO WORK

01:34:36.971 --> 01:34:38.806
WITH YOU AND YOUR STAFF TO GET

01:34:38.873 --> 01:34:39.940
ANSWERS TO ALL OF THESE

01:34:40.007 --> 01:34:41.008
QUESTIONS. THANK YOU. THANK YOU

01:34:41.075 --> 01:34:42.109
VERY MUCH. AND SENATOR ALLEN

01:34:42.176 --> 01:34:43.811
WAS INVITED TO THE HEARING

01:34:43.878 --> 01:34:47.014
TODAY. GOOD MORNING, CHAIR.

01:34:47.081 --> 01:34:48.482
THANK YOU SO MUCH FOR HAVING US

01:34:48.549 --> 01:34:50.284
HERE TODAY AND TO OPENING THIS

01:34:50.351 --> 01:34:51.385
ROBUST DISCUSSION. I'M HERE

01:34:51.452 --> 01:34:52.486
REALLY. MY NAME IS JESSICA

01:34:52.553 --> 01:34:53.487
CABRERA WITH INFORMED POLICY

01:34:53.554 --> 01:34:54.922
ADVOCATES. I'M ALSO ONE OF THE

01:34:54.989 --> 01:34:56.357
FOUNDERS. I THINK WE'RE HERE

01:34:56.424 --> 01:34:58.659
REALLY REPRESENTING THE PARENTS

01:34:58.726 --> 01:35:01.062
THAT WERE NOT A PART OF THE

01:35:01.128 --> 01:35:03.531
ACTUAL STRUCTURAL PROCESS OF

01:35:03.597 --> 01:35:04.999
BUILDING THESE TYPES OF

01:35:05.066 --> 01:35:06.434
POLICIES. WE'RE HERE

01:35:06.500 --> 01:35:07.435
REPRESENTING THE FAMILIES THAT

01:35:07.501 --> 01:35:08.536
HAVE BEEN CAUGHT IN THE

01:35:08.602 --> 01:35:09.937
CROSSFIRE. AND UNFORTUNATELY,

01:35:10.004 --> 01:35:11.572
WE SEE WITH OUR CHILDREN, YOU

01:35:11.639 --> 01:35:12.807
KNOW, THE GAPS THAT ARE GOING

01:35:12.873 --> 01:35:14.008
ON IN THESE POLICIES WHERE OUR

01:35:14.075 --> 01:35:15.376
CHILDREN ACTUALLY CANNOT GET

01:35:15.443 --> 01:35:16.844
INTO SCHOOL. YOU KNOW, WE'RE

01:35:16.911 --> 01:35:18.279
HAVING THESE BARS WHERE WE

01:35:18.345 --> 01:35:20.214
HAVING OVERBURDENSOME POLICIES

01:35:20.281 --> 01:35:21.916
WHERE WE CAN'T GET EVEN MEDICAL

01:35:21.982 --> 01:35:22.650
EXEMPTIONS WITH SOME OF OUR

01:35:22.716 --> 01:35:24.518
DOCTORS WHO DON'T WANT TO TREAT

01:35:24.585 --> 01:35:25.553
PATIENTS THAT ARE NOT

01:35:25.619 --> 01:35:26.921
COMPLETELY IMMUNIZED EITHER.

01:35:26.987 --> 01:35:28.756
THIS IS CREATING GENERATIONAL

01:35:28.823 --> 01:35:29.790
DISPARITIES WITHIN OUR

01:35:29.857 --> 01:35:30.925
COMMUNITIES. AND A LOT OF OUR

01:35:30.991 --> 01:35:32.827
FAMILIES JUST WANT TO BE SURE

01:35:32.893 --> 01:35:33.994
THAT WE CAN FIND A REMEDY TO

01:35:34.061 --> 01:35:35.796
THE SOLUTION. TO YOUR POINT,

01:35:35.863 --> 01:35:37.398
NOTHING IS 100%, YOU KNOW, BUT

01:35:37.465 --> 01:35:38.833
THAT SHOULD NEVER COME AT THE

01:35:38.899 --> 01:35:40.267
COST OF OUR CHILDREN AND THEIR

01:35:40.334 --> 01:35:41.802
EDUCATION. SO I JUST ASK THAT,

01:35:41.869 --> 01:35:42.903
YOU KNOW, YOU INVOLVE MORE

01:35:42.970 --> 01:35:44.038
PARENTS AT THE TABLE, HAVE A

01:35:44.105 --> 01:35:45.306
BETTER ROBUST DISCUSSION ABOUT

01:35:45.372 --> 01:35:47.141
HOW WE CAN BALANCE PUBLIC

01:35:47.208 --> 01:35:48.275
HEALTH, AS WELL AS ENSURING

01:35:48.342 --> 01:35:49.777
THAT OUR CHILDREN HAVE A REALLY,

01:35:49.844 --> 01:35:51.412
A REALLY SOLID FUTURE IN THEIR

01:35:51.479 --> 01:35:54.315
EDUCATIONAL CHOICES AS WELL.

01:35:54.381 --> 01:35:59.820
THANK YOU, THANK YOU. GOOD

01:35:59.887 --> 01:36:01.589
MORNING, MADAM CHAIR, SENATOR

01:36:01.655 --> 01:36:02.957
JONES AND COMMITTEE STAFF. I'M

01:36:03.023 --> 01:36:04.391
CHRIS DUKES, CO-FOUNDER OF

01:36:04.458 --> 01:36:06.560
INFORMED POLICY ADVOCATES.

01:36:06.627 --> 01:36:07.661
CALIFORNIA LAW TECHNICALLY

01:36:07.728 --> 01:36:09.063
PERMITS PHYSICIANS TO ISSUE

01:36:09.130 --> 01:36:11.265
MEDICAL EXEMPTIONS, BUT FEAR OF

01:36:11.332 --> 01:36:12.700
PROFESSIONAL CONSEQUENCES HAS

01:36:12.766 --> 01:36:14.835
CREATED A CHILLING EFFECT. MY

01:36:14.902 --> 01:36:16.303
DAUGHTER EXPERIENCED SEVERE

01:36:16.370 --> 01:36:17.671
REACTIONS FOLLOWING VACCINATION,

01:36:17.738 --> 01:36:19.874
AS WAS SUBSEQUENTLY DIAGNOSED

01:36:19.940 --> 01:36:21.308
WITH ENCEPHALITIS AND PERMANENT

01:36:21.375 --> 01:36:23.244
BRAIN DAMAGE. WHEN I REQUESTED

01:36:23.310 --> 01:36:24.778
AN EXEMPTION, HER PEDIATRICIAN

01:36:24.845 --> 01:36:26.680
TOLD ME HE COULD NOT WRITE ONE

01:36:26.747 --> 01:36:28.482
BECAUSE HE NEEDED TO BE A TEAM

01:36:28.549 --> 01:36:30.084
PLAYER AND WITH HIS MEDICAL

01:36:30.151 --> 01:36:32.186
GROUP AND HAD BILLS TO PAY. HE

01:36:32.253 --> 01:36:33.687
KNEW HER MEDICAL HISTORY, YET

01:36:33.754 --> 01:36:35.389
HE FELT HE COULD NOT ACT UPON

01:36:35.456 --> 01:36:37.158
HIS MEDICAL INDEPENDENT

01:36:37.224 --> 01:36:38.959
JUDGMENT. HOW MANY EXEMPTIONS

01:36:39.026 --> 01:36:40.761
WERE NEVER WRITTEN BECAUSE

01:36:40.828 --> 01:36:42.229
PHYSICIANS FEARED THESE

01:36:42.296 --> 01:36:43.631
CONSEQUENCES? CONSIDER THAT

01:36:43.697 --> 01:36:44.798
DATA YOU'RE TALKING ABOUT THAT

01:36:44.865 --> 01:36:46.500
WAS MENTIONED EARLIER ABOUT THE

01:36:46.567 --> 01:36:48.068
1% THAT IT ROSE TO AFTER

01:36:48.135 --> 01:36:50.504
PERSONAL BELIEF EXEMPTIONS WERE

01:36:50.571 --> 01:36:51.539
ELIMINATED. SOME OF THOSE

01:36:51.605 --> 01:36:54.341
FAMILIES USE WENT OVER TO THE

01:36:54.408 --> 01:36:55.543
MEDICAL EXEMPTIONS BECAUSE THEY

01:36:55.609 --> 01:36:57.311
STILL NEEDED THOSE EXEMPTIONS.

01:36:57.378 --> 01:37:00.614
THAT 90% REDUCTION DOES NOT

01:37:00.681 --> 01:37:01.982
PROVE THAT THE EXEMPTIONS WERE

01:37:02.049 --> 01:37:03.851
FRAUDULENT, BUT MOST LIKELY

01:37:03.918 --> 01:37:05.219
BECAUSE OF OVER RESTRICTIVE

01:37:05.286 --> 01:37:07.855
POLICIES HAVE DETERRED ACCESS.

01:37:07.922 --> 01:37:12.893
THANK YOU, THANK YOU. MY NAME

01:37:12.960 --> 01:37:14.962
IS DARLENE ALKIZA OF IPA AND MY

01:37:15.029 --> 01:37:16.363
FIRST DAUGHTER SUFFERED SEVERE

01:37:16.430 --> 01:37:17.665
ADVERSE REACTION TO VACCINATION.

01:37:17.731 --> 01:37:19.567
AT SIX MONTHS, SHE WAS GRANTED

01:37:19.633 --> 01:37:20.935
A PERMANENT MEDICAL EXEMPTION

01:37:21.001 --> 01:37:23.270
THAT WAS GRANDFATHERED IN AFTER

01:37:23.337 --> 01:37:24.438
276, BUT IT BECAME INVALID AT

01:37:24.505 --> 01:37:25.739
THE SEVENTH GRADE SPAN

01:37:25.806 --> 01:37:27.141
CHECKPOINT, WHICH VIOLATES

01:37:27.208 --> 01:37:29.009
FEDERAL EX POST FACTO LAWS.

01:37:29.076 --> 01:37:30.778
ACTUALLY, THE NURSE AT THE

01:37:30.844 --> 01:37:32.179
NETWORK WHERE SHE WAS BORN TOLD

01:37:32.246 --> 01:37:33.347
ME THAT THEY DON'T DO

01:37:33.414 --> 01:37:35.082
EXEMPTIONS IN THE CARE SYSTEM.

01:37:35.149 --> 01:37:36.584
NOW, EVERY DAY MY DAUGHTER IS

01:37:36.650 --> 01:37:38.052
MISSING SCHOOL. SHE'S BEING

01:37:38.118 --> 01:37:40.854
EXCLUDED WITHOUT BEING SICK,

01:37:40.921 --> 01:37:42.256
DISCRIMINATED BASED ON FEAR OF

01:37:42.323 --> 01:37:44.458
PERCEIVED CONTAGIOUSNESS. WHERE

01:37:44.525 --> 01:37:46.293
WHEN HIV, CHILDREN AND OR

01:37:46.360 --> 01:37:47.695
CHILDREN WITH HIV AND CHILDREN

01:37:47.761 --> 01:37:49.463
WITH HEP B<u># ARE# LEGALLY LEGALLY</u>

01:37:49.530 --> 01:37:50.931
GUARANTEED<u># THEIR RIGHT T#O BEO BE A AT</u>

01:37:50.998 --> 01:37:52.700
SCHOOL<u>#, THEY# CANNOT BE CANNOT BE</u>

01:37:52.766 --> 01:37:53.033
DISCRIMINATED.

01:37:53.100 --> 01:37:54.168
DISCRIMINATED. BUT M<u>#Y DAUGHTERY DAUGHTER</u>

01:37:54.235 --> 01:37:54.301
IS

01:37:54.368 --> 01:37:55.970
IS. AND THIS I<u>#S WHY S WHY I ADVOCATE#</u>

01:37:56.036 --> 01:37:56.103
FO

01:37:56.170 --> 01:37:57.905
FOR FO<u>#R FAMILIESR FAMILIES. MADA#M CHAIR,</u>

01:37:57.972 --> 01:37:58.138
M CHAIR,

01:37:58.205 --> 01:37:59.907
I RESPECTFULLYI RESPECTFULLY SUBMIT TO THE

01:37:59.974 --> 01:38:00.975
COMMITTEE A LETTER FROM MY

01:38:01.041 --> 01:38:02.843
SCHOOL PRINCIPAL SHARING HER

01:38:02.910 --> 01:38:03.677
CONCERNS ABOUT MY DAUGHTER

01:38:03.744 --> 01:38:06.080
BEING IMPACTED BY THE EXCLUSION

01:38:06.146 --> 01:38:07.848
AND HER ABILITY TO NOW THRIVE.

01:38:07.915 --> 01:38:15.723
THANK YOU, THANK YOU. HELLO.

01:38:15.789 --> 01:38:18.292
GOOD MORNING. MY NAME IS

01:38:18.359 --> 01:38:20.194
KATERINA AND I AM READING THIS

01:38:20.261 --> 01:38:21.929
LETTER TO SHARE MY PERSONAL

01:38:21.996 --> 01:38:24.431
STORY ABOUT THE VACCINE

01:38:24.498 --> 01:38:25.866
POLICIES. OUR NOW EIGHT YEAR

01:38:25.933 --> 01:38:27.668
OLD DAUGHTER, REBECCA, STARTED

01:38:27.735 --> 01:38:30.537
LOSING WEIGHT AS AN INFANT. SHE

01:38:30.604 --> 01:38:31.972
STOPPED GROWING TO THE POINT

01:38:32.039 --> 01:38:34.108
WHERE SHE FELL OFF THE GROWTH

01:38:34.174 --> 01:38:36.310
CHART. HER DOCTOR PUT HER ON A

01:38:36.377 --> 01:38:37.745
DELAYED VACCINATION SCHEDULE TO

01:38:37.811 --> 01:38:40.648
ALLOW HER BODY TO RECOVER, AND

01:38:40.714 --> 01:38:45.719
IT WORKED. AND WE DECIDED THAT

01:38:45.786 --> 01:38:47.588
IT WILL BE THE BEST FOR REBECCA

01:38:47.655 --> 01:38:50.024
TO KEEP HER ON THIS SCHEDULE,

01:38:50.090 --> 01:38:52.426
WHICH INCLUDED THE SECOND DOSE

01:38:52.493 --> 01:38:53.927
OF THE LIVE VACCINES MMR AND

01:38:53.994 --> 01:38:57.531
VARICELLA, AS CLOSE TO THE AGE

01:38:57.598 --> 01:38:59.700
FIVE AS POSSIBLE, WHICH WAS IN

01:38:59.767 --> 01:39:01.502
OCTOBER. IN SPRING IN 2022,

01:39:01.568 --> 01:39:03.304
REBECCA WAS ENROLLED IN TO

01:39:03.370 --> 01:39:06.573
START TRANSITIONAL KINDERGARTEN

01:39:06.640 --> 01:39:09.109
AND ON CONTINGENT ON HAVING HER

01:39:09.176 --> 01:39:11.612
TWO FINAL VACCINES ON THE

01:39:11.679 --> 01:39:15.549
SCHEDULING CALENDAR. HOWEVER,

01:39:15.616 --> 01:39:16.984
FOUR DAYS BEFORE THE SCHOOL

01:39:17.051 --> 01:39:18.485
STARTED, WE WERE ADVISED THAT

01:39:18.552 --> 01:39:20.688
THE RULES CHANGED AND REBECCA

01:39:20.754 --> 01:39:21.989
CANNOT ATTEND SCHOOL UNTIL SHE

01:39:22.056 --> 01:39:25.292
HAS ALL OF HER IMMUNIZATIONS.

01:39:25.359 --> 01:39:26.827
THIS LED TO REBECCA BEING.

01:39:26.894 --> 01:39:33.834
THANK YOU. THANK YOU. I JUST

01:39:33.901 --> 01:39:37.137
WANT TO SAY THAT REBECCA AND

01:39:37.204 --> 01:39:38.972
SHE WAS. MA'AM. I'M SORRY.

01:39:39.039 --> 01:39:40.741
EVERYONE HAS. ONE MINUTE

01:39:40.808 --> 01:39:43.610
THERE'S A LINE BEHIND YOU. BUT

01:39:43.677 --> 01:39:48.482
THANK YOU SO MUCH. THANK YOU.

01:39:48.549 --> 01:39:52.386
MA'AM. YOU CAN SUBMIT A LETTER

01:39:52.453 --> 01:39:55.956
IN THE PORTAL. PHRMA. GOT AN

01:39:56.023 --> 01:39:57.224
HOUR AND A HALF. WE'RE GETTING

01:39:57.291 --> 01:39:59.026
A MINUTE. SO, ANYWAY, I HAD TO

01:39:59.093 --> 01:40:00.227
CUT MY THINGS SHORT. BUT

01:40:00.294 --> 01:40:01.895
VACCINES HAVE BEEN A LIABILITY

01:40:01.962 --> 01:40:03.864
FREE PRODUCT SINCE 1986 BECAUSE

01:40:03.931 --> 01:40:04.665
THEY'RE GOING BANKRUPT FROM ALL

01:40:04.732 --> 01:40:06.066
THE VACCINE INJURIES AND DEATHS.

01:40:06.133 --> 01:40:07.701
I'M GOING TO PLAY WHAT THEY

01:40:07.768 --> 01:40:11.338
THOUGHT ABOUT THE MEASLES IN

01:40:11.405 --> 01:40:17.144
1962. WELL, UNFORTUNATELY, IT'S

01:40:17.211 --> 01:40:20.647
NOT PLAYING, BUT THEY USED TO

01:40:20.714 --> 01:40:22.149
LAUGH ABOUT THE MEASLES ON THE

01:40:22.216 --> 01:40:25.386
TV SHOWS IN THE 50S. AND 60S

01:40:25.452 --> 01:40:26.854
VACCINES ARE A LIABILITY FREE

01:40:26.920 --> 01:40:28.789
PRODUCT. VACCINE INGREDIENTS

01:40:28.856 --> 01:40:30.457
ARE ALUMINUM, FORMALDEHYDE,

01:40:30.524 --> 01:40:31.992
ABORTED FETAL CELLS, ANIMAL DNA,

01:40:32.059 --> 01:40:33.694
AND MANY CHEMICALS. HOW MUCH IS

01:40:33.761 --> 01:40:35.195
POISON IS TOO MUCH, AND THERE

01:40:35.262 --> 01:40:37.264
IS SO MUCH VACCINE INJURIES,

01:40:37.331 --> 01:40:38.365
AND EVERYONE SHOULD HAVE A

01:40:38.432 --> 01:40:39.833
RIGHT TO NOT INJECT FOREIGN

01:40:39.900 --> 01:40:40.634
MATTER. EVERYONE SHOULD HAVE

01:40:40.701 --> 01:40:42.269
THE RIGHT TO LIVE NATURALLY.

01:40:42.336 --> 01:40:43.737
AND I'M GOING TO SEND YOU THIS

01:40:43.804 --> 01:40:45.339
EPISODE OF THE BRADY BUNCH AND

01:40:45.406 --> 01:40:48.175
A SHOW FROM THE 1950S WHERE

01:40:48.242 --> 01:40:49.109
THEY'RE LAUGHING ABOUT THE

01:40:49.176 --> 01:40:50.210
MEASLES. THEY'RE CALLING IT KID

01:40:50.277 --> 01:40:52.246
STUFF. SO DEATH BY ILLNESS HAD

01:40:52.312 --> 01:40:53.480
DECLINED OVER 90% BEFORE

01:40:53.547 --> 01:40:54.481
VACCINES WERE EVER INTRODUCED.

01:40:54.548 --> 01:40:56.717
IN THE UNITED STATES, DEATH BY

01:40:56.784 --> 01:40:58.185
ILLNESS HAD DECLINED. ALL

01:40:58.252 --> 01:40:58.986
ILLNESSES HAD THE SAME DECLINE

01:40:59.052 --> 01:41:00.521
IN DEATH, WHETHER IT WAS A

01:41:00.587 --> 01:41:01.755
VACCINE OR NOT. THAT'S BECAUSE

01:41:01.822 --> 01:41:02.723
OF SANITATION, CLEAN WATER,

01:41:02.790 --> 01:41:03.791
PLUMBING AND PROPER NUTRITION,

01:41:03.857 --> 01:41:11.131
PER THE CDC. THAT VIDEO IN.

01:41:11.198 --> 01:41:12.633
GOOD MORNING, CHAIR AND MEMBER.

01:41:12.699 --> 01:41:14.535
I'M KAREN, GRASSROOTS DIRECTOR

01:41:14.601 --> 01:41:16.904
OF A VOICE FOR CHOICE ADVOCACY.

01:41:16.970 --> 01:41:17.971
TODAY'S PANEL IS. LACK

01:41:18.038 --> 01:41:19.039
DEDICATED TESTIMONY FROM

01:41:19.106 --> 01:41:20.474
AFFECTED PARENTS AND PHYSICIANS

01:41:20.541 --> 01:41:22.309
WHOSE MEDICAL JUDGMENT HAVE

01:41:22.376 --> 01:41:24.111
BEEN OVERRIDDEN. BRIEF PUBLIC

01:41:24.178 --> 01:41:25.879
COMMENTS CANNOT REPLACE THEIR

01:41:25.946 --> 01:41:28.048
TESTIMONY OR YOUR QUESTIONS. WE

01:41:28.115 --> 01:41:29.516
REQUEST A SECOND HEARING IN

01:41:29.583 --> 01:41:30.884
SACRAMENTO NEXT SESSION WITH

01:41:30.951 --> 01:41:32.352
DEDICATED PANELS ADDRESSING

01:41:32.419 --> 01:41:34.521
BARRIERS TO EXEMPTIONS AND

01:41:34.588 --> 01:41:35.956
EDUCATION. A VOICE FOR CHOICE

01:41:36.023 --> 01:41:37.391
ADVOCACY RECENTLY SECURED A

01:41:37.458 --> 01:41:38.859
LEGAL WIN, SUPPORTING A

01:41:38.926 --> 01:41:40.260
PHYSICIAN'S USE OF POSITIVE MMR

01:41:40.327 --> 01:41:42.529
AND VARICELLA TITERS AS A BASIS

01:41:42.596 --> 01:41:44.298
FOR MEDICAL EXEMPTIONS FROM

01:41:44.364 --> 01:41:46.133
FURTHER DOSES. CHILDREN WHO

01:41:46.200 --> 01:41:47.634
HAVE DOCUMENTED IMMUNITY SHOULD

01:41:47.701 --> 01:41:48.902
BE ALLOWED TO ATTEND SCHOOL

01:41:48.969 --> 01:41:51.238
WITHOUT UNNECESSARY ADDITIONAL

01:41:51.305 --> 01:41:53.440
VACCINATION. WE ASKED CDPH TO

01:41:53.507 --> 01:41:54.508
PUBLISH CLEAR GUIDANCE

01:41:54.575 --> 01:41:55.776
CONFIRMING THAT THIS EVIDENCE

01:41:55.843 --> 01:41:58.145
CAN SUPPORT VALID EXEMPTIONS,

01:41:58.212 --> 01:41:59.546
AND EXPLAINING THE

01:41:59.613 --> 01:42:00.981
DOCUMENTATION REQUIRED. OTHER

01:42:01.048 --> 01:42:02.850
STATES RECOGNIZE THIS EVIDENCE.

01:42:02.916 --> 01:42:04.284
CALIFORNIA FAMILIES AND

01:42:04.351 --> 01:42:05.686
PHYSICIANS DESERVE CLARITY.

01:42:05.752 --> 01:42:12.526
THANK YOU. THANK YOU. HELLO, MY

01:42:12.593 --> 01:42:14.161
NAME IS JIM. I'M A RETIRED

01:42:14.228 --> 01:42:15.229
TRAUMA CRITICAL CARE NURSE AT

01:42:15.295 --> 01:42:19.433
LA GENERAL. TWO YEARS AGO. I'VE

01:42:19.500 --> 01:42:20.868
SEEN MULTIPLE DEATHS FROM

01:42:20.934 --> 01:42:22.269
CLOTTING AND BLEEDING OUT FROM

01:42:22.336 --> 01:42:24.371
PEOPLE WHO ARE PREVIOUSLY COVID

01:42:24.438 --> 01:42:25.873
VACCINATED ONE, 2 OR 3 TIMES.

01:42:25.939 --> 01:42:27.641
THEY HAD NO OTHER PATHOLOGIES.

01:42:27.708 --> 01:42:29.209
WHEN YOU LOOK AT THE VASE SITE,

01:42:29.276 --> 01:42:31.578
THERE IS 19,770 DEATHS ON

01:42:31.645 --> 01:42:34.147
AMERICAN SOIL, AND PER OFFICIAL

01:42:34.214 --> 01:42:35.983
HARVARD STUDY, THOSE THAT IS

01:42:36.049 --> 01:42:37.651
ONLY 10% OF THE PEOPLE THAT

01:42:37.718 --> 01:42:38.785
ACTUALLY REPORT. SO YOU HAVE TO

01:42:38.852 --> 01:42:39.887
MAKE THAT 190 SOMETHING

01:42:39.953 --> 01:42:42.055
THOUSAND DEATHS. WHEN

01:42:42.122 --> 01:42:44.157
CONSIDERING THE AUTISM, THEY

01:42:44.224 --> 01:42:45.592
FOUND A DIRECT LINK BETWEEN

01:42:45.659 --> 01:42:47.060
AUTISM AND THE MMR MEASLES

01:42:47.127 --> 01:42:49.630
MUMPS RUBELLA VACCINE I HAVE MY

01:42:49.696 --> 01:42:51.031
SECOND SON IS AUTISTIC, AND

01:42:51.098 --> 01:42:52.165
THEY FOUND OUT THAT IT COSTS

01:42:52.232 --> 01:42:54.067
ABOUT A HALF 1 MILLION TO $1

01:42:54.134 --> 01:42:55.235
MILLION TO TREAT THAT CHILD OR

01:42:55.302 --> 01:42:57.004
HELP THAT PERSON THROUGH THEIR

01:42:57.070 --> 01:42:58.105
LIFE CYCLE. SO FOR EVERY

01:42:58.171 --> 01:42:59.706
MILLION CHILDREN, THAT IS

01:42:59.773 --> 01:43:02.709
27,000 CHILDREN COSTING $13.5

01:43:02.776 --> 01:43:05.112
BILLION. MY THIRD SON DIED OF

01:43:05.178 --> 01:43:06.947
SIDS AT AGE ONE AND A HALF, AND

01:43:07.014 --> 01:43:08.782
THEY FOUND OUT, A JAPAN STUDY

01:43:08.849 --> 01:43:10.851
SAID. WHEN THEY STOPPED THE DPT

01:43:10.918 --> 01:43:12.419
VACCINE, THEIR SIDS RATE WENT

01:43:12.486 --> 01:43:17.758
TO ZERO. OH THANK YOU. THANK

01:43:17.824 --> 01:43:19.526
YOU. YOU LOOK LIKE ROBERT

01:43:19.593 --> 01:43:23.830
REDFORD. THANK YOU. I NEVER

01:43:23.897 --> 01:43:30.304
HEARD THAT ONE BEFORE. HELLO.

01:43:30.370 --> 01:43:32.039
MY NAME IS LAURIE FLAVELL. I'M

01:43:32.105 --> 01:43:36.043
THE MOTHER TO A 27 YEAR OLD,

01:43:36.109 --> 01:43:39.246
SEVERELY VACCINE INJURED SON

01:43:39.313 --> 01:43:40.314
ADMINISTERED THE DAY AFTER HIS

01:43:40.380 --> 01:43:42.883
FIRST BIRTHDAY. HE NOW REQUIRES

01:43:42.950 --> 01:43:46.486
24 OVER SEVEN CARE, AND IT ADDS

01:43:46.553 --> 01:43:47.955
SIGNIFICANT INSULT TO INJURY TO

01:43:48.021 --> 01:43:49.690
KNOW THAT I'M THE ONE WHO HELD

01:43:49.756 --> 01:43:51.525
HIS PERFECT BODY DOWN TO DO

01:43:51.592 --> 01:43:54.394
WHAT I WAS TOLD WAS RIGHT. AT

01:43:54.461 --> 01:43:55.662
THE TIME OF HIS INJURY, WE WERE

01:43:55.729 --> 01:43:57.364
AT LEAST PROVIDED WITH A

01:43:57.431 --> 01:43:58.065
FORTUNATE CIRCUMSTANCE OF

01:43:58.131 --> 01:43:59.399
LIVING IN A PROGRESSIVE STATE

01:43:59.466 --> 01:44:02.336
THAT ACKNOWLEDGED VACCINE RISKS

01:44:02.402 --> 01:44:04.104
THROUGH ITS PHILOSOPHICAL,

01:44:04.171 --> 01:44:05.973
RELIGIOUS AND MEDICAL

01:44:06.039 --> 01:44:07.407
EXEMPTIONS, ALL OF WHICH WERE

01:44:07.474 --> 01:44:09.142
APPLICABLE TO MY SON'S

01:44:09.209 --> 01:44:11.345
SITUATION. IT'S BEEN SURREAL TO

01:44:11.411 --> 01:44:13.513
WITNESS THE EROSION OF THE

01:44:13.580 --> 01:44:16.016
RIGHTS FIRST THROUGH SB 277 AND

01:44:16.083 --> 01:44:17.784
SUBSEQUENTLY THROUGH SB 276,

01:44:17.851 --> 01:44:20.654
THE FALLOUT OF WHICH IS THE

01:44:20.721 --> 01:44:22.556
REASON FOR THIS HEARING. IS IT

01:44:22.623 --> 01:44:26.393
ANY WONDER THAT FOR THOSE OF US

01:44:26.460 --> 01:44:30.030
WHO USED OUR PHILOSOPHICAL

01:44:30.097 --> 01:44:31.264
EXEMPTIONS, IS IT ANY WONDER

01:44:31.331 --> 01:44:34.034
THAT THE NUMBER SHIFTED FROM

01:44:34.101 --> 01:44:38.372
0.2% OF CHILDREN PREVIOUSLY TO

01:44:38.438 --> 01:44:40.874
1% WHEN WE WERE FORCED TO USE

01:44:40.941 --> 01:44:42.342
MEDICAL EXEMPTIONS, WHICH ARE

01:44:42.409 --> 01:44:44.444
NOW BEING EFFECTIVELY BLOCKED

01:44:44.511 --> 01:44:46.246
BY WHAT? THE PRESSURE THAT'S

01:44:46.313 --> 01:44:48.048
BEING PUT ON PHYSICIANS TO NOT

01:44:48.115 --> 01:44:57.424
WRITE THEM. THANK YOU MA'AM. HI,

01:44:57.491 --> 01:44:58.492
DAVID. BULLDOG ASKS IF THE

01:44:58.558 --> 01:45:00.193
ALLIANCE OF MOMS FOR LIBERTY. I

01:45:00.260 --> 01:45:01.395
WANT TO THANK YOU, DOCTOR WEBER,

01:45:01.461 --> 01:45:02.496
FOR PUTTING ON THIS COMMITTEE

01:45:02.562 --> 01:45:04.231
HEAR TO HEARING TODAY SO THAT

01:45:04.297 --> 01:45:05.332
WE COULD GET FACTS BASED

01:45:05.399 --> 01:45:06.500
EVIDENCE ON WHAT'S HAPPENING. I

01:45:06.566 --> 01:45:08.168
DO WANT TO COMMENT SPECIFICALLY

01:45:08.235 --> 01:45:10.437
ON DOCTOR BALL'S TESTIMONY. THE

01:45:10.504 --> 01:45:12.139
AAP'S WEBSITE STATES THAT THEY

01:45:12.205 --> 01:45:13.774
HAVE 3000 MEMBERS. THE BUREAU

01:45:13.840 --> 01:45:15.308
OF THE UNITED STATES BUREAU OF

01:45:15.375 --> 01:45:16.576
LABOR STATISTICS STATES THAT

01:45:16.643 --> 01:45:20.881
THERE ARE 6680 PRACTICING

01:45:20.947 --> 01:45:22.249
PEDIATRICIANS IN CALIFORNIA.

01:45:22.315 --> 01:45:23.684
THAT MEANS WHEN HE STATES THAT

01:45:23.750 --> 01:45:25.452
THERE'S NO PROBLEMS FROM HIS

01:45:25.519 --> 01:45:26.920
MEMBERSHIP STATE, SAYING THAT

01:45:26.987 --> 01:45:29.056
WITH GETTING EXEMPTIONS,

01:45:29.122 --> 01:45:31.591
THERE'S APPROXIMATELY 3700

01:45:31.658 --> 01:45:32.726
PEDIATRICIANS IN CALIFORNIA

01:45:32.793 --> 01:45:33.960
THAT HE DOES NOT REPRESENT. SO

01:45:34.027 --> 01:45:35.295
THEIR VOICES ARE NOT BEING

01:45:35.362 --> 01:45:37.364
HEARD HERE TODAY. I ENCOURAGE

01:45:37.431 --> 01:45:39.132
EVERYBODY HERE TODAY TO THAT

01:45:39.199 --> 01:45:41.001
HAVE ISSUES WITH THE WAY THIS

01:45:41.068 --> 01:45:42.803
COMMITTEE HEARING WENT TODAY TO

01:45:42.869 --> 01:45:44.504
SUBMIT LETTERS, AND I HOPE YOU

01:45:44.571 --> 01:45:45.739
DO, TOO, TO THE COMMITTEE SO

01:45:45.806 --> 01:45:49.276
THAT THOSE. CONCERNS CAN BE

01:45:49.342 --> 01:45:51.712
ADDRESSED. AND WE ALSO ALIGN

01:45:51.778 --> 01:45:53.580
OUR COMMENTS WITH THE VOICE FOR

01:45:53.647 --> 01:45:54.781
CHOICE FOR MORE HEARINGS IN THE

01:45:54.848 --> 01:45:56.483
FUTURE. THANK YOU VERY MUCH.

01:45:56.550 --> 01:46:03.223
THANK YOU. AMY REICHERT,

01:46:03.290 --> 01:46:04.458
RESTORE SAN DIEGO. I KNOW MANY

01:46:04.524 --> 01:46:06.860
OF YOU ARE PARENTS AND

01:46:06.927 --> 01:46:07.961
GRANDPARENTS, SO I HOPE THAT

01:46:08.028 --> 01:46:09.396
YOU WILL LISTEN TO THIS SAN

01:46:09.463 --> 01:46:11.198
DIEGO FAMILY STORY WITH AN OPEN

01:46:11.264 --> 01:46:12.999
HEART. A SAN DIEGO FAMILY

01:46:13.066 --> 01:46:14.468
REACHED OUT TO ME ABOUT THEIR

01:46:14.534 --> 01:46:15.635
KINDERGARTNER DAUGHTER. SHE HAD

01:46:15.702 --> 01:46:17.304
A SEVERE ALLERGIC REACTION TO

01:46:17.370 --> 01:46:20.540
HER FOURTH TDAP DOSE. SHE HAS A

01:46:20.607 --> 01:46:21.675
DOCUMENTED ADVERSE REACTION ON

01:46:21.742 --> 01:46:23.777
HER MEDICAL RECORD. SHE IS

01:46:23.844 --> 01:46:25.245
OTHERWISE FULLY COMPLIANT WITH

01:46:25.312 --> 01:46:26.680
EVERY VACCINE REQUIREMENT. SHE

01:46:26.747 --> 01:46:29.149
IS ONLY MISSING HER FIFTH TDAP

01:46:29.216 --> 01:46:32.085
DOSE. TWO BOARD CERTIFIED

01:46:32.152 --> 01:46:33.186
PEDIATRICIANS INDEPENDENTLY

01:46:33.253 --> 01:46:35.288
ADVISED AGAINST A FIFTH DOSE

01:46:35.355 --> 01:46:37.124
BECAUSE OF THE RISK OF A MORE

01:46:37.190 --> 01:46:38.558
SERIOUS, POSSIBLY LIFE

01:46:38.625 --> 01:46:40.761
THREATENING REACTION. HER

01:46:40.827 --> 01:46:41.394
PEDIATRICIAN SUBMITTED A

01:46:41.461 --> 01:46:43.964
MEDICAL EXEMPTION. THE STATE

01:46:44.030 --> 01:46:46.166
DENIED IT. THEY WERE SENT TO AN

01:46:46.233 --> 01:46:47.200
ALLERGY SPECIALIST, WHO SAID

01:46:47.267 --> 01:46:48.635
THE PUBLISHED GUIDELINE ONLY

01:46:48.702 --> 01:46:50.437
COVERED A LOCAL REACTION

01:46:50.504 --> 01:46:51.605
REDNESS, SWELLING OR FEVER AND

01:46:51.671 --> 01:46:52.973
THAT HER REACTION WAS FAR

01:46:53.039 --> 01:46:55.075
BEYOND THAT. BUT HE SAID HE

01:46:55.142 --> 01:46:56.309
COULD DO NOTHING BECAUSE IT'S

01:46:56.376 --> 01:46:58.779
THE LAW AND IF HE WROTE THE

01:46:58.845 --> 01:47:00.180
EXEMPTION, HE'D BE AUDITED AND

01:47:00.247 --> 01:47:02.682
HE COULD LOSE HIS JOB AND

01:47:02.749 --> 01:47:03.884
LICENSE. THE GIRL WAS KICKED

01:47:03.950 --> 01:47:05.252
OUT OF KINDERGARTEN A WEEK

01:47:05.318 --> 01:47:07.287
BEFORE GRADUATION, AND NOW THEY

01:47:07.354 --> 01:47:08.588
DO INDEPENDENT LEARNING THROUGH

01:47:08.655 --> 01:47:10.257
A CHARTER SCHOOL. SHE'S

01:47:10.323 --> 01:47:11.691
CURRENTLY IN SECOND GRADE. I

01:47:11.758 --> 01:47:13.093
HOPE YOU'LL HELP FAMILIES LIKE

01:47:13.160 --> 01:47:22.536
THESE. THANK YOU. HI. GOOD

01:47:22.602 --> 01:47:23.904
MORNING, MARY DAVIS WITH THE

01:47:23.970 --> 01:47:25.705
PUBLIC EDUCATION OVERSIGHT

01:47:25.772 --> 01:47:27.174
PROJECT. AND I WANTED TO FIRST

01:47:27.240 --> 01:47:29.376
STATE ON THE RECORD THAT THIS

01:47:29.442 --> 01:47:31.144
IS DEFICIENT. THIS HEARING IS

01:47:31.211 --> 01:47:31.878
DEFICIENT. YOU HAVE NOT

01:47:31.945 --> 01:47:33.280
PRESENTED ANYBODY WITH AN

01:47:33.346 --> 01:47:36.216
ALTERNATIVE OPINION, NOR NOR

01:47:36.283 --> 01:47:37.951
WOULD THE FINANCIAL

01:47:38.018 --> 01:47:39.019
PROFITEERING THAT GOES IN THIS

01:47:39.085 --> 01:47:41.588
INDUSTRY OR RECORD OF VACCINE

01:47:41.655 --> 01:47:43.356
HARMS. SECOND OF ALL, TRUE

01:47:43.423 --> 01:47:45.192
INFORMED CONSENT. THE

01:47:45.258 --> 01:47:46.593
GOVERNMENT. SO I'M SORRY, OUT

01:47:46.660 --> 01:47:48.361
OF ORDER HERE. I WENT TO THE

01:47:48.428 --> 01:47:49.896
AMERICAN ACADEMY OF

01:47:49.963 --> 01:47:52.365
PEDIATRICIANS CONVENTION AND

01:47:52.432 --> 01:47:56.369
THE QUIET PUSHBACK FOR WAS

01:47:56.436 --> 01:47:57.571
PALPABLE. SO I JUST WANTED TO

01:47:57.637 --> 01:47:59.239
TALK ABOUT THAT FOR ANOTHER

01:47:59.306 --> 01:48:00.941
ISSUE. AND THEN RESPECTFULLY TO

01:48:01.007 --> 01:48:01.908
THE CHAIRWOMAN, YOU INDICATED

01:48:01.975 --> 01:48:03.643
THE PURPOSE OF THE HEARING WAS

01:48:03.710 --> 01:48:05.045
THAT THE GOOD OF THE ONE OVER

01:48:05.111 --> 01:48:06.813
THE GOOD OF THE MANY, OR VICE

01:48:06.880 --> 01:48:08.949
VERSA? BUT I WOULD SAY TRUE

01:48:09.015 --> 01:48:10.417
INFORMED CONSENT, THE

01:48:10.483 --> 01:48:11.785
GOVERNMENT DICTATES, BUT THE

01:48:11.852 --> 01:48:13.253
VACCINE INJURED PERSON LIVES

01:48:13.320 --> 01:48:15.088
WITH THE CONSEQUENCES ON THEIR

01:48:15.155 --> 01:48:16.523
OWN. SO EITHER YOU BELIEVE IN

01:48:16.590 --> 01:48:18.258
BODILY AUTONOMY OR YOU DON'T.

01:48:18.325 --> 01:48:20.093
AND THAT HAS TO CARRY OVER TO

01:48:20.160 --> 01:48:28.001
VACCINES. THANK YOU. THANK YOU.

01:48:28.068 --> 01:48:29.469
HELLO. I'M BEVERLY WITH THE

01:48:29.536 --> 01:48:30.570
CHILDREN'S HEALTH DEFENSE

01:48:30.637 --> 01:48:32.372
CALIFORNIA CHAPTER. OUR

01:48:32.439 --> 01:48:33.707
ORGANIZATION IS DEDICATED TO

01:48:33.773 --> 01:48:35.242
PROTECTING CHILDREN, EXPOSING

01:48:35.308 --> 01:48:37.377
HARMS, AND SEEKING JUSTICE.

01:48:37.444 --> 01:48:39.479
MANY PARENTS COME TO US WITH

01:48:39.546 --> 01:48:43.116
CHILDREN WITH VACCINE INJURIES

01:48:43.183 --> 01:48:44.584
AND LOOK FOR SUPPORT WHEN

01:48:44.651 --> 01:48:46.319
MEDICAL PROTOCOLS AND MANDATES

01:48:46.386 --> 01:48:49.256
DO NOT SERVE THEIR CHILD OR

01:48:49.322 --> 01:48:51.024
BELIEVE THEIR CONCERNS ARE

01:48:51.091 --> 01:48:54.661
HEARD. LET'S TALK ABOUT THE

01:48:54.728 --> 01:48:57.197
ENCEPHALITIS IN THE ROOM.

01:48:57.264 --> 01:49:00.667
CALIFORNIA HAS 1 IN 12 POINT

01:49:00.734 --> 01:49:04.371
FIVE BOYS WHO ARE ON THE AUTISM

01:49:04.437 --> 01:49:06.206
PREVALENCE. THIS IS IN THE MOST

01:49:06.273 --> 01:49:07.407
STRICT STATE WITH THE MANDATES

01:49:07.474 --> 01:49:08.909
AND HAVING IT VERY DIFFICULT

01:49:08.975 --> 01:49:10.710
FOR PARENTS TO BE ABLE TO MAKE

01:49:10.777 --> 01:49:13.380
THEIR OWN CHOICE. IT IS THE

01:49:13.446 --> 01:49:15.215
SWELLING OF THE BRAIN. YOU WILL

01:49:15.282 --> 01:49:16.616
SEE THAT IN THE VACCINE INSERTS

01:49:16.683 --> 01:49:18.485
AS ONE OF THE SIDE EFFECTS. YOU

01:49:18.551 --> 01:49:19.819
WILL SEE THAT MOST KIDS WITH

01:49:19.886 --> 01:49:22.355
AUTISM HAVE SOME SORT OF

01:49:22.422 --> 01:49:24.157
ENCEPHALITIS, AND THE SYMPTOMS

01:49:24.224 --> 01:49:25.558
ARE FROM THE SWELLING OF THE

01:49:25.625 --> 01:49:29.229
BRAIN WE HAVE. BACK WHEN THE

01:49:29.296 --> 01:49:31.064
1986 ACT CAME, WHEN THEY MADE

01:49:31.131 --> 01:49:32.432
THE. AS YOU CAN SEE FROM THE

01:49:32.499 --> 01:49:33.934
CHART. THANK YOU. THE LAWS.

01:49:34.000 --> 01:49:35.402
THEY MADE IT NOT LIABLE. THANK

01:49:35.468 --> 01:49:37.203
YOU. WHAT HAPPENED SINCE THEY

01:49:37.270 --> 01:49:38.905
MADE THE DRUG COMPANIES. THANK

01:49:38.972 --> 01:49:41.141
YOU MA'AM, YOU'RE AT A MINUTE.

01:49:41.207 --> 01:49:43.243
NEXT. SPEAKER, PLEASE. WE HAVE

01:49:43.310 --> 01:49:45.045
TO LOOK AT THIS AND SEE THE

01:49:45.111 --> 01:49:52.319
CORRELATION. HI. MY NAME IS AMY

01:49:52.385 --> 01:49:54.254
BOND AND I'M THE PRESIDENT OF A

01:49:54.321 --> 01:49:55.221
PARENT ADVOCACY GROUP CALLED

01:49:55.288 --> 01:49:57.290
PERC. WE ASKED THE COMMITTEE TO

01:49:57.357 --> 01:49:58.358
CONSIDER BOTH WHAT THE DATA

01:49:58.425 --> 01:50:00.193
SHOW AND ALSO WHAT THE DATA

01:50:00.260 --> 01:50:02.028
CANNOT SHOW, HOW MANY

01:50:02.095 --> 01:50:03.396
REVOCATIONS WERE MEDICAL

01:50:03.463 --> 01:50:04.864
JUDGMENTS AND HOW MANY WERE

01:50:04.931 --> 01:50:07.067
PAPERWORK ERRORS. WHERE ARE THE

01:50:07.133 --> 01:50:08.435
CHILDREN WHOSE EXEMPTIONS WERE

01:50:08.501 --> 01:50:10.603
REVOKED? BEING EDUCATED TODAY?

01:50:10.670 --> 01:50:12.472
WHAT SHOULD A FAMILY DO WHEN NO

01:50:12.539 --> 01:50:13.840
CALIFORNIA PHYSICIAN WILL

01:50:13.907 --> 01:50:14.908
EVALUATE THEIR CHILD ACCORDING

01:50:14.975 --> 01:50:16.743
TO THAT FAMILY'S EXPERIENCE?

01:50:16.810 --> 01:50:18.845
HOW MANY EXEMPTIONS WERE NEVER

01:50:18.912 --> 01:50:20.714
WRITTEN AND HOW MANY FAMILIES

01:50:20.780 --> 01:50:23.550
CANNOT FIND ONE? SINCE

01:50:23.616 --> 01:50:24.684
SEPTEMBER 2026, WE DID OUR OWN

01:50:24.751 --> 01:50:28.254
SURVEY AROUND JUST OVER 750

01:50:28.321 --> 01:50:29.356
PARENTS WHO ANSWERED THAT

01:50:29.422 --> 01:50:30.757
SURVEY ON HOW THEY EXPERIENCED

01:50:30.824 --> 01:50:32.926
VACCINE RECOMMENDATIONS, AND

01:50:32.993 --> 01:50:35.061
WELL OVER 100 OF THOSE

01:50:35.128 --> 01:50:36.963
RESPONDENTS REPORTED THAT THEY

01:50:37.030 --> 01:50:38.698
WERE BEING DENIED A MEDICAL

01:50:38.765 --> 01:50:40.500
EXEMPTION FOR REASONS SUCH AS

01:50:40.567 --> 01:50:41.968
THEIR PHYSICIAN WAS AFRAID TO

01:50:42.035 --> 01:50:44.070
GIVE IT TO THEM, OR THAT THE

01:50:44.137 --> 01:50:45.939
PHYSICIAN WAS AFRAID OF BEING

01:50:46.006 --> 01:50:47.107
PUNISHED, OR THAT THEY WOULD

01:50:47.173 --> 01:50:48.541
LOSE THEIR PRACTICE, AND THAT

01:50:48.608 --> 01:50:50.243
THE DOCTOR'S HANDS WERE TIED

01:50:50.310 --> 01:50:51.611
AND COULD NOT OR WOULD NOT

01:50:51.678 --> 01:50:53.847
WRITE THEM. SO I ASK THAT YOU

01:50:53.913 --> 01:50:55.448
WORK WITH US TO HANDLE THIS

01:50:55.515 --> 01:50:57.584
ISSUE FURTHER. THANK YOU, THANK

01:50:57.650 --> 01:51:03.056
YOU. MY NAME IS MIKE. THANK YOU

01:51:03.123 --> 01:51:05.492
SO MUCH FOR YOUR TIME. I'M A

01:51:05.558 --> 01:51:09.462
FATHER OF FOUR KIDS AND I'M A

01:51:09.529 --> 01:51:13.099
HUSBAND. AND WHAT I CARE ABOUT

01:51:13.166 --> 01:51:16.336
IS THIS IS A HEARING. AND WHAT

01:51:16.403 --> 01:51:20.040
BOTHERED ME TODAY IS 98% OF THE

01:51:20.106 --> 01:51:22.042
PEOPLE WHO SPOKE BESIDES THE

01:51:22.108 --> 01:51:23.977
SENATOR WAS ALL AGAINST THIS.

01:51:24.044 --> 01:51:25.445
AND SO THIS NEEDS TO GO TO THE

01:51:25.512 --> 01:51:27.380
PUBLIC, BECAUSE I CAN SEE THE

01:51:27.447 --> 01:51:29.682
PUBLIC AND THEY'RE ALL VERY

01:51:29.749 --> 01:51:31.184
CLEAR ABOUT THEIR STORIES. AND

01:51:31.251 --> 01:51:34.354
SO MY REQUEST TO THE COMMITTEE

01:51:34.421 --> 01:51:36.322
IS, I WOULD LIKE THE DEPARTMENT

01:51:36.389 --> 01:51:38.324
ON RECORD TO SHOW HOW FAMILIES

01:51:38.391 --> 01:51:40.093
SHOULD PROCEED WHEN NO

01:51:40.160 --> 01:51:41.361
CALIFORNIA PHYSICIAN WILL EVER

01:51:41.428 --> 01:51:43.730
BE ABLE TO EVALUATE THEIR CHILD.

01:51:43.797 --> 01:51:46.232
THESE KIDS NEED. I TAUGHT HIGH

01:51:46.299 --> 01:51:47.567
SCHOOL. I'M A MARRIAGE AND

01:51:47.634 --> 01:51:49.069
FAMILY THERAPIST. I CAN'T TAKE

01:51:49.135 --> 01:51:50.904
SIDES BETWEEN HUSBAND AND WIFE.

01:51:50.970 --> 01:51:52.439
WHY ARE WE TAKING SIDES? THIS

01:51:52.505 --> 01:51:54.174
IS TO THE SENATOR'S POINT.

01:51:54.240 --> 01:51:56.276
THERE ARE NO SIDES HERE. THE

01:51:56.342 --> 01:51:58.411
SIDE IS THE CHILDREN AND WE ALL

01:51:58.478 --> 01:52:00.647
NEED TO COME TOGETHER AND NOT

01:52:00.713 --> 01:52:02.048
CAUSE THE CHILLING EFFECT

01:52:02.115 --> 01:52:08.922
AGAINST THE DOCTORS. THANK YOU.

01:52:08.988 --> 01:52:10.056
HI. THANK YOU. SENATORS, THANK

01:52:10.123 --> 01:52:11.491
YOU FOR THIS HEARING TODAY. MY

01:52:11.558 --> 01:52:13.293
NAME IS AMY AND I'M

01:52:13.359 --> 01:52:14.694
REPRESENTING THE FREE NOW

01:52:14.761 --> 01:52:15.728
FOUNDATION. AND I'M SPEAKING AS

01:52:15.795 --> 01:52:17.897
A MOTHER OF FIVE SCHOOL AGED

01:52:17.964 --> 01:52:20.133
CHILDREN IN CALIFORNIA. FOR SIX

01:52:20.200 --> 01:52:21.868
YEARS, MY CHILDREN HAVE BEEN

01:52:21.935 --> 01:52:23.670
DENIED ACCESS TO TRADITIONAL

01:52:23.736 --> 01:52:25.505
SCHOOLING BECAUSE OF MEDICAL

01:52:25.572 --> 01:52:26.940
CONCERNS SURROUNDING

01:52:27.006 --> 01:52:28.374
VACCINATION. I AM YOUR

01:52:28.441 --> 01:52:29.576
CONSTITUENT. I AM THE ONE WHO'S

01:52:29.642 --> 01:52:31.444
BEEN AFFECTED BY THIS. IT IS ME.

01:52:31.511 --> 01:52:34.481
IT IS OUR CHILDREN. SB 277

01:52:34.547 --> 01:52:36.583
ALLOWED PHYSICIANS TO EXERCISE

01:52:36.649 --> 01:52:38.418
INDIVIDUALIZED MEDICAL JUDGMENT,

01:52:38.485 --> 01:52:39.853
INCLUDING CONSIDERATION OF

01:52:39.919 --> 01:52:43.823
FAMILY MEDICAL HISTORY. SB 276

01:52:43.890 --> 01:52:45.225
FUNDAMENTALLY CHANGED THAT

01:52:45.291 --> 01:52:47.393
PROCESS THROUGH INCREASED STATE

01:52:47.460 --> 01:52:48.828
OVERSIGHT, DOCUMENTATION

01:52:48.895 --> 01:52:50.263
REQUIREMENTS AND SCRUTINY OF

01:52:50.330 --> 01:52:52.065
PHYSICIANS ISSUING EXEMPTIONS.

01:52:52.132 --> 01:52:54.601
ALTHOUGH FAMILY HISTORY WAS NOT

01:52:54.667 --> 01:52:57.170
EXPRESSLY ELIMINATED, ACCESSING

01:52:57.237 --> 01:52:58.204
EXEMPTIONS BECAME

01:52:58.271 --> 01:53:00.006
EXTRAORDINARILY DIFFICULT IN

01:53:00.073 --> 01:53:01.174
PRACTICE. MY CHILDREN HAD

01:53:01.241 --> 01:53:03.610
EXEMPTIONS BEFORE SB 276.

01:53:03.676 --> 01:53:04.711
AFTERWARD, I COULD NO LONGER

01:53:04.777 --> 01:53:06.513
FIND A PHYSICIAN WILLING TO

01:53:06.579 --> 01:53:08.314
NAVIGATE THE PROCESS. OUR ONLY

01:53:08.381 --> 01:53:09.616
OPTION HAS BEEN HOMESCHOOLING

01:53:09.682 --> 01:53:11.551
FOR THE LAST SIX YEARS. THERE

01:53:11.618 --> 01:53:13.353
IS ALSO A LARGER CONSUMER

01:53:13.419 --> 01:53:15.121
PROTECTION ISSUE, THE NATIONAL

01:53:15.188 --> 01:53:16.923
CHILDHOOD VACCINE INJURY ACT.

01:53:16.990 --> 01:53:24.097
THANK YOU. THANK YOU. HI, MY

01:53:24.164 --> 01:53:25.798
NAME IS JOEL. I'M A PHYSICIAN

01:53:25.865 --> 01:53:27.066
IN LOS ANGELES. FIRST, I WANT

01:53:27.133 --> 01:53:28.801
TO THANK YOU GUYS FOR HAVING

01:53:28.868 --> 01:53:30.637
THIS AND ALL THE AMAZING PUBLIC

01:53:30.703 --> 01:53:31.671
HEALTH INDIVIDUALS FOR BEING

01:53:31.738 --> 01:53:33.907
HERE. I KNOW THE WORD VACCINE

01:53:33.973 --> 01:53:35.141
BRINGS UP A LOT OF EMOTIONS,

01:53:35.208 --> 01:53:36.376
BUT I THINK IT'S IMPORTANT TO

01:53:36.442 --> 01:53:37.377
HAVE THESE MEETINGS AND

01:53:37.443 --> 01:53:39.412
CONTINUE TO HAVE THEM. I WANTED

01:53:39.479 --> 01:53:41.915
TO SPEAK ON BEHALF OF A LOT OF

01:53:41.981 --> 01:53:43.917
THE FAMILIES WHO I THINK ARE

01:53:43.983 --> 01:53:45.385
HAVING A VERY DIFFICULT TIME

01:53:45.451 --> 01:53:46.619
HAVING THE SYSTEM, EVEN THOUGH

01:53:46.686 --> 01:53:48.254
SOME PEOPLE THINK THAT THEY ARE

01:53:48.321 --> 01:53:51.157
NOT HERE. A LOT OF DOCTORS IN

01:53:51.224 --> 01:53:52.759
CALIFORNIA DO NOT TAKE PATIENTS

01:53:52.825 --> 01:53:54.727
WHO DON'T VACCINATE. SO I DON'T

01:53:54.794 --> 01:53:56.496
THINK THEY KNOW WHAT THOSE

01:53:56.563 --> 01:53:57.630
ISSUES ARE. AND THE ONES THAT

01:53:57.697 --> 01:53:59.766
DO, THEY HEAR A LOT OF THESE

01:53:59.832 --> 01:54:01.367
STORIES, AND THERE'S A LOT OF

01:54:01.434 --> 01:54:02.535
PATIENTS IN THAT GRAY AREA THAT

01:54:02.602 --> 01:54:03.770
HAVE CONTRAINDICATIONS THAT

01:54:03.836 --> 01:54:05.205
DON'T HAVE A CLEAR

01:54:05.271 --> 01:54:05.872
CONTRAINDICATION, BUT AN

01:54:05.939 --> 01:54:07.707
AUTOIMMUNE CONDITION, A GENETIC

01:54:07.774 --> 01:54:09.108
CONDITION, OR MAYBE A PREVIOUS

01:54:09.175 --> 01:54:11.311
HISTORY OF A REACTION THAT WAS

01:54:11.377 --> 01:54:12.812
NEVER DOCUMENTED. AND SO MY ASK

01:54:12.879 --> 01:54:14.914
TO YOU GUYS IS TO PLEASE

01:54:14.981 --> 01:54:16.015
CONSIDER THOSE PATIENTS AND TO

01:54:16.082 --> 01:54:18.117
HEAR THOSE STORIES, AND TO NOT

01:54:18.184 --> 01:54:19.552
ASSUME THAT EVERY FAMILY WHO

01:54:19.619 --> 01:54:20.653
SHOULD BE ABLE TO GET AN

01:54:20.720 --> 01:54:22.355
EXEMPTION IS ABLE TO GET THOSE.

01:54:22.422 --> 01:54:23.923
I THINK WE NEED CLEAR

01:54:23.990 --> 01:54:25.325
GUIDELINES ON WHAT IS

01:54:25.391 --> 01:54:27.193
ACCEPTABLE AS A

01:54:27.260 --> 01:54:35.001
CONTRAINDICATION. THANK YOU.

01:54:35.068 --> 01:54:37.203
WHAT I'VE JUST HEARD HERE IN

01:54:37.270 --> 01:54:39.372
REGARDS TO WHAT PHYSICIANS ARE

01:54:39.439 --> 01:54:41.541
SUBJECTED TO, I FIND

01:54:41.608 --> 01:54:42.976
FRIGHTENING AND ALSO FOR THEIR

01:54:43.042 --> 01:54:44.777
PARENTS, FOR PARENTS AND

01:54:44.844 --> 01:54:47.280
CHILDREN. NOW, THE PREMISE ON

01:54:47.347 --> 01:54:49.482
VACCINATION IS TO PROVIDE

01:54:49.549 --> 01:54:51.217
IMMUNITY. FOR INSTANCE, IF

01:54:51.284 --> 01:54:53.052
SOMEONE HAS A MEASLES

01:54:53.119 --> 01:54:55.221
VACCINATION, THEY SHOULD BE

01:54:55.288 --> 01:54:57.123
THEY SHOULD HAVE IMMUNITY AND

01:54:57.190 --> 01:55:00.293
NOT BE WORRIED ABOUT CATCHING

01:55:00.360 --> 01:55:07.100
THAT DISEASE. NOW. THIS

01:55:07.166 --> 01:55:12.872
CALIFORNIA LAW THAT MAKES FOR

01:55:12.939 --> 01:55:15.775
COHORT COERCED CONSENT, NOT

01:55:15.842 --> 01:55:18.244
INFORMED CONSENT, IS A

01:55:18.311 --> 01:55:20.113
VIOLATION OF THE US

01:55:20.179 --> 01:55:21.514
CONSTITUTION, FIFTH AMENDMENT

01:55:21.581 --> 01:55:26.886
DUE. PROCESS. IT. SO IT

01:55:26.953 --> 01:55:29.088
PENALIZES CITIZENS, INCLUDING

01:55:29.155 --> 01:55:31.591
DOCTORS, FOR EXERCISING THIS

01:55:31.658 --> 01:55:34.460
RIGHT. IN ADDITION, THIS LAW

01:55:34.527 --> 01:55:36.596
VIOLATES THE NUREMBERG CODE. I

01:55:36.663 --> 01:55:38.831
URGE YOU TO UPHOLD YOUR OATH OF

01:55:38.898 --> 01:55:40.967
OFFICE IN DEFENDING THE US

01:55:41.034 --> 01:55:42.068
CONSTITUTION, BILL OF RIGHTS.

01:55:42.135 --> 01:55:49.242
AND FIFTH, THANK YOU MA'AM.

01:55:49.309 --> 01:55:51.711
HELLO, MY NAME IS TARA. I AM A

01:55:51.778 --> 01:55:54.347
CONCERNED MOTHER. I WOULD JUST

01:55:54.414 --> 01:55:55.748
LIKE YOU TO IMAGINE FOR A

01:55:55.815 --> 01:55:57.884
MOMENT THAT YOUR CHILD HAS

01:55:57.950 --> 01:55:59.319
EXPERIENCED A TERRIFYING

01:55:59.385 --> 01:56:01.487
MEDICAL REACTION TO BEING

01:56:01.554 --> 01:56:03.990
VACCINATED. IMAGINE YOUR CHILD

01:56:04.057 --> 01:56:05.425
WATCHING YOUR CHILD STRUGGLE TO

01:56:05.491 --> 01:56:06.893
BREATHE, PERHAPS LOSE THE

01:56:06.959 --> 01:56:09.028
ABILITY TO SPEAK, OR FACE

01:56:09.095 --> 01:56:11.531
LIFELONG MEDICAL CHALLENGES.

01:56:11.597 --> 01:56:13.366
NOW IMAGINE APPROACHING YOUR

01:56:13.433 --> 01:56:14.767
DOCTOR, CONCERNED ABOUT YOUR

01:56:14.834 --> 01:56:15.935
CHILD'S MEDICAL HISTORY, ONLY

01:56:16.002 --> 01:56:18.004
TO FIND THAT YOUR PHYSICIAN IS

01:56:18.071 --> 01:56:19.439
AFRAID TO HELP BECAUSE THEIR

01:56:19.505 --> 01:56:20.873
MEDICAL LICENSE COULD BE

01:56:20.940 --> 01:56:23.776
REVOKED. AND THAT FEAR IS NOT

01:56:23.843 --> 01:56:25.211
HYPOTHETICAL. MANY OF THE

01:56:25.278 --> 01:56:27.046
DOCTORS I CONTACTED ABOUT

01:56:27.113 --> 01:56:28.815
ATTENDING TODAY'S HEARING WERE

01:56:28.881 --> 01:56:29.949
UNWILLING EVEN TO APPEAR AND

01:56:30.016 --> 01:56:32.385
SPEAK PUBLICLY FOR FEAR OF

01:56:32.452 --> 01:56:33.853
EXPOSING THEMSELVES TO

01:56:33.920 --> 01:56:35.288
PROFESSIONAL SCRUTINY, LET

01:56:35.355 --> 01:56:37.090
ALONE CONSIDER WRITING A

01:56:37.156 --> 01:56:39.625
MEDICAL EXEMPTION. THAT IS HOW

01:56:39.692 --> 01:56:41.427
SERIOUS THE CHILLING EFFECT HAS

01:56:41.494 --> 01:56:43.229
BECOME. WE'VE HEARD TODAY THAT

01:56:43.296 --> 01:56:45.398
THE MEDICAL EXEMPTION SYSTEM IS

01:56:45.465 --> 01:56:47.166
WORKING WELL, BUT MANY OF US

01:56:47.233 --> 01:56:48.768
HERE HAVE EXPERIENCED SOMETHING

01:56:48.835 --> 01:56:51.537
VERY DIFFERENT. WE'VE HEARD

01:56:51.604 --> 01:56:52.638
EXTENSIVELY FROM ONE SIDE OF

01:56:52.705 --> 01:56:54.707
THIS DISCUSSION TODAY. WHERE

01:56:54.774 --> 01:56:56.342
ARE THE PHYSICIANS AND FAMILIES

01:56:56.409 --> 01:56:58.344
WHO HAVE EXPERIENCED THE

01:56:58.411 --> 01:57:03.750
BARRIERS? THANK YOU. THANK YOU.

01:57:03.816 --> 01:57:07.653
NEXT SPEAKER, MEANINGFUL

01:57:07.720 --> 01:57:13.860
CONVERSATIONS. MY NAME IS

01:57:13.926 --> 01:57:15.661
MICHELLE. MY NAME IS MICHELLE

01:57:15.728 --> 01:57:17.063
VELASQUEZ. I AM A MOTHER OF TWO,

01:57:17.130 --> 01:57:18.865
AN ACUPUNCTURIST FOR ALMOST 30

01:57:18.931 --> 01:57:22.101
YEARS. AND THE BOTTOM LINE IS

01:57:22.168 --> 01:57:25.071
THAT IS THAT THERE'S NO, YOU

01:57:25.138 --> 01:57:26.506
KNOW, LIBERTY AND JUSTICE FOR

01:57:26.572 --> 01:57:27.707
ALL. WHEN OUR PARENTAL RIGHTS

01:57:27.774 --> 01:57:28.941
TO MAKE MEDICAL DECISIONS FOR

01:57:29.008 --> 01:57:30.410
OUR FAMILY ARE STRIPPED FROM

01:57:30.476 --> 01:57:32.945
THE START. I FEEL LIKE THE ONLY

01:57:33.012 --> 01:57:34.747
REASON THAT I AM NOT ONE OF

01:57:34.814 --> 01:57:36.149
THESE PARENTS WITH A CHILDREN,

01:57:36.215 --> 01:57:37.950
WITH A CHILD WITH A VACCINE

01:57:38.017 --> 01:57:40.420
INJURY, IS BECAUSE MY DOCTOR

01:57:40.486 --> 01:57:42.655
RESPECTED THAT RIGHT. AND SHE

01:57:42.722 --> 01:57:44.524
IS COMPLETELY FEARFUL TO LOSE

01:57:44.590 --> 01:57:45.525
HER LICENSE. SHE'S BEING

01:57:45.591 --> 01:57:47.326
REVIEWED RIGHT NOW. SHE'S

01:57:47.393 --> 01:57:49.462
FACING FINES AND SUSPENSION,

01:57:49.529 --> 01:57:51.998
AND THAT IS A REALITY. I FELT

01:57:52.064 --> 01:57:55.201
THAT THE SYSTEM WAS VERY WAS

01:57:55.268 --> 01:57:57.103
ACTUALLY DIFFICULT. WE DID HAVE

01:57:57.170 --> 01:58:01.441
A REVOKED EXEMPTION AND THE

01:58:01.507 --> 01:58:03.176
APPEAL WAS DENIED. I THOUGHT

01:58:03.242 --> 01:58:04.544
THAT IT DIDN'T MAKE SENSE THAT

01:58:04.610 --> 01:58:05.745
A DOCTOR WHO DIDN'T KNOW ME OR

01:58:05.812 --> 01:58:07.713
MY FAMILY, OR EVER SAW MY CHILD

01:58:07.780 --> 01:58:09.248
COULD MAKE THAT DECISION. AND

01:58:09.315 --> 01:58:11.050
EVEN THOUGH WE RECOGNIZE THAT

01:58:11.117 --> 01:58:12.985
CHILDHOOD ILLNESSES ARE SERIOUS,

01:58:13.052 --> 01:58:14.287
MY HUSBAND AND I COULDN'T LIVE

01:58:14.353 --> 01:58:16.823
WITH OURSELVES IF WE MADE THAT

01:58:16.889 --> 01:58:18.090
CHOICE TO HAVE THEM VACCINATED.

01:58:18.157 --> 01:58:19.325
EVEN THOUGH OUR FAMILY HISTORY

01:58:19.392 --> 01:58:20.860
AND THEIR CONDITIONS PUT THEM

01:58:20.927 --> 01:58:23.196
AT RISK. THANK YOU MA'AM, THANK

01:58:23.262 --> 01:58:30.903
YOU. HELLO, MY NAME IS MICHAEL

01:58:30.970 --> 01:58:33.372
LIN. I'M A CONCERNED CITIZEN. I

01:58:33.439 --> 01:58:35.575
GOT MY DEGREE FROM UC IRVINE IN

01:58:35.641 --> 01:58:37.410
PUBLIC HEALTH. I USED TO BE A

01:58:37.477 --> 01:58:39.479
BIG BELIEVER IN VACCINES.

01:58:39.545 --> 01:58:41.414
HOWEVER, I AM NO LONGER. I HAVE

01:58:41.481 --> 01:58:44.183
SEEN SO MUCH EVIDENCE OF

01:58:44.250 --> 01:58:46.319
VACCINES JUST BEING HARMFUL.

01:58:46.385 --> 01:58:47.820
THERE IS NO VACCINE THAT IS

01:58:47.887 --> 01:58:51.057
GOOD ANYMORE. AND SHAME ON THE

01:58:51.123 --> 01:58:52.859
LIES THAT WERE TOLD BY THIS

01:58:52.925 --> 01:58:55.595
PANEL TODAY BECAUSE IT WAS ALL

01:58:55.661 --> 01:58:57.163
LIES AND IT'S SO DISGUSTING.

01:58:57.230 --> 01:58:59.332
THEY ARE SHILLS FOR BIG PHARMA.

01:58:59.398 --> 01:59:02.168
BIG PHARMA MAKES THEIR MONEY

01:59:02.235 --> 01:59:03.703
OFF OF INJURIES AND PEOPLE

01:59:03.769 --> 01:59:05.438
BEING ILL, NOT PEOPLE BEING

01:59:05.505 --> 01:59:07.240
HEALTHY. AND UNFORTUNATELY

01:59:07.306 --> 01:59:08.808
THEY'RE IN THE BACK POCKET, THE

01:59:08.875 --> 01:59:10.176
BACK POCKETS OF BIG PHARMA. I

01:59:10.243 --> 01:59:13.045
WORK AT A SCHOOL DISTRICT. I

01:59:13.112 --> 01:59:14.780
WORK AT FOUR ELEMENTARY SCHOOL

01:59:14.847 --> 01:59:16.616
SITES AND ALL I SEE ARE VACCINE

01:59:16.682 --> 01:59:18.384
INJURIES. NOW, EVERY KID,

01:59:18.451 --> 01:59:19.919
ALMOST A THIRD OF THE KIDS ARE

01:59:19.986 --> 01:59:21.687
PRETTY MUCH DEBILITATED. AND

01:59:21.754 --> 01:59:26.659
IT'S SO SAD BECAUSE. ALL THESE

01:59:26.726 --> 01:59:28.761
SPECIAL NEEDS AND THEN ALL THE

01:59:28.828 --> 01:59:31.364
OTHER EVERYTHING THAT I SEE,

01:59:31.430 --> 01:59:33.900
IT'S, IT'S, IT'S ALL TIED TO

01:59:33.966 --> 01:59:37.403
THE VACCINES. AND IT'S, IT'S

01:59:37.470 --> 01:59:39.639
SAD BECAUSE THESE PARENTS WHO

01:59:39.705 --> 01:59:42.475
MANY ARE IN LOW INCOME

01:59:42.542 --> 01:59:43.476
COMMUNITIES, THEY DON'T HAVE

01:59:43.543 --> 01:59:44.744
THE MEANS TO BE ABLE TO FIGHT

01:59:44.810 --> 01:59:46.612
BACK. THEY DON'T HAVE THE MEANS

01:59:46.679 --> 01:59:50.116
TO BE ABLE TO OBTAIN RESOURCES.

01:59:50.182 --> 01:59:51.117
DOCTORS WILL GIVE THEM A

01:59:51.183 --> 01:59:52.618
VACCINE. THANK YOU. AND NOW

01:59:52.685 --> 01:59:54.387
THEY'RE HARMED AND THEY HAVE NO

01:59:54.453 --> 02:00:10.236
RECOURSE. THEY HAVE NO. IN

02:00:10.303 --> 02:00:11.637
ORDER TO ALLOW FOR EVERYONE TO

02:00:11.704 --> 02:00:13.573
BE ABLE TO SPEAK, THEN WE MUST

02:00:13.639 --> 02:00:15.641
STICK TO THE ONE MINUTE. I DO

02:00:15.708 --> 02:00:17.310
NOT LIKE HAVING TO CUT PEOPLE

02:00:17.376 --> 02:00:18.878
OFF, AND I DON'T LIKE FOR THE

02:00:18.945 --> 02:00:20.379
SERGEANTS TO HAVE TO COME UP.

02:00:20.446 --> 02:00:22.381
WE WANT TO BE ABLE TO HEAR FROM

02:00:22.448 --> 02:00:23.616
EACH AND EVERY PERSON. SO I

02:00:23.683 --> 02:00:25.418
JUST ASK THAT YOU RESPECT THOSE

02:00:25.484 --> 02:00:26.919
WHO ARE BEHIND YOU AND ADHERE

02:00:26.986 --> 02:00:29.355
TO THE ONE MINUTE. THANK YOU.

02:00:29.422 --> 02:00:31.490
GOOD MORNING. I'M AN IMPACTED

02:00:31.557 --> 02:00:33.092
PARENT WITH IMPACTED CHILDREN.

02:00:33.159 --> 02:00:35.094
I STRONGLY URGE YOU TO CONSIDER

02:00:35.161 --> 02:00:36.162
RECONSIDER THE CARE MEDICAL

02:00:36.228 --> 02:00:37.630
EXEMPTION PROCESS. THIS ONE

02:00:37.697 --> 02:00:40.099
SIZE FITS ALL PROCESS PLACES AN

02:00:40.166 --> 02:00:41.534
UNNECESSARY AND OVERWHELMING

02:00:41.601 --> 02:00:42.635
BURDEN ON FAMILIES WHOSE

02:00:42.702 --> 02:00:44.136
CHILDREN ARE ALREADY FACING

02:00:44.203 --> 02:00:45.571
ONGOING MEDICAL CHALLENGES. DUE

02:00:45.638 --> 02:00:47.440
TO THIS RIGID PROCESS, MY SON

02:00:47.506 --> 02:00:49.041
WILL BE EXCLUDED FROM PUBLIC

02:00:49.108 --> 02:00:51.310
SCHOOL BECAUSE OF HIS MEDICAL

02:00:51.377 --> 02:00:53.446
CONDITION. BECAUSE HE'S SICK.

02:00:53.512 --> 02:00:54.847
MY CHILD HAS EXISTING HEALTH

02:00:54.914 --> 02:00:56.449
CONDITIONS REQUIRING CONTINUED

02:00:56.515 --> 02:00:58.150
CARE FROM MULTIPLE SPECIALISTS,

02:00:58.217 --> 02:00:59.585
INCLUDING AN ALLERGIST,

02:00:59.652 --> 02:01:00.586
ENDOCRINOLOGIST,

02:01:00.653 --> 02:01:02.088
GASTROENTEROLOGIST, AND D.O.

02:01:02.154 --> 02:01:03.856
THIS PROCESS REQUIRED NUMEROUS

02:01:03.923 --> 02:01:05.658
MEDICAL SCANS, REPEATED

02:01:05.725 --> 02:01:06.392
LABORATORY TESTING, AND

02:01:06.459 --> 02:01:08.227
EXTENSIVE EVALUATIONS, ADDING

02:01:08.294 --> 02:01:09.829
UNNECESSARY STRESS TO A CHILD

02:01:09.895 --> 02:01:11.464
WHO IS ALREADY MANAGING COMPLEX

02:01:11.530 --> 02:01:12.865
HEALTH ISSUES. WHAT IS

02:01:12.932 --> 02:01:13.966
ESPECIALLY TROUBLING IS THAT

02:01:14.033 --> 02:01:15.768
HIS ALLERGIST ACKNOWLEDGED

02:01:15.835 --> 02:01:17.870
TITERS, YET REFUSED TO SIGN THE

02:01:17.937 --> 02:01:18.971
MEDICAL EXEMPTION BECAUSE HE'S

02:01:19.038 --> 02:01:20.873
SCARED OF THESE PEOPLE, BECAUSE

02:01:20.940 --> 02:01:23.009
HE'S AFRAID OF THE BOARD.

02:01:23.075 --> 02:01:25.144
THAT'S WHAT SHE TOLD ME TO MY

02:01:25.211 --> 02:01:26.979
FACE BECAUSE OF THE BOARD. HOW

02:01:27.046 --> 02:01:28.614
CAN PARENTS HAVE CONFIDENCE IN

02:01:28.681 --> 02:01:30.149
A MEDICAL EXEMPTION PROCESS

02:01:30.216 --> 02:01:31.550
WHEN EVEN A DOCTOR'S MEDICAL

02:01:31.617 --> 02:01:33.019
JUDGMENT IS NOT ENOUGH?

02:01:33.085 --> 02:01:34.086
CHILDREN SHOULD NOT HAVE TO BE

02:01:34.153 --> 02:01:35.921
PUT THROUGH UNNECESSARY MEDICAL

02:01:35.988 --> 02:01:37.056
PROCEDURES JUST TO HAVE

02:01:37.123 --> 02:01:38.391
LEGITIMATE HEALTH CONCERNS

02:01:38.457 --> 02:01:39.392
ACKNOWLEDGED? THANK YOU. A

02:01:39.458 --> 02:01:41.494
CHILD'S INDIVIDUAL MEDICAL

02:01:41.560 --> 02:01:42.561
HISTORY AND THE JUDGMENT OF

02:01:42.628 --> 02:01:43.496
THEIR TREATING PHYSICIAN

02:01:43.562 --> 02:01:44.630
RESPECT WITHOUT THE FEAR OF

02:01:44.697 --> 02:01:45.631
LOSING THEIR LIVES. THANK YOU

02:01:45.698 --> 02:01:47.767
MA'AM. DOCTOR WROTE FIVE

02:01:47.833 --> 02:01:48.901
EXEMPTIONS IN ONE YEAR. THANK

02:01:48.968 --> 02:02:00.079
YOU MA'AM. HELLO. IT'S IT'S

02:02:00.146 --> 02:02:01.480
REALLY HARD FOR SOME OF US THAT

02:02:01.547 --> 02:02:03.249
SAT THROUGH THE PAID

02:02:03.315 --> 02:02:04.350
PROFESSIONAL OPINIONS OVER HERE

02:02:04.417 --> 02:02:06.519
AND NOT HEAR WHAT'S REALLY

02:02:06.585 --> 02:02:08.320
HAPPENING OUT THERE. I HAVE

02:02:08.387 --> 02:02:10.122
LETTERS TO SUBMIT ON BEHALF OF

02:02:10.189 --> 02:02:11.257
PEOPLE WHO COULD NOT MAKE IT

02:02:11.323 --> 02:02:13.125
HERE TODAY. I HAVE A FEW

02:02:13.192 --> 02:02:14.760
DOCTORS, PEDIATRICIAN,

02:02:14.827 --> 02:02:16.295
IMMUNOLOGISTS IN PRACTICE, GOOD

02:02:16.362 --> 02:02:18.330
STANDING FOR 30 TO 40 YEARS

02:02:18.397 --> 02:02:19.498
THAT HAVE ISSUES WITH WHETHER

02:02:19.565 --> 02:02:21.667
IT'S THE FIVE THAT THEY COULD

02:02:21.734 --> 02:02:25.071
WRITE OR JUST ISSUES IN MEDICAL

02:02:25.137 --> 02:02:27.106
EXEMPTIONS ON THEIR OWN. AND

02:02:27.173 --> 02:02:28.774
IT'S SIGNIFICANT TO NOTE THAT

02:02:28.841 --> 02:02:29.975
THESE PHYSICIANS ON THIS LIST

02:02:30.042 --> 02:02:31.343
ARE TOO INTIMIDATED TO INCLUDE

02:02:31.410 --> 02:02:32.978
THEIR NAMES, WHICH ILLUSTRATES

02:02:33.045 --> 02:02:34.280
ONE OF THE MOST ESSENTIAL

02:02:34.346 --> 02:02:35.681
REASONS FOR THIS HEARING.

02:02:35.748 --> 02:02:37.149
DOCTORS ARE NOW UNABLE TO

02:02:37.216 --> 02:02:38.884
PROVIDE A PROFESSIONAL OPINION

02:02:38.951 --> 02:02:41.087
WITHOUT FEAR OF REPRIMAND,

02:02:41.153 --> 02:02:42.555
COMPLETELY ANNIHILATING THE

02:02:42.621 --> 02:02:43.656
CAPACITY TO SPEAK FOR THEIR

02:02:43.723 --> 02:02:44.724
MOST VULNERABLE PATIENTS. I

02:02:44.790 --> 02:02:47.226
ALSO HAVE A FRIEND'S TESTIMONY.

02:02:47.293 --> 02:02:49.028
SHE HAS. SHE COULD NOT MAKE IT

02:02:49.095 --> 02:02:51.163
HERE TODAY. SHE HAS TWO VACCINE

02:02:51.230 --> 02:02:52.765
INJURED DAUGHTERS. HER YOUNGEST

02:02:52.832 --> 02:02:55.868
IS NOW UNVACCINATED. UNDERLYING

02:02:55.935 --> 02:02:58.037
MITOCHONDRIAL MITOCHONDRIAL

02:02:58.104 --> 02:02:59.472
ISSUES, AND SHE HAS BEEN WARNED

02:02:59.538 --> 02:03:00.639
THAT VACCINATIONS WOULD HARM

02:03:00.706 --> 02:03:02.308
THIS CHILD. SHE CANNOT GET A

02:03:02.374 --> 02:03:03.542
MEDICAL EXEMPTION. SHE CANNOT

02:03:03.609 --> 02:03:06.312
HAVE A DOCTOR WRITE IT FOR FEAR.

02:03:06.378 --> 02:03:08.414
THANK YOU. MA'AM, I'D LIKE TO

02:03:08.481 --> 02:03:11.650
SUBMIT THIS TO THE CHAIR OF THE

02:03:11.717 --> 02:03:20.025
COMMITTEE. THANK YOU. HI, MY

02:03:20.092 --> 02:03:22.495
NAME IS PAZ WEINSTEIN. I WAS

02:03:22.561 --> 02:03:23.929
DISABLED FOR FOUR YEARS BECAUSE

02:03:23.996 --> 02:03:26.031
OF THE COVID VACCINE. I

02:03:26.098 --> 02:03:27.500
COULDN'T WALK, I COULDN'T

02:03:27.566 --> 02:03:29.735
BREATHE, I COULDN'T THINK. ALL

02:03:29.802 --> 02:03:31.804
THE MEDICAL COMMUNITY IGNORED

02:03:31.871 --> 02:03:34.340
ME, REFUSED TO HELP ME, GASLIT

02:03:34.406 --> 02:03:37.243
ME. BASICALLY TRIED TO KILL ME.

02:03:37.309 --> 02:03:38.644
SO I'M HERE SPEAKING FOR ALL

02:03:38.711 --> 02:03:40.079
THE CHILDREN WHO CAN'T SPEAK

02:03:40.146 --> 02:03:41.213
FOR THEMSELVES, ALL THE OTHER

02:03:41.280 --> 02:03:42.681
PEOPLE WHO ARE STILL DISABLED

02:03:42.748 --> 02:03:44.383
AND THE MILLIONS WHO ARE DEAD

02:03:44.450 --> 02:03:45.851
BECAUSE OF THESE VACCINE

02:03:45.918 --> 02:03:51.991
MANDATES. THANK YOU VERY MUCH.

02:03:52.057 --> 02:03:54.560
THANK YOU. HI, MY NAME IS SUSAN

02:03:54.627 --> 02:03:55.628
DEER. I'M A FAMILY AND

02:03:55.694 --> 02:03:57.763
CHILDREN'S LAWYER OF 25 YEARS.

02:03:57.830 --> 02:03:59.598
AND I STAND HERE TODAY ONCE

02:03:59.665 --> 02:04:00.599
AGAIN, MY CONCERN WITH THE

02:04:00.666 --> 02:04:03.202
BROAD, CHILLING EFFECT OF THE

02:04:03.269 --> 02:04:06.071
STATUTE, AND PARTICULARLY, I'LL

02:04:06.138 --> 02:04:10.042
BE SUBMITTING FOR YOUR REVIEW A

02:04:10.109 --> 02:04:12.545
CDPH LIST OF MORE THAN 9000

02:04:12.611 --> 02:04:14.013
PHYSICIANS PROVIDED TO SCHOOL

02:04:14.079 --> 02:04:16.215
PRINCIPALS AND NURSES. ON

02:04:16.282 --> 02:04:18.684
AUGUST 19TH, 2022, CDPH ISSUED

02:04:18.751 --> 02:04:20.553
A NOTICE DIRECTING SCHOOLS NOT

02:04:20.619 --> 02:04:24.023
TO ACCEPT PRE 2020 MEDICAL

02:04:24.089 --> 02:04:25.457
EXEMPTIONS FROM PHYSICIANS

02:04:25.524 --> 02:04:27.459
APPEARING ON THIS LIST BECAUSE

02:04:27.526 --> 02:04:29.061
THEY FACE DISCIPLINARY ACTION

02:04:29.128 --> 02:04:30.830
BY THEIR LICENSING BOARD. EVEN

02:04:30.896 --> 02:04:32.298
WHEN THAT DISCIPLINE WAS

02:04:32.364 --> 02:04:35.935
UNRELATED TO VACCINES. SO YOU

02:04:36.001 --> 02:04:38.737
CAN, IF I MAY SUBMIT THIS, I

02:04:38.804 --> 02:04:40.940
THINK THIS IS THIS IS VERY

02:04:41.006 --> 02:04:42.741
UNFAIR. OBVIOUSLY, THERE ARE

02:04:42.808 --> 02:04:44.210
EXEMPTIONS THAT WERE MADE BASED

02:04:44.276 --> 02:04:46.712
ON NEED. AND THIS COMPLETELY

02:04:46.779 --> 02:04:48.547
JUST JUST WIPES THEM ALL OUT.

02:04:48.614 --> 02:04:51.383
SO I WANTED TO SUBMIT THAT IT'S

02:04:51.450 --> 02:04:59.992
ANOTHER. THANK YOU. THANK YOU.

02:05:00.059 --> 02:05:02.194
HI. MY NAME IS NATALIE. I'M A

02:05:02.261 --> 02:05:05.130
MOTHER OF FOUR. I'M INSULTED.

02:05:05.197 --> 02:05:07.566
I'M INSULTED BY THE FEAR

02:05:07.633 --> 02:05:10.903
MONGERING THAT WENT ON. I'M

02:05:10.970 --> 02:05:14.073
INSULTED BY THE WHAT IT

02:05:14.139 --> 02:05:17.309
APPEARED TO BE LIKE THE LACK OF

02:05:17.376 --> 02:05:19.078
INTELLIGENCE OF THE HUMAN MIND

02:05:19.144 --> 02:05:21.647
AND THE BODY AND HOW IT'S MEANT

02:05:21.714 --> 02:05:27.386
TO HEAL. 100 CASES AT

02:05:27.453 --> 02:05:30.589
DISNEYLAND. HOW MANY DEATHS?

02:05:30.656 --> 02:05:33.559
I'M A MOTHER OF FOUR, SO YOU

02:05:33.626 --> 02:05:35.327
KNOW THAT THE LOOPHOLE IS YOU

02:05:35.394 --> 02:05:37.496
PULL YOUR KIDS AND YOU

02:05:37.563 --> 02:05:40.332
HOMESCHOOL. I SACRIFICE INCOME

02:05:40.399 --> 02:05:42.568
SO I DON'T HAVE TO SUBJECT MY

02:05:42.635 --> 02:05:47.606
CHILD TO FETAL ABORTED BABY

02:05:47.673 --> 02:05:50.175
CELLS. I DO NOT WANT TO INJECT

02:05:50.242 --> 02:05:52.945
MY CHILD WITH AN ABORTED BABY

02:05:53.012 --> 02:05:56.181
CELLS OR FETAL CALF CELLS OF A

02:05:56.248 --> 02:05:59.785
PREGNANT MOTHER COW. THEN THEY

02:05:59.852 --> 02:06:01.186
KILL THE CALF. DO YOU KNOW HOW

02:06:01.253 --> 02:06:03.188
THEY DO THAT? THEY STAB IT IN

02:06:03.255 --> 02:06:09.595
THE NECK. THANK YOU MA'AM. GOOD

02:06:09.662 --> 02:06:12.431
MORNING. I'M VERY SOLUTIONS. MY

02:06:12.498 --> 02:06:13.966
SON HAS COMPLEX MEDICAL NEEDS

02:06:14.033 --> 02:06:15.701
THAT PREVENT HIM FROM ATTENDING

02:06:15.768 --> 02:06:17.703
SCHOOL, BUT COULD HAVE PUT HIM

02:06:17.770 --> 02:06:19.638
IN HIS DOCTORS AT RISK OF

02:06:19.705 --> 02:06:21.073
REPEATED EXEMPTION REVIEWS,

02:06:21.140 --> 02:06:22.908
DELAYED CARE OR BARRIERS TO

02:06:22.975 --> 02:06:24.643
EDUCATION. YOU ASKED, ARE WE

02:06:24.710 --> 02:06:25.778
ACHIEVING OUR GOALS FOR

02:06:25.844 --> 02:06:27.546
CHILDREN'S HEALTH? AND TWO, OUR

02:06:27.613 --> 02:06:28.981
FAMILIES AFFECTED BY THESE LAWS

02:06:29.048 --> 02:06:30.816
GETTING THEIR NEEDS MET? THREE

02:06:30.883 --> 02:06:32.551
POTENTIAL TOOLS. FIRST

02:06:32.618 --> 02:06:34.420
PUBLISHED ONE ANNUAL PUBLIC

02:06:34.486 --> 02:06:36.155
TABLE FROM 2000 TO THE PRESENT,

02:06:36.221 --> 02:06:37.957
SHOWING ONE EXEMPTIONS AND

02:06:38.023 --> 02:06:40.459
MEDICAL CONTRAINDICATIONS. TWO

02:06:40.526 --> 02:06:42.328
VACCINATION RATES THREE VACCINE

02:06:42.394 --> 02:06:44.063
PREVENTABLE DISEASES. FOUR

02:06:44.129 --> 02:06:45.564
MEDICAL EXEMPTION REVIEWS AND

02:06:45.631 --> 02:06:46.598
IMPACTS ON CHILDREN WITH

02:06:46.665 --> 02:06:48.200
SPECIAL NEEDS, AND FIVE FEDERAL

02:06:48.267 --> 02:06:49.868
AND STATE SPENDING ON

02:06:49.935 --> 02:06:50.703
CHILDREN'S HEALTH CARE, WHICH

02:06:50.769 --> 02:06:52.404
IS OUR BEST PROXY FOR THEIR

02:06:52.471 --> 02:06:54.239
HEALTH. SECOND, CREATE A PUBLIC

02:06:54.306 --> 02:06:55.975
PARENT PORTAL TO REPORT

02:06:56.041 --> 02:06:57.443
EXPERIENCED CONCERNS AND

02:06:57.509 --> 02:06:58.811
OUTCOMES. THIRD, CREATE A

02:06:58.877 --> 02:07:00.980
PHYSICIAN PORTAL TO REPORT

02:07:01.046 --> 02:07:03.148
CLINICAL OBSERVATIONS,

02:07:03.215 --> 02:07:04.249
CONTRAINDICATIONS, AND PATIENT

02:07:04.316 --> 02:07:06.051
OUTCOMES. PUBLISH ANONYMOUS

02:07:06.118 --> 02:07:08.253
AGGRAVATED AGGREGATED RESULTS

02:07:08.320 --> 02:07:10.723
WITH ORIGINAL SOURCES AND CLEAR

02:07:10.789 --> 02:07:12.157
DEFINITIONS. ONE. TABLE TWO.

02:07:12.224 --> 02:07:13.392
PORTALS. CALIFORNIA'S DESERVE

02:07:13.459 --> 02:07:15.794
TO KNOW WHAT WHAT CALIFORNIA

02:07:15.861 --> 02:07:17.997
REQUIRED. WHAT DISEASES WERE

02:07:18.063 --> 02:07:19.365
REPORTED, WHAT CALIFORNIA SPENT,

02:07:19.431 --> 02:07:20.432
WHAT HAPPENED TO THE CHILDREN.

02:07:20.499 --> 02:07:22.601
AND IF WE AREN'T COUNTING, WHY

02:07:22.668 --> 02:07:27.406
NOT? THANK YOU MA'AM. AND YOU

02:07:27.473 --> 02:07:29.141
CAN ALWAYS SUBMIT IT IN THE

02:07:29.208 --> 02:07:31.643
PORTAL SO WE CAN SEE THE FULL

02:07:31.710 --> 02:07:32.745
SCOPE OF YOUR COMMENTS. IF YOU

02:07:32.811 --> 02:07:35.914
DIDN'T GET A CHANCE TO FINISH.

02:07:35.981 --> 02:07:38.083
GO AHEAD. HI, MY NAME IS VICKI

02:07:38.150 --> 02:07:39.518
AND I'M WITH MY SON MICHAEL,

02:07:39.585 --> 02:07:41.353
WHO'S 32 YEARS OLD, STILL

02:07:41.420 --> 02:07:43.122
NON-VERBAL. I'M HERE TODAY

02:07:43.188 --> 02:07:44.456
BECAUSE OF HOW DIFFICULT IT IS

02:07:44.523 --> 02:07:45.691
TO GET YOUR CHILD A MEDICAL

02:07:45.758 --> 02:07:47.459
EXEMPTION FOR VACCINES WHEN

02:07:47.526 --> 02:07:49.261
NECESSARY. IN THIS STATE. THE

02:07:49.328 --> 02:07:50.462
PROCESS ISN'T THE WHOLE PROBLEM.

02:07:50.529 --> 02:07:52.097
IT IS ALSO THE ALLOWABLE

02:07:52.164 --> 02:07:53.365
REASONS FOR MEDICAL EXEMPTIONS.

02:07:53.432 --> 02:07:57.336
IT IS TOO FEW. OUR OUR CHILDREN

02:07:57.403 --> 02:07:58.804
SHOULD NOT HAVE TO BE EXTREMELY

02:07:58.871 --> 02:08:00.105
HURT OR DIE BEFORE A DOCTOR

02:08:00.172 --> 02:08:01.440
WILL WRITE ONE. A PARENT

02:08:01.507 --> 02:08:02.841
SHOULDN'T HAVE TO MOVE OUT OF

02:08:02.908 --> 02:08:04.009
STATE JUST BECAUSE THEIR KID IS

02:08:04.076 --> 02:08:05.878
AT RISK OF GETTING HURT WITH

02:08:05.944 --> 02:08:07.613
VACCINES. I BELIEVE VACCINES

02:08:07.679 --> 02:08:08.947
SHOULD HAVE NEVER BEEN GIVEN TO

02:08:09.014 --> 02:08:10.516
MY SON. I FOUND OUT AFTER HIS

02:08:10.582 --> 02:08:12.017
AUTISM DIAGNOSIS IS THAT HE HAS

02:08:12.084 --> 02:08:13.052
A GENETIC CONDITION CALLED

02:08:13.118 --> 02:08:14.887
FACTOR FIVE LEIDEN. HAVING THAT

02:08:14.953 --> 02:08:16.321
PUTS YOU AT A HIGH RISK OF

02:08:16.388 --> 02:08:17.456
BLOOD CLOTS UNDER CERTAIN

02:08:17.523 --> 02:08:18.357
CONDITIONS, KNOWING THAT WE

02:08:18.424 --> 02:08:20.259
SHOULD NEVER HAVE TAKEN THAT

02:08:20.325 --> 02:08:21.660
RISK OF WE SHOULD NEVER HAVE

02:08:21.727 --> 02:08:23.262
TAKEN THAT RISK WITH VACCINES.

02:08:23.328 --> 02:08:24.630
IF HE WAS SCHOOL AGE, HE WOULD

02:08:24.696 --> 02:08:26.532
NOT BE ABLE TO GET THE MEDICAL

02:08:26.598 --> 02:08:29.935
EXEMPTION HE NEEDS. THE CMA

02:08:30.002 --> 02:08:31.770
PRESIDENT, DOCTOR RENE BRAVO,

02:08:31.837 --> 02:08:33.138
PUT OUT A STATEMENT INCLUDED

02:08:33.205 --> 02:08:34.973
THAT NO MEDICAL INTERVENTION

02:08:35.040 --> 02:08:36.475
INTERVENTION IS PERFECT BECAUSE

02:08:36.542 --> 02:08:39.278
OF THIS POINT, BECAUSE OF THIS

02:08:39.344 --> 02:08:40.779
POINT, INFORMED CONSENT AND

02:08:40.846 --> 02:08:41.814
CONSUMER PROTECTION ARE VITAL

02:08:41.880 --> 02:08:44.349
TO PROTECT PATIENTS RISK

02:08:44.416 --> 02:08:45.818
BENEFIT ASSESSMENT ASSESSMENT

02:08:45.884 --> 02:08:47.486
IS AN INTEGRAL PART OF THE

02:08:47.553 --> 02:08:49.021
STANDARD OF CARE FOR PHYSICIANS.

02:08:49.088 --> 02:09:04.169
THANK YOU, THANK YOU. HI, I'M

02:09:04.236 --> 02:09:07.005
PAM. DID YOU ALL NOTICE NO ONE

02:09:07.072 --> 02:09:08.540
APPLAUDED FOR THE EXPERTS WHEN

02:09:08.607 --> 02:09:12.377
THEY SPOKE? ANYWAY, A COUPLE

02:09:12.444 --> 02:09:14.246
QUESTIONS THAT WERE NOT ASKED

02:09:14.313 --> 02:09:16.715
OR COMMENTED ON IS WE HAVE

02:09:16.782 --> 02:09:18.584
DOCTOR BALL, CHAIR OF THE AAP

02:09:18.650 --> 02:09:24.623
IN CALIFORNIA, WHO WROTE A VAST.

02:09:24.690 --> 02:09:27.359
HIS WORD NUMBER OF EXEMPTIONS

02:09:27.426 --> 02:09:30.195
AND ONLY ONE REVOKED. IS THERE

02:09:30.262 --> 02:09:32.231
A CONFLICT OF INTEREST THERE? I

02:09:32.297 --> 02:09:36.168
WONDER? DOCTOR SAWYER SAID HE

02:09:36.235 --> 02:09:39.438
SAW 100 EXPOSED PATIENTS IN HIS

02:09:39.505 --> 02:09:41.673
OFFICE REGARDING MEASLES. IF

02:09:41.740 --> 02:09:43.342
YOU'VE BEEN EXPOSED, ARE YOU

02:09:43.408 --> 02:09:44.776
SUPPOSED TO GO TO THE DOCTOR'S

02:09:44.843 --> 02:09:47.746
OFFICE? JUST WONDERING. THEN WE

02:09:47.813 --> 02:09:51.316
LISTEN TO THE EXPERTS, DECRY,

02:09:51.383 --> 02:09:53.118
DECLARE THEIR PRAISE OF

02:09:53.185 --> 02:09:55.187
VACCINATIONS. BUT THE MERIT OF

02:09:55.254 --> 02:09:58.190
VACCINES SHOULD NOT REQUIRE

02:09:58.257 --> 02:10:00.626
MANDATES, COERCION AND THREATS.

02:10:00.692 --> 02:10:02.494
THE PROCESS DOESN'T WORK WHEN

02:10:02.561 --> 02:10:04.263
DOCTORS ARE THREATENED WITH

02:10:04.329 --> 02:10:05.364
DISCIPLINE, PARENTS ARE

02:10:05.430 --> 02:10:06.465
PUNISHED WITH REVOCATION OF

02:10:06.532 --> 02:10:07.833
THEIR PARENTAL AUTHORITY AND

02:10:07.900 --> 02:10:09.168
RIGHTS. AND MOST IMPORTANTLY,

02:10:09.234 --> 02:10:10.769
WHEN THE CHILDREN ARE THE

02:10:10.836 --> 02:10:14.473
TARGET, THE PAWNS, AND HARMED.

02:10:14.540 --> 02:10:21.180
THANK YOU. HELLO. I DIDN'T PLAN

02:10:21.246 --> 02:10:22.648
ON SPEAKING TODAY, BUT AFTER

02:10:22.714 --> 02:10:23.749
LISTENING TO THE PANEL, I'M

02:10:23.815 --> 02:10:25.584
URGED TO SPEAK AND ASK YOU TO

02:10:25.651 --> 02:10:26.985
CONSIDER THE FOLLOWING

02:10:27.052 --> 02:10:28.153
QUESTIONS. AT WHAT POINT WILL

02:10:28.220 --> 02:10:30.055
WE STOP OR LIMIT THE AMOUNT OF

02:10:30.122 --> 02:10:31.123
VACCINES THAT ARE MANDATED TO

02:10:31.190 --> 02:10:34.860
OUR CHILDREN? 100, 150, 200.

02:10:34.927 --> 02:10:36.728
HOW CAN WE HAVE A SOCIETY AND

02:10:36.795 --> 02:10:38.564
SYSTEM THAT ALLOWS FOR INFORMED

02:10:38.630 --> 02:10:40.199
CONSENT? YET ONCE IMPLEMENTED,

02:10:40.265 --> 02:10:41.400
THE FAMILY AND CHILDREN ARE

02:10:41.466 --> 02:10:42.768
CAST BACK INTO SOCIETY AND

02:10:42.834 --> 02:10:44.536
PREVENTED FROM ATTENDING SCHOOL,

02:10:44.603 --> 02:10:46.038
GETTING KICKED OUT OF MEDICAL

02:10:46.104 --> 02:10:47.472
PRACTICES AND DISCRIMINATED

02:10:47.539 --> 02:10:48.974
AGAINST. WE HEARD TESTIMONY

02:10:49.041 --> 02:10:50.509
TODAY OF A PEDIATRIC PRACTICE

02:10:50.576 --> 02:10:52.978
OF 25,000 PATIENTS. WHAT KIND

02:10:53.045 --> 02:10:54.479
OF DATA HAS BEEN OBTAINED FROM

02:10:54.546 --> 02:10:55.781
A PRACTICE SUCH AS THIS TO

02:10:55.847 --> 02:10:56.815
IDENTIFY THOSE CHILDREN WHO

02:10:56.882 --> 02:10:58.217
HAVE SUFFERED FROM VACCINE

02:10:58.283 --> 02:10:59.985
INJURIES? FURTHER, AS AN AUDIT

02:11:00.052 --> 02:11:01.520
BEEN CONDUCTED TO VERIFY THAT

02:11:01.587 --> 02:11:02.955
VARIOUS REPORTING HAS BEEN

02:11:03.021 --> 02:11:04.056
CONDUCTED BY THE SAME

02:11:04.122 --> 02:11:05.857
PHYSICIANS WHO ADMINISTERED THE

02:11:05.924 --> 02:11:07.459
VACCINES. WE HEARD TESTIMONY

02:11:07.526 --> 02:11:08.527
ABOUT THE COST OF TREATING

02:11:08.594 --> 02:11:10.195
THOSE WHO ARE UNVACCINATED.

02:11:10.262 --> 02:11:11.597
WHAT ABOUT THE COST FOR THOSE

02:11:11.663 --> 02:11:13.465
WHO ARE VACCINE INJURED? HOW

02:11:13.532 --> 02:11:15.167
MANY OF THESE PRACTICES

02:11:15.234 --> 02:11:16.268
RECEIVED BONUSES FROM

02:11:16.335 --> 02:11:17.703
PHARMACEUTICAL COMPANIES OR

02:11:17.769 --> 02:11:19.871
INSURANCE COMPANIES BACKED BY

02:11:19.938 --> 02:11:21.340
PHARMACEUTICAL COMPANIES? DO

02:11:21.406 --> 02:11:22.541
YOU STILL THINK THE SYSTEM IS

02:11:22.608 --> 02:11:32.251
FAIR AND BALANCED? GOOD MORNING.

02:11:32.317 --> 02:11:33.952
MY NAME IS MELISSA. I'M A

02:11:34.019 --> 02:11:36.088
MOTHER OF THREE HEALTHY AND

02:11:36.154 --> 02:11:38.624
THRIVING BOYS. TO THOSE ASKED

02:11:38.690 --> 02:11:39.992
TO SPEAK ON THE PANEL THIS

02:11:40.058 --> 02:11:42.561
MORNING, YOUR ELITISM IS

02:11:42.628 --> 02:11:44.796
SHOWING. WHERE IS THE DATA ON

02:11:44.863 --> 02:11:47.666
THE UNVACCINATED? THERE IS A.

02:11:47.733 --> 02:11:49.034
SINCE THESE LAWS WERE PASSED,

02:11:49.101 --> 02:11:51.203
THERE'S A HUGE SEGMENT THAT'S

02:11:51.270 --> 02:11:55.841
VERY AFRAID OF BEING. LET'S SEE,

02:11:55.907 --> 02:11:58.010
DEMONIZED BY OUR LAWS AND THEY

02:11:58.076 --> 02:11:59.211
ARE SOME OF THE HEALTHIEST

02:11:59.278 --> 02:12:00.545
CHILDREN IN CALIFORNIA. BUT YOU

02:12:00.612 --> 02:12:03.015
DON'T KNOW THEY EXIST. AND WHY

02:12:03.081 --> 02:12:05.984
DO THESE HEARINGS NEVER

02:12:06.051 --> 02:12:08.086
ACKNOWLEDGE ADVERSE EVENTS EVER?

02:12:08.153 --> 02:12:10.055
THIS IS A CIVIL RIGHTS ISSUE.

02:12:10.122 --> 02:12:11.690
THIS IS A BODY SOVEREIGNTY

02:12:11.757 --> 02:12:13.158
ISSUE. THIS IS A RELIGIOUS

02:12:13.225 --> 02:12:15.360
FREEDOM ISSUE. THIS IS AN ISSUE

02:12:15.427 --> 02:12:16.762
OF BIG PHARMA ENTANGLEMENT

02:12:16.828 --> 02:12:18.930
OWNING CALIFORNIA HEALTH PUBLIC

02:12:18.997 --> 02:12:21.066
POLICY, ALEXIAN PHARMACEUTICALS,

02:12:21.133 --> 02:12:23.969
INC. PAID OVER $5 MILLION.

02:12:24.036 --> 02:12:25.037
ASTRAZENECA OWNS THE THE

02:12:25.103 --> 02:12:26.838
COMPANY AND PAID DOCTOR SAWYER

02:12:26.905 --> 02:12:28.940
FOR CONSULTING. LET'S STOP

02:12:29.007 --> 02:12:30.108
PRETENDING WE'RE BEING HONEST

02:12:30.175 --> 02:12:31.510
HERE. IT'S A CORRUPT SYSTEM

02:12:31.576 --> 02:12:33.011
WHERE LAWS ARE PURCHASED AND

02:12:33.078 --> 02:12:36.548
THE PEOPLE ARE NOT REPRESENTED.

02:12:36.615 --> 02:12:46.124
THANK YOU. HELLO. LAURA JONES

02:12:46.191 --> 02:12:47.559
HERE SPEAKING ON BEHALF OF WE

02:12:47.626 --> 02:12:50.128
THE PEOPLE TEAM, GRASSROOTS

02:12:50.195 --> 02:12:51.163
VOLUNTEERS AND IN SUPPORT OF

02:12:51.229 --> 02:12:52.964
THE MAKE AMERICA HEALTHY AGAIN

02:12:53.031 --> 02:12:54.700
MOVEMENT. I HAVE A STATEMENT

02:12:54.766 --> 02:12:55.934
HERE FROM MY FRIEND BEN SAVILLE,

02:12:56.001 --> 02:12:57.669
WHO HAS TWO DISABLED CHILDREN.

02:12:57.736 --> 02:12:59.004
HE ACTUALLY WAS ONE OF THE

02:12:59.071 --> 02:13:00.939
FOLKS THAT WAS ABLE TO GET A

02:13:01.006 --> 02:13:02.307
MEDICAL EXEMPTION, BUT HE HAD A

02:13:02.374 --> 02:13:03.775
BATTLE IN DOING THAT. HIS

02:13:03.842 --> 02:13:05.210
DOCTOR SAID, IT'S VERY

02:13:05.277 --> 02:13:06.978
DIFFICULT FOR ME TO ASK HIM TO

02:13:07.045 --> 02:13:08.380
WRITE A VACCINE, MEDICAL

02:13:08.447 --> 02:13:09.514
EXEMPTION FOR MY CHILDREN,

02:13:09.581 --> 02:13:10.549
KNOWING THAT HE COULD

02:13:10.615 --> 02:13:11.316
POTENTIALLY BE SUBJECTING

02:13:11.383 --> 02:13:12.784
HIMSELF TO PROFESSIONAL

02:13:12.851 --> 02:13:13.785
SCRUTINY, DISCIPLINE AND

02:13:13.852 --> 02:13:15.320
POSSIBLY EVEN THE LOSS OF HIS

02:13:15.387 --> 02:13:17.089
MEDICAL LICENSE. AND HE KNOWS

02:13:17.155 --> 02:13:18.924
MANY, MANY OTHER CHILDREN AND

02:13:18.990 --> 02:13:20.692
FAMILIES THAT STRUGGLE TO

02:13:20.759 --> 02:13:22.327
SUCCESSFULLY GET THE EXEMPTIONS

02:13:22.394 --> 02:13:24.096
IN THE SPECIAL NEEDS COMMUNITY.

02:13:24.162 --> 02:13:25.764
AND I WILL LEAVE YOU WITH RFK

02:13:25.831 --> 02:13:26.732
JUNIOR'S COMMENT. WE NEED TO

02:13:26.798 --> 02:13:28.500
LOVE OUR CHILDREN MORE THAN WE

02:13:28.567 --> 02:13:31.803
HATE EACH OTHER. THANK YOU.

02:13:31.870 --> 02:13:40.912
THANK YOU. MATTHEW SIX AND LUKE

02:13:40.979 --> 02:13:42.647
172. SHAME ON YOU GUYS FOR

02:13:42.714 --> 02:13:44.015
STACKING THE DECK LIKE YOU DID,

02:13:44.082 --> 02:13:45.250
AND THEN SIT HERE AND SAY, IT'S

02:13:45.317 --> 02:13:47.686
OUR DUTY TO PROTECT CHILDREN

02:13:47.753 --> 02:13:48.820
BECAUSE YOU ARE PUTTING THEM IN

02:13:48.887 --> 02:13:50.422
HARM'S WAY. YOU TELL ME ONE

02:13:50.489 --> 02:13:51.490
THING THAT'S GOOD IN THOSE

02:13:51.556 --> 02:13:53.458
VACCINES. ONE, BECAUSE I'VE

02:13:53.525 --> 02:13:54.860
LOOKED INTO THEM AND THERE

02:13:54.926 --> 02:13:56.428
ISN'T ONE THING THEY'RE TOXIC.

02:13:56.495 --> 02:13:58.096
THE PEOPLE THAT MAKE THEM TELL

02:13:58.163 --> 02:13:59.564
THEIR FAMILY NOT TO TAKE THEM,

02:13:59.631 --> 02:14:00.665
THEY SHOULDN'T EVEN MAKE THEM.

02:14:00.732 --> 02:14:02.801
BUT THEY KNOW THAT MAKING THEM

02:14:02.868 --> 02:14:03.969
AND YOU GUYS SIT HERE, YOU

02:14:04.035 --> 02:14:05.337
DON'T HAVE ANY INFORMATION ON

02:14:05.404 --> 02:14:07.105
ANOTHER SIDE SHOWING THE

02:14:07.172 --> 02:14:09.975
INJURIES THAT OCCUR FROM THESE

02:14:10.041 --> 02:14:11.076
VACCINATIONS AND THE FACT THAT

02:14:11.143 --> 02:14:12.878
YOU ARE DEBATING WHETHER OR NOT

02:14:12.944 --> 02:14:14.413
PARENTS HAVE THE AUTHORITY OVER

02:14:14.479 --> 02:14:16.882
THEIR CHILDREN. SHAME ON YOU.

02:14:16.948 --> 02:14:18.083
BECAUSE IF I WERE TO TELL YOU

02:14:18.150 --> 02:14:20.051
WHAT YOU DO WITH YOUR CHILDREN,

02:14:20.118 --> 02:14:21.920
YOU WOULD TELL ME TO GET OUT OF

02:14:21.987 --> 02:14:23.121
THE ROOM. BUT YOU'RE SITTING

02:14:23.188 --> 02:14:24.189
HERE AND YOU'RE DETERMINING

02:14:24.256 --> 02:14:27.626
WHAT IS BEST WHEN CHILDREN ARE

02:14:27.692 --> 02:14:29.861
DYING. ALUMINUM AND MERCURY

02:14:29.928 --> 02:14:31.263
TOGETHER ARE CORROSIVE. AND THE

02:14:31.329 --> 02:14:33.165
FACT THAT YOU THINK THAT AUTISM

02:14:33.231 --> 02:14:36.268
IS NOT CAUSED BY THESE VACCINES.

02:14:36.334 --> 02:14:38.770
SHAME ON YOU AND WOE TO YOU.

02:14:38.837 --> 02:14:39.871
IT'LL BE INTERESTING TO SEE

02:14:39.938 --> 02:14:41.139
WHEN YOU MEET OUR MAKER BECAUSE

02:14:41.206 --> 02:14:42.774
YOU GUYS ARE PUSHING THINGS.

02:14:42.841 --> 02:14:44.609
THESE ARE GENOCIDE SHOTS AND

02:14:44.676 --> 02:14:46.378
YOU HAVE A CHOICE TO COURSE.

02:14:46.445 --> 02:14:47.813
CORRECT. AND I WOULD ENCOURAGE

02:14:47.879 --> 02:14:50.015
YOU TO READ MATTHEW 186 AND

02:14:50.081 --> 02:14:59.691
LUKE 17. THANK YOU MA'AM. WELL,

02:14:59.758 --> 02:15:01.126
I WANT TO THANK EVERYONE WHO

02:15:01.193 --> 02:15:02.594
CAME TO THIS HEARING. I WANT TO

02:15:02.661 --> 02:15:04.996
THANK OUR PANELISTS. I WANT TO

02:15:05.063 --> 02:15:06.898
THANK THOSE WHO CAME TO GIVE

02:15:06.965 --> 02:15:08.700
PUBLIC COMMENT. I REALLY WANT

02:15:08.767 --> 02:15:10.802
TO THANK SENATOR JONES FOR

02:15:10.869 --> 02:15:15.173
COMING. AND IT MEANS A LOT TO

02:15:15.240 --> 02:15:16.975
ACTUALLY HAVE ANOTHER COLLEAGUE

02:15:17.042 --> 02:15:19.845
HERE, ESPECIALLY SINCE THIS WAS

02:15:19.911 --> 02:15:21.646
SOMETHING THAT WAS SPARKED BY

02:15:21.713 --> 02:15:23.849
YOUR BILL, WHICH FOCUSED NOT SO

02:15:23.915 --> 02:15:25.884
MUCH ON VACCINES THEMSELVES,

02:15:25.951 --> 02:15:29.554
BUT ON THE ACTUAL EXEMPTION

02:15:29.621 --> 02:15:30.922
PROCESS. AND WOULD YOU LIKE TO

02:15:30.989 --> 02:15:32.123
SAY SOMETHING? YEAH. THANK YOU.

02:15:32.190 --> 02:15:34.259
I DO WANT TO THANK THE

02:15:34.326 --> 02:15:36.361
CHAIRWOMAN FOR CONDUCTING THIS

02:15:36.428 --> 02:15:37.529
HEARING, AND I WOULD LIKE FOR

02:15:37.596 --> 02:15:38.797
THE PUBLIC TO UNDERSTAND AND

02:15:38.864 --> 02:15:42.100
KNOW THAT SHE'S UNDER NO

02:15:42.167 --> 02:15:43.935
OBLIGATION TO ASK FOR THIS

02:15:44.002 --> 02:15:45.370
HEARING, TO CONDUCT THIS

02:15:45.437 --> 02:15:48.273
HEARING. AND AND THEN,

02:15:48.340 --> 02:15:49.341
FORTUNATELY FOR ME, HAVE IT

02:15:49.407 --> 02:15:51.276
HERE IN SAN DIEGO, WHERE A LOT

02:15:51.343 --> 02:15:52.277
OF FOLKS FROM SOUTHERN

02:15:52.344 --> 02:15:53.345
CALIFORNIA THAT DON'T HAVE THE

02:15:53.411 --> 02:15:54.546
OPPORTUNITY TO GO TO SACRAMENTO

02:15:54.613 --> 02:15:56.281
TO HAVE THEIR VOICES HEARD, BE

02:15:56.348 --> 02:15:57.983
ABLE TO COME DOWN HERE TO THE

02:15:58.049 --> 02:15:59.084
SAN DIEGO COUNTY ADMINISTRATION

02:15:59.150 --> 02:16:00.952
BUILDING AND DO THAT. SO I DO

02:16:01.019 --> 02:16:03.054
WANT THE PUBLIC TO KNOW THAT

02:16:03.121 --> 02:16:05.156
DOCTOR PEARSON IS PROFESSIONAL

02:16:05.223 --> 02:16:06.625
ABOUT THIS ISSUE, CARING ABOUT

02:16:06.691 --> 02:16:08.760
THIS ISSUE. THE REASON WE'RE

02:16:08.827 --> 02:16:10.228
HAVING THIS HEARING IS BECAUSE

02:16:10.295 --> 02:16:13.832
SHE WANTS THE INFORMATION OUT

02:16:13.899 --> 02:16:15.233
THERE. I DO UNDERSTAND SOME OF

02:16:15.300 --> 02:16:17.769
THE CONCERNS THAT PEOPLE

02:16:17.836 --> 02:16:20.338
BROUGHT UP TODAY. AS THE

02:16:20.405 --> 02:16:22.507
CHAIRWOMAN SHARED, YOU HAVE THE

02:16:22.574 --> 02:16:24.276
OPPORTUNITY TO GO INTO THIS

02:16:24.342 --> 02:16:26.845
SENATE HEALTH COMMITTEE PORTAL.

02:16:26.912 --> 02:16:28.713
IF YOU WEREN'T ABLE TO HAVE ALL

02:16:28.780 --> 02:16:31.483
OF YOUR CONCERNS HEARD, YOU CAN

02:16:31.550 --> 02:16:32.884
SUBMIT A LETTER TO THE PORTAL.

02:16:32.951 --> 02:16:36.187
I WOULD ENCOURAGE EVERYONE THAT

02:16:36.254 --> 02:16:37.923
HAS CONCERNS ABOUT THIS,

02:16:37.989 --> 02:16:39.758
WHETHER THE EXEMPTIONS,

02:16:39.824 --> 02:16:41.593
SPECIFICALLY OR OTHER ISSUES,

02:16:41.660 --> 02:16:43.662
TO ENGAGE WITH THE HEALTH

02:16:43.728 --> 02:16:44.863
COMMITTEE NEXT YEAR. THERE WILL

02:16:44.930 --> 02:16:46.264
BE NEW MEMBERS ON THE COMMITTEE

02:16:46.331 --> 02:16:48.199
THAT MAY OR MAY NOT BE FAMILIAR

02:16:48.266 --> 02:16:50.001
WITH THIS ISSUE. THAT WILL NEED

02:16:50.068 --> 02:16:52.337
TO HEAR YOUR VOICES, AND I

02:16:52.404 --> 02:16:54.139
APPRECIATE THAT. FOR THE MOST

02:16:54.205 --> 02:16:57.409
PART, EVERYTHING WAS POLITE AND

02:16:57.475 --> 02:16:58.810
PROFESSIONAL TODAY. I

02:16:58.877 --> 02:16:59.611
UNDERSTAND THAT THERE ARE

02:16:59.678 --> 02:17:01.313
STRONG EMOTIONS THAT RUN ON

02:17:01.379 --> 02:17:02.847
BOTH SIDES OF THIS ISSUE, BUT

02:17:02.914 --> 02:17:04.382
FOR THE MOST PART, WE WERE ABLE

02:17:04.449 --> 02:17:06.051
TO HAVE A PROFESSIONAL AND I

02:17:06.117 --> 02:17:07.786
THINK, PRODUCTIVE HEARING TODAY.

02:17:07.852 --> 02:17:09.020
AND I JUST WANT TO THANK THE

02:17:09.087 --> 02:17:10.822
CHAIR FOR PUTTING THIS TOGETHER.

02:17:10.889 --> 02:17:14.693
THANK YOU VERY MUCH. THANK YOU.

02:17:14.759 --> 02:17:16.528
I ALSO WANT TO THANK THE HEALTH

02:17:16.595 --> 02:17:17.562
COMMITTEE STAFF AND THE

02:17:17.629 --> 02:17:19.698
SERGEANTS WHO CAME DOWN FROM

02:17:19.764 --> 02:17:21.099
SACRAMENTO TO HELP WITH THIS

02:17:21.166 --> 02:17:22.901
HEARING AS WELL. HAVE A GREAT

02:17:22.968 --> 02:17:37.983
DAY.