f Leffer- A i2 REC Kathy Cooper p c? 1 : From: Sent Tuesday May AM : 5 To: IRRC Subject: VACCINATIONS re: IRRC #3146 & 3147

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1 re: IRRC #3146 & 3147 Subject: VACCINATIONS To: IRRC f Leffer- A i2 Sent Tuesday May AM : 5 From: renee07@pa.net nurse practitioner. We oppose this change. the disease must now be provided by a doctor, physician s assistant, or #3 - Proof of natural immunity for chicken pox through having contracted change to be extreme. NO nearby states have such short provisional and analysis. 60 day provisional period would not interfere with school data collection the requirements without undue stress. Given the later reporting date, a 60 day provisional period will give parents and sick children time to meet schedule appointments or for students who may be sick to recover before they make appointments and submit paperwork. A getting vaccinated. Parents will face stress and unnecessary expense as periods; their average is 58 days. Five days is not enough time to to correct reporting failures and ascertain accurate data, we find this Comment: While we support shortening the provisional period in an effort to 5 days. We oppose this change. #2 Decrease the provisional period for student enrollment from 240 days prepare more accurate records. Comment: The later reporting date will give the DOH additional time to this change. #1 - Change reporting deadline from October 15 to Deceniber 31. We support SEE BELOW: stopped at around 8 years old. He had pnoemonia about 4 times by the time getting vaccinations. I got him his vaccinations when he was young but them. I have a child that is in 10th grade and I am opposed to him he was 8 years old. He had several years of the pnoemonia vaccinations and he got sick with it every time. I am writing this to inform you of the changes and my opinions regarding Kathy Cooper p c? 1 : REC

2 burden of all charges, or co pays as well as laboratory fees. staff during a stressful time. Most families will also have the financial receiving an official chicken pox diagnosis. This move could increase the the medically fragile, will likely be present for the sole purpose of spread of the disease. Not all families have existing relationships with family to enter into a new contractual relationship with unknown medical the list of specified medical workers, and this provision could force a 2 this change. #5 Inclusion of Pertussis vaccine for kindergarten admission. We oppose encephalomyelitis, transverse myelitis, and myalgia. vasovagal syncope, dizziness, convulsion, facial palsy, acute disseminated According to vaccine manufacturer package inserts, post marketing erythema, pruritus, hypotension, Guillain Barré syndrome, paraesthesia, wheezing, difficulty breathing, upper airway swelling, urticaria, surveillance for the meningitis vaccine has shown the following: hypersensitivity reactions such as anaphylaxis/anaphylactic reaction, necessity of such a mandate and thus chose not to act. The Department of available to anyone who wants it. mandates that are not supported by lawmakers. This vaccine is already Health is seeking to circumvent the legislative process in enforcing vaccine for students entering 12th grade. The legislature did not see the Earlier this legislative session, a bill was introduced to mandate this $16,000,000. The CDC states that all serogroups of the disease are on the 147,040 seniors in 2014, would have cost parents and taxpayers over were only 16 new cases of meningitis. Vaccinating the estimated According to the PA Department of Health EDDIE database, in 2014, there for meningococcal disease, according to the CDC, is /100,000. decline, including serogroup B, which is not even included in the vaccine significantly raise costs and risks that far outweigh any possible benefit. The disease is extremely rare; the incidence rate Comment: The addition of this vaccine is not only unnecessary but would We oppose this change. #4 - Addition of Meningococcal vaccine for students entering 12th grade. the school staff and the parents as the parents word is qi.iestioned. Additionally, this requirement creates an environment of distrust between contagious child visit a medical facility where other children, including Comment: It is irresponsible for the DOH to insist that a highly

3 efficacy and the early waning of any immunity provided by this vaccine. (pertussis) during the first year after vaccination but not much longer. currently under scrutiny from the medical community to the requirements. 3 years after vaccination.. It seems hasty to add a vaccine that is Immunity waned during the second year, and little protection remained 2 to provided moderate defense against the illness In February 2016, The American Academy of Pediatrics published that Tdap 3 the future. We also want to ensure accuracy in data collection and will simplify the amendment process should these combinations change in Comment: We feel that all antigens should be listed individually. This oppose this change. for some of the vaccines and the proposed regulations are unclear. We their combination forms - and TDaP. Evidence of Immunity is different combination shots. Instead, they will only be listed in the regulations in pertussis vaccines that are currently most commonly consumed as separate listings for measles, mumps, rubella, tetanus, diphtheria, and #6 - The DOH proposes to edit the current regulations by eliminating U.S. from civil liability and, in 2011, the US Supreme Court completely from vaccine risks and failures. and laws the only way Americans can protect themselves and their children flexible medical and non medical vaccine exemptions in vaccine policies mandated vaccines that injure Americans or cause their death, which makes pharmaceutical companies marketing federally recommended and state recommended vaccines. There is no product liability or accountability for shielded vaccine manufacturers from liability for FDA licensed and CDC The 1986 law partially shielded drug companies selling vaccines in the Vaccine Manufacturers for Meningitis Vaccines Have No Civil Liability. physician s rights and parental rights regarding medical and religious research and emerging evidence that certain vaccines do not prevent have not been fully defined by science, and doctors often cannot predict vaccine reactions for genetic, biological and environmental reasons that The Institute of Medicine in a series of reports on vaccine safety reactions, although two out of three who apply are denied compensation. infection or transmission of disease, urgently require legal protection of injured by vaccines or to families whose loved ones died from vaccine Act. Since 1988, the federal vaccine injury compensation program created under that law has awarded more than $3.2 billion to children and adults spanning 25 years has acknowledged there is individual susceptibility to Congress in 1986 when it passed the National Childhood Vaccine Injury ahead of time who will be harmed. Long standing gaps in vaccine safety exemptions to vaccination for minor children. of injury or death, a fact that was acknowledged by the U.S. Meningitis and Tdap vaccines are pharmaceutical products that carry a risk vaccinated populations. The CDC and top doctors are verifying the lack of Comment: We are currently seeing outbreaks of pertussis among fully

4 regarding vaccine requirements. Change Requested. #7 There is no requirement for standardized language in communications immunity. disease should individually list what can be given as evidence of 4 Renee Pine Sincerely, THEY WANT TO VACCINATE THEIR CHILDREN. THE GOVERNMENT WILL NOT BE LIVING THE DAMAGES!!!! CAUSE. ALSO THE LOSS IS THE THE WORST BUT THEN YOU CAN T SUE ANYONE FOR WITH THE DEATH OR MENTAL OR PHYSICAL DISABILITIES THE VACCINATION MAY I AM HIGHLY OPPOSED TO TAKING THE RIGHTS AWAY FROM PARENTS TO DECIDE IF theory unreliable for massive vaccination requirements. populations that have reached 100% vaccination rates, rendering this who had been vaccinated. Disease outbreaks continue to occur in developed when studying individuals who had the wild diseases, not those vaccination mandates on the theory of herd immunity which was first Comment: The Department of Health bases their reasoning for increasing Change Requested. #9 Herd Immunity claims are given without clarification or verification. polio vaccine. Comment: This is incorrect and should be changed to enhanced inactivated #8 Annex A lists enhanced activated polio vaccine. Change Requested. PA students. include the text of 28 PA CODE CH.23 stating the accepted exemptions for periods, and reporting. We request that the regulations be amended to require all schools to use uniform language provided by the DOH which will communicating with parents regarding vaccine requirements, provisional Comment: Currently, each school district creates its own language in listing each antigen individually is best and should not be changed. Each publication. Some of these vaccines are still available singularly, and so

5 Hi: Subject: Vaccine Policy Sent Tuesday May AM From: Marty Matika To: IRRC; pa.gov Kathy Cooper i I stated our comments below each proposed change for my Wife and I. 1 purpose of receiving an official chicken pox diagnosis. This move could increase the spread of questioned. the disease. Not all families have existing relationships with the list of specified medical environment of distrust between the school staff and the parents as the parents word is of all charges, or co-pays as well as laboratory fees. Additionally, this requirement creates an unknown medical staff during a stressful time. Most families will also have the financial burden workers, and this provision could force a family to enter into a new contractual relationship with facility where other children, including the medically fragile, will likely be present for the sole Comment: It is irresponsible for the DOH to insist that a highly contagious child visit a medical change. now be provided by a doctor, physician s assistant, or nurse practitioner. We oppose this #3 - Proof of natural immunity for chicken pox through having contracted the disease must provisional period would not interfere with school data collection and analysis. meet the requirements without undue stress. Given the later reporting date, a 60 day schedule appointments or for students who may be sick to recover before getting have such short provisional periods; their average is 58 days. Five days is not enough time to and submit paperwork. A 60 day provisional period will give parents and sick children time to vaccinated. Parents will face stress and unnecessary expense as they make appointments failures and ascertain accurate data, we find this change to be extreme. NO nearby states Comment: While we support shortening the provisional period in an effort to correct reporting oppose this change. #2 -Decrease the provisional period for student enrollment from 240 days to 5 days. records. Comment: The later reporting date will give the DOH additional time to prepare more accurate #1 - Change reporting deadline from October 15 to December 31. We support this change, %Lfl

6 It Comment: The addition of this vaccine is not only unnecessary but would significantly raise costs and risks that far outweigh any possible benefit. The disease is extremely rare; the 0.5/ According to the PA Department of Health EDDiE database, in 2014, there were incidence rate for meningococcal disease, according to the CDC, is vaccines or to families whose loved ones died from vaccine reactions, although two out of created under that law has awarded more than $3.2 billion to children and adults injured by three who apply are denied compensation. The Institute of Medicine in a series of reports on Childhood Vaccine Injury Act. Since 1988, the federal vaccine injury compensation program a fact that was acknowledged by the U.S. Congress in 1986 when it passed the National during the first year after vaccination but not much longer. Immunity waned during the second Meningitis and Tdap vaccines are pharmaceutical products that carry a risk of injury or death, Pediatrics published that Tdap provided moderate defense against the illness (pertussis) vaccine that is currently under scrutiny from the medical community to the requirements. The CDC and top doctors are verifying the lack of efficacy and the early waning of any year, and little protection remained 2 to 3 years after vaccination.. seems hasty to add a immunity provided by this vaccine, In February 2016, The American Academy of Comment: We are currently seeing outbreaks of pertussis among fully vaccinated populations. #5 Inclusion of Pertussis vaccine for kindergarten admission. We oppose this changes myelitis, and myalgia. urticaria, erythema, pruritus, hypotension, Guillain-Barré syndrome, paraesthesia, vasovagal anaphylaxis/anaphylactic reaction, wheezing, difficulty breathing, upper airway swelling, syncope, dizziness, convulsion, facial palsy, acute disseminated encephalomyelitis, transverse According to vaccine manufacturer package inserts, post marketing surveillance for the meningitis vaccine has shown the following: hypersensitivity reactions such as anyone who wants it. enforcing mandates that are not supported by lawmakers. This vaccine is already available to chose not to act. The Department of Health is seeking to circumvent the legislative process in entering 12th grade. The legislature did not see the necessity of such a mandate and thus Earlier this legislative session, a bill was introduced to mandate this vaccine for students disease are on the decline, including serogroup B, which is not even included in the vaccine have cost parents and taxpayers over $16, The CDC states that all serogroups of the only 16 new cases of meningitis. Vaccinating the estimated 147,040 seniors in 2014, would change. #4 Addition of Meningococcal vaccine for students entering 12th grade. We oppose this

7 re rights and parental rights regarding medical and religious exemptions to vaccination for minor standing gaps in vaccine safety research and emerging evidence that certain vaccines do not prevent infection or transmission of disease, urgently require legal protection of physician s the regulations be amended to require all schools to use uniform language provided by the 3 mandates on the theory of herd immunity which was first developed when studying individuals Comment: Currently, each school district creates its own language in communicating with Comment: This is incorrect and should be changed to enhanced inactivated polio vaccine. Comment: The Department of Health bases their reasoning for increasing vaccination #9 Herd Immunity claims are given without clarification or verification. Change Requested. #8 Annex A lists enhanced activated polio vaccine. Change Requested. students. DOH which will include the text of 28 PA CODE CH.23 stating the accepted exemptions for PA parents regarding vaccine requirements, provisional periods, and reporting. We request that requirements. Change Requested. #7 - There is no requirement for standardized language in communications regarding vaccine disease should individually list what can be given as evidence of immunity. singularly, and so listing each antigen individually is best and should not be changed. Each accuracy in data collection and publication. Some of these vaccines are still available amendment process should these combinations change in the future. We also want to ensure Comment: We feel that all antigens should be listed individually. This will simplify the in their combination forms - MMR and TDaP. Evidence of Immunity is different for some of the commonly consumed as combination shots. Instead, they will only be listed in the regulations measles, mumps, rubella, tetanus, diphtheria, and pertussis vaccines that are currently most vaccines and the proposed regulations are unclear. We oppose this change. #6 - The DOH proposes to edit the current regulations by eliminating separate listings for themselves and their children from vaccine risks and failures. that injure Americans or cause their death, which makes flexible medical and non-medical pharmaceutical companies marketing federally recommended and state mandated vaccines vaccine exemptions in vaccine policies and laws the only way Americans can protect the US Supreme Court completely shielded vaccine manufacturers from liability for FDA licensed and CDC recommended vaccines, There is no product liability or accountability for partially shielded drug companies selling vaccines in the U.S. from civil liability and, in 2011, Vaccine Manufacturers for Meningitis Vaccines Have No Civil Liability. The 1986 law defined by science, and doctors often cannot predict ahead of time who will be harmed. Long vaccine safety spanning 25 years has acknowledged there is individual susceptibility to vaccine reactions for genetic, biological and environmental reasons that have not been fully

8 Live, Laugh and Love Best Selling Author of Success from the Heart Marty Matika, MS Thanks for supporting our healthy kids! unreliable for massive vaccination requirements O ww.iife-circies.com Life Circles, Change your Thinking, Change your Life! to occur in populations that have reached 100% vaccination rates, rendering this theory who had the wild diseases, not those who had been vaccinated. Disease outbreaks continue