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STATE OF HAWAII
IMMUNIZATION REQUIREMENTS & VACINATION EXEMPTIONS
MANDATORY IMMUNIZTION AND VACINATION
HAWAII STATE CONSTITUTION – RESPECT FOR HUMAN DIGNITY
DEPARTMENT OF HEALTH
GOING DOWN THE RABBIT HOLE
THE MENACE T0 PUBLIC HEALTH AND SAFETY
NUMBER OF STUDENTS EXEMPT FROM VACCINATIONS GROWING
HALEAKALA WALDORF SCHOOL HAS HIGHEST RATE OF UNVACCINATED STUDENTS IN STATE
By Kehaulani Cerizo, The Maui News. April 28, 2019
http://www.mauinews.com/news/local-news/2019/04/number-of-students-exempt-from-vaccinations-growing/
Local school administrators, parents and state ofcials are weighing in on the
controversial subject of vaccination, where Hawaii’s total exemption numbers
are increasing each year. Meanwhile, national reports of measles climbed
Wednesday to its highest level in 25 years, according to Centers for Disease
Control and Prevention. The latest city among 22 states to be hit is Los
Angeles, with more than 700 staf and faculty at two universities placed under
quarantine last week. In some states, fnes, threats of prosecution, mandatory
vaccinations and other measures are being taken to combat the measles
outbreak.
State of Hawaii, Department of Health Immunization Branch Chief Ronald Balajadia
[T]he [Haleakala Waldorf} school report should be viewed in a bigger
context, where more needs to be done to reduce increasing numbers of
exemptions statewide. The bigger context is that we should be concerned
there are increasing numbers of exemptions. Due to high rates of travel in
and out of Hawaii, our community is especially vulnerable to illnesses that
can be prevented with vaccination. The fact is, it just takes one person
who is susceptible, regardless of which locations have the highest and
who has the lowest.
STATE OF HAWAII1
1 State School Immunization Requirements and Vaccine Exemption Laws. Centers for Disease
Control and Prevention (CDC), Ofce for State, Tribal, Local and Territorial Support.
Last updated February 2017. https://www.cdc.gov/phlp/docs/school-vaccinations.pdf
• State law establishes vaccination requirements for public school children.
• State law establishes vaccination requirements for private school children.
• Private school vaccination requirements regarding exemptions mirror those for
public schools.
• State law establish vaccination requirements for day care facilities.
• Day care facility vaccination requirements regarding exemptions mirror those for
public schools.
• State law allows medical or religious exemptions only.
• State law allows for religious exemptions, state law does not expressly exclude
exemptions based on philosophical beliefs.
• State law expressly allows for exclusion of exempted students from school during
an outbreak.
• State law does not require parental acknowledgement of during the exemption
process.
• State law establishes exemptions that might not be recognized in the event of
epidemic, outbreak, or emergency.
• State law does not require a separate exemption application for each vaccine.
• State law does not require parental notarization or afdavit in the exemption
application process.
• State law does not require the name of the child's school to be listed in the
exemption application.
• State law does not require the exemption application go to the health
department. State law does not require education about the benefts of
vaccination or the risks of being unvaccinated in the exemption process.
• The department of health is not responsible for providing the education.
• Healthcare providers are not responsible for providing education.
• State law distinguishes between temporary and permanent medical
contraindications.
• State law does not require an annual or more frequent health care provider
recertifcation for medical exemptions.
STATE OF HAWAII DEPARTMENT OF HEALTH
PREVENTATIVE ACTION ON NATIONAL MEASLES OUTBREAK
Under Hawaii law, “[i]f at any time there is, in the opinion of the department of health,
danger of an epidemic from any of the communicable diseases for which immunization
is required under sections 302A-1154 to 302A-1163 [HRS § 302A-1157], no exemption
from immunization against the disease shall be recognized.”
STRENGTHENING HAWAII'S IMMUNIZTION & VACINATION LAWS
Requirement for Parental Notarization or Afdavit in Exemption Application
Alaska, Minnesota and Virginia require parental notarization or afdavit with its
exemption applications.
Requirement that Exemption Application Includes Enhanced Education Regarding Risks or Benefts
Arizona, Utah and Vermont require that their religious or philosophical
exemption process include an educational component that discusses the
benefts of vaccination and the risks or not being vaccinated.
Temporary or Permanent Medical Exemption Provisions
Connecticut, Montana and West Virginia distinguish between temporary and
permanent medical exemptions in their application process.
Recertifcation of Medical Exemptions
Georgia, Kansas and New Mexico require medical exemption applications to be
resubmitted annually or more frequently, which includes securing a statement
or signature from a health care provider.
Healthcare Providers
Oregon's process for religious and philosophical exemptions must include either
“(i) A signature from a health care practitioner verifying that the health care
practitioner has reviewed with the parent information about the risks and
benefts of immunization . . . or (ii) A certifcate verifying that the parent has
completed a vaccine educational module.”
Washington’s application process for all exemptions requires “a statement to be
signed by a health care practitioner stating that he or she provided the signator
with information about the benefts and risks of immunization to the child.”
_____________________
The doctor of the future will give no medication,
but will interest his patients in the care of the human frame,
diet and the cause and prevention of disease.
~ Thomas Alva Edison (1847 - 1931)

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Hawaii vaccination rates & exemptions rise amid measles outbreak

  • 1. STATE OF HAWAII IMMUNIZATION REQUIREMENTS & VACINATION EXEMPTIONS MANDATORY IMMUNIZTION AND VACINATION HAWAII STATE CONSTITUTION – RESPECT FOR HUMAN DIGNITY DEPARTMENT OF HEALTH GOING DOWN THE RABBIT HOLE THE MENACE T0 PUBLIC HEALTH AND SAFETY NUMBER OF STUDENTS EXEMPT FROM VACCINATIONS GROWING HALEAKALA WALDORF SCHOOL HAS HIGHEST RATE OF UNVACCINATED STUDENTS IN STATE By Kehaulani Cerizo, The Maui News. April 28, 2019 http://www.mauinews.com/news/local-news/2019/04/number-of-students-exempt-from-vaccinations-growing/ Local school administrators, parents and state ofcials are weighing in on the controversial subject of vaccination, where Hawaii’s total exemption numbers are increasing each year. Meanwhile, national reports of measles climbed Wednesday to its highest level in 25 years, according to Centers for Disease Control and Prevention. The latest city among 22 states to be hit is Los Angeles, with more than 700 staf and faculty at two universities placed under quarantine last week. In some states, fnes, threats of prosecution, mandatory vaccinations and other measures are being taken to combat the measles outbreak. State of Hawaii, Department of Health Immunization Branch Chief Ronald Balajadia [T]he [Haleakala Waldorf} school report should be viewed in a bigger context, where more needs to be done to reduce increasing numbers of exemptions statewide. The bigger context is that we should be concerned there are increasing numbers of exemptions. Due to high rates of travel in and out of Hawaii, our community is especially vulnerable to illnesses that can be prevented with vaccination. The fact is, it just takes one person who is susceptible, regardless of which locations have the highest and who has the lowest. STATE OF HAWAII1 1 State School Immunization Requirements and Vaccine Exemption Laws. Centers for Disease Control and Prevention (CDC), Ofce for State, Tribal, Local and Territorial Support. Last updated February 2017. https://www.cdc.gov/phlp/docs/school-vaccinations.pdf
  • 2. • State law establishes vaccination requirements for public school children. • State law establishes vaccination requirements for private school children. • Private school vaccination requirements regarding exemptions mirror those for public schools. • State law establish vaccination requirements for day care facilities. • Day care facility vaccination requirements regarding exemptions mirror those for public schools. • State law allows medical or religious exemptions only. • State law allows for religious exemptions, state law does not expressly exclude exemptions based on philosophical beliefs. • State law expressly allows for exclusion of exempted students from school during an outbreak. • State law does not require parental acknowledgement of during the exemption process. • State law establishes exemptions that might not be recognized in the event of epidemic, outbreak, or emergency. • State law does not require a separate exemption application for each vaccine. • State law does not require parental notarization or afdavit in the exemption application process. • State law does not require the name of the child's school to be listed in the exemption application. • State law does not require the exemption application go to the health department. State law does not require education about the benefts of vaccination or the risks of being unvaccinated in the exemption process. • The department of health is not responsible for providing the education. • Healthcare providers are not responsible for providing education. • State law distinguishes between temporary and permanent medical contraindications. • State law does not require an annual or more frequent health care provider recertifcation for medical exemptions. STATE OF HAWAII DEPARTMENT OF HEALTH PREVENTATIVE ACTION ON NATIONAL MEASLES OUTBREAK Under Hawaii law, “[i]f at any time there is, in the opinion of the department of health, danger of an epidemic from any of the communicable diseases for which immunization is required under sections 302A-1154 to 302A-1163 [HRS § 302A-1157], no exemption from immunization against the disease shall be recognized.”
  • 3. STRENGTHENING HAWAII'S IMMUNIZTION & VACINATION LAWS Requirement for Parental Notarization or Afdavit in Exemption Application Alaska, Minnesota and Virginia require parental notarization or afdavit with its exemption applications. Requirement that Exemption Application Includes Enhanced Education Regarding Risks or Benefts Arizona, Utah and Vermont require that their religious or philosophical exemption process include an educational component that discusses the benefts of vaccination and the risks or not being vaccinated. Temporary or Permanent Medical Exemption Provisions Connecticut, Montana and West Virginia distinguish between temporary and permanent medical exemptions in their application process. Recertifcation of Medical Exemptions Georgia, Kansas and New Mexico require medical exemption applications to be resubmitted annually or more frequently, which includes securing a statement or signature from a health care provider. Healthcare Providers Oregon's process for religious and philosophical exemptions must include either “(i) A signature from a health care practitioner verifying that the health care practitioner has reviewed with the parent information about the risks and benefts of immunization . . . or (ii) A certifcate verifying that the parent has completed a vaccine educational module.” Washington’s application process for all exemptions requires “a statement to be signed by a health care practitioner stating that he or she provided the signator with information about the benefts and risks of immunization to the child.” _____________________ The doctor of the future will give no medication, but will interest his patients in the care of the human frame, diet and the cause and prevention of disease. ~ Thomas Alva Edison (1847 - 1931)