Children may get more vaccinations

N.J. weighs flu and pneumonia shots for those in preschool and child care
Tuesday, July 26, 2005 • By CAROL ANN CAMPBELL • Star-Ledger Staff

New Jersey health officials are considering plans to require youngsters in preschool and child care centers to get vaccinated against both the flu and pneumonia.

The rules could take effect as early as next year and would make New Jersey the first state to require young children to receive the flu vaccine. Six states already require children in preschool to get the pneumonia vaccine.

Plans for the possible requirements were outlined at yesterday's meeting of the Public Health Council, an independent body of health experts from around the state. The shots would be for children over six months of age, and would include the pneumococcal conjugate vaccine (PCV7), and the influenza vaccine.

State epidemiologist Eddy Bresnitz told the council that the new rules would prevent illness and, possibly, even death among young children. In addition to getting sick themselves, unvaccinated children can transmit influenza to others.

"Children are major transmitters of influenza," Bresnitz said. "They can transmit the virus to other unvaccianted people in a family."

Influenza is not a reportable disease in New Jersey, so officials do not know the statistics here, but by extrapolating numbers from other states Bresnitz estimated that about 300 New Jersey children were hospitalized with influenza last flu season. He said at least one New Jersey child, who had an underlying illness, died from the virus.

The state Department of Health and Senior Services is working on drafting the new regulations. Details are being worked out and a public hearing is planned. No date has been set. The health department and governor must approve.

Some organizations will likely object to more vaccine mandates. Currently, New Jersey school children must get more than 10 vaccines, or series of vaccines. The plans for new rules come amid rising skepticism over vaccines.

"Many of our parents have concerns, particularly about the flu shot, which has thimerosal. Thimerosal is half mercury," said Nancy Massotto, executive director of Holistic Moms Network, based in Caldwell.

Thimerosal is a mercury-containing preservative that in recent years was removed from many vaccines, including flu vaccine made for children. Some flu vaccine still contains the controversial preservative.

"We don't know if thimerosal is linked to autism, but some parents would not want to take the risk," Masssota said. She said some parents had difficulty tracking down thimerosal-free vaccine.

Bresnitz said parents can get flu vaccine without the compound, which he nonetheless insisted is not linked to autism or other serious side effects in any scientific studies. He said last year 62 percent of children in New Jersey aged 6-23 months voluntarily received the flu vaccine. Slightly more young children got the pneumonia shot.

Since the 1970s, vaccine regulations needed to be approved by the Public Health Council. Earlier this month, an order by Acting Gov. Richard Codey stripped the council of much of its power. It now acts as an advisory group.

Robert Pallay, chairman of the group, said Bresnitz told them yesterday that the health department will continue to seek its advice.

"That didn't make us feel better," Pallay said. "The can seek our input and then still do what they want."

Pallay, a family practice doctor in Hillsborough, does not object to the new vaccine plans, though. "It's a great idea," he said.

Still before the council is a controversial plan to fluoridate New Jersey water. Pallay said the issue did not come up at yesterday's meeting and will probably not be rushed through before the order stipping the council of its power takes effect at the end of August.

Pallay said many members first want to see the much-awaited study by the National Academy of Sciences that will examine the nation's enduring fluoride controversy.


Carol Ann Campbell may be reached at ccampbell@starledger.com or (973) 392-4148.
© 2005 The Star-Ledger. Used by NJ.com with permission.

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