1. The California Immunization Coalition
The Fight for AB354- The Pertussis Booster
Vaccination requirement
Liseli Mulala
Dolapo Afolayan
Dana Pong
Title page

2. California Immunization Coalition (CIC)
The CIC is a statewide, non-profit, public-partnership organization that originated when the Childhood Immunization Coalition and the California Adult Immunization Coalition merged in 2008.

3. The CIC Mission
The Mission of the CIC is “ achieving and maintaining full immunization protection for all Californians to promote health and prevent serious illnesses.”
( CIC website 2011)

4. Assembly 354 Bill
Introduced by Assembly members Juan Arambula and Steven Fletcher requires:
In , all 7-12th graders in public and private schools to show proof of receiving the pertussis booster vaccination before being allowed to enter school
In , the requirement reverts to just 7th graders

5. Tetanus Diptheria Pertussis (Tdap) Vaccine
The Tdap vaccine was approved in 2005 as an adult booster.
Diptheria Tetanus pertussis (Dtap) is the pediatric vaccine 5 shots given at 15-18months, 2 ,4 and 6 years.
Immunity wanes in 10 years so Tdap is indicated as a booster starting from 11 years of age.

6. What is Pertussis
Pertussis otherwise known as whooping cough is a bacterial infection characterized by a severe cough with a whooping sound. It is most severe in infants 3 months and under and can result in pneumonia, seizures, choking or death.(

7. Why vaccinate?
The only way to protect vulnerable infants is to vaccinate those around them, primarily their older siblings and adult caretakers.

8. Pertussis in California
Pertussis has been recurring in California in 3 to 5 year cycles.
The CIC started advocating for this bill in They warned legislators that pertussis outbreaks were becoming worse.

9. The 2010 Epidemic
In 2010, there were 6 deaths of infants in California and 1300 cases of pertussis, the highest in the nation. This gained the attention of national media and the Centers for Disease Control (CDC)

10. Passage of the Bill
After 4 years of trying, the bill was finally passed with Arambula and Fletcher in September of 2010 and signed into law by the Governor.

11. Results of the Bill
Once the bill was passed, it went into effect in 2011.
Approximately, one a half million adolescents were vaccinated after the bill was passed.

12. Future Results
Experts predict that costs of the bill will be offset by the reduction in morbidity, mortality and future outbreaks.

13. Conclusion
The CIC was instrumental in getting the bill passed which was a great leap forward in preventative health.
Legislation is one tool to continue to improve vaccination rates.

14. Acknowledgements
Catherine Flores Martin, Executive Director of the California Immunization Coalition
Jeffrey A. Wong PharmD
Andrew Resignato MSc.
Ramon Castellblanch PhD
Cohort 2012