Health

Amid Measles Outbreak, Few Rules on Teacher Vaccinations

Published

11 years ago

February 18, 2015

This Thursday, Jan. 29, 2015, file photo, shows boxes of the measles, mumps and rubella virus vaccine (MMR) and measles, mumps, rubella and varicella vaccine inside a freezer at a doctor’s office in Northridge, Calif. While much of the attention in the ongoing measles outbreak has focused on student vaccination requirements and exemptions, less attention has been paid to another group in the nations classrooms: Teachers and staff members, who by and large are not required to be vaccinated. (AP Photo/Damian Dovarganes)

CHRISTINE ARMARIO, Associated Press

LOS ANGELES (AP) — While much of the attention in the ongoing measles outbreak has focused on student vaccination requirements and exemptions, less attention has been paid to another group in the nation’s classrooms: Teachers and staff members, who, by and large, are not required to be vaccinated.

In most states, there is no law dictating which vaccines teachers and school staff workers are required to get. Some states provide a list of recommended vaccines, but there is no requirement or follow-up for teachers to receive them.

So when a measles case surfaced at a California high school, it was easy for officials to review student records, but there were no immunization records on file for employees.

That meant all 24 teachers and staff exposed to the employee with measles had to prove their immunity — records that, for most, were decades old.

The issue has surfaced from time to time in state legislatures and is likely to be raised again in response to the latest outbreak, which originated at Disneyland in December and has spread to a half dozen states and Mexico. Most of those who fell ill were not vaccinated. As of Friday, public health officials said 114 people had contracted measles.

“I was definitely shocked,” Rep. Joanna Cole, a Democrat in the Vermont Legislature, said when she learned in 2012 that there were no teacher vaccination requirements in her state. There are still no requirements today. “I guess we all just assumed that they would have them.”

Cole and other legislators and parents across the U.S. believe the blanket presumption that teachers are up to date on their vaccines should be re-examined. They note that most of those sickened in the current outbreak are adults, and that schools are one of the top places for the spread of communicable disease.

“I will be surprised if we don’t see some changes in the next year to year and a half,” said Kristen Amundson, executive director of the National Association of School Boards of Education.

Already, some states are considering measles legislation. In Vermont, Democratic Rep. George Till says legislators will try this year to eliminate philosophical exemptions for students and require that teachers be up to date on the same vaccines students must receive.

“If we’re trying to limit the spread in school, why just students?” Till said. A similar bill he introduced in 2012 was defeated amid strong opposition from anti-vaccine groups, and he expects another battle.

In Colorado, pro-vaccination groups have been pushing the Department of Human Services to require vaccinations for workers at child care facilities, another area with uneven employee immunization standards. Measles cases have been confirmed at day care facilities in Chicago and Santa Monica, California.

Barbara Loe Fisher, director of the National Vaccine Information Center, a Virginia-based nonprofit that favors letting parents decide whether to vaccinate, said the discussion on vaccination requirements has started to expand from schoolchildren to certain adult professions. She said her organization has a number of concerns about requiring teacher vaccinations, including safety and job protection for those who cannot or choose not to be immunized.

“I think at the end of the day, the most important principle to protect is the right to make an informed voluntary decision, and that includes teachers,” she said.

At Vista Murrieta High School in California’s Riverside County, a middle class community between Los Angeles and San Diego, all teachers and staff who had been exposed to the measles were able to return to work within one to three days. Teachers who were born before 1957 were immediately excused, assuming they had either had gotten measles as a child or been exposed to the disease.

Kathy Ericson, president of the Murrieta Teachers Association, said the instructors were willing to do “whatever needs to be done” to protect students. But she stopped short of saying whether vaccination or proof of immunization should be required for employment.

“Most of us don’t have our shot records,” she said. “It would be a hard thing to go back and prove.”

Several parents with students in Murrieta Valley schools said they believed it was important for teachers to show proof of immunity or get vaccinated to protect their children and others too young or vulnerable to get the vaccines themselves.

“It is everyone’s responsibility to keep students healthy and safe,” said Sherrie Zettlemoyer, the mother of two elementary-school students. “I believe if you can be vaccinated you should.”

___

Follow Christine Armario on Twitter: http://www.twitter.com/cearmario.

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Activism

Up to the Job: How San Francisco’s PRC Is Providing Work Opportunities That Turn Into Lasting Stability

Each year, PRC serves more than 5,000 clients through a wide range of programs. These include housing navigation, legal advocacy to ensure access to health and public benefits, supportive housing, job and life-skills training, and residential treatment programs.

Published

3 weeks ago

April 20, 2026

Oakland Post

Black Leadership Council (BLC) Advocacy Day in Sacramento. BLC works to advance meaningful change through policy engagement to unlock the full potential of Black and low-income communities. Photo courtesy PRC.

Joe Kocurek | California Black Media

Seville Christian arrived in San Francisco in the 1990s from Kansas City, Mo., a transgender woman coming from a time and place still hostile to who she was.

San Francisco offered a deeper LGBTQ+ history and a more visible community of people like her, but even in a city known for acceptance, building a stable life from scratch was no small task.

After arriving in the city, she turned to Positive Resource Center (PRC) looking for work — and for a foothold — in a new place.

“PRC gave me my first job,” Christian said. “A simple gig — passing out magazines at the San Francisco Pride Parade.”

That first opportunity marked the beginning of a decades-long relationship with PRC, one that has seen Christian grow from client to valued employee, and eventually to policy fellow.

“Today, I’ve been with PRC for 27 years, going on 28,” she said.

Helping people access employment and build sustainable careers has been a cornerstone of PRC’s mission since its inception nearly four decades ago. In its most recent annual impact report, PRC served 443 clients through workforce development services, including career counseling, educational programs, hands-on training, and job search assistance. The average wage earned by PRC clients is $26.48 per hour — approximately 38% above San Francisco’s minimum wage.

To advance this work, organizations like PRC have benefited from funding through California’s Stop the Hate Program, which provides direct support to community-based organizations leading anti-hate initiatives.

Christian’s path was not without challenges. During some rocky years, she experienced periods of housing instability and struggled with addiction. Through PRC, she enrolled in a life-skills program that emphasized using her own lived experience as a means of helping others. The program helped set her on a path toward completing an associate’s degree and ultimately launching a career in case management.

“Today, whether someone is new to the city or has lived here their whole life, I know how to help them navigate to where they need to be,” Christian said.

PRC welcomed guests to their annual Open House in April, an evening dedicated to connection, reflection, and learning more about the programs and people working every day to support San Franciscans experiencing housing instability, unemployment, and behavioral health challenges.

While PRC was founded to serve people living with HIV, its mission has expanded over the decades to meet the needs of people with disabilities, individuals experiencing homelessness, and those facing mental health and substance use challenges.

According to PRC’s Chief of Public Policy and Public Affairs, Tasha Henneman, some of the organization’s earliest programs remain as vital today as they were at the start.

“Our emergency financial assistance program helped more than 1,200 people this year pay rent, cover medical bills, and keep the lights on,” Henneman said. “And over 1,400 people reached out for legal advocacy, resulting in more than $2.5 million in retroactive benefits unlocked.”

Beyond direct services, PRC is deeply committed to community empowerment and policy change. Programs such as the Black Leadership Council support community leaders in advocating for systemic reform, while the Black Trans Initiative focuses on addressing the unique challenges faced by Black transgender individuals.

A recent study from the Williams Institute highlighted findings that 71% of transgender homicide victims in the U.S. between 2010 and 2021 were Black and that nearly a third of the transgender homicides during that period were confirmed or suspected hate crimes. 

PRC’s direct and indirect services can be a lifeline for people experiencing hate and are an example of the resources people can get connected with through the state’s CA vs Hate hotline. 

PRC is now also producing a film project that centers the lived experiences of Black trans clients, including individuals like Christian.

“Our film highlights the health journeys and lived experiences of some of PRC’s Black trans clients,” Henneman said. “Our goal is to give voice, visibility, and agency to the participants — and to bring their stories, both harrowing and inspirational, to policymakers and the broader public.”

The film, expected to be released later this year, is directed by Yule Caise, with assistant director Zarina Codes, a Black transgender San Francisco resident.

Today, Christian continues her relationship with PRC as an ambassador, reflecting on a journey that began with a single job opportunity and grew into a lifelong commitment to service.

“Sometimes I’ll be riding the bus or standing in a grocery store, and someone will come up to me from a women’s shelter,” she said. “They’ll say, ‘Oh, Miss Seville, I just want to thank you. You really helped me with what I was dealing with.’”

She paused, smiling.

“And in those moments,” Christian said, “I think to myself, “Well!.”

A single word that sums up pride in a journey to find the best in herself.

Get Support After Hate:

California vs Hate is a non-emergency, multilingual hotline and online portal offering confidential support for hate crimes and incidents. Victims and witnesses can get help anonymously by calling 833-8-NO-HATE (833-866-4283), Monday to Friday, 9 a.m.–6 p.m. PT, or online at any time. Anonymous. Confidential. No Police. No ICE.This story was produced in partnership with CA vs Hate. Join them for the first-ever CA Civil Rights Summit on May 11, 2026. More information at www.cavshate.org/summit.

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Alameda County

Stanford Health Care Collaborates with Alameda Health System Affiliate, Expanding Access to Care in East Bay

Introduced at a community event hosted at St. Rose Hospital in Hayward, an AHS affiliate, the partnership will enhance care for nearly 400,000 residents and solidify St. Rose’s position as a cornerstone of health and healing in the East Bay.

Published

3 weeks ago

April 19, 2026

Oakland Post

At St. Rose Hospital in Hayward, Alameda Health System and Stanford Announce Partnership.(L-R) Mark Fratzke, COO Alameda Health System (AHS), James Jackson, CEO AHS, Richard Espinoza, chief administrative officer AHS, California Assemblymember Liz Ortega (D-San Leandro), Rick Shumway, COO Stanford Health Care (SHC), Alameda County Supervisor Elisa Márquez, and Hayward Mayor Mark Salinas. Photo by Carla Thomas.

By Carla Thomas

On April 9, Alameda Health System (AHS) and Stanford Health Care announced a new collaboration to expand access to specialized medical services across central and southern Alameda County.

The initiative marks a milestone for the region, uniting two leading institutions in a shared mission to deliver high-quality, patient-centered care closer to home. Through this collaboration, AHS and Stanford Health Care will expand rehabilitative and behavioral health services, increase use of St. Rose’s operating rooms for advanced procedures, and enhance inpatient medical-surgical units managed by Stanford Health Care physicians.

The partnership will also support the AHS/St. Rose Foundation to advance local health programs that directly benefit East Bay residents.

Alameda County Supervisor Elisa Márquez praised the collaboration’s impact on local stability.

“This hospital was on the brink of closing, and saving it became my top priority,” Márquez said. “With continued collaboration, we’ll not only strengthen St. Rose but restore vital services like labor and delivery so babies can be born in Hayward again.

“When Stanford Health Care in Santa Clara stepped up, it was a pivotal moment,” she said. Keeping St. Rose open protects the entire regional health care ecosystem.”

James Jackson, chief executive officer of Alameda Health System, highlighted how the effort builds on recent progress at St. Rose.

“In just two years, AHS has made St. Rose financially stable and thriving,” Jackson said. “We want to make sure patients no longer need to drive miles down the highway to get care.

“Our mission; caring, healing, teaching, and serving all, remains at the heart of this collaboration. While HR1 presents real challenges for health care funding nationwide, it also offers an opportunity to reimagine how we deliver care. I’m confident that, through innovation and partnership, we’ll emerge stronger than before.”

For Rick Shumway, executive vice president and chief operating officer of Stanford Health Care, the alignment between the two organizations is crucial.

“This partnership reflects exactly who we are and who we aspire to be,” he said. “Working alongside AHS and St. Rose allows us to better understand community needs and respond meaningfully. Partnerships like this will carry us forward. We’re stronger together.”

AHS Chief Operating Officer Mark Fratzke echoed the same sentiment.

“I’m excited that the communities of Hayward and S. Alameda have access to care like this, he said. “Never underestimate the power of collaborations and partnerships.”

For nearly six decades, St. Rose Hospital has served Alameda County as a community-based safety-net hospital. One of Hayward’s largest employers, it provides more than 800 jobs and 300 skilled physicians and is designated by Alameda County as a ST-Elevation Myocardial Infarction STEMI Receiving Center for heart attack care.

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Activism

COMMENTARY: The Biases We Don’t See — Preventing AI-Driven Inequality in Health Care

For decades, medicine promoted false assumptions about Black bodies. Black patients were told they had lower lung capacity, and medical devices adjusted their results accordingly. That practice was not broadly reversed until 2021. Up until 2022, a common medical formula used to measure how well a person’s kidneys were working automatically gave Black patients a higher score simply because they were Black. On paper, this made their kidneys appear healthier than they truly were. As a result, kidney disease was sometimes detected later in Black patients, delaying critical treatment and referrals.

Published

3 months ago

February 10, 2026

Oakland Post

Sen. Akilah Weber Pierson, M.D (D-San Diego). File photo.

By Sen. Akilah Weber Pierson, M.D., Special to California Black Media Partners

Technology is sold to us as neutral, objective, and free of human flaws. We are told that computers remove emotion, bias, and error from decision-making. But for many Black families, lived experience tells a different story. When technology is trained on biased systems, it reflects those same biases and silently carries them forward.

We have seen this happen across multiple industries. Facial recognition software has misidentified Black faces at far higher rates than White faces, leading to wrongful police encounters and arrests. Automated hiring systems have filtered out applicants with traditionally Black names because past hiring data reflected discriminatory patterns. Financial algorithms have denied loans or offered worse terms to Black borrowers based on zip codes and historical inequities, rather than individual creditworthiness. These systems did not become biased on their own. They were trained on biased data.

Healthcare is not immune.

These biases were not limited to software or medical devices. Dangerous myths persisted that Black people feel less pain, contributing to undertreatment and delayed care. These beliefs were embedded in modern training and practice, not distant history. Those assumptions shaped the data that now feeds medical technology. When biased clinical practices form the basis of algorithms, the risk is not hypothetical. The bias can be learned, automated, and scaled.

For us in the Black community, this creates understandable fear and mistrust. Many families already carry generational memories of medical discrimination, from higher maternal mortality to lower life expectancy to being dismissed or unheard in clinical settings. Adding AI biases could make our community even more apprehensive about the healthcare system.

As a physician, I know how much trust patients place in the healthcare system during their most vulnerable moments. As a Black woman, I understand how bias can shape experiences in ways that are often invisible to those who do not live them. As a mother of two Black children, I think constantly about the systems that will shape their health and well-being. As a legislator, I believe it is our responsibility to confront emerging risks before they become widespread harm.

That is why I am the author of Senate Bill (SB) 503. This bill aims to regulate the use of artificial intelligence in healthcare by requiring developers and users of AI systems to identify, mitigate, and monitor biased impacts in their outputs to reduce racial and other disparities in clinical decision-making and patient care.

Currently under consideration in the State Assembly, SB 503 was not written to slow innovation. In fact, I encourage it. But it is our duty must ensure that every tool we in the healthcare field helps patients rather than harms them.

The health of our families depends on it.

About the Author

Sen. Akilah Weber Pierson (D–San Diego) is a physician and public health advocate representing California’s 39th Senate District.