BILL ANALYSIS Ó SENATE COMMITTEE ON HEALTH Senator Ed Hernandez, O.D., Chair BILL NO: AB 272 AUTHOR: Gomez AMENDED: May 28, 2013 HEARING DATE: June 26, 2013 CONSULTANT: Moreno SUBJECT : Rabies: vaccinations. SUMMARY : Requires dog owners, after a dog turns three or four months, rather than after the age of four months, to have their dog vaccinated against rabies at one year intervals, as specified. Existing law: 1.Requires dog owners, after his or her dog attains the age of four months, to procure its vaccination by a licensed veterinarian with a canine anti-rabies, on an annual basis, as specified. 2.Requires a request for an exemption from these requirements to be submitted on an approved form developed by Department of Public Health (DPH) and to include a signed statement by the veterinarian explaining the inadvisability of the vaccination and a signed statement by the dog owner affirming that the owner understands the consequences and accepts all liability associated with owning a dog that has not received the canine anti-rabies vaccine. 3.Requires the request to be submitted to the local health officer (LHO), who is permitted to issue an exemption from the canine anti-rabies vaccine. Requires the LHO to report exemptions issued pursuant to this subdivision to DPH. 4.Requires a dog that is exempt from the vaccination requirements to be considered unvaccinated and to be confined to the premises of the owner, keeper, or harborer and, when off the premises, be on a leash, as specified, and under the direct physical control of an adult. This bill: Requires dog owners, after the age of three or four months, rather than after the age of four months, to have their dog vaccinated against rabies at one year intervals, as specified. Continued--- AB 272 | Page 2 FISCAL EFFECT : According to the Assembly Appropriations Committee analysis, there are no significant costs associated with this legislation. PRIOR VOTES : Assembly Agriculture:7- 0 Assembly Appropriations:17- 0 Assembly Rules: 10- 0 Assembly Floor: 76- 0 COMMENTS : 1.Author's statement. Current California law, last updated in the 1950s, does not recognize or allow canine rabies vaccinations before four months of age. However, the USDA has licensed these vaccines for use at three months of age, and the Centers for Disease Control and Prevention (CDC) requires imported dogs to be vaccinated at three months of age. California is the only state that does not allow dog-owners and their veterinarians to choose to vaccinate at three months of age. AB 272 will update California law to align with national practice and current science. In addition to giving more flexibility to dog-owners, this bill will alleviate the problem of over-vaccination among imported dogs. Under current law, a puppy being imported from another state must be vaccinated at four months of age in California, even if it was already vaccinated at three months of age in its home state. AB 272 will also allow California to follow CDC importation guidelines for dogs arriving from other counties. 2.Background. According to the CDC, rabies is a fatal viral and serious public health problem. All mammals are believed to be susceptible to the disease, which is usually transmitted through bites. In domestic animals, the incubation period is generally 3 to 12 weeks but can takes months, although rarely exceeding 6 months. Rabies is communicable during the period of salivary shedding of rabies virus. Clinical signs of rabies include inappetance, dysphagia, cranial nerve deficits, abnormal behavior, ataxia, paralysis, altered vocalization, and seizures. Progression to death is rapid. CDC Recommendations for rabies prevention and control from 2011 lists 14 rabies vaccinations for dogs licensed by the federal government. The minimum age for all rabies vaccination for dogs is three months. 3.Dogs from out of state. According to DPH, for purposes of AB 272 | Page 3 licensure, current California law states that a dog must have been vaccinated after it reaches the age of four months with a vaccine approved by the Department. Vaccination earlier than four months and/or with a vaccine not on the CDC's approved list would not fulfill this requirement and the dog could not be licensed until that deficiency was rectified. According to DPH, current interpretation of the Health and Safety Code is that the vaccination must occur after four months of age; regulations (Title 17 of the California Code of Regulations. Division 1, Chapter 4, Subchapter 1. Reportable Diseases and Conditions, Article 3, § 2606.4) state, in part: "Vaccination of Dogs Against Rabies. Dogs shall be considered to be properly vaccinated for the purposes of Section 1920, California Health and Safety Code, when injected at four months of age or older with an approved canine rabies vaccine and revaccinated (as specified)." 4.Support. The county of Los Angeles states that young dogs that were vaccinated at three months in other states, as required by those jurisdictions, are currently required to be revaccinated when brought to California. Supporters state that by allowing California veterinarians to vaccinate at three months, this bill will lessen the chance of over-vaccination of young dogs coming into California and will align California rabies law with the rest of the nation and offer protection against rabies to more dogs. The State Humane Association of California states that earlier vaccination enables puppies that come from other state prior to four months to avoid quarantine. 5.Opposition. Opponents, writing in response to a previous version of this bill, state that early-age vaccination is often ineffective due to the interference of maternal antibodies, which would mean that a large percentage of young dogs in the community would be presumed immune to rabies after an ineffective early-age vaccination, when in fact they are not immune and could acquire and transfer rabies to humans. Others state that adding a rabies vaccine to the other vaccinations (distemper, hepatitis, parvo) will not only increase the likelihood of adverse reactions, but also the probability that the vaccine components will interfere with each other and neutralize the desired immunological response. AB 272 | Page 4 6.Policy comment. According to the sponsor of this bill, the intention was not to require dog rabies vaccines at three months, but rather to permit the vaccine at three months if the owner chooses it. According to DPH, the principal enforcement arm of the rabies control laws is the more than 250 county, city, and municipal animal/rabies control agencies. Under current law, requirements for rabies vaccination as a prerequisite for licensure of dogs are consistent across all jurisdictions. If this bill is adopted, the ambiguity of the phrase "after his or her dog attains the age of three or four months" could precipitate variable implementation across jurisdictions. SUPPORT AND OPPOSITION : Support: Health Officers Association of California (sponsor) American Federation of State, County and Municipal Employees, AFL-CIO California Animal Control Directors Association California Veterinary Medical Association Los Angeles County Board of Supervisors Santa Cruz SPCA San Francisco SPCA State Humane Association of California Oppose:(PREVIOUS VERSION) Alaskan Malamute Club of America California Federation of Dog Clubs California Miniature Schnauzer Rescue Sacramento Council of Dog Clubs The Animal Council The Rabies Challenge Fund 15 individual -- END --