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  




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            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.   
            





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          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

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