BILL ANALYSIS                                                                                                                                                                                                    



                                                                       



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                                 THIRD READING


          Bill No:  SCR 18
          Author:   Alquist (D), et al
          Amended:  3/12/09
          Vote:     21

           
          WITHOUT REFERENCE TO COMMITTEE OR FILE


           SUBJECT  :    Respiratory Syncytial Virus Awareness Month

          SOURCE  :     March of Dimes


           DIGEST  :    This resolution designates the month of March of  
          each year as Respiratory Syncytial Virus Awareness Month in  
          the State of California and encourages all Californians to  
          observe the month with appropriate activities and  
          educational outreach to parents and the medical community,  
          as well as programs to raise awareness about the causes of,  
          symptoms of, and ways of preventing Respiratory Syncytial  
          Virus.

           ANALYSIS  :    This resolution makes the following  
          legislative findings:

          1. The number of babies born premature, at less than 37  
             weeks of gestational age, continues to grow in the  
             United States, with an increase of 20 percent since 1990  
             and an increase of nine percent since 2000. 

          2. In June 2005, 12.7 percent of all births were premature,  
             at less than 37 weeks gestational age.  This amounts to  
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             more than 525,000 infants.
           
          3. According to the March of Dimes, in 2004, California  
             ranked in the top 10 states for preterm births (less  
             than 37 completed weeks of gestational age) and very  
             preterm births (less than 32 completed weeks of  
             gestational age).  In 2005, 548,882 children were born  
             in California and approximately 10 percent, or 56,363  
             children, were born premature.

          4. The increase in premature birth rates in recent years is  
             primarily associated with a rise in late preterm births  
             (34 to 36 weeks of gestational age), which has increased  
             25 percent since 1990 and accounts for 70 percent of all  
             preterm births.  Although multiple births have  
             contributed to this rise, substantial increases in  
             preterm birth rates, and especially late preterm birth  
             rates, have occurred because of singleton birth rates  
             since 1990.
           
          5. Several studies have found that late preterm infants  
             have greater morbidity and mortality than full-term  
             infants.  Late preterm infants have a mortality rate  
             that is three times greater than full-term infants, with  
             the highest mortality risk occurring during the neonatal  
             period.
           
          6. Late preterm infants have higher costs in every type of  
             medical service category compared to full-term infants,  
             including inpatient hospitalizations, well baby  
             physician office visits, outpatient hospital services,  
             home health care services, and prescription drug use.
           
          7. The five leading causes of rehospitalization for all  
             infants includes Respiratory Syncytial Virus (RSV)  
             bronchiolitis, bronchiolitis (cause unspecified),  
             pneumonia (cause unspecified), jaundice, and  
             dehydration. Among these causes, RSV is the most common  
             cause of viral death in children under five years of age  
             and the leading cause of hospitalization in infants less  
             than one year of age.

          This resolution designates the month of March of each year  
          as Respiratory Syncytial Virus Awareness Month in the State  

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          of California and encourages all Californians to observe  
          the month with appropriate activities and educational  
          outreach to parents and the medical community, as well as  
          programs to raise awareness about the causes of, symptoms  
          of, and ways of preventing RSV.

           FISCAL EFFECT  :    Fiscal Com.:  No

           SUPPORT  :   (Verified  3/16/09)

          March of Dimes (source)
          Children's Specialty Care Coalition
          ITSRx Pharmacy
          MedImmune, Inc
          National Black Nurses Association - South Bay Chapter
          National Hispanic Nurses Association - Los Angeles Chapter

           ARGUMENTS IN SUPPORT  :    Supporters of the resolution  
          write:

          "Respiratory syncytial virus (RSV) is a common virus that  
          can be deadly to high-risk infants born prematurely or with  
          heart or lung complications.  While RSV generally causes  
          mild, cold-like symptoms in adults, high-risk infants can  
          suffer from serious respiratory infections, such as  
          bronchilolitis [sic] or pneumonia.  RSV-related illness  
          increases the risk for hospitalizations and outpatient  
          visits in high-risk infants and up to 125,000 infants are  
          hospitalized for RSV annually in the United States."


          CTW:mw  3/18/09   Senate Floor Analyses 

                         SUPPORT/OPPOSITION:  SEE ABOVE

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