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Old February 28th 14, 07:34 AM posted to rec.pets.cats.health+behav
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Default IOWA Rabies Waiver Bill ACTION ALERT

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On Saturday, February 8, 2014 10:39:33 PM UTC+5:30, Kris L. Christine wrote:
*IOWA Rabies Waiver Bill HF2124 ACTION ALERT: * Iowa Rep. Marti Anderson

has filed a rabies medical exemption bill, HF 2124, and it has been

assigned to the Agriculture Committee.. Please contact Agriculture

Chair, Pat Grassley * (515) 281-3221 * &

Agriculture committee members (below) & ask them to support HF2124.

Rabies Challenge Fund letter in support below. Bill Text:

http://tinyurl.com/nq9shv6



House Agriculture Committee:

https://www.legis.iowa.gov/committee...85&groupID=694



Pat Grassley Chair (515) 281-3221

Jarad J. Klein Vice Chair
(515)

281-3221

Helen Miller ( Ranking Member
(515)

281-3221

Dwayne Alons
(515) 281-3221

Clel Baudler
(515) 281-3221

Bruce Bearinger
(515) 281-3221

Peter Cownie
(515) 281-3221

Dave Deyoe
(515) 281-3221

Jack Drake
(515) 281-3221

Nancy Dunkel
(515) 281-3221

Curtis Hanson
(515) 281-3221

Lee Hein
(515) 281-3221

Bobby Kaufmann
(515) 281-3221

Jerry A. Kearns
(515) 281-3221

Daniel Kelley
(515) 281-3221

Dave Maxwell
(515) 281-3221

Brian Moore
(515) 281-3221

Daniel Muhlbauer
(515) 281-3221

Steven N. Olson
(515) 281-3221

Scott Ourth
(515) 281-3221

Todd Prichard
(515) 281-3221

Patti Ruff
(515) 281-3221

Tom Shaw
(515) 281-3221



January 4, 2014







Representative Marti Anderson



House of Representatives HD36







Rabies Medical Exemption for Iowa







Greetings Representative Anderson:







Iowa Code Title 9, Subtitle 1 Chapter 351 Section 351.33

requiring rabies vaccinations for dogs and cats does not contain a

provision to exempt unhealthy animals whose veterinarians have

determined their medical conditions should preclude vaccination.







The 18 states of Alabama, California, Colorado, Connecticut,

Florida, Illinois, Maine, Massachusetts, Maryland, New Hampshire, New

Jersey, Nevada, New York, Oregon, Pennsylvania, Vermont, Virginia, and

Wisconsin all have medical exemption clauses in their rabies laws, with

Pennsylvania's Governor Corbett having just signed one into law on July

9, 2013.







Labels on rabies vaccines declare that they are for "the

vaccination of healthy cats, [and] dogs," because vaccinating an

unhealthy animal may not produce the desired immunologic response. As

Pfizer's rabies vaccine labels warn: " A protective immune response may

not be elicited if animals are incubating an infectious disease are

malnourished or parasitized are stressed due to shipment or

environmental conditions are otherwise immunocompromised...." Passage of

a medical exemption clause would allow Iowa's veterinarians to write

waivers for animals whose lives would be jeopardized by or whose medical

conditions would be exacerbated by vaccination, including those with

past anaphylactic reactions to the rabies vaccine or those suffering

from cancer, kidney/liver failure, hemolytic anemia, thrombocytopenia,

lymphoma, grand mal seizures, and chronic autoimmune disorders.







The American Animal Hospital Association advises

veterinarians "...to avoid administration of any vaccine to patients

with a history of systemic disease suspected to be associated with

previous vaccination (e.g., immune-mediated hemolytic anemia,

immune-mediated thrombocytopenia) or known to be caused by vaccine

(vaccination-site cutaneous ischemic vasculitis after administration of

rabies vaccine)." (1) They further recommend that "[d]ogs receiving

immunosuppressive chemotherapy should not be vaccinated." (2)







The State of Maine inserted the following medical exemption into their

rabies protocol, Title 7 M.R.S.A., Sec. 3922(3), in April 2005:







"5 A. A letter of exemption from vaccination may be submitted for

licensure, if a medical reason exists that precludes the vaccination of

the dog. Qualifying letters must be in the form of a written statement,

signed by a licensed veterinarian, that includes a description of the

dog, and the medical reason that precludes vaccination. If the medical

reason is temporary, the letter shall indicate a time of expiration of

the exemption.







B. A dog exempted under the provisions of paragraph 5 A, above, shall

be considered unvaccinated, for the purposes of 10-144 C.M.R. Ch.251,

Section 7(B)(1), (Rules Governing Rabies Management) in the case of said

dog's exposure to a confirmed or suspect rabid animal."







Without a provision for medical waivers in Iowa Code Title

9, Subtitle 1 Chapter 351 Section 351.33, Iowa's rabies immunization

requirement poses an ethical dilemma for veterinarians with seriously

ill patients -- they must either violate their Veterinarian's Oath and

administer a rabies vaccine conflicting with sound medical practice and

contrary to manufacturer's labeled instructions, or recommend that

clients break the law by not immunizing their unhealthy pets.

Additionally, veterinarians face potential liability for any adverse

reactions suffered after administering a vaccine inconsistent with

labeled directions when immunizing sick animals against rabies. Owners

may choose not to comply with the law rather than risk their pets' lives

and subsequently fail to license them to avoid detection.







On behalf of The Rabies Challenge Fund Charitable Trust,

veterinarian Franchesca Zenitsky, and other Iowa pet owners who have

contacted us for assistance, we urge you to introduce legislation to

insert a medical exemption clause into Chapter 351 Section 351.33 of the

Iowa Code. Please contact me if you would like any scientific data on

the rabies vaccine or have any questions.







Sincerely,







Kris L. Christine



Founder, Co-Trustee



THE RABIES CHALLENGE FUND



(1) American Animal Hospital Association Canine Vaccine Task Force. 2011

Canine Vaccine Guidelines, Recommendations, and Supporting Literature,

Revised p. 21



(2) American Animal Hospital Association Canine Vaccine Task Force. 2011

Canine Vaccine Guidelines, Recommendations, and Supporting Literature,

Revised p. 29









--

Kris L. Christine