Education minister mulls mandatory immunization for teachers

New Brunswick Education Minister Dominic Cardysays heisn't ruling out mandatory immunization for teachers and school staff across the province.

His comments come in the midst of a measles outbreak in the Saint John region and a whooping cough outbreak in the Fredericton region.

"I want to make sure that we've got as close to universal vaccine regime in this province when it comes to the public education system, so I'm going to be looking at all different options in the next little while," he said.

For now, Cardy is urging every adult in the province to get immunized and get their children immunized "as quickly as possible."

"People's health and lives are at risk."

An unspecifiednumber of teachers,staff and students at 19 schoolsacross the Anglophone South School District have been told to stay home until early next week because of the measles outbreak.

They may have been exposed to the infected individual at Kennebecasis Valley High School in Quispamsis and could be incubating thehighly contagious disease that's transmitted through the air or by direct contact, officials have said.

We don't want to go back to the old days of people dying of easily preventable diseases.- Dominic Cardy, education minister

Most people with measles recover completely after about 10 days, but complications can include ear infections, pneumonia, blindness and swelling of the brain, which can cause seizures, deafness, brain damage or death. If contracted during pregnancy, it can cause miscarriage, premature labour, and low birth weight.

A specialimmunization clinic for anyone born between 1970 and 1995 who doesn't have the recommended two doses of themeasles, mumps, rubella (MMR)vaccine, washeld Thursday in Saint John at Exhibition Park, 39 McAllister Dr., until 8 p.m.

Public health is also offering whooping cough immunization clinics in Fredericton over the next week for those most at risk of the bacterial respiratory infection that's easily spread throughdroplets in the air from coughingand sneezing

Whooping cough,also known as as pertussis, can occur at any age, but is most seriousin young children. For infants under the age of one, it can be fatal.

Teachers groups respond

The New Brunswick Teachers' Association and New Brunswick Teachers Federation had little to say about the prospect of mandatory immunization, responding to an interview request with a one-sentence emailed statement.

"[We're] confident that this issue is being handled by the proper authorities,Health and ASD-South, the school district," said spokespersonBlake Robichaud.

Cardy doesn't know what the immunization ratesamong teachers and staff are because the department isn't authorized to collect that data.

"Right now, I don't have the power to legislate [teacher and staffimmunization] in any way," he said.

"That's certainly a conversation that will be had going forward, but right now, my goal is to use the powersI have to make sure that our students are properly protected so we can get herd immunity in classrooms up to 95 per cent or above that's where we need to be."

New Brunswick does have a policy requiringstudents to prove they are immunized against several diseases, including measles, mumps and diphtheria,before they enterthe school system.

The aim of Policy 706 is to "minimize the risk that an outbreak of a vaccine-preventable disease will occur" and to make sure students are protected if such an outbreak happens.

But Cardysaid he only recently discovered the policy hasn't been enforced "for a very long time."The seven school districts have not been collecting the entry data, "despite the fact that it's mandated."

"Wehave no idea what the [immunization] rates are," he said.

"That's why I've been focusing on moving through the legal steps that I'm allowed under the act to get this problem fixed as quickly as I can."

Updating student vaccination rate data

Cardy said his first step is to get updated student non-compliance rates from the districts. Those numbers are "nearly ready," he said.

The next step will be to determine if those students have actually been vaccinated but their proof is at home, whether they're seeking an exemption for medical or personal reasons, or if they just didn't get the required shots.

Based on that information, decisions will be made about whether any schools will hold immunization clinics, he said.

"We're seeing the consequences now with the cases that are breaking out and the spike in diseases like measles around the world that we've obviously become a lot too complacent around the incrediblegift that vaccines give to us as a population," said Cardy.

"So we need to remember that. We don't want to go back to the old days of people dying of easily preventable diseases. Let's use the public health system we've got, and put a lot of effort into building over a long time, and make sure everyone'simmunized."

There are still only two confirmed cases of measles in the Saint John region and they're related.The person from Kennebecasis Valley High School,announced on May 13, was at the Saint John Regional Hospital's emergency department at the same time as thefirst confirmed case, announced on April 26.

That person had recently travelled to Europe andvisitedthe Halifax Infirmary's emergency department on April 17for unrelated symptoms.

Measles symptoms, which usually begin within eight to 12 days after infection, may include fever, cough, runny nose, red or sore eyes, sleepiness, irritability and tiny white spots in the mouth.

Within three to seven days, a red blotchy rash usually develops on the face and then spreads to the rest of the body.

There are 22 confirmed cases of whooping coughin the greater Fredericton area, including 19 school-aged children from several schools.

Whooping cough starts with cold-like symptoms, such as sneezing, runny nose, low-grade fever and a mild cough that gradually worsens, leading to serious coughing spells that oftenend with a "whoop."

Symptoms usually begin within seven to 10 days of exposure. If left untreated, an infected person can spread the disease for up to three weeks after the coughing begins.