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Three doctors face medical discipline for vaccine release and may still be on the way



A San Diego physician is among three California physicians accused by the California Medical Board of providing inappropriate child vaccination exemptions, but many other physicians in the state can be taken for similar control.

Earlier this week, the Council released a formal negligence charge against Dr. Tara Zandvliet for writing a local girl's vaccination exemption based on inadequate documentation of an adverse medical history that would make inoculation too risky.

The complaint, which is the first step in a formal hearing process that could lead to the withdrawal or suspension of a license, says Zandvliet, which did not respond to requests for comment, provided 1

,000 exemptions from 2016.

On Wednesday, a medical board representative said the regulatory authority had filed three charges, including Zandvliet, with inappropriate vaccination exceptions. Of the three lists, Zandvliet lists the highest total releases so far.

But more may be on the way.

According to an email from the medical board, the regulatory authority received 192 complaints about improperly granted vaccine exemptions from 2016, including 99 so far this year. Given that the average time for an investigation and legal litigation process varies from one to nearly two years, it is likely that many cases, especially 135, made in 2018 and 2019 could still raise additional charges.

Council officials declined to discuss whether additional entries were in the beginning or to determine who had filed the complaints so far. By law, the identity of the applicants is kept secret.

Medical exemptions have traditionally been granted only to those who have experienced severe allergic reactions during or shortly after stroke or those with a highly compromised immune system.

But that changed in 2016, when a new law made it impossible for parents to release their children from the vaccination requirements at school by simply saying that vaccination was against their personal beliefs.

The new law has led to a drastic change across the country.

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During the 2014-2015 school year, records show that Californians filed 13,562 personal convictions and 1034 medical exemptions for kindergartens throughout country. With the exception of personal beliefs outside the mass, 8,122 medical exceptions were granted by physicians during the 2018-2019 school year, a nearly fivefold increase in the number filed four years ago.

This is the same picture for San Diego County where the number of kindergarten medical exemptions jumped from 97 to 599 during the same period.

It is unclear whether Zandvliet's 1000 alleged exceptions mean that she has provided the most in the state. A spokesman for the San Diego County Office of Education said the agency does not register exempt physicians because this information is sent directly to the California Department of Public Health by individual doctors.

When a list of all exempted authorizations was requested, CDPH said in an email that no state dossier met this description:

While the state does not calculate how many exemptions are granted by each physician, the San Diego Unified School has outstripped the curve in this regard. Because personal convictions were banned, the district registered medical exemptions from a doctor. The list, which was unavailable on Wednesday due to a problem with the district's online public records inquiry system, shows that Zandvleth has dropped about one-third of all requests to San Diego schools combined since 2016.

Others two doctors facing Medical Board allegations of their vaccine release practices include:

  • Dr. Robert W. Sears of Capistrano Beach. An amended charge against Sears, who is a well-known critic of childhood vaccination practices, lists the cases of five children. According to the document, Sears granted a vaccine exemption to four of the five without sufficient evidence of severe reactions. The board also questions Sears' medical practices for keeping a fifth patient observed in 2017. Evidence used to grant release to a 7-year-old boy had psoriasis, while medical evidence for his sister's release letter included a sting bee. Sears' medical license was suspended for 35 months in 2018 after a preliminary charge was filed in 2016.
  • Kenneth P. Stoller of Santa Rosa. The July 29 indictment lists 10 patients whose medical board claims to have received exceptions without adequate medical evidence of a serious risk of vaccination. In some cases, the council accuses the doctor of relying on genetic test results, although these centers do not recognize the Centers for Disease Control as valid "medical contraindications for vaccination."

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