BILL ANALYSIS                                                                                                                                                                                                    



                                                                  SB 212
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          SENATE THIRD READING
          SB 212 (Florez)
          As Amended  May 18, 2009
          Majority vote 

           SENATE VOTE  :31-7  
           
           EDUCATION           8-1         APPROPRIATIONS      13-4        
           
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          |Ayes:|Brownley, Nestande,       |Ayes:|De Leon, Ammiano,         |
          |     |Ammiano, Arambula,        |     |Charles Calderon, Coto,   |
          |     |Carter, Eng, Solorio,     |     |Davis, Fuentes, Hall,     |
          |     |Torlakson                 |     |John A. Perez, Skinner,   |
          |     |                          |     |Solorio, Audra            |
          |     |                          |     |Strickland, Torlakson,    |
          |     |                          |     |Hill                      |
          |     |                          |     |                          |
          |-----+--------------------------+-----+--------------------------|
          |Nays:|Miller                    |Nays:|Conway, Duvall, Harkey,   |
          |     |                          |     |Miller                    |
           ----------------------------------------------------------------- 
           SUMMARY  :  Authorizes each school district with a high school to  
          provide for the annual cleaning and sterilizing of wrestling  
          equipment; and, requires the Superintendent of Public  
          Instruction (SPI) to develop information and guidelines  
          regarding the prevention of communicable diseases at school  
          sites.  Specifically,  this bill  :   

          1)Requires the SPI to develop information and guidelines  
            regarding the prevention of communicable diseases at schools  
            and submit the information and guidelines to the State Board  
            of Education for approval; and, requires the SPI to post the  
            approved guidelines on the California Department of Education  
            (CDE) Web site.

          2)Requires the information and guidelines, at a minimum, to  
            address the maintenance of locker rooms, athletic equipment,  
            and synthetic ground covers used for athletic fields, and ways  
            to minimize the spread and methicillin-resistant  
            Staphylococcus aureus (MRSA) and meningococcal disease; and,  
            specifies that the information and guidelines shall also  
            include, but not be limited to, information provided to school  
            staff, including classified employees, for training and  








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            information to minimize the spread of MRSA and meningococcal  
            disease.  

           EXISTING LAW  requires the governing board of each district  
          maintaining a high school to provide for the annual cleaning,  
          sterilizing and necessary repair of football equipment of their  
          respective schools; and, requires football equipment used in  
          spring training to be cleaned and sterilized before it is used  
          in the succeeding fall term.  (Education Code 17578 and 17579)

           FISCAL EFFECT  :  According to the Assembly Appropriations  
          Committee, one-time General Fund administrative costs, likely  
          between $80,000 and $115,000, to develop the guidelines and post  
          on CDE's Internet website.  

           COMMENTS  :  MRSA is a bacteria that is more difficult to treat  
          than most regular strains of Staph because it is resistant to  
          commonly used antibiotics.  MRSA can cause mild to serious skin  
          infections.  Though most MRSA infections are not serious, some  
          can be life-threatening.  Many public health experts are alarmed  
          by the recent spread of tough strains of MRSA. 

          A 2007 Centers for Disease Control and Prevention survey of high  
          school athletic trainers found that 53% reported treating MRSA  
          in football athletes.  School locker rooms and contact through  
          athletics can offer a perfect environment for the transmission  
          of MRSA.  Spending time in close quarters with other athletes,  
          for example during training camps, can also increase the risk of  
          MRSA infection in athletes.  Unfortunately, schools can  
          sometimes provide the perfect transmission for fatal  
          communicable diseases.  This bill could help combat the  
          increased risks for infection of MRSA by encouraging school  
          districts to sterilize wrestling equipment in the same manner  
          they currently provide for football equipment.

          The California Department of Public Health produced "A Parent's  
          Guide to MRSA in California:  What You Need to Know," which is  
          available on the CDE Web site.  The guide states that MRSA can  
          be spread by direct skin to skin contact with an infected person  
          or from skin contact with surfaces that have MRSA infection on  
          them, such as towels and athletic equipment.  The guide also  
          specifies that "cleaning and disinfection should be done on  
          surfaces that are likely to contact uncovered or poorly covered  
          infections."








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          The National Federation of State High School Associations has  
          identified football and wrestling as the two "high risk" sports  
          for skin infections.  The 2007-08 National Federation of State  
          High School Associations Wrestling Rules Book contains  
          guidelines to reduce the incidence and spread of communicable  
          skin conditions among wrestlers.  The guidelines make it  
          unacceptable for wrestlers to share common towels, to leave  
          school without showering after practice or competition, to wear  
          their practice clothes home, to practice or compete without  
          having a daily skin check, to enter the practice room without  
          wearing clean workout clothes and for mats not to be cleaned  
          with a disinfectant cleaner at least once a day.  From this, it  
          seems clear that frequent washing/showering and sterilization of  
          sports equipment should be adhered to in order to minimize the  
          risk of infection.  The California Interscholastic Federation  
          (CIF) has adopted the National Federation of State High School  
          Associations guidelines with regard to wrestling and concerns  
          about MRSA infection.  CIF has adopted the requirement for  
          athletes to have a skin check prior to competition and  
          recommends districts follow the guidelines adopted by the  
          National Federation (outlined above) but does not require  
          districts follow those guidelines as part of competition, except  
          for the skin check.

          Tragically in July 2008, a wrestler from Downey High School in  
          Los Angeles County died from MRSA after returning home from a  
          wrestling camp.  In recent years there have been numerous  
          reports of MRSA infections in student athletes throughout the  
          country.  With further emphasis placed on cleaning athletic  
          equipment, hopefully the number and severity of these tragic  
          MRSA infections can be reduced.
           
           This bill requires the SPI to develop information and guidelines  
          that address, among other things, the maintenance of synthetic  
          ground covers used for athletic fields.  Some schools are  
          installing synthetic fields to save water and maintenance of  
          grass fields.  Some concerns have been raised about the safety  
          of the synthetic material in relation to MRSA.  However, CIF's  
          Sports Medicine Alert regarding MRSA purports that "research is  
          inconclusive on whether athletic fields can harbor MRSA  
          bacteria.  Since some studies have shown that possibility  
          exists, there are companies that offer anti-microbial treatments  
          for athletic fields." 








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           Analysis Prepared by  :    Chelsea Kelley / ED. / (916) 319-2087 
                                                                FN: 0002350