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U.S. Measles Cases Triple In 2013

An anonymous reader writes "The U.S. Centers for Disease Control have announced that measles cases in the U.S. spiked this year, rising to three times their recent average rate. It's partly due to a greater number of people traveling to the U.S. when they're infectious, but also because a frustrating number of people are either failing to have their children vaccinated, or are failing to do so in a timely manner. Dr. Thomas Friedman said, 'Around 90 percent of the people who have had measles in this country were not vaccinated either because they refused, or were not vaccinated on time.' Phil Plait adds, 'In all three of these outbreaks, someone who had not been vaccinated traveled overseas and brought the disease back with them, which then spread due to low vaccination rates in their communities. It's unclear how much religious beliefs themselves were behind the outbreaks in Brooklyn and North Carolina; it may have been due to widespread secular anti-vax beliefs in those tight-knit groups. But either way, a large proportion of the people in those areas were unvaccinated.'"

37 of 462 comments (clear)

  1. Duh by MightyMartian · · Score: 5, Insightful

    It goes without saying that the moronic get what they deserve, though sadly, when herd immunity is compromised, sometimes the innocent (those who cannot be inoculated) pay the price too.

    --
    The world's burning. Moped Jesus spotted on I50. Details at 11.
    1. Re:Duh by compro01 · · Score: 5, Insightful

      It goes without saying that the moronic get what they deserve

      The moronic parents aren't getting what they deserve, it's their children that are paying the price.

      --
      upon the advice of my lawyer, i have no sig at this time
    2. Re:Duh by fiannaFailMan · · Score: 4, Insightful

      They deserve a fucking education.

      What if I told you I know a very well educated micro biologist who refuses to vaccinate his 7 kids? His wife's education is in psychology, but they are still educated, and they steadfastly refuse to vaccinate and when I try to argue I'm told "you don't know enough science to argue with me".

      I'd tell him he's being fucking stupid and tell him to get his kids vaccinated before he gets somebody killed. Want fries with that?

      --
      Drill baby drill - on Mars
    3. Re:Duh by MightyMartian · · Score: 4, Interesting

      What if I told you I was the Emperor of Andromeda and that my farts didn't stink and every time I touched a dollar bill, it turned into a bar of gold?

      Talk is cheap, mate, and even if, on the outside chance you aren't some stupid antivaccer trying to make your objections sound the least bit rational, then I'd say the weight of your fellow biologists outweighs any particular claim you may make, and it is them you would have to debate, and it is them you would most likely get used to.

      Oh, and stay the fuck away from my kids, you arrogant asshole.

      --
      The world's burning. Moped Jesus spotted on I50. Details at 11.
    4. Re:Duh by ArbitraryName · · Score: 4, Insightful

      Vaccination is basically the most studied and most well understood type of medical intervention there is. After public sanitation, mass vaccination against common deadly/crippling illnesses has been one of the most societal changing public health projects ever in history.

      The only unclear one here is you.

    5. Re:Duh by Anonymous Coward · · Score: 5, Insightful

      Survivorship bias. If you had died from one of those illnesses, you wouldn't be able to post on Slashdot and tell everyone.

    6. Re:Duh by MarcoAtWork · · Score: 5, Insightful

      just because you were lucky doesn't mean that others are hypochondriacs: as somebody who is suffering lifelong health issues due to measles (when I got it there were no vaccines yet, it was a long time ago) anybody who doesn't vaccinate their kids for it deserve as much scorn as they get in my book, but unfortunately you can scorn all you want it will be their kids that pay the price of their parents' choice.

      How would you like it if you had a kid, did not vaccinate them because of some mumbo jumbo you heard on daytime tv, they get measles and become deaf? what will you tell them when they grow up and figure out they have a lifetime of deafness to look forward to because of your choice? or maybe they get something even more fun like Meniere's (look it up) due to damages to the inner ear that happened due to the virus? or maybe simply they will die from it like a non insignificant number of kids do? what will you do then? or maybe you don't consider deafness, lifetime balance/vertigo and death "serious stuff"?

      --
      -- the cake is a lie
    7. Re:Duh by mythosaz · · Score: 4, Insightful

      What if I told you I know a very well educated micro biologist who refuses to vaccinate his 7 kids?

      I'll tell you he's either (a) a kook, or (b) a visionary genius, and that only you get to decide which to believe when it's time to decide who your kids get to play with.

      [Hint: Let them play with kids who had their vaccinations...]

    8. Re:Duh by dosius · · Score: 4, Interesting

      The funny thing is anti-vax started out on the hippie left, and spread to the religiot right.

      --
      What you hear in the ear, preach from the rooftop Matthew 10.27b
    9. Re:Duh by Luckyo · · Score: 5, Insightful

      Nice, you survived. You have a daughter. She's happily married, you're expecting your first grandchild.

      She gets rubella. Your grandchild is born severely disabled because of the disease, but will likely survive and live a long and unhappy life.

      How do you feel?

      Fact is that around 40-60% of children did not survive to adulthood before vaccinations. Most of them died to various infectious diseases that we are forgetting they ever existed because of vaccination. You can be that other 40-60% that survive. Congratulations of getting good cards in that particular game.

    10. Re: Duh by Chris+Mattern · · Score: 4, Informative

      Honest question here: Exactly what price was that? How much did these kids suffer?

      With effective modern medical care, the death rate from measles is about 0.1%. If proper care is not given, it can be as high as 10%. Just prior to the introduction of the measles vaccine in the USA, approximately 450 people died each year of the disease, and 48,000 had complications severe enough to require hospitalization.

    11. Re: Duh by Cwix · · Score: 4, Insightful

      Measles prognosis:

      There are many complications associated with measles. Some of the complications are very serious and occur most frequently in babies or adults who contract the disease. These include ear infections, bronchitis, and pneumonia. However, the most serious complication associated with measles is encephalitis, an infection of the brain. Encephalitis can lead to convulsions, hearing loss, and mental retardation, and affects approximately 1 of every 1,000 children infected with measles. Despite advances in medicine, measles can still occasionally be fatal because of these complications.
      How is measles treated?

      There is no treatment for measles. Once a person is infected, the virus must run its course (usually 10 to 14 days). Bed rest, acetaminophen, and other medications are often recommended or given to help treat symptoms.

      TLDR: Measles is rarely fatal but there may be severe complications in 1 in 1,000. Otherwise it is two weeks of hell that they have no treatment for.

      Word to the wise, if I had a kid who couldn't get the vaccine for some reason and they caught this from your kid. I would not be a happy camper.

      --
      You are entitled to your own opinions, not your own facts.
    12. Re: Duh by fuzzyfuzzyfungus · · Score: 4, Informative

      The potential for encephalitis can be a bit of a downer, even in the nonlethal cases. As much as I think 'neurological sequelae' is a cool phrase, it isn't one you want to see in your file.

    13. Re:Duh by real+gumby · · Score: 4, Informative

      Seriously, I've had like 5 diseases (measles, mumps, varicella, rubella and influenzaa) as a child...and I'm still alive and quite healthy with ZERO side effects of having had those diseases.

      Do you know you've had zero side effects? My dad's heard valve was damaged by measles (no vaccine when he was a kid) and he didn't know until he was in his 50s and it stopped functioning properly.

      In any case I've ridden in cars and jet aircraft without seat belts and am still around but that doesn't mean I don't use them when they've available.

      Big pharma marketing has apparently been successful in creating a nation of hypochondriacs.

      Actually vaccines aren't big moneymakers and in in fact stopped being produced at all in the US until Congress stepped in.

    14. Re:Duh by phantomfive · · Score: 4, Insightful

      Idiocy is not limited by party, race, creed or country.

      --
      "First they came for the slanderers and i said nothing."
    15. Re: Duh by quixote9 · · Score: 4, Informative

      And just to be explicit about what some of those sequelae can be: retardation and/or blindness. Measles is NOT an "Oh, tough it out" disease.

  2. Thanks, Jenny McCarthy by therealkevinkretz · · Score: 5, Insightful

    ... and other idiots

    1. Re:Thanks, Jenny McCarthy by RevWaldo · · Score: 4, Informative

      "Vaccines am bad. Electronic cigarettes am perfectly safe." - Jenny McCarthy.

      .

    2. Re:Thanks, Jenny McCarthy by arthurpaliden · · Score: 4, Informative

      The thing is that her kid did not even have autism and is now responding well to the condition he really does have.

    3. Re:Thanks, Jenny McCarthy by SuricouRaven · · Score: 4, Funny

      A pox upon her house!

    4. Re:Thanks, Jenny McCarthy by Chris+Mattern · · Score: 4, Informative

      Actually, it's not eradicated, and it's actually making a comeback (thanks to the anti-vaxxers).

      Acutally, it *is* eradicated in the wild. The last documented case of naturally occuring smallpox was in 1977. WHO officially declared it eradicated in 1979. You may be confusing it with polio, which they're still trying to chase down and eliminate the last pockets of.

  3. Anti-vaxxers by Anonymous Coward · · Score: 5, Insightful

    I actually have a co-worker who refused to get the MMR vaccine for his two children, both of whom came down with the measles last year. They didn't shun the vaccine because of religious reasons; rather, Jenny McCarthy convinced them that it would give their children autism. And while it's entertaining to watch this, and it's fun to sit back and mock these people, their belief system, and the consequences of their actions, the fact remains that these idiots are a real threat to our herd immunity.

    The real answer to this is education, although that's almost as dirty a word as "vaccination" in 2013 United States.

    1. Re:Anti-vaxxers by X0563511 · · Score: 4, Informative

      Sure, it sucks for the kids, but let's not pretend that the measles are fatal with the exception of a tiny fraction of cases.

      Huh? Quoth wikipedia:

      Between the years 1987 and 2000, the case fatality rate across the United States was 3 measles-attributable deaths per 1000 cases, or 0.3%. In underdeveloped nations with high rates of malnutrition and poor healthcare, fatality rates have been as high as 28%. In immunocompromised patients (e.g. people with AIDS) the fatality rate is approximately 30%.

      --
      For large sets, this will be our guide even unto death, for the LORD will work for each type of data it is applied to...
  4. The really sad thing is vaccines improving by WillAffleckUW · · Score: 5, Insightful

    We even now have a permanent Tetanus combo booster shot (TDAP) instead of the old every ten year one (that probably expired, don't step on a rusty nail!).

    Correlation is not causation, but not getting an MMR measles mumps rubella shot is just criminal. Without herd immunity we're starting to see hospitals requiring people to wear masks or stay in isolation wards, measures we never had to do before the "fad" of not getting shots started.

    And, no, I don't care what your objections are - there are nasal spray versions of all the shots, so stop endangering everyone else with your stupidity.

    --
    -- Tigger warning: This post may contain tiggers! --
    1. Re:The really sad thing is vaccines improving by compro01 · · Score: 5, Informative

      You could at least get your talking points from somewhere that at least updates them. Thiomersal is gone from all childhood vaccines except flu, and even then it's only in the multidose vials.

      And guess what? The removal hasn't done anything to autism rates or anything else.

      --
      upon the advice of my lawyer, i have no sig at this time
    2. Re:The really sad thing is vaccines improving by realityimpaired · · Score: 5, Insightful

      What he said should probably be qualified with the phrase "without a medical reason not to". My partner hasn't had all of her shots either, but that's because she had a heart transplant when she was 11 and has a compromised immune system. And I'm seriously pissed off at any fuckwit who, without a similarly good reason, puts her health at risk by not getting their own immunizations.

  5. I'm an Anti-VAXxer, you insensitive clod! by Anonymous Coward · · Score: 5, Funny

    PDP-11s forever!

  6. So.. by benjfowler · · Score: 5, Insightful

    So... this is what happens when you don't use your brain -- and you take medical advice from a stripper.

  7. Vaccinations discriminate against middle class by tompaulco · · Score: 4, Interesting

    I have insurance. My insurance covers vaccinations. However, my primary care provider will not administer vaccinations because they agreed to a contracted amount with the insurance company but they don't feel that that amount is enough. I called several other primary care physicians who similarly refused to administer vaccinations. I finally got one that agreed to do it but only if I also did a well child checkup, which would cost hundreds of dollars. All of these doctors suggested I go to the Health Department. So I did, and stood in line for a long time, to be told that you had to be on state aid in order to get vaccinations from the state.
    Walgreen's and other facilities would do vaccinations, but my insurance would not pay because they are not a Primary Care facility. I would have to pay full price.
    So basically, I have to pay for insurance which covers vaccinations AND I still have to pay full price for vaccinations, while if I were poor, I would neither have to pay for insurance nor pay for vaccinations.
    To me, the fact that a Doctor can refuse to perform a service because they don't like their profit margin on it even though the AGREED to accept that amount in their contract, is BS. This is akin to a retailer advertising a model of TV for a cheap price, but not having ever even purchased any of said model to be sold.

    --
    If you are not allowed to question your government then the government has answered your question.
    1. Re:Vaccinations discriminate against middle class by mythosaz · · Score: 4, Informative

      I still don't understand why anyone would turn to insurance for predictable expenses - that's like getting car insurance that covers gas and tires. Just seems crazy to me.

      While I don't love that insurance is used for predictable things, insurance companies know that people who see the doctor regularly, get the tests their doctors recommend for them and take their prescribed medication cost less to insure when the unpredictable [well, unpredictable in small numbers] happens.

      So, to make sure that you cost as little as possible to insure, your insurance covers predictable expenses.

      Because insurers know this, they can buy in bulk -- sending you to in-network doctors, hospitals and pharmacies at a discount over their standard fee rate, further reducing the total cost (to them) to insure you.

      You could argue that your premium should be lower, and you should perhaps be required to comply with doctors orders, but I'm pretty sure we know how that'd turn out.

  8. Re:stop the sensationalist crap by samkass · · Score: 5, Informative

    Measles is tracked in part because it's really easily preventable with a safe vaccine which had eliminated it on the North American content a decade ago, and because it's one of the single most virulent diseases known to man. In a susceptible population, breathing the same air of someone who has it will make you 90% likely to get it. Many of the "pandemic" worst case scenarios is the measles virus combining with a more deadly virus to create a super virus, but even without that measles complications are common and can lead to permanently reduced vision, encephalitis leading to brain injuries, or other long-term problems. In the developed world the death rate is something like 0.3%, but in the undeveloped world it's sometimes over 25%. Nasty, easily preventable stuff worth tracking.

    --
    E pluribus unum
  9. Not to worry by arthurpaliden · · Score: 5, Insightful

    After reports of half a dozen or so children dying because they were not vaccinated parents will start getting their children vaccinated again. Pitty some kids will have to die first though.

    1. Re:Not to worry by rahvin112 · · Score: 5, Insightful

      No, the parents involved will blame the medical establishment for not saving their child.

      Measles is a serious disease that we have an established and functional protection from that they refused to use but they will blame the doctors for not being able to save their snowflake from the disease. There have already been people in this thread claim Measles is not a big deal when before the vaccine it used to kill anywhere from 1 in 10 to 1 in 4. In fact every 10 killer in 1950 is no longer on the list because of vaccines and IIRC in 1950 Measles was number 2 on the fatality list, right behind small pox and in front of polio. Only one of those diseases is gone, with the anti-vax campaign we're going to see a resurgence in the other two unless they can get rid of polio before some jackass brings is back from Pakistan.

  10. Re:So the vaccine has a 10 % failure rate? by Anonymous Coward · · Score: 5, Informative

    No, 10% of the people who were infected were also vaccinated. That doesn't mean there is a 10% failure rate in the vaccine. There are many many more people vaccinated than not vaccinated. To get the actual failure rate you would need to compute number_of_people_vaccinated_and_infected/number_of_people_vaccinated_and_exposed. With the later being very difficult to calculate.

  11. I doubt it by stenvar · · Score: 4, Informative

    40-60% is total childhood mortality in primitive societies. Most of the reduction in childhood mortality since then is probably due to better sanitation, better treatment of diarrhea, and the use of antibiotics, not vaccinations.

  12. Deaths are only PART of the damage from measles by PeterM+from+Berkeley · · Score: 4, Insightful

    For every 1 person that dies, 2 people suffer brain damage or deafness, per the CDC.

    http://www.medpagetoday.cominfectiousdiseasegeneralinfectiousdisease/43268

    For measles, it says that for every
    500 deaths, you have:
    48,000 hospitalizations,
    7,000 seizures, and
    1,000 cases of permanent brain damage or deafness each year, according to the CDC.

    So brain damage/deafness is about 2x as common as outright death from measles.

    --PeterM

  13. Depends... by trims · · Score: 5, Informative

    When comparing modern mortality improvement over the older pre-industrial, pre-modern-medicine regimes, the "most helpful" reductions vary with the age group you're dealing with:

    • INFANT (i.e. under 2 years of age) mortality reductions are overwhelmingly due to two things: (1) improvements in reducing childbirth deaths and complications (2) infant vaccinations. Sanitation (but not necessarily clean water) has helped somewhat, but not anywhere near as much as getting the kid out of the mother in good shape, and effective pre- and post-natal care. Vaccines (even though most aren't fully protected until after 2 years of age) have nonetheless stopped cold the huge killers of infants: measles, smallpox, pertussis, etc.
    • CHILDHOOD (2-12) mortality reductions are pretty much split between vaccinations and improved clean water/sanitation, maybe with the latter edging out for bigger impact (probably due mostly to reducing malaria, cholera and typhus).
    • TEENAGE (13-18) mortality reductions are due to a combination of vaccines (TB, smallpox, polio, and measles being a big here), clean water/sanitation, and trauma medicine.
    • ADULT (18-65) reductions are mostly clean water/sanitation, with trauma medicine following up behind. Vaccinations aren't a huge contributor here, since the vast majority of folks died of the major vaccinated diseases before they got to be adults, and thus, a much smaller percentage of people were saved.
    • ELDERLY (65+) mortality reductions are heavily improvements in drugs and chronic illness treatments (think cancer and heart disease).

    Overall, clean water and sanitation probably win as the single most important advancement in public health, ever, but vaccines are a *very* strong second. Frankly, drugs are at best a distant fourth, behind even improved medical understanding of the human body (enabling more effective trauma and non-drug treatments of common diseases and accidents). Drug improvements really have helped two big categories of people: soldiers at war, and the elderly.

    -Erik

    --
    There are always four sides to every story: your side, their side, the truth, and what really happened.