Slashdot Mirror


Diphtheria Returns To Spain For Lack of Vaccination

TuringTest writes: A six-year-old child was admitted to a hospital in Barcelona and diagnosed with diphtheria, which hasn't occurred in Spain since 1986 and was largely unheard of in western Europe. The boy had not been vaccinated despite the vaccine being available in free vaccination programs. Spanish general health secretary called anti-vaccination campaigns "irresponsible" and said: "The right to vaccination is for children, not for the parents to decide." The child is in critical condition, though he's now being treated with a serum expressly brought from Russia through an emergency procedure.

36 of 254 comments (clear)

  1. You wouldn't pay to see a Rob Schneider movie... by Picass0 · · Score: 5, Funny

    ... so why are you listening to medical advice from him?

    A Public Service Announcement from Get Your Brats Immunized

  2. Re:Deniers on the Left? by halivar · · Score: 4, Informative

    No. Vaccination rates are highest in the Bible belt, while they are lowest on the west coast. I think it has less to do with political affiliation and more to do with who reads idiot granola mommy and food blogs.

  3. Parents should be liable by sjbe · · Score: 5, Interesting

    I strongly think that parents who elect to not vaccinate their children (absent a documented medical condition preventing safe vaccination) should be liable for child endangerment. This is reckless behavior that is reasonably likely to result in bodily harm to another human being. This is a public safety issue with a clear and benign and effective solution. Those who opt out should be liable for the consequences of their actions.

    1. Re:Parents should be liable by ageoffri · · Score: 4, Insightful
      For several reasons. First vaccines are not 100% effective. Second people who can not be vaccinated for medical reasons are put in danger by those who through ignorance refuse to get vaccines.

      I'll take it a step further and state that the blonde bimbo should be tried on charges of attempted genocide.

      --
      -- Slashdot, making the Left look conservative since 1997.
    2. Re:Parents should be liable by sjbe · · Score: 4, Insightful

      Good luck going against religious beliefs that curtail vaccinations. That "endangerment" has one hell of an establishment in the community.

      Several states in the US have done so successfully. No reason why more couldn't. You do have a fair point though. It's amazing how much nonsense we put up with in the name of "respecting religious rights" even when they are clearly crazy and/or self destructive.

    3. Re:Parents should be liable by Hotawa+Hawk-eye · · Score: 4, Informative

      Diphtheria has a very serious "side effect", and I suspect the percentage of patients who develop it is larger than the percentage that react to the vaccine. Wikipedia says:

      "Diphtheria is fatal in between 5% and 10% of cases. In children under five years and adults over 40 years, the fatality rate may be as much as 20%.[17] In 2013 it resulted in 3,300 deaths down from 8,000 deaths in 1990.[6]"

    4. Re:Parents should be liable by Maritz · · Score: 2, Insightful

      Unless you are ready to pull the trigger of the gun of force.

      Fine, don't wanna vaccinate your kids, they shouldn't be allowed in public schools. This is a nice, fair solution. If people want to make their kids a vector for eradicated diseases (hey it's their "right") they should make other arrangements for education.

      --
      I do not want your cheap brainburning drugs. They are useless for work. And I am a working man today.
    5. Re:Parents should be liable by bohmt · · Score: 2

      And each host that is infected with diphtheria increases the risk that some mutation could lead to a pandemic.

    6. Re:Parents should be liable by Maritz · · Score: 2

      "Herd immunity" is the main reason why it is a public safety issue. Most vaccines are not 100% effective, but they stop disease from spreading through the population because higher than a critical proportion of the population are effectively vaccinated. This protects not only those for whom the vaccine is ineffective, but those who cannot have the vaccine administered for medical reasons (e.g. very young, very old, or immunocompromised). Herd immunity is vital for pertussis (hooping cough), because the newborns to whom it is most dangerous cannot be given the vaccine. I'm not a doctor, but this is my understanding of the issue.

      --
      I do not want your cheap brainburning drugs. They are useless for work. And I am a working man today.
    7. Re:Parents should be liable by geekmux · · Score: 2

      Am I protected if my religious beliefs say I need to sacrifice a virgin? Certainly not..

      Well, I suppose that depends on how the virgin was "sacrificed", now wouldn't it...

      ...so why should I be able to gamble with my child's life based on religious beliefs?

      Because your religion says it's not a gamble. At all. It's God's will. The question for the courts is when will they start defining the death of a child as criminal. The risk of non-vaccination is not merely endangerment to the public, but can also be viewed as murder in the case of a child who doesn't know better.

      Furthermore, they are MY religious beliefs, not my child's. Who is to say my child is going to give a crap about my religion when he grows up.

      Uh, your religion does, by ensuring your child will go to [insert eternal damnation definition here] if they don't.

      Sorry, just wanted to clarify exactly how religious zealots justify their stance today, and how that logic perpetuates through generations.

    8. Re:Parents should be liable by Falos · · Score: 3, Insightful

      Schools?

      Personally, I'd expect to see signs on every office, library, store, business, government building, restaurant, laundromat, bowling alley, etc etc etc that say "NO SHIRT NO SHOES NO LEPERS"

    9. Re:Parents should be liable by Maritz · · Score: 5, Insightful

      It doesn't (and didn't!) help with Disneyland I agree. But it might be able to persuade some of the less-rabid or on-the-fence parents to get their kids vaccinated.

      --
      I do not want your cheap brainburning drugs. They are useless for work. And I am a working man today.
    10. Re: Parents should be liable by Jason+Levine · · Score: 5, Informative

      As the parent of a child with autism, the "vaccines cause autism" crowd triply annoys me.

      1. They take funding that should go to diagnosis/treatment and send it to Yet Another Study that will yet again show no link. (Or worse: Advocating "treatments" that are a baby step shy of torture.)

      2. They fear monger autism such that you'd think your child would be better off dead than autistic. I know plenty of parents of kids on the spectrum. Some with pretty severe issues. None would rather their kids were dead.

      3. They make it hard to support autism societies because you need to first weed out the ones dedicated to "proving" an autism-vaccine link.

      The sooner these people accept that autism and vaccines have no link, the better for everyone.

      --
      My sci-fi novel, Ghost Thief, is now available from Amazon.com.
    11. Re:Parents should be liable by Warhaven · · Score: 2

      I strongly think that parents who elect to not vaccinate their children (absent a documented medical condition preventing safe vaccination) should be liable for child endangerment. This is reckless behavior that is reasonably likely to result in bodily harm to another human being. This is a public safety issue with a clear and benign and effective solution. Those who opt out should be liable for the consequences of their actions.

      Good luck going against religious beliefs that curtail vaccinations. That "endangerment" has one hell of an establishment in the community.

      There is already precedence in court (US, Canada, and abroad) overruling the objections of Jehova's Witness parents with regard to blood transfusions. A quick Altavista will reveal many cases, as recently as this year (in favor of the child, not the parents). It's not inconceivable that these ruling could extend to cover vaccines as well, if someone (or agency) were to actually bring a lawsuit against the irresponsible parent.

    12. Re:Parents should be liable by chilenexus · · Score: 3, Insightful

      The problem with that argument is that the "parents" in this case are not qualified to make that decision. They don't have the education nor the data to determine whether or not their child might be susceptible to one of those "serious side effects" that may strike 1/1000 of a percent, at most. When considering that the potential equivalently-bad-or-worse consequences from the diseases themselves have percentages on the left side of the decimal point, they are avoiding a slim chance of something rare by almost guaranteeing a bad outcome if their child gets exposed. And they volunteer their child into the service of exposing other people to that illness.

      If we didn't have the anti-vaxxers or the people who think vaccines are a plot for some kind of non-microscopic genocide, we'd probably have a few less diseases in the world to worry about or continue vaccinating against. After all, how many people get a small pox vaccination these days?

    13. Re:Parents should be liable by Ann+O'Nymous-Coward · · Score: 2

      Since you're obviously an antivaxxer moron, I'll spell it out.

      In almost every other case, the bad effects of bad parenting stop with the kids.

      But in this case, their precious little walking sacks of infection can toddle off outside of home septic home and spread their diseases far and wide.

      And if you don't think that's a problem that needs solving, you don't think at all.

    14. Re:Parents should be liable by matfud · · Score: 2

      Add in Measles, mumps and rubella.

      All nasty and they do maim and kill. Think chicken pox and how well that spreads. Now try measles and how that spreads (far faster)

      I fear that many do not know the harm that these diseases caused. .

    15. Re: Parents should be liable by Anonymous Coward · · Score: 2, Insightful

      Speaking as a guy who is on the autism spectrum (diagnosis of Aspergers - from a registered psychologist, I might add, not just a Doctor Google diagnosis - a couple of years ago): that crowd is, in essence, saying that people like me should not exist. That they would rather see hundreds of thousands dead, and millions crippled for life, than see one person like me exist in the world.

      I know that autistic children can be a burden. They demand more care, more attention, more specialist intervention early in life than a neurotypical child. I get that. I understand it. I have two friends who each have one autistic kid (one with a son, one with a daughter), and another who has two (her elder, a son, was vaccinated; her younger, a daughter, was not - not until long after the autism diagnosis was clear. In fairness, this was around the time of the MMR scare. Fuck you very much, Andrew Wakefield.) But as you say, these parents would rather see their kids alive with autism than dead from some vaccine preventable disease. And, for all the problems I've had through my life as a consequence of who I am - so would I.

      Seriously. Is autism the best these guys can do as a reason to not vaccinate? Penn and Teller debunked that a long time ago.

  4. Re:Deniers on the Left? by halivar · · Score: 4, Interesting

    I didn't know there WAS a Bible Belt in Europe, especially the Netherlands. Here in the US, non-abortion-related medicine is usually without any religious controversy, save for the Christian Scientists (who are, depending on what angle you view them from, neither Christian nor scientific), a relatively small, fringe sect that believes that all medical care represents faithlessness.

    Here in the deep-south, there's a modern-day parable that goes around Christian circles that demonstrates the general philosophy in this regard: A man goes over a cliff overlooking treacherous waters and manages to grab hold of a thin root half-way down. In desperation he cries out to God, "Save me! Send me deliverence!" Having thus prayed, he resolves to place his trust in God. A man walks by the cliff and lowers a rope. "Grab the rope!" he says. The hanging man replies, "I cannot! I have placed my trust in the Lord, and I will await His deliverance." Next a boat drives by under the cliff. The man in the boat says, "Jump! I'll catch you!" The hanging man replies as he did to the first. Next, a rescue helicopter hovers nearby, and a man lowers a ladder. "Grab the ladder!" he says. Again the hanging man replies as he did to the previous two. Slowly, the hanging man loses his grip, falls into the swirling waters, and drowns. He arrives at heaven, meets God, and cries, "Why did you never answer my prayer?" To which God replies, "What are you talking about? I sent you a man with a rope, a boat, a helicopter..."

  5. You might want to check that data again... by denzacar · · Score: 4, Informative

    Bible Belt states have some of the highest AND the lowest vaccination rates.

    http://www.motherjones.com/pol...

    And as usual, it is probably a combination of factors which influence the anti-vaccination attitudes.
    Though one factor does seem to be common - clustering.
    I.e. It's social. Where there's one anti-vaxxer, there's more anti-vaxxer.

    Overall, national vaccination rates seem high: The median rate of coverage for the measles, mumps, and rubella (MMR) vaccine, administered to most before entry into kindergarten, was 94.7 percent for the 2013-14 school year. But, as Schuchat points out, the rate is lower in communities where unvaccinated families tend to cluster. In some areas, low rates might have more to do with access to clinics than with beliefs about vaccinations.

    "The national estimates hide what's going on state to state. The state estimates hide what's going on community to community. And within communities there may be pockets," Schuchat said. "It's one thing if you have a year where a number of people are not vaccinating, but year after year in terms of the kids that are exempting, you do start to accumulate."

    --
    Mit der Dummheit kämpfen Götter selbst vergebens
    1. Re:You might want to check that data again... by Calydor · · Score: 5, Insightful

      Where there's one anti-vaxxer, there's more anti-vaxxer.

      Just like infectious diseases.

      --
      -=This sig has nothing to do with my comment. Move along now=-
    2. Re:You might want to check that data again... by Citizen+of+Earth · · Score: 2

      Memetic engineering.

  6. Re: How is the virus even still around? by jstomel · · Score: 2

    Diphtheria is a bacteria, not a virus. When it isn't in people it can just go live in the environment.

  7. Re:How is the virus even still around? by antiperimetaparalogo · · Score: 2

    So did it go hide out for a while in Africa or something?

    Many diseases that were rare or unknown in developed European nations twenty years ago have been making a comeback lately. The reasons are obvious, but no-one is allowed to talk about them in SJW^H^H^Hpolite society.

    "With so many Africans in Greece, at least the West Nile mosquitoes will eat home made food!"
    That joke about the West Nile virus posted on twitter by the Greek triple jumper athlete Voula Papachristou few days before the 2012 Olympics was the reason to be expelled from the games...

    --
    Antisthenes: "Wisdom begins by examining the words/names." - excuse my English, i am (slightly...) better with my Greek!
  8. Yes it is a public health and safety issue by sjbe · · Score: 4, Insightful

    how is it a public safety issue, the ones who do get vaccinated aren't at risk... so they only endanger themselves and likeminded folks

    Wrong. Not everyone can get vaccinated because some people legitimate medical conditions making it inadvisable. Sometimes they are too young. Sometimes they have allergy or other medical conditions that prevent their vaccination. These people depend on herd immunity to avoid the illness. If people start avoiding vaccines for non-medical reasons then these people who cannot be vaccinated are endangered by those who recklessly decide to avoid vaccination for no good reason.

    Furthermore diseases have a substantial and measurable cost to society. We have finite resources both financial and time to devote to treating diseases and if we waste them on something that could be solved with a cheap and safe vaccine then we necessarily cannot spend those medical and financial resources on something else. Should we spend a few dollars for a vaccine or thousands on a treatment. THAT is a public health issue.

  9. Diphtheria vaccine doesn't prevent infection, by IcyWolfy · · Score: 4, Informative

    The Diphtheria vaccine doesn't prevent infection, it only immunizes against the effects of the toxin the bacteria produce.

    Thus, it's still around and kicking, it just doesn't kill people anymore as most people can fight off the infection on their own without the toxin wreaking havoc on their body. And most people won't even notice anything other than "flu-like symptoms" as all the effects of Diptheria are caused by the toxin, rather than the presence of the bacterial infection.

    The poor kid probably just got coughed on, or touched something and then cross-contaminated something he put in his mouth.

  10. Re:How is the virus even still around? by Maritz · · Score: 2

    The reasons are obvious, but no-one is allowed to talk about them in SJW^H^H^Hpolite society.

    Something to do with gaming journalism?

    --
    I do not want your cheap brainburning drugs. They are useless for work. And I am a working man today.
  11. Re:Deniers on the Left? by halivar · · Score: 2

    /sigh... and as I do in every single thread this comes up in: http://www.cdc.gov/mmwr/previe...

    Further data: 7 of the 8 most vaccinated states went to Romney in '12.

  12. Re:Odd comment by IcyWolfy · · Score: 3, Interesting

    We had the choice to get vaccines growing up (2nd grade, 6 y/o).
    They explained it to us, and most took it because of the dire warnings and videos of people with diseases.
    They showed us filmstrips from the 40s and 50s about measels, diphtheria, whooping cough, scarlet fever, ..., and that pretty much scared people more than the needles (which I would say didn't really bother half the class).
    For the few who didn't want to, they were just goaded into it by peer pressure of all their friends and classmates (either by comforting or mocking, depending on gender). Kids are cruel, and also don't want to be excluded for chickening out / being afraid (and then teased). It's pretty effective.

  13. Re: How is the virus even still around? by jstomel · · Score: 4, Informative

    I don't think it survives in the environment, and it doesn't seem to have any animal hosts. There are places in the world where it's endemic and somewhat common, and it can live in the pharynx of vaccinated or asymptomatic humans. So it probably comes into a country from an immigrant or traveler with some frequency, it just doesn't spread because of vaccination.

    Then there's this kid.

    From microbewiki (emphasis added): "C. diphtheriae is a Gram-positive, aerobic, nonmotile, toxin-producing, rod-shaped bacteria belonging to the order Actinomycetales, which are typically found in soil, but also have pathogenic members such as streptomyces and mycobacteria."

  14. Re:Deniers on the Left? by ImprovOmega · · Score: 2, Insightful

    Now you're just being a pedantic assclown.

  15. Re:Nearly impossible to get everyone vaccinated by Curunir_wolf · · Score: 2

    Smallpox is still maintained in US and Russian laboratories. It was declared eradicated in 1980. The WHO wanted the last of the laboratory samples destroyed, but it has so far been delayed. Interesting history in that link.

    --
    "Somebody has to do something. It's just incredibly pathetic it has to be us."
    --- Jerry Garcia
  16. Re:Deniers on the Left? by Pubstar · · Score: 2

    I wish I could find it, but there was a vaccination map for Southern California. You live in a poor part of LA? Really high vaccination rates. Live in a Rich and/or Hippie infested area? Vaccination rates MUCH lower than the surrounding areas.

  17. Re:Nearly impossible to get everyone vaccinated by pjt33 · · Score: 2

    And who knows how many more forgotten samples are out there?

  18. It's endemic in some populations; also: a bacteria by tlambert · · Score: 2

    The only way I even know the name is because George Bailey saved the pharmacist from poisoning a kid with it in "It's a Wonderful Life." And the last recorded case of it in Europe was decades ago. So did it go hide out for a while in Africa or something?

    It's endemic in some populations; also: a bacteria, Corynebacterium diphtheriae, not a virus, FWIW.

    Yes. There are large reservoirs of the bacteria in many North African countries, as well as Pakistan. What's only noted in a couple of places is that while the kid was "a resident of Olot (Girona)", the kids origin was as an adoption of an immigrant child.

    To see the reservoirs, here is the World Health Organization data on reported cases by country through 2014:

    http://apps.who.int/immunizati...

    If you care, you can also look at diseases other than Diphtheria, across the top of the chart. For example, there were 52'628 cases of measles in China in 2014, and there are rather large reservoirs in the Philippines as well (which is whre the person who was pation zero in the Disneyland measles outbreak had just travelled into the U.S. from, presumably infectious at the time they travelled. Somalia, India, Ethiopia, Viet Nam, and China also have significant measles reservoirs.

    http://apps.who.int/immunizati...

    Of course, we don't perform health examinations or quarantines on people traveling from these hot zones into the U.S.

    P.S. India, the U.S., and Australia are the top reservoirs for pertussis (whooping cough), so it'd be a good idea to check those people too, if they happen to be coming into your country.

  19. Re:Deniers on the Left? by Ol+Olsoc · · Score: 2

    In the U.S. the anti-vaxxers are largely those who go around calling people Deniers because they don't drive a Prius.

    GIven that much edepends on the framing ot the questions, it appears that between liberals, moderates, and conservatives, it's all about the same.

    http://blogs.discovermagazine....

    As in so many aspects of life, it depends on your own political views. If you are conservative - the liberals are the bogeyman. If you are liberal, it's conservative bugaboos.

    People like myself, in the middle, recognize that one's politics, left or right, does not prevent them from being a flaming asshole, which any anti-vaxxer most certainly is.

    --
    The shepherds did so well protecting the flock that the sheep no longer believed that wolves existed.