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The Americas Are Now Officially 'Measles-Free' (theverge.com)

An anonymous reader quotes a report from The Verge: The Americas are now free of measles and we have vaccines to thank, the Pan American Health Organization said earlier this week. This is the first region in the world to be declared measles-free, despite longtime efforts to eliminate the disease entirely. The condition -- which causes flu-like symptoms and a blotchy rash -- is one of the world's most infectious diseases. It's transmitted by airborne particles or direct contact with someone who has the disease and is highly contagious, especially among small children. To be clear, there are still people with measles in the Americas, but the only cases develop from strains picked up overseas. Still, the numbers are going down: in the U.S. this year, there have been 54 cases, down from 667 two years ago. The last case of measles that developed in the Americas was in 2002. (It took such a long time to declare the region measles-free because of various bureaucratic issues.) Health officials say that credit for this victory goes to efforts to vaccinate against the disease. Though the measles, mumps, and rubella (MMR) vaccine is recommended for all children and required by many states, anti-vaxxers have protested it due to since-discredited claims that vaccines can cause autism. NPR interviewed Dr. Seth Berkley, the CEO of GAVI, a Geneva-based nonprofit organization whose mission is to improve and provide vaccine and immunization coverage to children in the world's poorest countries. She says that 90 to 95 percent of people in a given region need to be vaccinated in order to stop transmission in a region. The rate worldwide is about 80 percent for measles, which means that 20 percent of people around the world are not covered.

21 of 249 comments (clear)

  1. Weird definition by 93+Escort+Wagon · · Score: 5, Insightful

    So 54 people in the United States had the measles last year, but we're measles free because those people picked it up elsewhere?

    I'm pretty sure some PR person must've come up with this definition...

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    1. Re:Weird definition by bloodhawk · · Score: 4, Insightful

      No, but I would certainly not call it empty after someone else poured something into it just because it wasn't me.

    2. Re:Weird definition by sjames · · Score: 4, Interesting

      I'm not so sure. Measles free would suggest that there is no point in getting the vaccine at all, but with active cases still showing up and threatening to spread among the unvaccinated population (such as the case a few years ago at Disneyland), that seems a little premature.

      It could be argued that you've reached that point once the risk of vaccination exceeds the risk of the disease when you stay within the zone declared 'free'. We're not there yet either. It still makes sense to get the vaccine.

      I can see how they define it, but given the crazy anti-vaxxers, I don't think declaring the region 'free' of measles is such a great idea.

    3. Re:Weird definition by Maritz · · Score: 4, Insightful

      I can see how they define it, but given the crazy anti-vaxxers, I don't think declaring the region 'free' of measles is such a great idea.

      I can only see this announcement further emboldening idiots who don't want to vaccinate. I do not see the US remaining measles-free for long. It a shame, because it's another example of stupid winning.

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      I do not want your cheap brainburning drugs. They are useless for work. And I am a working man today.
    4. Re:Weird definition by dave420 · · Score: 2

      He's not calling them crazy because he disagrees with them, but because they are demonstrably crazy and he disagrees with them. It's all too easy to ignore criticism if you think criticism itself has no place in a discussion.

  2. Re: guess again by Anonymous Coward · · Score: 5, Informative

    Yeah, if only they bothered to do routine medical checks and give people vaccines.

    Oh wait.

    You want to do something? Bitch about the sex trade or something useful, not your usual shit.

  3. Re:guess again by PopeRatzo · · Score: 5, Informative

    We are busy importing hundreds of thousands of unscreened people from areas where measles still runs rampant. This little blip will not last.

    And don't forget: Three of the four presidential candidates are anti-vaxxers.

    https://twitter.com/realdonald...

    https://twitter.com/govgaryjoh...

    http://www.salon.com/2016/08/0...

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    You are welcome on my lawn.
  4. Re:On a sober note by Cinnamon+Beige · · Score: 2

    I've some background here, and I'd be...generally skeptical since about the only thing I can think of is that maybe we're talking about autoimmune diseases and honestly that seems more a reason to avoid vaccines for diseases that aren't that much of a problem. The immune system can be pretty accurately thought of as being a bored two-year-old, though we've only particularly lately realized that a germ-free environment would actually be pretty horrible.

    However, honestly I'd expect just being relaxed about attempting to disinfect everything as long as the kid's actually got an immune system should counter a good amount of the damage, and there is some interesting discussion on if maybe a few of the annoying-but-harmless infectious vectors we don't get exposed to as much anymore ought to basically come out so you can be deliberately infected since it seems those may have helped train the immune system to not do things like take a sudden, virulent hate for your nervous system.

    However? If these are the same people who had been going vaccines cause autism before we finally managed to slay that lich? I'd not take any medical advice from them without getting a second opinion from somebody who at least is aware that prenatal exposure to Rubella (the R in MMR) is positively linked to autism.

    (In fact, most of what we've traced as causes are prenatal, if not genetic in their origins, and we have been able to push back the ability to diagnose autism to before when most vaccinations are received.)

    On the flu shot, though--I've heard reports that some people have found it to be effective for multiple years, and 'effective' with vaccinations means 'your immune system recognizes and does not have to guess at how to make antibodies for this.' From what I've heard, a decent number of the problems with the flu shot can be attributed to the fact that it's based off of educated guesses of what strains will be this year's popular ones...and as I recall, at least one year practically none of the guesses were right. (The flu isn't a single virus but a slew of them, and a lot of people who think they have the flu actually have something else entirely...right up to and including bacteria instead. Generally it's not worth the testing needed to tell.)

  5. Re:And there was much rejoicing! by ShanghaiBill · · Score: 4, Informative

    Thank God now all we have to worry about is Zika, Cickengunya and Dengue Fever! With an occasional bout of Ebola thrown in for good measure!

    For most people, Zika and Dengue are so mild that many don't even realize they are sick. Ebola can be stopped dead in its track with soap. Measles is a far more serious disease than any of these.

  6. Re:guess again by Iamthecheese · · Score: 3, Informative

    You clearly didn't read the article about Stein.Or worse you're just lying. It claims she panders to anti-vaxxers not that she is one.

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    If video games influenced behavior the Pac Man generation would be eating pills and running away from their problems.
  7. Re:guess again by Gavagai80 · · Score: 2

    Diseases can never be eliminated with non-mandatory vaccines -- you can't reach 95% that way, it's hard enough to with mandatory vaccines. And of course without that group immunity the people who really can't use the vaccine due to an allergy are left unprotected. If you're against mandatory vaccines, you're bad for other people.

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  8. Re:guess again by Dahamma · · Score: 2

    The vaccines aren't mandatory per se, they are mandatory if you want your kids to mix with all of the other kids who don't have parents who aren't complete fuckwads.

    Go ahead and homeschool your frail little sunflowers, but don't expect that the rest of us want them to join the herd hoping that OUR vaccinations were enough to protect them.

  9. Re:herd immunity is lame by Anonymous Coward · · Score: 5, Funny

    Hurd immunity? You must be GNU here.

  10. Re:There's a bigger issue here by Opportunist · · Score: 4, Informative

    Your right of self-determination ends where it becomes a liability to the rest of society. If you are a selfish enough asshole that you don't give a shit about the rest of society, get the fuck out of it!

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    We used to have a Bill of Rights. Now, with the rights gone, all we have left is the bill.
  11. Never was a reasonable conversation by sjbe · · Score: 4, Insightful

    Calling people you disagree with "crazy" shuts down any reasonable conversation.

    You are presuming the conversation was reasonable to begin with. The anti-vax crowd is not spouting off reasonable viewpoints based on considered evidence. There is nothing reasonable about their viewpoint or what they are saying. They are loudly proclaiming harmful falsehood and putting people in harms way by doing so.. No matter how polite on is, ANY discussion with them is basically an instance of pointing out that they are crazy and dangerous. These are fearful people who are either unwilling or unable to listen to reason and evidence. It never was a reasonable conversation in any meaningful sense.

    1. Re:Never was a reasonable conversation by plover · · Score: 5, Insightful

      I simply have the right to decide what I put into my body, regardless of what you think about it.

      If you had the magical ability to not spread viruses, I would accept your statement, but you do not. When you have measles, it is exactly the same as walking around town with a handful of hypodermic needles, injecting random passers-by with viruses. You violate everyone else's "right to decide what they put in their bodies."

      You live in a society, made of other people. Therefore, you have some responsibility towards the others who you interact with to provide you with food, gasoline, clothing, education, fire protection, etc., etc., etc.

      The good news is that vaccines don't need to hit 100% of the population to be effective enough to prevent an outbreak. "Herd immunity" prevents the wide spread of a disease when most of your neighbors are immune. A level somewhere between 80-95% vaccinated is enough to stop an outbreak. But that's a very high level to achieve voluntarily. Vaccines are ineffective in some people. Some people with auto-immune diseases, or undergoing certain therapies, or are just too frail, can't risk taking some vaccines. And some people are so isolated by either geography, finances, or intelligence that they lack the opportunities to learn that they need vaccinations. Between those groups, there is almost no extra safety margin for tolerating people who think they deserve some special exemption because they "believe in" something divine, or think they have some special rights that they themselves violate on a daily basis.

      We don't have a special "isolation island" to keep unvaccinated people from putting the rest of us at risk. Instead, we pass laws that enforce schoolchildren to put something in their bodies, or else we deny them schooling. But that's all the control we have, so far. Instead, we have to rely on public health education, and hope people voluntarily comply.

      What we really could use would be swift punishment for the anti-vax deniers. Unfortunately, that crosses swords with free speech. So instead, we have to hope we can convince people that anti-vaxxers are stupid, hostile, anti-social jihadist monsters who are trying to destroy humanity with their lies and bioterroristic weapons. It turns out that a disturbingly high number of people are so extremely gullible or stupid that it's not as effective a strategy as we need.

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      John
    2. Re:Never was a reasonable conversation by david_thornley · · Score: 2

      I'm interested in reasonable arguments from viewpoints that differ from mine. It helps me learn.

      However, you're going to have to provide reasonable arguments if you want to change my mind.

      We don't need to cull people out for preventable reasons. It really doesn't matter if someone has a medical issue that can be routinely and effectively dealt with. You seem to just assume that childhood diseases will kill off the genetically weak, without any evidence that this will be a significant effect. That's no more than somewhat plausible speculation, something that sounds right when you hear it the first time. I've run into lots and lots of these "sounds reasonable" things that turned out to be wrong.

      To get that culling, whether desirable or not, we're going to have to have an awful lot of children get sick from preventable diseases, with various lasting effects that won't necessarily cause death or sterility. While the relation between disease and humans can change over time, and the really lethal ones tend to adapt, diseases can remain medium deadly for a long time, and ill effects that don't significantly reduce fertility are still ill effects. Your speculation about autism is just speculation, because nobody really knows what causes it in general, so you're making that up.

      For most diseases, there is no arms race, and if one doesn't develop soon it's likely not to develop except over the long run, and it'll be easy to catch up. Flu is an exception here.

      The moral issue with universal vaccination is the same as the health issue. If we allow a large number of people to be unvaccinated, we're setting up a large pool of Morlocks where the disease can live and strike out whenever it finds unvaccinated Elois, or those whose vaccinations didn't quite take.

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      "When you have eliminated the unacceptable, whatever is left, however improbable, must be the truthiness" - Holmes
  12. Rights vs consequences by sjbe · · Score: 4, Insightful

    Your right to be protected against disease does not override my right to decide what to put into my body.

    Yes you have that right. HOWEVER that does not mean the rest of us have to accommodate you and the threat you present in society consequence free since you have chosen of your own free will (and delusions) to be a potential disease vector. Your unvaccinated children should not be allowed to attend school. You should not be allowed to have a job where you interact with people. Go ahead and stay unvaccinated and I'll defend your right to do so. But I also will insist that you remain in quarantine until it is safe to be around you.

    1. Re:Rights vs consequences by jeremyp · · Score: 4, Insightful

      Ah, no.

      You have the right to remain unvaccinated but we have the right to exclude you from our spaces in order to protect ourselves from your stupid decision. It's actually a form of self defence.

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      All I want is a secure system where it's easy to do anything I want. Is that too much to ask ~~ Randall Munroe
  13. Re:A gift to the anti-vaxxers by bazorg · · Score: 2

    A few notes (to waste on an AC thread):

    The population of the Americas is now 1Bn but wasn't so 40 years ago. The reduction in number of cases to what the Americas have now is significant also because there are more people that could have been affected and are not, thanks to the efforts in eradicating the disease. A more useful measure would probably be morbidity in % of population, to show clearly how big the overall problem was then and is now.

    I point out "morbidity" because death is not the only possible effect of catching this disease. While it is a useful thing to measure mortality, measles is linked to pneumonia and encephalitis, which can have significant consequences such as blindness and deafness.

    To say that everything would be OK without vaccines because post-facto the disease is not killing a lot of people does not tell the whole story. If there's any obfuscation or misunderstanding of the real situation it is on the side of those who overlook the needs of a growing and mobile population.

    Interestingly I've seen this sort of presentation before by someone who thought that polio eradication would have been "naturally occurring" in the USA, overlooking that in the chart she was showing the date range was one where the USA population had doubled (baby boom and huge inbound emigration after WW2). I can't imagine what side effects she was worried about that would lead to going without such strong prevention measures, even if the data shows that the reduction of cases of paralysis was big, and in terms of % of population as actually a very significant and sudden change when the polio vaccination programme started.

  14. Re: guess again by pscottdv · · Score: 4, Funny

    "The Americas" includes Mexico.

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