Who’s Getting Measles?

We will soon pass the last record high number of measles cases – 963 cases – set in 1994.

We will soon pass the last record high number of measles cases - 963 cases - set in 1994.

With 839 cases as of mid-April, it’s hard to believe that only 55 cases were reported during all of 2012!

Who’s Getting Measles?

So what do we know about the people who are getting measles?

More importantly, the thing that most parents want to know – are their families at risk?

We know that of the 839 cases right now:

  • 442 are in Brooklyn among the Orthodox Jewish community, where only 4% of cases have been fully vaccinated
  • 125 are in Rockland County, New York, among the Orthodox Jewish community, where only 3% of cases have been fully vaccinated
  • 78 were in the Pacific Northwest Outbreak (Washington and Oregon), where none were fully immunized – (ended)
  • 43 are in Michigan, mostly among Oakland County’s Orthodox Jewish community, triggered by a man who had recently traveled from New York

So just over 80% of cases are associated with four outbreaks, one of which has been declared over, and mostly among children and adults who were intentionally not vaccinated.

The rest of the 200 cases?

Among 45 cases in California, are 30 cases in these four outbreaks.
Among 45 cases in California, are 30 cases in these four outbreaks.

They are spread out in smaller outbreaks in other states, including Arizona, California, Colorado, Connecticut, Florida, Georgia, Illinois, Indiana, Iowa, Kentucky, Maryland, Massachusetts, Mississippi, Missouri, Nevada, New Hampshire, New Jersey, Oklahoma, Pennsylvania, Tennessee, and Texas.

Does that mean that you don’t have to worry about measles?

It means that you don’t have to panic about measles.

Get your kids vaccinated and protected, which might include an early dose of MMR, learn the signs and symptoms of measles, and keep up on news of outbreaks in your area.

That should help decrease the risk that they get caught up in an outbreak.

And double check your own vaccine records! Have you had an MMR vaccine? Have you had two doses?

Unfortunately, not everyone can get vaccinated and protected, which is causing some folks to panic. This includes those who are too young to be vaccinated, or fully vaccinated, and those with immune system problems.

That’s not fair.

Let’s stop the outbreaks so we don’t get to the point that measles truly is everywhere and even more high-risk people are put at risk.

More on Who’s Getting Measles

Who Is Larry Palevsky?

Think you know all of the anti-vaccine pediatricians?

“The pediatrician who spoke on Monday night, Dr. Lawrence Palevsky, is regularly cited in pamphlets circulated in New York City that urge women not to get their children vaccinated. His views have no basis in science, experts said.”

Despite Measles Warnings, Anti-Vaccine Rally Draws Hundreds of Ultra-Orthodox Jews

Sadly, there is more than one pediatrician pandering to parent’s fears about vaccines these days.

Who Is Larry Palevsky?

Although not as well known as Sears or Thomas, who were thrown into the spotlight because they wrote anti-vaccine books and were associated with measles outbreaks in their areas, it would be hard to say what makes Palevsky different from any other anti-vaccine expert.

A holistic pediatrician, he was an “expert” for the anti-vaccination movie The Greater Good. Palevsky also often links to and quotes other notorious anti-vax “experts.”

He even appeared on the Gary Null Show – in addition to being anti-vax, Gary Null is among the alternative medicine folks who actually denies that HIV causes AIDS.

So no one should be surprised that Palevsky spoke at an anti-vaccine rally during the longest measles outbreak we have had in the United States in over 25 years. An ongoing measles outbreak that health officials are still struggling to contain.

At the rally, he talked at length about mutating viruses and falsely claimed that failed vaccines were producing a new strain of measles. Women scribbled into notepads as he spoke. Others filmed his comments, sending them to their contacts on WhatsApp. Essentially, he said, there were no studies available to show how the vaccine affects the human body.

“Is it possible that the measles-mumps-rubella vaccine that is somehow being given in this lot to communities in Williamsburg and Lakewood and Monsey, maybe in Borough Park, is it possible that these lots are bad?” he asked, referring to areas in New York and New Jersey with large ultra-Orthodox Jewish communities.

“It’s fascinating because we’re told how contagious the disease is, but somehow it’s centered in the Jewish community.”

Despite Measles Warnings, Anti-Vaccine Rally Draws Hundreds of Ultra-Orthodox Jews

It’s fascinating that a pediatrician would actually think that any of this is possible

Bad lots of vaccines?

Does Palevsky, who runs a Wellness Center, realize that only about 3-4% of the people who have gotten measles in Brooklyn and Rockland County have been fully vaccinated. Most are unvaccinated.

How does that fit into Palevsky’s theories about bad lots, mutating measles viruses, and failed vaccines?

Since Palevsky doesn’t seem to believe in the germ theory of disease, that viruses and bacteria can actually cause us to get sick, it isn’t hard to figure out. For him, of course, it would be easier to blame vaccines instead of the measles virus, I guess even vaccines that these folks have never received.

Sure. It is anything and everything except the fact that parents are intentionally not vaccinating and protecting their kids…

What’s really fascinating is that people are still listening to this kind of misinformation when they can see the consequences of what happens when they leave their community unvaccinated and unprotected.

“I believe in what’s called a starvation diet for kids when they’re sick.”

Larry Palevsky

And that they are listening to it from folks like Palevsky!

“Most of the reason that kids get sick is to move or get rid of wastes anyway.”

Larry Palevsky

But just in case they don’t get better by just removing the wastes in their body or by using supplements, essential oils or herbs and reducing their stress levels, Palevsky is very happy to refer your child to one of the homeopaths, acupuncturists, chiropractors and/or other health professionals in his office.

Palevsky wants your child to “breathe more” when they get sick…

And that’s a clue to why we continue to see outbreaks of measles.

This industry of holistic and integrative “health professionals” goes out of their way to make sure parents are too scared to vaccinate their kids.

More on Larry Palevsky

Vaccines and Mother’s Day

Last year, we found several connections between Father’s Day and vaccines, especially that Maurice Hilleman has often been called the father of modern vaccines.

Is there a mother of modern vaccines?

Vaccines and Mother’s Day

Does it have to be modern vaccines?

Of course, the first person that comes to mind is Lady Mary Wortley Montagu, who learned about smallpox inoculation in Turkey and used it to protect her own children, also advocating for more general use in England.

But that involved variolation, not vaccination.

So who could be the mother of vaccines?

How about the person who “has done more for immunizations that any one person in this whole country?”

Betty Bumpers was a champion in our efforts to reduce the burden of vaccine-preventable diseases among children in the United States.  She played a major leadership role as 1st Lady of Arkansas in improving immunization in that state and was inspirational in launching the first major Presidential Initiative on Immunization during the late 1970s.  She continued to be a major immunization advocate through much of her life launching “Every Child By Two (ECBT)” which she chaired along with Mrs. Rosalyn Carter, now “Vaccinate Your Family”.

Walter Orenstein

And to honor her, let’s continue her work

Before vaccines, this mother and all of her kids got polio...
Before vaccines, this mother and all of her kids got polio…

For as Betty Bumpers said, “only when every child has completed his or her series of immunizations will our job be completed.”

More on Vaccines and Mother’s Day

Why Can’t You Give Blood After Getting a Vaccine?

If you are like most people, you have heard so much anti-vaccine misinformation that you figure it is safe to assume that everything these folks say isn’t true.

Yes, go research shedding

If you are a true skeptic, you will still do your research on any new claims just to make sure.

Why Can’t You Give Blood After Getting a Vaccine?

Although you may not have heard of any restrictions on donating blood after getting vaccinated before, it makes sense once you think of it.

You actually have to wait:

  • for up to 8 weeks after getting the smallpox vaccine
  • for up to 4 weeks after getting the MMR (because of the rubella component), chickenpox, and Zostavax vaccines.
  • for up to 3 weeks after getting the hepatitis B vaccine
  • for up to 2 weeks after getting the measles, mumps, oral polio, or yellow fever vaccines

If you notice that these are almost all live vaccines, it becomes very easy to see why you can’t donate blood shortly after being vaccinated.

Blood donation is “Acceptable if you were vaccinated for influenza, tetanus or meningitis, providing you are symptom-free and fever-free. Includes the Tdap vaccine. Acceptable if you received an HPV Vaccine (example, Gardasil).”

American Red Cross Eligibility Criteria: Alphabetical

Live vaccines can create a temporary viremia (virus particles in the blood), which could then be transferred to someone else in donated blood.

Could you get an infection this way?

Probably not.

Remember, you would only be getting the attenuated or weakened vaccine virus strain and even then, it would be a very small amount. If the person getting the vaccine doesn’t get sick from getting the vaccine, why would someone who was getting a much smaller dose through a blood donation.

Still, there is a theoretical risk, especially if the person who received the blood donation had an immunodeficiency, so people aren’t supposed to donate blood shortly after getting these vaccines.

But what about the hepatitis B vaccine. It isn’t a live virus vaccine.

The risk with this vaccine is that a very recently vaccinated donor might test positive for HBsAg (this only happens temporarily), leading the donation center to actually think that they had a hepatitis B infection, disqualifying them from ever donating blood again.

Does any of this mean that vaccines aren’t safe?

Of course not!

Just consider some of the other restrictions on donating blood:

  • You are not eligible to ever donate if you ever tested positive for hepatitis B, even if you were never sick.
  • You must wait 12 months after your last contact if you were exposed to someone with hepatitis B and you want to donate blood.
  • If you are unvaccinated, you must wait at least 4 weeks after being exposed to someone with measles.

So yes, that means that you will be much more likely to be eligible to donate blood if you are fully vaccinated and protected.

More on Donating Blood After Getting Vaccinated