Tag: chicken pox deaths

Have Normal Childhood Diseases Become More Deadly?

Weren’t measles and chicken pox once a rite of passage for kids?

Yes, in the pre-vaccine era, almost all kids got measles, chicken pox, and other now vaccine-preventable diseases in early childhood.

It was considered a rite of passage.

That she doesn't understand survivorship bias doesn't mean that you shouldn't vaccinate your kids.
That she doesn’t understand survivorship bias doesn’t mean that you shouldn’t vaccinate your kids.

But these diseases were never benign.

They were considered a rite of passage only because we all had to endure them. They weren’t something anyone looked forward to.

Benign diseases don't kill kids.
Benign diseases don’t kill kids.

After all, you don’t typically die from a benign disease.

Have Normal Childhood Diseases Become More Deadly?

But what about the idea that folks never used to worry about these diseases, at least not until vaccines were developed? Or that we only fear diseases that are vaccine-preventable?

It’s easy to say that no one worried about measles in the pre-vaccine era when you are just trying to scare folks away from getting vaccinated.

That’s one of the more ridiculous arguments anti-vaccine folks make.

A measles epidemic hit New York City in 1951, as this front page NYTimes article reports.
A measles epidemic hit New York City in 1951 and made headlines in the New York Times. That’s not surprising, as there were 683 measles deaths in the United States that year.

And also one of the easiest to refute.

When was the last time that you saw a headline warning about congenital rubella syndrome?
When was the last time that you saw a headline warning about congenital rubella syndrome?

These diseases that are now vaccine-preventable routinely made headlines in the pre-vaccine era.

Even the schools were closed in San Antonio when polio came to Texas in 1946.
Even the schools were closed in San Antonio when polio came to Texas in 1946.

And it was surviving these diseases that was considered a rite of passage, at least for those who were fortunate enough to survive.

So no, childhood diseases have not become deadlier.

They have always been serious and life-threatening!

Of course, not everyone died who got them, but they were rarely a walk in the park. Remember, even a mild case of measles includes a high fever for 4 to 7 days. That’s why folks often end up seeking medical attention multiple times, even if they don’t end up having any complications and don’t need to get admitted to the hospital

Lassie got shot, but ended up saving the day, getting help for Timmy, after they ran out of gas taking a short cut rushing home.
The Lassie episode about measles, in 1958, was called ‘The Crisis.” There were 552 measles deaths in the United States that year.

But what about the Brady Bunch measles episode, Is There a Doctor in the House? Is that really why you think vaccine-preventable diseases are mild?

In 1969, when that episode first aired, there were 25,826 reported cases and 41 deaths from measles in the United States.

Why don’t we see that many deaths now?

That’s easy.

We don’t see as much measles now. Most folks are vaccinated and protected.

If more people skip or delay their vaccines though, we will see more and more outbreaks, with greater chances that people will die.

Believe it or not, we still don’t have cures for measles, chicken pox, congenital rubella syndrome, and hepatitis B, etc. So while these diseases haven’t become any more deadly, they haven’t become any less deadly either, even with all of the advances of modern medicine.

More on Childhood Diseases as a Rite of Passage

Is My Fully Vaccinated Child at Risk from Your Unvaccinated Kids?

Parents who skip or delay their own child’s vaccines often seem surprised that the rest of us are so concerned about their decision.

If vaccines work, they say, why do we care if their kids aren’t vaccinated?

Vaccines are protecting our kids, so they shouldn’t be at risk, right?

“Think of camping as an analogy. If everyone at a campground properly stores their food, bears won’t be enticed to come around. If even one person leaves their food unprotected, it invites bears in to investigate all the campsites for opportunities to eat.”

How does choosing not to immunize affect the community?

Of course, the issue isn’t just the risk to our fully vaccinated kids, but also the risk to those who are too young to be vaccinated, too young to be fully vaccinated, and those who can’t be vaccinated because of true medical contraindications.

In addition to those who are intentionally unvaccinated, these others often get caught up in outbreaks of vaccine-preventable diseases.

Is My Fully Vaccinated Child at Risk from Your Unvaccinated Kids?

But there is also a risk to those who are fully vaccinated, and no, that doesn’t mean that vaccines don’t work.

It just means that they don’t work 100% of the time.

And most of us don’t think that your vaccine choice should put our kids at extra risk.

Anti-vaccine propaganda pushes some folks to make bad decisions about vaccines.
Anti-vaccine propaganda pushes some folks to make bad decisions about vaccines.

Did you hear about the one measles outbreak in 2011 that was started by someone who was fully vaccinated?

“She had documentation of receipt of MMR vaccination at 3 years and 4 years of age. There was no travel during the incubation period and no known sick contacts. However, the index patient worked at a theater frequented by tourists.”

Outbreak of Measles Among Persons With Prior Evidence of Immunity, New York City, 2011

The thing about that outbreak, is that of the 222 cases that year, she was the only one known to be vaccinated. So she was almost certainly exposed to measles by someone who wasn’t vaccinated.

As someone who was fully vaccinated, is it fair that she got caught up in those outbreaks?

It is especially unfair that our kids are at extra risk for vaccine-preventable diseases because some folks make a decision to leave their kids unvaccinated and unprotected because they believe anti-vaccine misinformation like:

  • you have nothing to worry about because your child is vaccinated – again, vaccines aren’t 100% effective, so there is still some risk until a disease is finally eradicated
  • someone who is vaccinated could also get your child sick – yes, but someone who is vaccinated would be less likely to get sick than someone who is unvaccinated
  • vaccinated kids are shedding virus, making everyone sick – no, they aren’t, not even during “shedding season
  • getting vaccinated doesn’t prevent disease, it just makes it so you have fewer symptoms, but you still get others sick – in most cases, vaccines keep you from getting sick altogether – they so prevent disease in most cases, but yes, if you still got sick, you will likely have milder symptoms than if you were completely unvaccinated
  • you can’t spread a disease you don’t have – that’s true, but if you are unvaccinated and unprotected, you are at much higher risk to get these diseases and then spread them to others
  • vaccines don’t prevent diseases from spreading anyway – if you don’t get a disease because you are vaccinated, you aren’t going to spread it
  • getting vaccinated just turns you into a carrier – this is about the study in baboons, but it doesn’t mean you shouldn’t get vaccinated

What about the idea that you will just keep your unvaccinated kids home if they do catch something?

What are the chances that you could be exposed to measles during an outbreak?
What are the chances that you could be exposed to measles during an outbreak?

Looking at all of the places that the folks in the Clark County measles outbreak exposed others, it should be clear that waiting to quarantine your child if they get sick isn’t very effective.

What’s the problem?

An infant with measles during the 2014 outbreaks in the Philippines.
An infant with measles during the 2014 outbreaks in the Philippines. Photo by Jim Goodson, M.P.H.

With many diseases, you are contagious before you show symptoms. That is especially true with a disease like measles, when you may not even realize it is measles until you finally break out in a rash, after having 3 to 5 days of high fever.

That’s why it is important to vaccinate and protect your kids. When you skip or delay a vaccine, it is not just your own family that you are putting at risk.

More on Risks from Unvaccinated Kids

People with Cancer Are at Risk from Unvaccinated Kids

We know that kids with cancer aren’t at risk from shedding if someone has recently been vaccinated.

Johns Hopkins Medicine, which includes the Johns Hopkins University School of Medicine and The Johns Hopkins Hospital and Health System went out of their way to correct this anti-vaccine misinformation.
Johns Hopkins Medicine, which includes the Johns Hopkins University School of Medicine and The Johns Hopkins Hospital and Health System went out of their way to correct this anti-vaccine misinformation.

The real risk comes from those who are unvaccinated.

People with Cancer Are at Risk from Unvaccinated Kids

Confused on how that works?

Kids with cancer typically have a compromised immune system, so are at greater risk for getting sick and catching infectious diseases. This includes a risk from vaccine-preventable diseases because they often can’t be vaccinated and any vaccines they had in the past might no longer provide protection.

Don’t believe me?

Want some examples?

  • a 6-year-old girl who was in remission for ALL and had just received her final dose of chemotherapy was admitted with fever and neutropenia, found to have measles, and died after 28 days of intense therapy (1989)
  • an 8-year-old being treated for leukemia developed chicken pox and died two weeks later (1998)
  • a partially vaccinated 4-year-old girl who was being treated for acute lymphoblastic leukemia (ALL) was exposed to a cousin with chicken pox and later developed multi-organ failure and died (2012)
  • a 26-year-old man who was being treated for chronic lymphocytic leukemia died in Switzerland after he became infected with measles (2017)
  • a 6-year-old boy with leukemia died in Italy after catching measles from his intentionally unvaccinated sibling (2017)

Of course, there are many more, including many kids with cancer who get exposed to a vaccine-preventable disease and have to get treated with immunoglobulin and hope they don’t get sick. And many more who do get sick and are treated in the hospital for weeks and months and thankfully, get better.

And there are even more who get caught up in quarantines because they have true medical contraindications to getting vaccinated, and so have to stay home from school with the intentionally unvaccinated kids whenever there is an outbreak of measles or chicken pox, etc.

What can we do about this?

Vaccinate our kids! We have a choice. These kids with cancer don’t.

More on People with Cancer at Risk from Unvaccinated Kids

Making Sense of Anti-Vaccine Arguments

Have you ever tried to understand or make sense out of the things anti-vaccine folks say?

How did it go?

Making Sense of Anti-Vaccine Arguments

Consider what a group of anti-vaccine folks did with the above post about a child with severe complications to a chicken pox infection…

It's always a vaccine injury...
It’s always a vaccine injury…

What are some of the big complications of chicken pox infections? Complications that help make chicken pox deadly?

That’s right, secondary skin and soft tissue bacterial infections (cellulitis and necrotizing fasciitis). In fact, bacterial super-infections of the skin are the most common complication of chicken pox infections.

“Necrotizing fasciitis can lead to sepsis, shock, and organ failure. It can also result in life-long complications from loss of limbs or severe scarring due to surgically removing infected tissue. Even with treatment, up to 1 in 3 people with necrotizing fasciitis die from the infection.”

Necrotizing Fasciitis: All You Need to Know

No, chicken pox is not necrotizing fasciitis, but all of the breaks in the skin from chicken pox lesions give bacteria, including group A Streptococcus (group A strep) and Staphylococcus aureus, plenty of opportunities to enter a child’s body and quickly spread.

No one in the Netherlands dies with chicken pox???
No one in the Netherlands dies with chicken pox???

We often hear that chicken pox isn’t serious in other countries that don’t routinely use the chicken pox vaccine. Don’t believe them.

On average, about two young children die in the Netherlands each year due to chicken pox.

“Based on the results presented in this study we estimate that between 3 to 8% of all Dutch patients with varicella, depending on age, consult a GP due to a complication. Our findings are similar to data from Germany, France and the United States of America, were it is estimated that in approximately 2 to 6% of cases attending a general practice. Furthermore of these varicella patients 1.7% experiences complications severe enough to seek hospital care.”

Pierik et al on Epidemiological characteristics and societal burden of varicella zoster virus in the Netherlands

And folks in the Netherlands have similar rates of complications as we did in the United States in the pre-vaccine era and many are hospitalized.

Do you understand what’s happening in these comments? When folks choose to skip or delay their child’s vaccines, they will work hard to justify their decision.

Escaping cognitive dissonance explains a lot of anti-vaccine arguments.
Escaping cognitive dissonance explains a lot of anti-vaccine arguments.

That’s not surprising.

“the state of having inconsistent thoughts, beliefs, or attitudes, especially as relating to behavioral decisions and attitude change.”

cognitive dissonance definition

If you aren’t going to vaccinate your kids, do you want to think that you are leaving them at risk for such a serious complication, even if it is rare, or will you make up reasons for why the story can’t possibly be true?

Now these folks become skeptics?
Now these folks become skeptics?

Sure, these folks believe every vaccine injury story on Facebook without any proof, but all of a sudden they all become skeptics when faced with a story highlighting the known complications of a vaccine-preventable disease.

That’s the modern anti-vaccine movement.

More on Making Sense of Anti-Vaccine Arguments