Tag: fear

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.

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Did Bob Sears admit that he doesn’t “waste my breath” talking about the benefits of vaccines?

Have you noticed the bias in the anti-vaccine movement?

His advocacy against vaccines??? And what about his "educational" writings?!?
His advocacy against vaccines??? And what about his “educational” writings?!?

It’s hard to miss…

The Bias in the Anti-Vaccine Movement

Yes, that’s it.

You really only get one side from anti-vaccine folks.

But that’s not all.

In addition to never mentioning the benefits of vaccines, they make you think that:

  • you don’t have to worry about getting measles, chicken pox, and rubella, etc., anymore, because these diseases are rare, forgetting to mention that they are still relatively rare in many countries because most people are vaccinated and protected! When more folks skip or delay their vaccines, as they forget what these diseases are like and they listen to anti-vaccine propaganda, we get outbreaks, especially when they aren’t vaccinated and they travel to places where the diseases are more common!
  • everyone else overlooks the risks, when in fact, the risks of getting vaccinated and protected are just small and all of the so-called vaccine-induced diseases and other things anti-vaccine folks blame on vaccines aren’t real vaccine injuries
  • you don’t have to worry about getting measles, pertussis, or pneumococcal disease, etc., because those diseases are all mild, neglecting to mention that some people do have complications and some die when they catch them
  • if you don’t choose to vaccinate your kids on your own, someone is going to force you to get them vaccinated, overlooking that vaccine mandates don’t actually force anyone to vaccinate their kids – they are just about whether or not intentionally unvaccinated kids should be able to attend school
  • your choice to skip or delay your child’s vaccines won’t affect anyone else, failing to mention that most outbreaks are started by someone who is intentionally not vaccinated
  • if there is a risk, there must be a choice, but with their slogan, they overstate the risks of vaccines, never mention the risks of having the disease, and don’t mention the risk of your child getting other people sick, taking away their choice to keep their kids safe and healthy
  • you can always get vaccinated, but you can never get unvaccinated, neglecting to mention that you can indeed wait too long to vaccinate your kids

The biggest bias though, is not that these folks are against vaccines, but rather that everything they do and say scares parents and makes them feel that they should skip or delay their child’s vaccines, leaving them unprotected and at risk.

Stop listening to them and stop spreading their anti-vaccine propaganda.

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What Are the Greatest Tricks Anti-Vaccine Folks Use to Persuade Parents to Skip Vaccines?

We are hearing a lot about anti-vaccine misinformation these days.

John Birch (B) and the other anti-vaccine heroes of the day on their way to fight the vaccination monster.
John Birch (B) and the other anti-vaccine heroes of the day on their way to fight the vaccination monster.

And how the anti-vaccine movement is using social media to persuade parents to skip their child’s vaccines, leaving them unprotected.

So how do they do it?

What Are the Greatest Tricks Anti-Vaccine Folks Use to Persuade Parents to Skip Vaccines?

If you want to understand the anti-vaccine movement, the first thing to know is that they have been around for centuries. That they are using social media is of course new, but their messages are basically the same.

They use scare tactics to try and make you believe that:

  1. vaccines are dangerous and injure people
  2. vaccines aren’t necessary because diseases are mild
  3. vaccines don’t even work

And you need all three elements, after all, even if you thought that vaccines were sometimes dangerous, you might want to vaccinate your kids if you thought that vaccines could stop an even more dangerous vaccine-preventable disease, right?

That’s why they keep all of your fear focused on the vaccines!

It is this fear that allows several cognitive biases, heuristics, and logical fallacies to take hold and change your perception of risk into something that is much different from reality.

And that’s maybe the ultimate trick – making you think that the risks of vaccines are greater than the risks of catching a vaccine-preventable disease or even greater than the risks of having a vaccine-preventable disease.

But what about the graphs they have, the autism studies, the vaccine injury stories, Whistleblowers, complaints about saline placebos, the idea that better hygiene and sanitation fixed everything, and all of the claims of toxins and the conspiracy theories about Big Pharma?

Anti-vaccine folks are constantly moving the goalposts…

These and every new argument they come up with are easily refuted.

When will you stop listening to them?

“Thank you Chairman Alexander, Senator Murray, and distinguished committee members for the opportunity to speak today. Good morning, everyone. My name is Ethan Lindenberger and I am a senior at Norwalk High School. My mother is an anti-vaccine advocate that believes vaccines cause autism, brain damage, and do not benefit the health and safety of society despite the fact such opinions have been debunked numerous times by the scientific community. I went my entire life without vaccinations against diseases such as measles, chicken pox, or even polio. However, in December of 2018, I began catching up on my missed immunizations despite my mother’s disapproval, eventually leading to an international story centered around my decisions and public disagreement with my mother’s views.”

Testimony of Ethan Lindenberger Student at Norwalk High school Before the Senate Health, Education, Labor, and Pensions Committee March 5th, 2019

Should kids really have to hope that they grow up without getting a vaccine-preventable disease so that they can get themselves vaccinated?

“I have discovered along the way that it is easy for parents to be misinformed. It is a real challenge to be well informed.”

Suzanne Walther on A Parent’s Decision on Immunization: Making the Right Choice

Vaccines are safe, with few risks, and necessary.

It might be a challenge, but it is worth the effort to be well informed about vaccines. It is worth knowing that your kids are vaccinated and protected.

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Why Are Anti-Vaccine Folks Panicking over the Measles Outbreaks?

Do you sense something in the air?

No, it’s not measles.

Ever notice that it is folks who don't vaccinate who use words like epidemic and panic whenever we have large measles outbreaks?
Ever notice that it is folks who don’t vaccinate who use words like epidemic and panic whenever we have large measles outbreaks?

It is talk of panic about measles.

Why Are Anti-Vaccine Folks Panicking over the Measles Outbreaks?

I’m not panicking.

I am definitively concerned about these outbreaks, because I understand that they put a lot of folks at unnecessary risk for getting a life-threatening disease. And I understand that these outbreaks are getting harder and harder to control, but ultimately, since more and more people get vaccinated during an outbreak, they will eventually end.

So why are anti-vaccine folks panicking?

Yes, your immune system gets to a whole new level after a natural measles infection - it resets.
Yes, your immune system gets to a whole new level after a natural measles infection – it resets.

It’s easier to be anti-vaccine and leave your kids unvaccinated and unprotected when you don’t think that you are taking much of a risk.

You likely still know it’s wrong, so cognitive dissonance pushes you to believe that vaccines don’t work, vaccine-preventable diseases aren’t that bad, vaccines are full of poison, or that you can just hide in the herd.

It gets much harder during an outbreak, when you realize that it is almost all intentionally unvaccinated kids getting sick. And typically an intentionally unvaccinated child or adult who starts the outbreak.

Why wait until an outbreak starts to get your kids vaccinated and protected or to start recommending that your patients be vaccinated and protected?
Why wait until an outbreak starts to get your kids vaccinated and protected or to start recommending that your patients be vaccinated and protected?

Is my child going to start an outbreak?

If measles is so mild, why do so many of these folks go to the ER multiple times and why do some of them get hospitalized. Why do people still die with measles?

Full Stop! Someone did die during the 2015 measles outbreaks in Washington.
Full Stop! Someone did die during the 2015 measles outbreaks in Washington.

That’s when the panic starts to set in.

Are you really doing what’s right for your child?

Who are these people I’m getting advice from and what’s their motivation?

The only "mass hysteria" is in anti-vaccine Facebook groups. Is Larry Cook using it to raise money for himself?
The only “mass hysteria” is in anti-vaccine Facebook groups. Is Larry Cook using it to raise money for himself?

Am I really supposed to skip my kid’s MMR because they did a Brady Bunch episode about all of the Brady kids getting measles?

Will I regret not vaccinating my child?

Why don’t any of the people in my Facebook groups who talk about how marvelous measles used to be in the old days talk about how they called it a “harmless killer?”

Of course, there is an easy way to stop worrying and panicking about measles and other vaccine-preventable diseases – get your kids vaccinated and protected. Vaccines are safe and necessary.

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Fun and Games with Measles?

Remember when everyone would get measles and it would be so much fun?

Yeah, I don’t either. Mostly because I grew up in the post-elimination era for measles.

Fun and Games with Measles?

But neither does anyone else who really experienced measles.

Do you typically want to play board games when you have a high fever?

Remember, kids with measles typically have a temperature above 104o F for 4 to 7 days. They also have conjunctivitis, cough, decreased appetite, and are irritable.

The very first measles vaccine was available in 1963 when this article was published.

It should be clear that the article is only talking about the convalescent stage of measles, when you are starting to feel better and your fever has broken.

Anti-vaccine folks, whether they push articles like this, or talk about the Brady Bunch episode, dolls with measles, or children’s books about measles, also don’t mention that during a “measles year,” like they had in Minneapolis in 1963, a lot of people died.

Measles was described as a harmless killer.
Being sick with a “harmless killer” doesn’t sound like much fun.

Were our grandparents afraid of measles, which was described at the time as a “harmless killer?”

You bet they were!

Did they try to distract us with board games until you could make it out of the house and back to school? Why wouldn’t they?

Eleanor Abbot designed Candy Land for kids recovering from paralytic polio in 1948. That doesn’t mean that having paralytic polio was all fun and games, does it?

You know what else isn’t harmless? Folks who push this kind of anti-vaccine propaganda. Don’t let them scare you into keeping your kids unvaccinated and unprotected. Vaccines are safe and necessary.

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Why Are We Worried About 60,000 Unvaccinated Kids?

In the recent New York Times OpEd, How to Inoculate Against Anti-Vaxxers, the editorial board mentioned the 60,000 children in Texas who “remain wholly unvaccinated thanks in part to an aggressive anti-vaccine lobby.”

“But there’s like 74 million children, so I think that’s a pretty small number. I don’t know why you guys are freaking out about 60,000 really healthy babies running around. Do you know?

Hillary Simpson

Hillary Simpson obviously doesn’t understand how herd immunity works.

Do you?

Why Are We Worried About 60,000 Unvaccinated Kids?

First things first, though.

Just how many unvaccinated kids are there in Texas? How about the United States?

It is actually hard to know exactly.

It's easy to forget, with so much talk about anti-vaxxers these days, but the great majority of parents vaccinate and protect their kids!
It’s easy to forget, with so much talk about anti-vaxxers these days, but the great majority of parents vaccinate and protect their kids!

In Texas, for instance, while only a small percentage of kids get non-medical vaccine exemptions, with about 7 million children in the state (yes, there are 74 million children in the United States, but that’s not how you measure herd immunity), that adds up to a lot of unvaccinated kids.

In addition to about 60,000 unvaccinated kids in school, there are homeschooled children who aren’t vaccinated.

“We’re probably looking at more than 100,000 kids in the state of Texas who are not getting their vaccines.”

Dr. Peter J. Hotez: “A Scary Anti-Science Movement Has Become Very Strong in Texas”

But still, should we be worried about 100,000 unvaccinated kids, when there are 7 million kids in Texas?

Don’t those immunization levels still keep us above herd immunity levels of protection?

Well, they likely would, and this would indeed be less concerning if the unvaccinated children were spread out randomly throughout the entire state. Of course, that’s not what happens and we instead get clusters of unvaccinated children (and adults) in very specific schools, neighborhoods, and even churches.

There are higher numbers of unvaccinated kids in very specific parts of the states, leading to pockets where it is more likely that an outbreak could happen.
There are higher numbers of unvaccinated kids in very specific parts of the states, leading to pockets where it is more likely that an outbreak could happen.

So while it can seem like we have herd immunity levels of protection at the state or city level because of high average vaccination levels, these pockets of susceptibles who are unvaccinated and live in the same neighborhood or go to the same school (where is the Waldorf school in Texas?) can mean that we don’t have herd immunity in those places, leading to outbreaks.

And that’s why we get concerned about 60 to 100,000 unvaccinated children who:

Still, remember that the great majority of parents understand the benefits of vaccines, are not scared by anti-vaccine propaganda, and vaccinate their kids.

In 2015, for example, only 1.3% of children in the United States had received no vaccines by age 24 months. And more than 90% of children completed their primary series of vaccines.

That doesn’t mean that we shouldn’t be concerned about those who don’t, but maybe you should be a little bit more concerned about your decision to not vaccinate your kids.

More on Clusters of Unvaccinated Kids

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.

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