Tag: harmless killer

Why Have We Forgotten About the Importance of Vaccination Against Measles?

While most of us know that measles is a serious, life-threatening disease, there are still some folks that want you to think that it is nothing to worry about.

It’s just a rash and fever, right?

The Importance of Vaccination Against Measles

Actually, while most people did recover after having a high fever, irritability, and other symptoms for a week or more, some didn’t. That’s why doctors at the time called it a harmless killer.

In the pre-vaccine era, hospitalizations, tracheotomies, encephalitis, sepsis, death from measles were not rare.
In the pre-vaccine era, hospitalizations, tracheotomies, encephalitis, sepsis, death from measles were not rare.

And why many were looking forward to a vaccine to get measles under control, as measles was a leading killer at the time.

Seymour Musiker calls on pediatricians to take action to get more kids vaccinated against measles.
A call for pediatricians to take action to get kids vaccinated against measles.

While measles vaccination was getting off to a slow start at the time, it should be obvious that there was a big need for these vaccines.

“Thus it is up to each one of us to convince our own segment of the population since this seems to be the only way to do it. And it is up to each one of us to remind our fellow physicians to cover his segment of the population.”

Norman Lewak, MD

Fortunately, everyone did finally take action and while it was a little later than originally planned, we got measles under control.

“Vigorous endorsement and execution of this aim by physicians and responsible health authorities should eliminate measles by 1970, and a suitable motto for the five-year period might well be “Mortus a morbilli.”

Lewis L. Coriell, MD

And the endemic spread of measles was eliminated in the United States in 2000.

Of course, that doesn’t mean that we eliminated or eradicated measles. It simply means that all cases and outbreaks are linked to someone from outside the United States.

Now, as too many people are either scared or have forgotten about the importance of vaccination against measles, cases are rising, continuing to reach new record levels.

So what’s next?

“All we need is one concerted campaign to get every susceptible vaccinated. One death, one brain-damaged child, or even one child who needs hospitalization is one too many.”

Norman Lewak, MD

Let’s get everyone vaccinated and protected.

Vaccines are safe, with few risks, and they are obviously necessary.

Measles is not a mild disease. And it never was.

More on the Importance of Vaccination Against Measles

Alexander Langmuir on Measles

It’s a shame that most people only know of Alexander Langmuir because anti-vaccine folks like to make it sound like he was against vaccines.

How do they do that?

By making up quotes and using some real quotes out of context.

Alexander Langmuir on Measles

Remember the Alexander Langmuir quotes about flu vaccines?

He never really said that “no one should take the flu vaccine.”

And now folks are misrepresenting what he said about measles.

Alexander Langmuir was a big advocate of the measles vaccine.

So what did he really say?

“This self-limiting infection of short duration, moderate severity, and low fatality has maintained a remarkably stable biological balance over the centuries. Those epidemiologists, and there are many, who tend to revere the biological balance have long argued that the ecological equilibrium of measles is solidly based, that it can not readily be disrupted and that therefore we must learn to live with this parasite rather than hope to eradicate it. This speaker, not so long ago, was counted among this group and waxed eloquent on this subject in print.

Happily, this era is ending. New and potent tools that promise effective control of measles are at hand. If properly developed and wisely used, it should be possible to disrupt the biological balance of measles. Its eradication from large continental landmasses such as North America and many other parts of the world can be anticipated soon.”

Alexander Langmuir et al on The Importance of Measles as a Health Problem

Alexander Langmuir didn’t think that measles was a benign disease.

“…any parent who has seen his small child suffer even for a few days with persistent fever of 105, with hacking cough and delirium wants to see this prevented…”

Alexander Langmuir

And he thought that we should work to eradicate it.

“The availability of potent and effective measles vaccines, which have been tested extensively of the past 4 years, provides the basis for the eradication of measles in any community that will raise its immune thresholds to readily attainable levels.”


Alexander Langmuir et al on Epidemiologic Basis For Eradication Of Measles In 1967

Alexender Langmuir, who was Chief Epidemiologist at CDC for 21 years and founded the Epidemic Intelligence Service (EIS), said that “all infants should receive measles vaccine at approximately 1 year of age.”

What else did he say?

“When measles has become so widespread that epidemics are already present in several schools and in different communities within a city or county, more extensive communitywide measures must be undertaken. Then the full resources of the health and medical services of the total community, backed by well-coordinated voluntary agencies, will need to be mobilized. Again, priority should be directed first to the immunization of susceptible children in schools or who congregate in other enclosed spaces. If such immunization programs are carried out promptly and effectively, an epidemic of measles can be contained within 2 to 3 weeks.”

Alexander Langmuir

It would be nice to get back to where we could contain outbreaks in 2 to 3 weeks.

It would be nice if folks really listened to what Alexander Langmuir had to say and vaccinated their kids.

More on Alexander Langmuir on Measles

Is Measles Dangerous If You Are Pregnant?

While folks often try and make it seem like measles is a common childhood illness, we know that it can be dangerous.

“One of the patients was a 20-year-old pregnant woman who had rash onset on January 5 following exposure to her 12-year-old brother. After delivering a healthy baby on January 6, the mother developed severe pneumonia that was followed by respiratory arrest. She was resuscitated and transferred to an intensive care unit in a larger hospital nearby in Tennessee.”

Epidemiologic Notes and Reports Transmission of Measles Across State Lines — Kentucky, New Hampshire, Tennessee, Virginia

Rarely do people who have really had measles describe it as just a fever and a rash. They remember that it was called a harmless killer for a reason.

Is Measles Dangerous If You Are Pregnant?

And there are some situations in which measles can be especially dangerous, including if you get sick when you are very young, very old, or have immune system problems.

Pregnant women should be screened for measles immunity.
Pregnant women should be screened for measles immunity.

And what if you are pregnant when you get measles?

“The Health Department announced today that the number of measles cases has grown to 390, including two pregnant women diagnosed with the infection, one diagnosed in mid-April.”

The Number of Measles Cases Grows to 390

If you are pregnant and you are exposed to someone with measles, you can get IVIG post-exposure prophylaxis to prevent you from actually getting measles, but this typically only works if given within six days of the exposure.

“To date, studies have not identified an increased risk for birth defects when pregnant women get the measles during pregnancy. However, studies suggest that measles infection is associated with an increased risk for miscarriage, stillbirth, prematurity and the baby being born with a measles infection.”

When Measles Strike, It’s Not The Happiest Place On Earth For Pregnant Women

Unlike a rubella infection during pregnancy, a measles infection is not thought to cause birth defects. Tragically, it can, like rubella, lead to an increased risk for having a miscarriage.

“Infants who develop congenital measles are at increased risk for mortality and for subacute sclerosing panencephalitis, which is more common when measles is diagnosed in infancy. In addition, subacute sclerosing panencephalitis in newborns infected with measles either congenitally or shortly after birth appears to be more severe, with a shorter latency and rapidly progressive course.”

What Obstetric Health Care Providers Need to Know About Measles and Pregnancy

And if the mother gets measles very late in her pregnancy, it can also lead to a case of congenital measles, or a baby being born with an active measles infection.

“In 52% of cases, measles was likely acquired from a relative. Complications included pneumonia in one child; two pregnant women required hospitalization, including one who miscarried.”

Notes from the Field: Measles Outbreak Among Members of a Religious Community — Brooklyn, New York, March–June 2013

Don’t take the risk that you might get measles while you are pregnant.

Make sure you are vaccinated and protected before you ever start thinking about getting pregnant, as pregnancy is a contraindication to getting the MMR vaccine. And you should wait at least 4 weeks after getting vaccinated before getting pregnant.

More on Measles in Pregnancy

Why You Have No Business Skipping the MMR Vaccine?

Believe it or not, some folks are still pushing misinformation to scare people away from getting vaccinated and protected against measles.

The Disney outbreak was not caused by a vaccine strain!
The Disney outbreak was not caused by a vaccine strain!

Ironically, this guy talks about propaganda, manipulating parents, and media lies without saying anything that is truthful.

As I’m sure you are aware, the Disney measles outbreak was not caused by a vaccine strain.

Anti-vaccine folks frequently misinterpret the meaning of these vaccine strain cases. They are people who were recently vaccinated and develop a fever and rash. They do not have measles and are not part of the outbreak counts.
Anti-vaccine folks frequently misinterpret the meaning of these vaccine strain cases. They are people who were recently vaccinated and develop a fever and rash. They do not have measles and are not part of the outbreak counts.

The outbreak strain during the Disney outbreak was B3, which can be traced to outbreaks in Africa and the Eastern Mediterranean. Neither the Disneyland outbreak nor any outbreak has been caused by a vaccine strain of measles.

What about the idea that measles is now harmless???

Or that measles isn’t deadly is a developed country with a well-nourished population???

In response to a post praising Italy's decision to dilute their new vaccine laws, some folks thought it was funny that people were dying of measles.
Italy is a developed country with a very well-nourished population, and still, there have been at least 12 measles deaths since 2017.

Why have so many people died with measles in Europe recently if it is so harmless?

Did Chris Kirckof like his own post?
Did Chris Kirckof like his own post?

Yes, research it for yourself and you will find the complications of recent measles infections he left out, including the pregnant woman with who had a miscarriage during the 2013 measles outbreak in Brooklyn.

And the 8 SSPE deaths since 2009.

Are you wondering why he started his measles counts from 2014? It was to avoid mentioning the death of the woman in Washington in 2015.

Mostly remember that the reason we don’t see even more measles cases, measles complications, and measles deaths in the United States is simply because most people are vaccinated and protected.

Vaccines are safe, with few risks, and are obviously necessary.

More on Don’t Skip the MMR Vaccine