Tag: shedding season

Did New York Declare Medical Martial Law over a Measles Outbreak?

You have to admire anti-vaccine folks for one thing, they are consistent.

Well, actually, no.

Admire is the wrong word…

Did New York Declare Medical Martial Law over a Measles Outbreak?

As most folks know, Rockland County Executive Ed Day made an emergency declaration banning unvaccinated kids from public places.

I guess because he was anticipating a freak-out from anti-vaccine folks, he went out of his way to say that the emergency declaration does not mean that law enforcement will be asking for vaccine records and that they are just trying to get the attention of parents, some of whom weren’t cooperating when their kids were sick.

So what was the reaction?

About as you would expect…

Martial law?

Medical martial law? An emergency declaration saying you will get a class B misdemeanor if your unvaccinated kid goes to the mall is the same thing as martial law? Ordinary laws have been suspended and the military is taking over?

If you listened to the press conference, the problem isn’t really that we need new laws, it is that some folks aren’t cooperating with existing ones. Again, in the middle of the longest outbreak in recent history, some parents who have kids sick with measles aren’t talking to health department officials who simply want to control and stop the outbreak.

What else is wrong with the Natural News post?

Of course, it is the stuff about shedding and “improperly weakened viral strains.”

In truth, measles outbreaks are started when unvaccinated folks travel out of the country, get measles, and bring it back to a community with a lot of other unvaccinated people. And tragically, sometimes folks who are too young to be vaccinated or who have true medical contraindications to getting vaccinated get caught up in these outbreaks.

Did they listen to the press conference? When did he say that they would be going door-to-door?

Hillary Simpson telling folks in New York to riot.

Is it actually legal to tell folks to riot and incite them to open civil disobedience?

Kate Tietje calling for open civil disobedience.

Surpriginsly, most went to straight to comments about Hitler and concentration camps.

It is offensive to compare the emergency declaration in Rockland county to putting people in concentration camps.
It is offensive to compare the emergency declaration in Rockland county to putting people in concentration camps.

This is the modern anti-vaccine movement.

These are the leaders and heroes of the anti-vaccine movement.

Larry Cook on the emergency ban in Rockland County.

To be clear, rabbis in the community have been telling folks to get vaccinated and protected!

“Whoever isn’t vaccinated is a murderer” reads a rabbinic letter recently signed by leading charedi rabbis in Israel, according to Yeshiva World News. The kol koreh was distributed after a spread of Measles in the ultra-Orthodox communities in Israel and around the world. Earlier this month an unvaccinated infant died, and more than 1300 people have been infected with a preventable disease. The Gedolim who signed the Kol Koreh include: Rav Yitzchak Silberstein, Rav Shimon Ba’adani, Rav Sriel Rosenberg, Rav Moshe Shaul Klein Rav Menachem Mendel Lubin.

As Measles Spread, Leading Charedi Rabbis Come Out Strongly Against Anti-Vaxxers

I wonder what the people in these communities would think of all of this holocaust imagery that anti-vaccine folks are using to try and keep the outbreaks going?

The National Vaccine Information Center is exploiting a photo of five year old Avram Rosenthal and his two year old brother Emanuel of the Kovno ghetto in Lithuania. Both boys were later deported to the death camp at Majdanek where they were murdered.
This is a photo of five year old Avram Rosenthal and his two year old brother Emanuel of the Kovno ghetto in Lithuania. Both boys were later deported to the death camp at Majdanek where they were murdered. Why is it being used in an article about measles outbreaks?

It is very clear that this is not about religion.

“The Orthodox Union (OU) and the Rabbinical Council of America (RCA) strongly urge all parents to vaccinate their healthy children on the timetable recommended by their pediatrician.”

Statement on Vaccinations from the OU and Rabbinical Council of America

People in these communities have been misled and misinformed by anti-vaccine propaganda.

How about we make folks who push anti-vaccine misinformation wear dunce caps?
How about dunce caps on folks who push anti-vaccine misinformation?

Don’t let them make it worse.

More on the Emergency Declaration in Rockland County

What is Eczema Vaccinatum?

Did you know that having eczema is a contraindication to getting a vaccine?

Which vaccine?

The smallpox vaccine!

Yes, smallpox has been eradicated, but the vaccine is sometimes still used in very specific situations, especially in the military.

What is Eczema Vaccinatum?

Not only is eczema a contraindication to getting the smallpox vaccine, you shouldn’t even get it if a household contact has eczema.

Why not?

Shedding.

Yes, although anti-vaccine folks needlessly worry about shedding when kids get routine childhood vaccines and even talk about a shedding season, with the smallpox vaccine, problems with shedding are really a thing.

Since the smallpox vaccine is a live virus vaccine and since it very commonly causes a skin reaction at the injection site, shedding can spread it to others. While that’s a good thing with some vaccines, like the oral polio vaccine, because it increases herd immunity, it isn’t with the smallpox vaccine.

If the weakened smallpox vaccine can cause a skin reaction on your arm where you got the shot, what is it going to do if it gets on a child’s skin that is irritated all over with eczema?

An 8-month-old boy with eczema vaccinatum.
An 8-month-old boy with eczema vaccinatum. Photo by CDC/Arthur E. Kaye

It’s a good thing that we don’t routinely have to use the smallpox vaccine anymore.

“Because persons with eczema are deferred from vaccination, only a single, accidentally transmitted case of EV has been described in the medical literature since military vaccination was resumed in the United States in 2002.”

Reed et al on Eczema vaccinatum.

And that it doesn’t happen with any other vaccines!

More on Eczema Vaccinatum

More Measles Myths

It’s kind of sad that some folks still believe many of the measles myths that were being told in 1963.

Folks once accepted measles as inevitable because they had no choice, but that changed when we got a vaccine.
Measles was long known as a harmless killer

Wait, measles isn’t harmless?

But what about that Brady Bunch episode!?!

More Measles Myths

What other myths about measles have you heard?

Have you heard that folks never worried about measles before we had a vaccine? That it never even made the newspaper?

There were newspaper articles warning about measles in 1959 - a measles year.

The other myths they push are just as easily disproven

Which of these myths do you believe?

Which ones are keeping you from vaccinating and protecting your kids?

More on Measles Myths

The Fatal Flaw in the Anti-Vaccine Movement

There are a ton of flaws in the “logic” of the anti-vaccine movement.

Just consider how many theories they have for why vaccines are associated with autism…

  1. It’s the MMR vaccine – the Andrew Wakefield theory
  2. It’s thimerosal – but MMR never contained thimerosal…
  3. It’s glyphosate – the Stephanie Seneff theory
  4. It’s the vaccines you get while you are pregnant
  5. It’s the vaccines you get as an infant – but you don’t get MMR until you are 12 months old
  6. It’s the vaccines you get as a toddler – but what about the kids who get diagnosed as infants?
  7. It’s just something about vaccines – but what about the autistic kids who are unvaccinated and whose parents weren’t recently vaccinated?

It’s fairly easy to see that these folks just want to blame vaccines

The Fatal Flaw in the Anti-Vaccine Movement

That’s not necessarily the fatal flaw in the anti-vaccine movement though.

Is it that all of their ideas and theories are so easy to refute?

There are hundreds of these types of arguments that anti-vaccine folks use to scare parents away from vaccinating and protecting their kids.

Of course, none are true.

That it only takes a few minutes of research to prove that they aren’t true isn’t the fatal flaw in the anti-vaccine movement though.

As more people are vaccinated and diseases disappear, they forget how bad those diseases are, skip or delay getting their vaccines, and trigger outbreaks.
As more people are vaccinated and diseases disappear, they forget how bad those diseases are, skip or delay getting their vaccines, and trigger outbreaks. Photo by WHO

The fatal flaw is that when enough folks listen to them and immunization rates drop, we get outbreaks.

“I also warn them not to share their fears with their neighbors, because if too many people avoid the MMR, we’ll likely see the diseases increase significantly.”

Dr. Bob Sears in The Vaccine Book

Ironically, Dr. Bob obviously knew this would happen, warning folks not to tell anyone – in his book that likely increased fears about vaccines!

Although Wakefield and others were factors, remember that Dr. Bob‘s book about vaccines was published in 2007…

And what happens once we start to see a lot more outbreaks?

In addition to a lot of unvaccinated kids getting sick, folks line up to get their kids vaccinated and protected.

Even Dr. Jay is advocating for older (I’m going to assume he means 6 months) unvaccinated children to get an MMR to help stop the outbreaks.

This is a cycle that experts have talked about for some time.

It’s the reason that the anti-vaccine movement, which has been around for hundreds of years, can never really win. They will never take us back to the pre-vaccine era.

Yes, a woman died when she got caught up in a 2015 measles outbreak in Washington.
Yes, a woman died when she got caught up in a 2015 measles outbreak in Washington.

Anytime their ideas take hold a little too much, nature fights back. Diseases, especially measles which is extremely contagious, come back. And we have to work to control the outbreaks.

But that more kids eventually get vaccinated in outbreaks isn’t the only fatal flaw in the anti-vaccine movement.

Tragically, the other fatal flaw in the anti-vaccine movement is that since these are life-threatening diseases, people end up dying from vaccine-preventable diseases. And the risk of that happening goes way up during a large outbreak.

Vaccines aren’t perfect, but they are safe, with few risks. They are also very necessary.

It shouldn’t take an outbreak to convince you to vaccinate your kids.

More on The Fatal Flaw in the Anti-Vaccine Movement

Show Me the Vaccine Insert!

Have you ever wondered why anti-vaccine folks always ask about vaccine inserts?

It will soon be obvious that anti-vaccine folks don't really read vaccine inserts...
It will soon be obvious that anti-vaccine folks don’t really read vaccine inserts…

Would they really be happy if we handed them the entire vaccine insert before every visit?

Would they read the entire vaccine insert?

Which part of the vaccine insert do anti-vaccine even read?
Which part of the vaccine insert do anti-vaccine folks even read?

Or would they continue to only believe the parts that they think justify their decisions to leave their kids unvaccinated, unprotected, and at risk for getting life-threatening diseases?

Show Me the Vaccine Insert!

Let’s see what’s really in these package inserts…

“Measles, mumps, and rubella are three common childhood diseases, caused by measles virus, mumps virus (paramyxoviruses), and rubella virus (togavirus), respectively, that may be associated with serious complications and/or death. For example, pneumonia and encephalitis are caused by measles. Mumps is associated with aseptic meningitis, deafness and orchitis; and rubella during pregnancy may cause congenital rubella syndrome in the infants of infected mothers”

MMR II Package Insert

Wait a second!

How can anti-vaccine folks say that measles is a mild disease if the vaccine insert says that it “may be associated with serious complications and/or death.”

Have they really read this thing?

“The impact of measles, mumps, and rubella vaccination on the natural history of each disease in the United States can be quantified by comparing the maximum number of measles, mumps, and rubella cases reported in a given year prior to vaccine use to the number of cases of each disease reported in 1995. For measles, 894,134 cases reported in 1941 compared to 288 cases reported in 1995 resulted in a 99.97% decrease in reported cases; for mumps, 152,209 cases reported in 1968 compared to 840 cases reported in 1995 resulted in a 99.45% decrease in reported cases; and for rubella, 57,686 cases reported in 1969 compared to 200 cases reported in 1995 resulted in a 99.65% decrease”

MMR II Package Insert

Full stop!

How can they say vaccines don’t work when the package insert provides these stats showing it does and goes on to say that “M-M-R II is highly immunogenic and generally well tolerated.”

“The recommended age for primary vaccination is 12 to 15 months.”

MMR II Package Insert

Why are some of these folks delaying or skipping their child’s MMR vaccine? The package insert says to give it at 12 to 15 months!

“Individuals first vaccinated at 12 months of age or older should be revaccinated prior to elementary school entry.”

MMR II Package Insert

That’s the part of the package insert that says to give a second dose before kids enter kindergarten.

“There are no reports of transmission of live attenuated measles or mumps viruses from vaccinees to susceptible contacts.”

MMR II Package Insert

And that’s the part that says they can stop talking about shedding.

Maybe we should make anti-vaccine folks read these inserts…

“The following adverse reactions are listed in decreasing order of severity, without regard to causality, within each body system category and have been reported during clinical trials, with use of the marketed vaccine, or with use of monovalent or bivalent vaccine containing measles, mumps, or rubella:”

MMR II Package Insert

Do anti-vaccine folks understand that some of the things that are listed in the adverse reactions section of the package insert haven’t actually been proven to be caused by the vaccine? They are listed “without regard to causality.”

When you see them talk about SIDS and autism and package inserts, this is what they are talking about.

What about all of the “hidden” ingredients that are listed in the package insert?

Vaccine ingredients are not hard to find.

The ingredients that are so well hidden, they are listed right in the vaccine’s insert? Where does it mention all of the toxins that anti-vaccine folks are always talking about?

“…M-M-R II is highly immunogenic and generally well tolerated.”

MMR II Package Insert

The MMR vaccine works and it is safe.

It says so in the package insert.

Vaccinate your kids.

More on Vaccine Inserts

What Are Anti-Vaccine Folks Saying About the Measles Outbreaks?

If your kids are intentionally not vaccinated and you live in an area where there is a big measles outbreak, then you are hopefully saying, “where can I get an MMR for my child.”

There were 23 measles cases in Orange County in 2014 and an additional 35 cases in 2015.

And you hope that your “vaccine friendly” pediatrician has vaccines and will actually vaccinate your kids…

What Are Anti-Vaccine Folks Saying About the Measles Outbreaks?

And while many parents change their minds and ending up vaccinating their kids when faced with an outbreak, you likely won’t be surprised about what some folks think or say during an outbreak of measles.

Actually, the CDC said that there was no ongoing, single, multi-state outbreak of measles. Instead, there were lots and lots of little outbreaks.

Yes, these are the things anti-vaccine folks say to try and reassure themselves that they made a good decision to intentionally leave their kids unvaccinated and at risk for a life-threatening disease. One that their kids are even more at risk of getting, because there is an outbreak in their community.

Of course, most folks in measles outbreaks are unvaccinated. It isn’t spread by those who are vaccinated.
And these outbreaks are never caused by shedding or a vaccine strain of measles.
Reporting about outbreaks to help get them under control is not media hysteria. And yes, measles made the headlines in the pre-vaccine era.
That’s because measles didn’t kill everyone who got sick. But there were about 500 measles deaths each year in the United States in the pre-vaccine era. Those folks all had stories, whether or not you ever heard them.
Vitamin A as a treatment for measles is typically helpful if you have a vitamin deficiency. It is probably not going to be very helpful in a developed country.
And yet measles was referred to as a harmless killer, because while many kids didn’t recover, others died or had complications, like encephalitis.
Measles is not a deadly disease if you don’t ever get it. And are you really not going to vaccinate your kids because the Brady Bunch had an episode about the measles?
This copypasta links to a post that left out the part of the article that told folks to get vaccinated…
God I hope that measles parties aren’t going to become a thing.
What scares folks about measles? Anti-vaccine misinformation about vaccines.

While you’re researching measles, do a little research about vaccines too.

Yes, a woman who got caught up in the 2015 measles outbreaks in Washington died.
Yes, a woman who got caught up in the 2015 measles outbreaks in Washington died.

Your kids will feel better if they are vaccinated and protected and don’t have measles.

More on What Anti-Vaccine Folks Are Saying About the Measles Outbreaks

Is a Vaccine Strain Causing The Latest Measles Outbreak?

What’s the first question anti-vaccine folks start asking whenever we see a large outbreak of measles?

No, it’s not how can I get my kids vaccinated and protected so that they don’t get measles…

It is whether or not it a vaccine strain of measles started the outbreak.

That’s not how any of this works…

Where do folks get all of this stuff about genotypes and vaccine strains? I wonder…

Dr. Bob had no facts, but still posted that a vaccine strain of measles could have killed a woman who got caught up in the last measles outbreak in Washington.

Yup.

The usual suspects.

Is a Vaccine Strain Causing The Latest Measles Outbreak?

Why do folks who intentionally don’t vaccinate their kids desperately want these measles outbreaks to be caused by a vaccine strain?

Because then it isn’t their fault that their kids are at risk of getting a life-threatening disease!

It’s never a vaccine strain though.

Remember the Disneyland measles outbreak. A lot of folks were talking about vaccine strains when it first started.

“…California patients were genotyped; all were measles genotype B3, which has caused a large outbreak recently in the Philippines…”

Measles Outbreak — California, Dec 2014–Feb 2015

It wasn’t a vaccine strain.

OutbreaksYearGenotype
Minnesota2017B3
Tennessee2016B3
California2015B3
Florida2013D8
California2014B3, D8
Brooklyn2013D8
North Carolina2013D8
Minnesota2011B3
Washington, Illinois2008D5, D4

For example, during 2011, 222 cases of measles and 17 outbreaks were reported in the United States, with most cases originating from just five countries (France, Italy, Romania, Spain, and Germany). Six different genotypes were identified, including B3, D4, G3, D8, H1, and D9. No vaccine strains…

And no, it doesn’t matter that the vaccine strain of measles, genotype A, differs from all of the wild strains of measles we see in the outbreaks.

“Vaccine induced immunity protects against all virus strains. Measles is considered a monotypic virus despite the genetic variations.”

Factsheet about measles

Unlike the flu, HPV, and pneumococcal bacteria, in which vaccines only protect against different serotypes, in the case of measles, the genotype simply helps us figure out where the measles case came from.

And no, the latest outbreak, wherever it is, wasn’t caused by shedding from a vaccine.

But if it isn’t the vaccine strain, then why do they that is it important to rapidly identify wild strains vs vaccine strains?

“During measles outbreaks, it is important to be able to rapidly distinguish between measles cases and vaccine reactions to avoid unnecessary outbreak response measures such as case isolation and contact investigations.”

Roy et al on Rapid Identification of Measles Virus Vaccine Genotype by Real-Time PCR

That’s easy to answer.

Outbreaks typically trigger a lot of folks to get vaccinated. While that’s great, one possible problem is that some of those folks might develop a fever and/or rash after their MMR vaccine. So it is important to quickly figure out whether they are part of the outbreak and have a wild strain (maybe they were exposed before their vaccine could start to work) or are having a common, mild vaccine reaction.

But couldn’t they have vaccine-associated measles if they have a rash and fever and a vaccine strain? Theoretically, but then they would likely have true measles symptoms. And even in these rare case reports, the children didn’t spread the measles to anyone else.

So why are you waiting to know the genotype of the measles strain causing the outbreak in your area? Hopefully, it isn’t to help you decide whether or not to vaccinate and protect your kids. While it is interesting to know where the outbreak originated, you can bet that it isn’t a vaccine strain.

More on Vaccine Strains Causing Measles Outbreaks