Tag: unvaccinated

What to Do If Your Child Is Exposed to Pertussis

Although things are much better than they were in the pre-vaccine era, we still have pertussis outbreaks in the United States.

How does that work?

Waning immunity and folks who are unvaccinated.

How Contagious is Pertussis?

Pertussis is very contagious, but not quite as contagious as other vaccine-preventable diseases, such as measles.

That’s why the focus on controlling pertussis outbreaks is usually looking at close contacts – those who were within about 3 feet for at least 10 hours a week or who had direct face-to-face contact with the person when they were contagious.

Have you gotten a letter from your child's school about pertussis yet?
Have you gotten a letter from your child’s school about pertussis yet?

So when you get a letter about a possible case of pertussis in your child’s school, it may be a a general warning and not that your child is at risk.

How do you get pertussis?

“Persons with pertussis are infectious from the beginning of the catarrhal stage through the third week after the onset of paroxysms or until 5 days after the start of effective antimicrobial treatment.”

Manual for the Surveillance of Vaccine-Preventable Diseases

Spread by respiratory droplets (coughing and sneezing), pertussis symptoms usually start about 5 to 10 days after being exposed to someone else who is in the early stage of their pertussis infection.

While pertussis symptoms can linger for up to 10 weeks, someone who has pertussis is most contagious during the first 2 or 3 weeks of symptoms.

Is Your Child Protected Against Pertussis?

Two pertussis vaccines, DTaP and Tdap, help protect us against pertussis.

In the Unites States, they are routinely given as a primary series (DTaP) at 2, 4, and 6, and 15 to 18 months, with a booster dose at age 4 years. And then a booster of Tdap at age 11 to 12 years. Later, Tdap is given again during each pregnancy, between 27 and 36 weeks gestation. Adults who have never had a dose of Tdap should get caught up, especially if they will be around a baby.

Protection from the pertussis vaccines wanes or wears off, so even fully vaccinated children and adults can still get pertussis. Of course, you are much more likely to get pertussis if you are unvaccinated and you will likely have more severe illness if you are unvaccinated.

Postexposure Antimicrobial Prophylaxis for Pertussis

Fortunately, as with meningitis was caused by Neisseria meningitidis and Haemophilus influenzae type b (Hib), taking antibiotics after being exposed to someone with pertussis can help prevent you from getting sick.

There are only specific situations for which this type of postexposure antimicrobial prophylaxis is recommended though, so for example, you wouldn’t usually give everyone in a school antibiotics because a few kids had pertussis.

Why not give antibiotics to everyone who might have been exposed to someone with pertussis?

“…there are no data to indicate that widespread use of PEP among contacts effectively controls or limits the scope of pertussis outbreaks.”

Postexposure Antimicrobial Prophylaxis

In addition to the fact that it likely wouldn’t stop our pertussis outbreaks, overuse of antibiotics can have consequences.

Situations in which postexposure antibiotics (azithromycin, clarithromycin, and erythromycin, or Bactrim) likely would be a good idea include:

  • household contacts of a known pertussis case
  • to help control an outbreak in a limited closed setting, like a daycare
  • contacts of a pertussis cases who are at high risk for severe pertussis, including pregnant women, infants, especially infants less than 4 months old, and people with chronic medical problems
  • contacts of a pertussis cases who are also contacts of someone who is at high risk for severe pertussis

What if you were exposed to someone with pertussis and have already gotten sick?

If your child was exposed to pertussis and is now coughing, then in addition to antibiotics, pertussis PCR testing and/or culture will also likely be done to confirm that they have pertussis. And remember that their contacts might need postexposure antibiotics.

Kids who have been exposed to pertussis and who have been coughing for more than 3 weeks won’t need antibiotics or testing, as it is too late for the antibiotics to be helpful and likely too late for testing to be accurate. Fortunately, after 3 weeks, they should no longer be contagious.

What to Do If Your Unvaccinated Child Is Exposed to Pertussis

Unvaccinated kids who are exposed to pertussis should follow the postexposure antimicrobial prophylaxis guidelines.

They should also get caught up on their immunizations, including DTaP if they are between 2 months and 6 years, or Tdap if they are older.

What to Do If Your Vaccinated Child Is Exposed to Pertussis

Since protection from the pertussis vaccines wanes, even kids who are fully vaccinated should follow the postexposure antimicrobial prophylaxis guidelines if they are exposed to pertussis.

Then why get vaccinated?

Again, being vaccinated, your child will be much less likely to get pertussis than someone who is unvaccinated. Even though the pertussis vaccine isn’t perfect, it has been shown that children who had never received any doses of DTaP (unvaccinated children) faced odds of having pertussis at least eight times higher than children who received all five doses.

What to Know About Getting Exposed to Pertussis

Talk to your pediatrician if your child gets exposed to pertussis to make sure he doesn’t need post-exposure prophylaxis to keep him from getting sick, even if you think he is up-to-date on his vaccines.

More on Getting Exposed to Pertussis

How Can the Unvaccinated Spread Diseases They Don’t Have?

Folks who are intentionally unvaccinated often have a hard time understanding why the rest of us might be a little leery of being around them.

That’s especially true if we have a new baby in the house, younger kids who aren’t fully vaccinated and protected, or anyone with a chronic medical condition who can’t be vaccinated.

Why? Of course, it is because we don’t want them to catch measles, pertussis, or other vaccine-preventable diseases.

“How can you spread a disease that you don’t even have?”

It’s true, you can’t spread a disease that you don’t have.

But infectious diseases don’t magically appear inside our bodies – we catch them from other people. And if you have skipped or delayed a vaccine, then you have a much higher chance of getting a vaccine-preventable disease than someone who is vaccinated and protected.

So, just avoid other people when you are sick, right?

“…the increased risk of disease in the pediatric population, in part because of increasing rates of vaccine refusal and in some circumstances more rapid loss of immunity, increases potential exposure of immunodeficient children.”

Medical Advisory Committee of the Immune Deficiency Foundation

That works great in theory, but since you are often contagious before you show signs and symptoms and know that you are sick, you can very easily spread a disease that you don’t even know that you have.

An infant hospitalized during a measles outbreak in the Philippines in which 110 people died.
Children with measles are contagious 4 days before through 4 days after their rash appears, but you often don’t recognize that it is measles until they get the rash! Photo by Jim Goodson, M.P.H.

There’s the trouble:

  1. being unvaccinated, you or your child are at higher risk to get sick
  2. when you get sick, you can be contagious several days before you have obvious symptoms
  3. you can spread the disease to others before you ever know that you are sick, or at least before you know that you have a vaccine preventable disease

This makes intentionally unvaccinated folks a risk to those who are too young to be vaccinated, are too young to be fully vaccinated, have a true medical exemption to getting vaccinated, or when their vaccine simply didn’t work.

measles-santa-clara-county
Folks with measles often expose a lot of other people because they don’t yet know that they have measles and aren’t showing signs and symptoms yet.

In fact, this is how most outbreaks start. Tragically, kids too young to be vaccinated get caught up in these outbreaks.

Keep in mind that these parents didn’t have a choice about getting them protected yet. Someone who decided to skip their own vaccines made that choice for them.

And remember that while you can’t spread a disease that you don’t even have, you can certainly spread a disease that you don’t realize that you have.

What to Know About The Unvaccinated Spreading Disease

If you aren’t going to get vaccinated or vaccinate your kids, understand the risks and responsibilities, so that you don’t spread a vaccine-preventable diseases to others that you might not even know that you have yet.

More on the Unvaccinated Spreading Disease

America’s New Normal: Propaganda About the Unhealthiest Generation

My son started to have migraines when he was about 11 years old.

Must be stress, BPA, poor eating habits, all of the screen time, or vaccines, right?

“Americans spend the least on food, the most on health care, have the most highly vaccinated kids, and have the sickest kids of any industrialized country. More kids than not are now chronically ill, developmentally delayed, and eating or injecting prescription medications from cradle to grave – which is going to be a quicker trip for them than it was for their parents, according to data on life expectancy in the US. We are inured to childhood autism, epilepsy, allergy, asthma, diabetes, obesity, Crohn’s disease and cancer. We are dying younger. We are going backwards.”

Judy Converse on America’s New Normal: Chronically Ill Kids

That likely seems like a young age to get migraines and would fit well with the narrative that kids today are part of the unhealthiest generation ever.

Except that I started to get migraines at about the same age, and so did my mother. Like many of the other conditions that seem to be ballooning today, migraines have a genetic component.

The Unhealthiest Generation?

The CDC has long kept statistics on everything from asthma and cancer rates to diabetes and life expectancy rates and helps folks see how healthy kids really are today.
The CDC has long kept statistics on everything from asthma and cancer rates to diabetes and life expectancy rates and helps folks see how healthy kids really are today.

Who says that today’s kids are part of the unhealthiest generation ever?

Mostly anti-vaccine folks who blame vaccines for making kids unhealthy and alternative medical providers who think their holistic remedies will fix all of the problems they see in our unhealthy kids who they claim are full of “toxins.”

Toxins? If you are going to believe that our kids are all sick, then you have to buy into the narrative that toxins are everywhere, especially in vaccines, and they are making kids sick.

Of course, none of that is true.

Vaccines are safe and work to prevent us from getting sick and there are 2 to 3 million fewer deaths in the world each year because people are vaccinated and protected.

“From developing groundbreaking treatments for deadly chronic diseases to saving babies who are born premature, pediatric researchers have increased the ability of children to live full and fulfilling lives that only a few decades before would have been tragically cut short.”

Sandra G. Hassink, MD on the 7 Great Achievements in Pediatric Research

And today’s kids, all 73.6 million of them in the United States, aren’t the unhealthiest. They are actually a very healthy generation, being born with the lowest child and infant mortality rates ever, low rates of hospitalizations, and one of the highest life expectancies in history.

Our Healthy Kids

How do we know today’s kids are healthy?

One easy way is to compare them to kids in the past…

If you have only been listening to the alarmists who talk about the unhealthiest generation all of the time, you likely wouldn’t know that:

  • while 2.6% of kids were thought to be in fair or poor health in 1991, that is down to just 1.8% today (2015)
  • fewer kids today (4.5%) report having had an asthma attack in the previous year than they did in 1997 (5.4%), and that fewer kids have asthma today (8.5%) than in 2003 (8.7%)
  • since 1997, fewer children, whether or not they have insurance, are visiting the emergency room
  • fewer children are requiring overnight hospital stays, down from 5.5% to just 2.1% today (2015)
  • rates of hay fever or respiratory allergy are down since 1997, from 17.5% of kids to 15.6% of kids today (2015)
  • rates of epilepsy have been stable in children for at least 40 years
  • fewer kids have multiple ear infections since 1997, when 7.1% of kids had 3 or more ear infections, to just 5% of kids today (2015)
  • fewer kids are being prescribed antibiotics
  • childhood cancer rates have been rising, but only slightly, and mortality rates have been declining
  • suicide rates are rising, but only from historic lows – they used to be about the same or higher in the early 1990s

Of course, some conditions are on the rise, including ADHD, type 1 diabetes, food allergies, eczema,  obesity, and most autoimmune diseases.

“A few conditions have decreased because of prevention (eg, lead encephalopathy), a few represent relatively new conditions (eg, human immunodeficiency virus type 1 infection), and some have increased after dramatic improvements in survival for individually low-prevalence childhood conditions that previously had high fatality rates (eg, leukemia, cystic fibrosis, congenital heart diseases). Most growth, however, reflects dramatic increases in incidence of a few high-prevalence conditions.”

James M. Perrin, MD on The Increase of Childhood Chronic Conditions in the United States

And autism rates have been up, but we mostly know why.

“…the numbers of people born with autism aren’t necessarily increasing dramatically. It’s just that we’re getting better and better at counting them.”

Emily Willingham

Although we don’t know why most other conditions are trending up (it isn’t vaccines), we will hopefully continue to develop new theories and reverse those trends.

It should be reassuring that many of the trends do show that our kids are indeed healthy.

What to Know About Our Healthy Kids

From gun violence and climate change to the threat of emerging infections, out children do face many threats and are certainly under a lot of stress. There is no evidence that this is the unhealthiest generation though. If anything, they are on track to be one of the healthiest.

More on Our Healthy Kids

What Are the Demands and Goals of the Anti-Vaccine Movement?

So what exactly do anti-vaccine folks want?

What are they trying to do?

Are they trying to scare parents away from getting vaccinating and protecting their kids, hoping to drag us back to the pre-vaccine era?

What Are the Demands and Goals of the Anti-Vaccine Movement?

Of course, some of the folks who are anti-vaccine don’t actually like to be called anti-vaccine. Instead, they prefer to say that they are pro-safe vaccines. So for them, it is rather obvious – they want safer vaccines without toxins.

Now, since vaccines are already safe and don’t contain any toxic ingredients, it would seem like their work is done already, right?

Another goal is having fewer vaccines on the immunization schedule. Jenny McCarthy often pushes the Turn Back the Clock immunization plan, wanting kids to only get vaccines that were on the 1983 immunization schedule, back when kids still died of meningitis, pneumonia, blood infections, severe dehydration, epiglottitis, and cancer from Hib, pneumococcal disease, rotavirus, hepatitis B, hepatitis A, chicken pox, HPV, and meningococcal disease, which are now vaccine preventable.

Other members of the anti-vaccine movement talk about vaccine choice. They want to be able to choose whether or not they should have to vaccinate their kids.

Again, done. No one is forcing parents to vaccinate their kids. We may not have a choice on whether or not your unvaccinated child gets sick and puts someone else at risk for getting a vaccine-preventable disease because they were too young to be vaccinated, had a medical exemption, or their vaccine didn’t work, but you can certainly make the choice to skip or delay any vaccines you want.

“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

What are other goals of the anti-vaccine movement?

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

Have you heard about the anti-vaccine folks who want to quarantine all kids who have recently been vaccinated for at least six weeks? Why quarantine kids who have been vaccinated? They are worried about shedding

Would anyone go so far as wanting to ban vaccinations? Yup. So much for vaccine choice.

Some others want to rescind the 1986 National Childhood Vaccine Injury Act, which they think will help make it easier to sue vaccine manufacturers. That’s one of Andrew Wakefield‘s demands in his movie VAXXED. He and others never mention that if you are suing in civil court, then you must meet a higher burden of proof for vaccine injury than you do in Vaccine Court.

Remember when Robert F. Kennedy, Jr. thought he would be appointed to some special Trump commission on vaccines?

“We want safe vaccines, robust transparent science and an honest and independent regulatory agency focused narrowly on public health rather than industry profit.”

Robert F. Kennedy, Jr. on Mercury, Vaccines and the CDC’s Worst Nightmare

Kennedy’s vaccine commission never happened, but that hasn’t stopped him from pushing for an independent regulatory agency.

I’m not sure who would run or be a part of Kennedy’s independent regulatory agency though, as he believes that “Congress, the regulatory agencies, FDA and CDC, the IOM, the NIH, the AAP, the science journals, the university science departments and the press” have all been compromised by Pharma.

Kennedy also wants thimerosal out of vaccines, which, as most people know, is already out of all vaccines on the immunization schedule, including about 100 million doses of flu shots this past year. But like others, he seems to be moving on to aluminum as his new target.

What else?

Fortunately, it is easy to see why the demands and goals of the modern anti-vaccine movement are dangerous, unethical, and unnecessary, and like parents who decide to skip or delay vaccines, will simply put us all at risk for more outbreaks of vaccine-preventable disease.

What to Know About the Demands and Goals of the Anti-Vaccine Movement

Whatever their demands and goals of the anti-vaccine movement, the effect is that they are scaring parents away from vaccinating and protecting their kids from life-threatening vaccine-preventable diseases for no good reason.

More on the Demands and Goals of the Anti-Vaccine Movement

I Refuse to Listen to Bad Advice About Flu Shots, and I Won’t Apologize for It

The only thing that seems to be more rampant than the flu this season are the articles pushing people to skip a flu shot.

POPSUGAR moms will hopefully go somewhere else for advice about flu shots.
POPSUGAR moms will hopefully go somewhere else for advice about flu shots.

They. Are. Everywhere.

I Refuse to Listen to Bad Advice About Flu Shots

Why are we seeing so many folks attacking flu shots lately?

It’s simple. A bad flu season reminds people that they should get vaccinated and protected. We see the same thing when there are outbreaks of measles, mumps, and pertussis, etc.

And then those folks who are truly anti-vaccine have to come out and justify why they still don’t believe in vaccines.

That leaves us with arguments like this:

“Whenever I start to get worried that I’ll end up with the flu if I don’t get the shot, I remember that it isn’t always effective.”

Jen Glantz on Do You Need To Get A Flu Shot?

It is true that the flu shot is not always effective, but if you are only going to use things that are 100% effective, then why would you take “lots of vitamins and natural supplements” when you have the flu, things that have been shown to be ineffective?

“Side effects can include soreness around the injection side, a low-grade fever for a few days, and muscle aches. Now, I know that this may seem like a small price to pay to avoid getting the full-blown flu, but if I can avoid any sickness at all, why not try?”

Jen Glantz on Do You Need To Get A Flu Shot?

Uh, if you want to try and avoid any sickness, why not get a flu shot? Even when it isn’t as effective as we would like, a flu shot can help reduce your chance of hospitalization, serious flu complications, and of dying with the flu.

“Have you ever taken a step back and learned more about what the heck is actually inside the flu shot? ”

Jen Glantz on Do You Need To Get A Flu Shot?

I know exactly what’s in the flu shot.

Does anyone at POPSUGAR?

Got something you want published online? Head over to POPSUGAR...
Got something you want published online? Head over to POPSUGAR…

Even with a disclaimer from an Editor, POPSUGAR should be ashamed of themselves for publishing an article that says the flu shot is filled with toxins. In addition to an ingredients list, the CDC explains that “all ingredients either help make the vaccine, or ensure the vaccine is safe and effective.”

Flu shot ingredients are not toxins!

“Instead of injecting myself with toxins, I do things like practice good hygiene, take lots of vitamins and natural supplements, and rely on my body and it’s strength to fight off any unwanted bacteria. The human body is an incredible thing, and I trust it. I also like it to ride out things naturally.”

Jen Glantz on Do You Need To Get A Flu Shot?

The flu is a virus, not a bacteria, but I get the point that the author is attempting to make. The thing is though, that while the human body is certainly incredible, relying on it to get you over the flu is not always an easy ride. We often have to pay a high price for natural immunity.

And the people who die with the flu don’t die because of poor hygiene or because they don’t take enough vitamins and supplements. They die because they have the flu. And more often than not, especially in the case of children, because they are unvaccinated.

“For some people, getting the flu shot is at the very top of their to-do list, but for me, it’s something I refuse to do. And that’s OK too.”

Jen Glantz on Do You Need To Get A Flu Shot?

It is certainly OK that Jen Glantz doesn’t get a flu shot each year. At least it is OK as long as she doesn’t get the flu and give it to someone else.

It is not OK that POPSUGAR gives her a voice on such an important topic. Don’t listen to them.

It’s not as big a deal when she writes about the “importance” of drinking both hot and cold water each day, drinking apple cider vinegar for bloating, the best baby names of the year, or how to pee when wearing a wedding dress. That’s the kind of clickbait type content you expect from a POPSUGAR type site.

But scaring people and making them think that there are toxins in flu shots?

Save it for GOOP.

What to Know About Bad Flu Shot Advice

This year’s bad flu season wasn’t limited to folks getting sick… There was also a lot of bad flu shot advice going around.

More on Bad Flu Shot Advice

What Is the Evidence for Alternative Vaccine Schedules?

There is plenty of evidence that the standard immunization schedule is safe and effective.

What about the alternative vaccine schedules that some folks push?

Is there any evidence that is safe to delay or skip any of your child’s vaccines?

Alternative Vaccine Schedules

Many people think of Dr. Bob Sears when they think of alternative vaccine schedules.

Bob Sears appeared on Fox & Friends in 2010 for the segment
Bob Sears appeared on Fox & Friends for the segment “Vaccines: A Bad Combination?”

He created both:

  • Dr Bob’s Selective Vaccine Schedule
  • Dr Bob’s Alternative Vaccine Schedule

He didn’t invent the idea of the alternative vaccine schedule though.

Well before Dr. Bob appeared on the scene, Dr. Jay Gordon had been on Good Morning America with Cindy Crawford to discuss vaccines and how she had decided to delay vaccinating her baby.

Where did she get the idea?

After the segment, Dr. Jay stated:

“They edited the segment to make me sound like a vaccination proponent. We also have to understand the impact of a person as well-known as Cindy Crawford delaying vaccines for over six months.”

Jay Gordon

Dr. Jay has long talked about only giving infants one vaccine at a time and waiting until they are “developmentally solid” before vaccinating.

1983 historical immunization schedule
When Bob Sears came out with his vaccine book, Jenny McCarthy was also pushing the too many too soon myth and rallying folks to go back to the 1983 schedule that left kids at risk for meningitis, pneumonia, blood infections, severe dehydration, epiglottitis, and cancer from Hib, pneumococcal disease, rotavirus, hepatitis B, hepatitis A, chicken pox, HPV, and meningococcal disease.

Similarly, other folks have pushed ideas about delaying and skipping vaccines before Dr. Bob, including:

  • Donald Miller and his User-Friendly Vaccination Schedule – no vaccines until age two years and no live vaccines and when you begin vaccinating your child, give them one at a time, every six months (first published in 2004)
  • Stephanie Cave – starts at 4 months and delays many vaccines
  • homeopaths with immunization schedules that say to wait until six months and then start giving nosodes every five days
  • chiropractors with immunization plans that say to get regular chiropractic adjustments instead of vaccines
  • Paul Thomas‘ vaccine friendly plan
  • Jenny McCarthy and Generation Rescue’s Turn Back the Clock immunization plan which recommends substituting the latest schedule with the 1983 immunization schedule or a schedule from another country, like Denmark, Sweden, Finland, or Iceland.

Of course, Dr. Bob is the one who popularized the idea of the alternative vaccine schedule in 2007, when he published The Vaccine Book: Making the Right Decision for Your Child.

That’s when parents started to bring copies of his schedule into their pediatrician’s office, requesting to follow Dr. Bob’s schedule instead of the standard immunization schedule from the CDC.

What’s the Evidence for Alternative Vaccine Schedules?

There is no evidence that following an alternative vaccine schedule is safe for your kids.

“No alternative vaccine schedules have been evaluated and found to provide better safety or efficacy than the recommended schedule, supported by the Advisory Committee on Immunization Practices of the CDC and the Committee on Infectious Diseases of the AAP (the committee that produces the Red Book).

Pediatricians who routinely recommend limiting the numbers of vaccines administered at a single visit such that vaccines are administered late are providing care that deviates from the standard evidence-based schedule recommended by these bodies.”

American Academy of Pediatrics

What’s the first clue that these so-called alternative vaccine schedules have absolutely no evidence behind them?

They are all different!

Paul Thomas, for example, doesn’t even offer his patients the rotavirus vaccine. Dr. Bob, on the other hand, has it on his list of vaccines that “that could protect a baby from a very potentially life-threatening or very common serious illness” and is sure to give it at 2, 4, and 6 months.

How slow should you go?

Both Dr. Bob and Dr. Paul give two vaccines at a time with their schedules, but Dr. Jay and Dr. Miller say to give just one at a time.

“Would any scientist give SIX vaccines at once to a baby? Asking for trouble. One at a time makes so much more sense.”

Jay Gordon

And while some start their schedules at 2 or 4 months, others delay until 6 months or 2 years.

There is also the fact that the folks who create these schedules admit that there is no evidence for what they are doing…

“No one’s ever researched to see what happens if you delay vaccines. And do babies handle vaccines better when they’re older? This is really just a typical fear that parents have when their babies are young and small and more vulnerable. Since I don’t know one way or the other, I’m just happy to work with these parents, understand their fears and their worries, and agree to vaccinate them in a way that they feel is safer for their baby.”

Bob Sears on The Vaccine War

But there has been research on delaying vaccines.

Unvaccinated kids aren’t healthier – they just get more vaccine preventable diseases. Most of which are life-threatening, even in this age of modern medicine, with access to good nutrition and sanitation.

So whether you only get one or two vaccines at a time; delay until four months, six months, or two years before you get started; skip all live vaccines or just wait until your child is “developmentally solid” to give them;  or go with some other non-standard, parent-selected, delayed protection vaccine schedule, the only things that you can be sure of is that there is no evidence to support your decision and that you will leave your kids unprotected and at risk for getting a vaccine-preventable disease.

“…when I give your six-week-old seven different vaccines with two dozen antigens, I am supposed to try to convince you that the adverse reactions you have heard about are just coincidences.”

Jay Gordon

Better yet though. Find a pediatrician who will listen and answer your questions about vaccines, concerns about vaccine myths and misinformation, explain that no vaccine is optional, and not just simply pander to  your fears.

What to Know About the Evidence for Alternative Vaccine Schedules

There is no evidence that skipping or delaying any vaccines with an alternative vaccine schedules can keep your kids safe from vaccine preventable diseases.

More on the Evidence for Alternative Vaccine Schedules

The Latest Measles Outbreak in Kansas

Several things are troubling about the measles outbreak in Kansas.

For one thing, it involved a lot of infants who were too young to be vaccinated. Their parents didn’t get to make a choice about getting vaccinated or getting measles. They got measles.

There are at least 18 cases of measles in current Kansas outbreak.
An ongoing measles outbreak in Kansas is up to 18 cases.

Also, as the case count climbs to 18, we are only now learning how the outbreak got started.

 

Greg Lakin, the chief medical officer for the Kansas Department of Health and Environment, said the current outbreak started when an infant who was too young to be vaccinated picked up the virus in Asia. That infant then returned to a Johnson County day care.

What You Need to Know About the JoCo Outbreak

But what does too young to be vaccinated mean?

Remember that if you are traveling out of the country, infants should get their first MMR early, as early as six months of age.

Update on the Measles Outbreak in Kansas

Since the outbreak in a daycare in Johnson County was discovered on March 8, a total of 18 measles cases have been identified, including:

  • 14 Johnson County residents, including one new case
  • three Linn County residents, including one new case
  • one Miami County resident not associated with the daycare

The latest cases could have exposed other people to measles at:

  • Cornerstone Presbyterian Church in the Lobby and Sanctuary; 13300 Kenneth Rd., Leawood, KS; April 8 from 10:30 a.m.to 1:30 p.m.
  • Blue Mound Federated Church; General Delivery, Blue Mound, KS; April 1 from 10:00 a.m. to 1:00 p.m.
  • Olathe Health Family Medicine; 302 N.1st St, Mound City, KS; March 26 and 28 from 8:00 AM to 5:30 PM
  • Olathe Health Family Medicine; 1017 E. Market St, La Cygne, KS; March 27 from 8:00 AM to 5:30 PM, March 29 from 8:00 a.m. to 5:30 p.m, March 30 from 8:00 a.m. to 2:30 p.m., and April 2 from 8:00 a.m. to 3:30 p.m.
  • Casey’s General Store; 207 S. 9th St, Mound City, KS; March 26 from 11:30 AM to 2:00 PM, March 28 from 12:00 PM to 2:30 PM, March 30 from 1:00 p.m. to 3:00 p.m., and April 2 from 7:30 a.m. to 9:30 a.m
  • Casey’s General Store; 406 E. Market St, LaCygne, KS;March 27 from 12:00
    PM to 2:30 PM
  • Linn County Judicial Building; 318 Chestnut St., Mound City, KS; March 30 from 1:30 p.m. to 5:00 p.m.
  • Applebee’s; 16110 W. 135thSt., Olathe, KS; March 30 from 5:30 p.m. to 8:30 p.m.
  • Main Street Liquor; 411 E. Main St., Osawatomie, KS; March 30 from 9:30 p.m. to 11:00 p.m.
  • Dollar General; 110 S. 9thSt., Mound City, KS;March 29 from 5:45 p.m. to 8:00 p.m.

Since there is a 10 to 21 day incubation period for measles, all these new cases could have been exposed at:

  • Auburn Pharmacy; 625 E Main. St, Mound City, KS; on March 13th from 4:15 PM to 6:45 PM
  • Aldi’s; 15290 W. 119th St Olathe, KS 66062; on March 2nd from 3:00 PM to 5:00 PM
  • Payless Discount Foods; 2101 E. Santa Fe St, Olathe, KS; on March 6th from 10:00 AM to 12:30 PM
  • El Potro Mexican Café; 602 N Pearl St, Paola, KS on March 7th from 4:00 PM to 8:00 PM
  • Children’s Mercy Hospital Kansas Emergency Department; 5808 W 110th St, Overland Park, KS on March 8th and March 10th in the morning
  • AMC Dine – In Studio 28; 12075 S. Strang Line Rd, Olathe, KS; March 9th from 3:30 PM to 7:30 PM
  • Budget Coin Laundry; 798 E Main St, Gardner, KS; on March 9th from 8:00 PM – 11:00 PM
  • Olathe YMCA swimming pool and locker room; 21400 W. 153rd St, Olathe, KS; on March 10th from 9:30 AM to 1:00 PM
  • Bath and Body Works at Legends Outlets; 1803 Village W Pkwy, Kansas City, KS; on March 10th from 1:00 PM to 3:00 PM
  • Crazy 8 at Legends Outlets; 1843 Village W Pkwy, Kansas City, KS ; on March 10th after 1:00 PM to 3:00 PM
  • Orange Leaf; 11524 W 135th St Overland Park, KS; on March 10th from 3:00 PM to 6:00 PM
  • Chick-fil-A; 12087 S Blackbob Rd, Olathe, KS on March 24th 8:15 PM till Close
  • Olathe YMCA – ENTIRE FACILITY INCLUDING CHILDCARE AREA; 21400 W. 153rd St, Olathe, KS on March 22nd and 23rd from 8:00 AM to 3:00 PM
  • Walgreens; 7500 Wornall Rd, Kansas City, MO on March 22nd, 6:00 PM to 8:00 PM
  • Chuck E. Cheese’s; 15225 W 134th Pl, Olathe, KS on March 21st, 1:00 PM to 4:00 PM

If you were exposed and aren’t immune to measles (two doses of the MMR vaccine provide good protection), then you should watch for signs and symptoms to develop 10 to 21 days after your last exposure (in quarantine).

With the new exposures, that means that we could expect to see new cases associated with this outbreak any time between now and April 29th (the last exposure and the longest incubation period).

A History of Measles Outbreaks in Kansas

Some folks probably recall that this isn’t the first big measles outbreak in Kansas.

One of the largest measles outbreaks of 2014 was in the Kansas City metropolitan area. That year, at least 28 people developed measles, including a newborn who was only two weeks old.

In addition to the outbreak in Kansas City, there was another large outbreak that year in Sedgwick County – Wichita, Kansas.

And like most measles outbreaks, other states were affected too. Someone from Texas developed measles after getting exposed to measles at a softball tournament in Wichita.

More recently, outbreaks in Kansas have included:

  • a suspected case at William Allen White Elementary School in Lyon County, Kansas which has led to the quarantine of unvaccinated students for 3 weeks (2017)
  • a case in Butler County, Kansas. (2017)
  • a case in Sedgwick County, Kansas, a child too young to be vaccinated who may have been exposed at a church. Three other exposed infants who were too young to be vaccinated and who were considered at risk to get measles in this outbreak received immunoglobulin treatment. (2017)
  • a second case in the Wichita, Kansas area, this time in Sedgwick County, with exposures at a church, dental office, elementary school, and multiple stores over at least 3 days. (2017)

Why are there still so many measles outbreaks in Kansas?

Like in other places with outbreaks, it is likely explained by relatively high levels of non-medical exemptions and clusters of unvaccinated children and adults.

Hopefully this outbreak will be a good reminder that vaccines are necessary and everyone will get their kids caught up and protected.

What to Know About the Measles Outbreak in Kansas

Kansas is in the middle of another large measles outbreak and as usual, it is mostly among those who are unvaccinated, including many too young to be vaccinated.

More on the Measles Outbreak in Kansas

Updated on April 21, 2018