Tag: unvaccinated

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.

More on Who’s Getting Measles

What’s Your Chance of Getting Measles Right Now?

It shouldn’t be a surprise that a lot of folks are thinking about their risk of getting measles right now.

But with record levels of measles cases this year, some of us are thinking about our level of risk much differently than others.

rIf you are unvaccinated and exposed to someone with measles, you risk is actually 1,000,000 times higher…

While most of us simply want to make sure we are vaccinated and protected, anti-vaccine folks are taking every opportunity to downplay their risks.

What’s Your Chance of Getting Measles Right Now?

So what’s your chance of getting measles?

“Measles is one of the world’s most contagious diseases. It is spread by coughing and sneezing, close personal contact or direct contact with infected nasal or throat secretions. The virus remains active and contagious in the air or on infected surfaces for up to 2 hours. It can be transmitted by an infected person from 4 days prior to the onset of the rash to 4 days after the rash erupts.”

WHO on Measles

That’s actually not that simple to figure out, but depends on:

Those who have had two doses, with no plans to travel, and who live in an area with no reported cases, are at extremely low risk to get measles – the risk won’t be zero until measles is eradicated.

In this kind of low risk situation, kids don’t need early doses of MMR vaccines and most adults can probably get away with just having one dose of MMR.

“Measles is highly contagious and spreads through the air when an infected person coughs or sneezes. It is so contagious that if one person has it, 9 out of 10 people of all ages around him or her will also become infected if they are not protected.”

CDC on Measles is Highly Contagious

On the other hand, if you are unvaccinated and were at the AMC Theater on Lemon Street in Fullerton, between 11 p.m. and 4 a.m. on April 25, then your chance of getting measles is about 90%!

Wait! That’s a little more than the 0.000092% chance that anti-vaccine folks are throwing around…

The odds of being hit by lightning are low because we practice storm safety and don’t run around outside when we see lightning!

To think of it another way, if you knew that your chances of getting hit by lightning were a little over 1 in a million, would that make you think it is okay to go outside and play golf during a severe thunderstorm?

Would you think the risk is so low that you could let your kids play outside if you heard thunder and saw lightning flashes nearby, or would you all rush inside?

That’s right! The risk of getting hit by lightning is low because most of us don’t take chances when we hear thunder or see lightning.

It’s the same with measles and other vaccine-preventable diseases.

The overall risk is low because most people are vaccinated and protected!

If you aren’t vaccinated and protected, as we see more and more cases, your risk of getting sick, and getting others sick, is going to continue to get higher and will always be much higher than someone who is fully vaccinated, no matter how much you want to believe in shedding, mild measles, or whatever myths help you justify keeping your kids unvaccinated and unprotected during an outbreak.

Remember, you can’t hide in the herd if you are scaring away too much the herd

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

You can avoid getting measles.
You can greatly reduce your family’s risk of getting measles.

Make sure your family is protected so they don’t get caught up in a measles outbreak

More on Your Chance of Getting Measles


Peanut Butter or the Plague?

There are plenty of good arguments that parents make when advocating for vaccines.

This meme about peanut butter isn’t one of them.

Vaccinate your kids or I’ll expose them to a potentially deadly allergen?

Anyway, it’s Jif peanut butter.

Does jiffy pop make peanut butter flavored popcorn?

There is no such thing as Jiffy peanut butter.

Peanut Butter or the Plague?

And since it isn’t just unvaccinated kids who have peanut allergies, the whole idea of this meme really makes no sense.

Well, maybe the first part does. After all, sometimes we do things to protect others from getting sick.

Getting vaccinated and protected to promote herd immunity is one of them. In addition to protecting ourselves from life-threatening vaccine-preventable diseases, if we don’t get sick, we avoid exposing those who can’t be protected by vaccines, including those who are too young to be vaccinated and those with immune system problems.

Of course, there is another reason the meme doesn’t make sense.

A peanut allergy is a medical condition. Sending your intentionally unvaccinated kid to school is a choice.

Stop sharing this meme.

It’s insulting to parents of kids with severe food allergies and does nothing to advocate for vaccines.

More on Peanut Butter or the Plague

Why Does the BMJ Post Anti-Vaccine Propaganda?

Getting something posted in a medical journal is a big deal?

Getting something posted in The BMJ? Not so much…

Why Does the BMJ Post Anti-Vaccine Propaganda?

Oh, I’m sure it used to be, as they are one of the world’s oldest general medical journals, going back to 1840.

“Reader feedback online is actively encouraged in the form of Rapid Responses were introduced in 1998, and 20 years later, had generated 115,000 fully-moderated responses.”

History of The BMJ

The thing is, they allow just about anyone to post these Rapid Responses, without making it very clear that they aren’t in a peer reviewed section of the journal.

What’s wrong with this Rapid Response?

  1. The Federal government isn’t issuing any kind of quarantine in this matter, the county is, so why would it be an issue as to whether or not measles is subject to Federal isolation and quarantine law? Anyway, while there are few diseases on the list that are subject to Federal isolation and quarantine law (they do include cholera, diphtheria, plague, smallpox, Ebola, and pandemic flu, etc.) measles could be added by a Presidential Executive Order. Still, the authority to issue Federal Quarantines has rarely been used. Quarantines for measles is usually handled by states and local governments.
  2. Supposed to be protected anyway??? There are plenty of infants, children, and adults who simply can’t be directly protected by a vaccine. They are too young to be vaccinated, can’t be vaccinated because they have true medical contraindications, or could be among the very small minority for whom their vaccine wasn’t effective. They are at risk when your intentionally unvaccinated child gets measles.
  3. The vaccination rates for everyone in the Rockland outbreak is posted and is updated weekly. Only 3.8% of the folks in the outbreak are fully vaccinated.
  4. Since almost all of the folks in the outbreak are unvaccinated, that kind of busts John Stone’s last point – the Rockland measles outbreak has been caused by waning immunity and a failed vaccine. It is simply a failure of folks to vaccinate and protect their kids.

I get that The BMJ wants their “users to debate issues raised in articles published on bmj.com,” but they are simply contributing to the false balance we see in many other places if they want to allow folks to think there is a debate going on about the safety or necessity of vaccines.

More on Anti-Vaccine Propaganda in The BMJ

What Percentage of Adults Are up to Date on Their Immunizations?

Are you up to date on your vaccines?

What about everyone else?

What Percentage of Adults Are up to Date on Their Immunizations?

Can you guess why this question comes up so often?

Yup.

There is no plan to force adults to get vaccinated...
There is no plan to force adults to get vaccinated…

It’s about herd immunity.

If most adults aren’t immune because they haven’t been vaccinated or don’t get boosters, then since we aren’t seeing that many outbreaks, herd immunity itself must be a myth.

The thing is though, adults were either born in the pre-vaccine era and likely earned their natural immunity or were born in the vaccine era and are vaccinated and immune.

It is also important to understand that herd immunity is disease specific, so when we talk about herd immunity for measles, it doesn’t matter if everyone has herd immunity levels of protection against hepatitis A or Hib.

And adults do get a few boosters and some vaccines that are only recommended for adults, including the shingles vaccine.

In addition, some vaccines, like Hib and Prevnar, have indirect effects, protecting adults even though they aren’t vaccinated, because vaccinated kids are less likely to become infectious.

But back to the original question, how many adults are up to date on their immunizations?

“While modest gains occurred in vaccination coverage for pneumococcal, Tdap, hepatitis A (persons with chronic liver conditions), herpes zoster, and HPV vaccination, coverage did not improve for other vaccinations and many adults remained unvaccinated with recommended vaccines. “

Vaccination Coverage Among Adults in the United States, National Health Interview Survey, 2016

While most adults are immune to what were once common childhood diseases, like measles and mumps, because they were either vaccinated or had the disease naturally, many could do better with newer vaccines that weren’t available when they were kids.

More on Adult Vaccination Statistics

If It’s Vaccines, Then Why Are There Autistic Kids Who Are Unvaccinated?

Although we know that vaccines aren’t associated with autism, anti-vaccine folks can’t let go of the idea.

Paul Thomas misses the one thing his data is telling him...
Paul Thomas misses the one thing his data is telling him…

So how do they explain all of the autistic kids who are unvaccinated?

If It’s Vaccines, Then Why Are There Autistic Kids Who Are Unvaccinated?

Of course, anti-vaccine folks have a ready answer – it’s vaccines, but it’s not just vaccines.

I guess that’s how they explain the fact that there are so many autistic adults too! Well, actually no. Most anti-vaccine folks are surprised when you point out that there are so many autistic adults, as it doesn’t fit in with their idea that autism is new and caused by kids getting more vaccines than they used to.

Well, I guess mostly caused by giving so many more vaccines than we used to – there are also the autistic kids who were never vaccinated.

How do they explain those kids having autism?

Like their competing theories about how vaccines are associated with autism (it’s the MMR vaccine, no it’s thimerosal, no it’s glyphosate contaminating vaccines, etc.), they have a lot of ideas about how everything else causes autism. From fluoride and chlorine to acetaminophen and aluminum-lined containers, plus mercury, arsenic, aspartame, MSG, and the vaccines your child’s great-grandmother received – they think that just about anything and everything can cause autism. Or at least anything that they think they can sell you a treatment for, such as their supplements, special diet plans, or other “cures.”

Makes you wonder why they still focus on vaccines…

But they do, even as more studies have shown that vaccines are not associated with autism. And since vaccines don’t cause autism, it shouldn’t be surprising that there are unvaccinated children with autism. The only reason there aren’t more is that most parents vaccinate their children, so, of course, most autistic children are going to be vaccinated.

Another reason is that some parents stop vaccinating their kids once they have an autistic child. But since vaccines aren’t associated with autism, which is highly genetic and inheritable, younger unvaccinated siblings born after older siblings were diagnosed often still develop autism.

Now if vaccines didn’t cause autism in these unvaccinated kids, why would anyone still think that they caused autism in their older siblings?

“I must admit that it was through conversations with a coworker that I began to suspect something might be wrong with my youngest son. It concerned me so much that I started looking for information online. I read some of the stories and they sounded similar to what I was experiencing with my son – with the symptoms, the regression and the age at which it all started to become apparent.”

Lara’s Story: Growing Up Anti-Vaccine

Unlike some other stories you might read online, Lara’s story is about her unvaccinated autistic child.

She isn’t alone. You only have to look at personal stories and posts in parenting forums to see that there are many cases of autism among unvaccinated and partially vaccinated children:

  • “It is highly likely my 4-year-old son is autistic. And he is completely 100 percent vaccine-free. And I am just at a total loss.”
  • “I have unvaxxed kids on the spectrum, and my friend does as well.”
  • “A good friend’s son is autistic. He is totally non-vaxxed.”
  • “I seriously delayed vaccinating my son, so had very few vaxxes at the time he was diagnosed”
  • “We have autism in our unvaxxed children”
  • “I know two little boys who are both autistic, completely non-vaxxed”
  • “I have two unvaccinated children who are on the autism spectrum and have never vaccinated any of my children.”
  • “I am not sure what caused my son’s autism, but autistic he is. He is completely unvaxxed as we stopped vaxxing 10 years ago.”
  • “I have a 10 year old daughter with autism spectrum disorder… My daughter has never had a vaccine, a decision I made shortly after she was born, after much research.”

Unfortunately, while realizing that unvaccinated children can develop autism does help some parents move away from anti-vaccine myths and conspiracy theories, others get pushed deeper into the idea that it is just about toxins. It is not uncommon for some of these parents to blame vaccines they got while pregnant or even before they became pregnant, Rhogam shots, or mercury fillings in their teeth, etc.

Fortunately, most don’t though.

Take Juniper Russo, for example.

She “was afraid of autism, of chemicals, of pharmaceutical companies, of pills, of needles” when she had her baby. She just knew that vaccines caused autism when she first visited her pediatrician after her baby was born and knew all of the anti-vaccine talking points. She also later began to realize that her completely unvaccinated daughter had significant developmental delays. Instead of continuing to believe that vaccines cause autism, Ms. Russo understood that she “could no longer deny three things: she was developmentally different, she needed to be vaccinated, and vaccines had nothing to do with her differences.”

And she understands that her autistic child isn’t damaged, as hard as folks in the anti-vaccine movement still try to push the idea that she is.

More on Autistic Kids Who Are Unvaccinated

An Unvaccinated Child in Oregon Recently Had Tetanus

I recently wrote about how there was a case of diphtheria in Oklahoma last year.

It was a good reminder that we aren’t just seeing measles outbreaks these days.

Need another reminder?

An Unvaccinated Child in Oregon Recently Had Tetanus

An unvaccinated 6-year-old in Oregon developed tetanus.

Can an unvaccinated child really get tetanus after a toe nail injury?
In a similar case, an unvaccinated 4-year-old got severe tetanus after a minor toe nail injury. (CC BY 3.0)

“In 2017, a boy aged 6 years who had received no immunizations sustained a forehead laceration while playing outdoors on a farm; the wound was cleaned and sutured at home. Six days later, he had episodes of crying, jaw clenching, and involuntary upper extremity muscle spasms, followed by arching of the neck and back (opisthotonus) and generalized spasticity. Later that day, at the onset of breathing difficulty, the parents contacted emergency medical services, who air-transported him directly to a tertiary pediatric medical center. The boy subsequently received a diagnosis of tetanus and required approximately 8 weeks of inpatient care, followed by rehabilitation care, before he was able to resume normal activities.”

Notes from the Field: Tetanus in an Unvaccinated Child — Oregon, 2017

Many folks will recognize the “jaw clenching” from the alternative name for tetanus – lockjaw.

“Upon hospital arrival, the child had jaw muscle spasms (trismus). He was alert and requested water but was unable to open his mouth; respiratory distress caused by diaphragmatic and laryngeal spasm necessitated sedation, endotracheal intubation, and mechanical ventilation. Tetanus immune globulin (3,000 units) and diphtheria and tetanus toxoids and acellular pertussis vaccine (DTaP) were administered for presumed tetanus. He was admitted to the pediatric intensive care unit and cared for in a darkened room with ear plugs and minimal stimulation (stimulation increased the intensity of his spasms). Intravenous metronidazole was initiated, and the scalp laceration was irrigated and debrided.”

Notes from the Field: Tetanus in an Unvaccinated Child — Oregon, 2017

Wait, wasn’t it too late to vaccinate him at this point?

Of course not.

Remember, tetanus vaccine doesn’t actually kill the tetanus bacteria. Or even prevent a tetanus infection, believe it or not. The tetanus shot is a toxoid vaccine directed against the toxin that the tetanus bacteria makes.

Once tetanus spores germinate, the bacteria have to grow and then produce exotoxins. The exotoxins then have to travel to different sites in your nervous system, where they act as neurotoxins.

At this point, although he was treated with antibiotics and tetanus immune globulin, there is still a chance that spores will germinate and becteria will eventually grow and produce more exotoxin. Getting the vaccine helps ensure that you will make some of your own antibody to fight them.

“His opisthotonus worsened, and he developed autonomic instability (hypertension, tachycardia, and body temperatures of 97.0°F–104.9°F [36.1°C–40.5°C]). He was treated with multiple continuous intravenous medication infusions to control his pain and blood pressure, and with neuromuscular blockade to manage his muscle spasms. A tracheostomy was placed on hospital day 5 for prolonged ventilator support. Starting on hospital day 35, the patient tolerated a 5-day wean from neuromuscular blockade. On day 44, his ventilator support was discontinued, and he tolerated sips of clear liquids. On day 47, he was transferred to the intermediate care unit. Three days later, he walked 20 feet with assistance. On day 54, his tracheostomy was removed, and 3 days later, he was transferred to a rehabilitation center for 17 days.”

Notes from the Field: Tetanus in an Unvaccinated Child — Oregon, 2017

And since you don’t develop natural immunity to tetanus, getting vaccinated helps protect you from future exposures.

After an episode like this, you wouldn’t want to risk your child getting this sick again, would you?

“The boy required 57 days of inpatient acute care, including 47 days in the intensive care unit. The inpatient charges totaled $811,929 (excluding air transportation, inpatient rehabilitation, and ambulatory follow-up costs). One month after inpatient rehabilitation, he returned to all normal activities, including running and bicycling. Despite extensive review of the risks and benefits of tetanus vaccination by physicians, the family declined the second dose of DTaP and any other recommended immunizations.”

Notes from the Field: Tetanus in an Unvaccinated Child — Oregon, 2017

Well, most of us wouldn’t…

Hopefully other parents learn a lesson though.

Remember, you can wait too long to vaccinate your kids. You can skip or delay a vaccine long enough that they end up getting measles, tetanus, diphtheria, or meningococcemia, etc., before you get caught up.

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