Tag: measles

Sometimes I weep

measles, ICE detention

When I read stories about preventable chaos in the US, I sometimes feel enraged. But sometimes I weep.

As I read that the regime has, per the LA Times [paywall likely], “reversed the U.S. government’s longstanding scientific conclusion that planet-heating pollution seriously threatens Americans, erasing a foundational piece of the country’s efforts to address climate change,” I fret, What kind of country are we leaving my daughter? I cry a bit.
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“The repeal of the 2009 endangerment finding — a conclusion based on decades of science that carbon dioxide and other greenhouse gases endanger public health and welfare — represents one of the biggest environmental rollbacks in U.S. history…” One of? Then I get ticked off again.
ICE detention
Democracy Now highlights “The Children of Dilley.” “That’s the title of a new ProPublica investigation into the South Texas Family Residential Center, a sprawling ICE detention complex in the town of Dilley, a few dozen miles from the southern border with Mexico. It’s run by the private prison company CoreCivic. Dilley was first opened by the Obama administration in 2014.”
It’s a place “where families describe horrific conditions inside, such as being served contaminated food, with children and parents at times finding worms in their meals. Lights are reportedly left on for 24 hours a day. [It] detains an estimated 3,500 people, more than half of them children.
“There are also mounting reports of psychological abuse by guards, some of whom have allegedly threatened families with separation. ‘Many of the children who are now being sent there are being arrested by ICE around the country, and some of them, like Ariana, have been living [in the U.S.] for years,’ says Mica Rosenberg, investigative reporter at ProPublica.”
Sadism makes me weep.
Measles
What REALLY did me in, though, was a story in The Atlantic. I don’t currently have a subscription, but there is a feature called “One Story to Read Today” that “highlights a single newly published—or newly relevant—Atlantic story that’s worth your time.”
The title was This Is How A Child Dies Of Measles by Elizabeth Bruenig. From the excerpt: “You don’t want to worry your daughter, so you try to sound calm when you call the pediatrician and describe her symptoms at a rapid clip. The receptionist responds gently, types swiftly, and then pauses. Are your children vaccinated? she asks. Her tone is flat and inscrutable, but you detect an undercurrent of judgment. You wince and tell her the truth. No, you say, no vaccines. She puts you on hold.
“While you wait, you take your son out of his high chair and wipe his runny nose with his bib. The receptionist is back. She asks if you can be at the office within the hour. In an even, professional voice, she gives you a number to call as soon as you arrive, but tells you to stay in your car. The doctor, she says, will come to you.”
And then

“You’re there in 30 minutes, unshowered and wearing sweatpants, with your daughter bundled up and shivering in her pajamas and your son fussing in his car seat. You call the office. From the car, you cannot see the sign on the pediatrician’s office door instructing patients with a list of symptoms, like your daughter’s, not to come inside. Flashes of the pandemic play back as you see the pediatrician and two nurses approaching in the rearview mirror wearing N95 masks. It hits you: This is not the flu. This is not chicken pox. This is serious.”

If that isn’t gutting enough to make me weep, there’s a twist.

This is exhausting, enervating stuff.

Measles outbreak: it loves New York

Between 1963 and 1967, 1 version of the vaccine contained inactivated measles virus, rather than the live virus.

Vaccine Safety HandbookA couple weeks ago, I had posted on Facebook a news story about the measles. It noted that Los Angeles County health officials “told more than 900 college students and staff members to stay home because they may have been exposed.”

Someone I was unfamiliar with responded, “What is [the infection rate] in the countries from which most of the persons who enter this country illegally?”

I don’t know, but I pointed out that the folks bringing measles into the United States were not necessarily here illegally. Quoting the Centers for Disease Control: “The disease is brought into the United States by unvaccinated people who get infected in other countries. Typically 2 out of 3 of these unvaccinated travelers are Americans.”

But since she asked, I noted that while “measles is still common in many countries,” the current CDC Travel Notices on the disease are for Israel, Ukraine, Japan, Brazil – the state of Amazonas in particular – and the Philippines.

The World Health Organization, which has noted great strides being made: “In 2017, about 85% of the world’s children received 1 dose of measles vaccine by their first birthday through routine health services – up from 72% in 2000.”

Still, “Of the estimated 20.8 million infants not vaccinated with at least one dose of measles vaccine through routine immunization in 2017, about 8.1 million were in 3 countries: India, Nigeria, and Pakistan.”

I became curious about the propaganda machine that helped spread the disease in the United States. “PEACH, formally known as Parents Educating and Advocating for Children’s Health, has been circulating magazines and pamphlets since at least 2014 that claim vaccines are in opposition with Jewish religious law, (falsely) link vaccines to autism, and recount anonymous horror stories of children being irreparably harmed by vaccines.

“Led by Jewish mothers, the group has brought anti-vax arguments and conspiracies into a community known for its cautious interaction with the modern, secular world.” It’s an interesting story that helps explain why New York State is the epicenter of the measles outbreak in 2019.

A bit of history: “In the decade before 1963 when a vaccine became available, nearly all children got measles by the time they were 15 years of age. It is estimated 3 to 4 million people in the United States were infected each year. Also each year, among reported cases, an estimated 400 to 500 people died, 48,000 were hospitalized, and 1,000 suffered encephalitis (swelling of the brain) from measles…

“Measles was declared eliminated (absence of continuous disease transmission for greater than 12 months) from the United States in 2000. This was thanks to a highly effective vaccination program in the United States, as well as better measles control in the Americas region.”

Also: “People who were vaccinated in the 1960s should double-check their vaccination records because there were two different types of the vaccine circulating at the time, and one was ineffective.

“The CDC warns that, between 1963 and 1967, one version of the vaccine contained inactivated measles virus, rather than live virus. This version was not effective, and those vaccinated with this version should receive a booster shot.”

Trying to understand the anti-vaccination movement

Those of us who know the importance of immunization need to continue to talk about it with facts and compassion.

measles.CDCMeasles – MEASLES!, which were all but eradicated in the United States by 2000 – has been experiencing a comeback in 2014. This was due almost entirely to unvaccinated people, who catch it from other unvaccinated people.

Surely, we can just dismiss some of the anti-vaxx discussion as political posturing by Chris Christie and Rand Paul and especially Sean Hannity of FOX.

But what can we do to try to UNDERSTAND this choice by what someone called The Know Better Party? (Check out the great links to the facts about vaccines.)

There is an interesting article in the New Republic, Don’t Blame Anti-Vaxxers for the Measles Outbreak. Blame American Culture. that says: “Parents who opt out of vaccines come to their decisions by prioritizing the very virtues American culture readily recommends: freedom of choice, consumer primacy, individualism, self-determination, and a dim, almost cynical view of common goods like public health.”

Miriam Axel-Lute, an Albany writer, commented there, and on her Facebook page:

So I agree that what this author is describing is a problem in American culture, but in my experience it doesn’t line up well at all with who opposes/opts out of vaccines. Here’s my theory… Vaccine opposition tends to be concentrated in places where people have the resources and wherewithal to challenge the medical model of birth–and there they are on very solid scientific ground.

If you have just gone through pregnancy and birth, deflecting a whole lot of scare-tactic hooey about how home birth and cosleeping are both criminally dangerous, you can’t drink anything in labor, episotomies are necessary, etc. and have been given all sorts of stupid conflicting information about breastfeeding and milk supply from professionals who ought to know better, you are very primed to be skeptical of the medical consensus and likely to believe instead the people who were more helpful and accurate on those other topics…

Original Title: FluVac25sRGBAs someone who supported his wife’s decision to change ob-gyns in her ninth month of pregnancy because her old doctor had dismissed our birth plan, there is definitely a credibility issue with the medical establishment in terms of childbirth and children’s needs, generally, e.g. the overuse/overprescription of antibiotics.

A participant in the very civilized Facebook discussion noted: “When people argue something like vaccines should be mandatory… it is in the same vein as forced c-section/forced hospital birth/illegal midwives.” Or it may certainly feel that way.

My point is NOT to say no to vaccines but to try to understand the other point of view, so we can try to change their minds. For instance, convincing reluctant parents to vaccinate their child by explaining the “backfire effect”. This parent-to-parent approach in this Mother Jones article may be instructive.

In short: Don’t Call Them Dumb: Experts on Fighting the Anti-Vaccine Movement: “People enjoy lashing out at anti-vaccine folks, (but) it turns into an ‘us versus them’ thing…They are committed to that point of view. You can provoke a kind of backlash reaction if you are not careful,” with even fewer people getting vaccinated. Most people do not respond well to feeling bullied.

Those of us who know the importance of immunization need to continue to talk about it with facts and compassion, rather than with vitriol, disdain, and schadenfreude, mostly because the latter attitudes simply won’t work.

Guess which state is #1 in vaccinations. Nope, not my guess, either.

A fellow named Rob made a cogent comment on this debate:

“In most of these cases [of public debate] (overprescribing drugs, climate change denial, gun ownership), there are marketing and PR firms making untold sums of money to stoke public fears and doubts about scientific research. That is one thing that sets the anti-vax crowd apart – no one is making lots of money off of people NOT vaccinating, at least not on the scale of these other issues. And maybe that could explain why they are the targets of such intense vitriol: they don’t have multi-million dollar disinformation campaigns bolstering their credibility.”
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Film Review: When There Was No Vaccine.

Ramblin' with Roger
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