This article originally appeared on businessinsider on January 24,2019 byHILARY BRUECK
- Officials in Clark County, Washington – across the river from Portland, Oregon – have declared an emergency after identifying at least 23 cases of measles, most of which are in kids who aren’t vaccinated.
- Before the US developed a measles vaccine in 1963 , the contagious infection was a common childhood illness. Hundreds of children died every year, and millions more had symptoms.
- As vaccination rates plummet around the US, officials are worried that outbreaks like the one near Portland will become increasingly common.
It’s a public health emergency: At least 23 kids and young adults are sick with the measles in an area of Washington state just north of Portland, Oregon.
On Tuesday, the public health department of Clark County, Washington, announced that at least 23 people were sick with the viral illness, which incubates for a week or two before prompting fevers, coughing, runny noses, and little red bumps that break out on the face and body. The infection can be deadly.
Eighteen of the 23 sick people are age 10 or under, and so far the public health department has confirmed that 20 of the 23 didn’t get their measles vaccine. One person has been hospitalized.
This is exactly the kind of scenario public health experts have been warning about. In 2018, the World Health Organisation said measles cases had surged by 30% around the globe, with some of the biggest hikes in places like the US and Europe, where more parents are opting not to give their kids recommended shots like MMR (protecting against measles, mumps, and rubella).
“This is something I’ve predicted for a while now,” Peter Hotez, the dean of the National School of Tropical Medicine at Baylor College of Medicine, told The Washington Post. “It’s really awful and really tragic and totally preventable.”
A perfectly good, safe measles vaccine
The measles vaccine was developed in the US in 1963. Before then, measles was a common childhood ailment that would kill 400 to 500 people every year in the US and sicken 3 million to 4 million others. But as more kids lined up for shots and oral doses of the vaccine in the decades after 1963, measles rates plummeted.
In 2000, the Centres for Disease Control and Prevention said measles was effectively eliminated in the US, because the virus was not being transmitted year-round anymore and there were fewer than 100 cases per year. But increasingly kids in the US are going without their shots.
Ellis Island Portfolio/New York Public Library Public Domain CollectionAn abandoned measles ward on Ellis Island.
Outbreaks in the US have more become common where unvaccinated people cluster and parents sometimes forgo shots for religious or personal reasons. There was one in the Orthodox Jewish community in Brooklyn late last year and in Amish communities in Ohio in 2014.
Other parents mistakenly believe that there’s a link between autism and the measles vaccine. This is chiefly because of discredited research by the scientist Andrew Wakefield. His main paper on the subject has been retracted, and many other studies since then have found no link between autism and vaccines. But the spread of misinformation and anti-vaccine campaigns (like those that targeted a Somali-American community in Minnesota) have led to more frequent outbreaks.
A 2018 report on the state of the US “social movement” not to vaccinate children found that Portland was one of the more dangerous “hotspots” where people weren’t vaccinating their kids despite doctor recommendations. (Other spots of concern included Seattle, Phoenix, Salt Lake City, Houston, and Detroit.)
“Without urgent efforts to increase vaccination coverage and identify populations with unacceptable levels of under- or unimmunized children, we risk losing decades of progress in protecting children and communities against this devastating, but entirely preventable disease,” Soumya Swaminathan, a deputy director general at the WHO, said in a recent statement.
2014 and 2018 were both banner years for measles in the US, with 667 and 349 confirmed cases.
What a measles infection looks like
Centres for Disease Control and PreventionA child with measles.
There’s really no way to prevent someone from getting the measles other than a vaccine. The virus can easily spread when an infected person coughs, sneezes, or breathes on others.
It takes one to two weeks after the infection for measles symptoms – which can include, fever, cough, runny nose, and watery eyes – to show up in a kid.
Often, parents notice white spots, called Koplik spots, appearing in an infected child’s mouth about two to three days after the onset of symptoms. After a few more days, a rash breaks out, and flat red spots that may first appear on the face can cover the child from head to toe, developing into raised bumps.
With any luck, the rash and fever persist for only a few days before the child gets well again.
Deadly measles complications, which affect about one in every 1,000 people with measles, can include pneumonia, encephalitis (brain swelling), and a rare disease called subacute sclerosing panencephalitis that doesn’t show up until seven to 10 years after a person’s had the measles.
Before 1963, about 4,000 Americans developed brain swelling from measles every year. The encephalitis, when it didn’t kill them, sometimes left people deaf or with brain damage.
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