Friday, 23 February 2018

Measles Cases in Europe Quadrupled in 2017


Vaccination rates across Europe are lower than in the United States. Various longstanding anti-vaccine movements persist there, and some conservative Protestant sects in Europe believe vaccination subverts God’s will.

Twenty years ago this month, a study of eight children published in The Lancet by Dr. Andrew J. Wakefield suggested that the measles-mumps-rubella vaccine triggered intestinal inflammation and autism. The journal later retracted the paper, and Dr. Wakefield lost his British medical license after it was revealed that he was a paid consultant for attorneys suing vaccine companies.

The controversy nonetheless triggered a wave of anti-vaccine hysteria. A 2016 survey of 67 countries led by the London School of Hygiene and Tropical Medicine found that skepticism about vaccine safety was highest in France. Skepticism was also high in Russia, Ukraine, Greece and Bosnia-Herzegovina.

The measles outbreaks have led some European countries to crack down. Laws were passed in France, Germany and Italy requiring that parents vaccinate their children or at least consult a doctor about doing so. Italy and Germany imposed fines of $600 to $3,000 for failing to comply.

The Centers for Disease Control and Prevention currently has Level 1 travel watches in effect for Americans thinking of visiting Britain, Greece, Italy, Romania, Serbia and Ukraine. Travelers under age 60 are advised to have two doses of measles vaccine before going. (Everyone born before 1957 is assumed to have had measles as a child and therefore to be immune.)

The United States eliminated measles transmission in 2000, but since then there have been sporadic outbreaks caused by infected travelers. In 2015, the “Disneyland outbreak” ultimately led to over 150 cases in seven states. Investigators believe it began with a single theme park visitor who infected 39 others.

As a result, California outlawed “personal belief” exemptions from vaccination requirements for schoolchildren, and vaccination rates shot up.

In the United States, measles causes pneumonia in about one of 20 cases. One to two cases of measles per 1,000 are fatal; some survivors are left blind or deaf. In countries where children are malnourished and health care is rare, the death rate is as high as 6 percent, the World Health Organization said.

Despite setbacks in Europe, measles vaccine has led to a huge drop in global deaths from the disease. In the 1980s, measles killed 2.6 million a year. In 2016, for the first time since records were kept, deaths fell below 100,000.

In the last two decades, philanthropic donors have paid for 5.5 billion doses for poor countries.

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