Measles, what you should know.

[BIG_DADDY]

Most of you have heard of the recent measles outbreak mostly linked to Disneyland over the holidays. As of January 27th, a total of 73 cases of measles have been confirmed in the state of California, 48 of which are linked to those who recently visited Disneyland. There are 9 confirmed cases in the Bay Area. Alameda County has 5 cases, 4 of which are probably linked to Disneyland. There are 2 cases each in San Mateo and Santa Clara counties, none of which are directly linked to Disneyland.

Since news of the outbreak, I think it is important to separate fact from the fear that is circulating in the media.

What is measles?

In order to understand what the fear is about, the first thing to understand is what exactly measles is. Measles, also called rubeola, is a highly-contagious viral infection. It is airborne, meaning that it is transmitted by droplets from an infected person’s nose and throat, such as during coughing and sneezing. These droplets can survive in the air and on objects and surfaces for up to 2 hours, but are rapidly killed by heat, light (UV and visible), detergents and organic solvents. Once exposed, the measles virus begins to multiply in the nasal cavity. Two to three days later, the virus continues to replicate and spread from the nasopharynx to the lymphatic system, and eventually to the respiratory tract and other organs. It typically takes 10-12 days for a person to develop symptoms after exposure to measles (the incubation period), but this may be as short as 7 or as long as 18 days.

Takeaway: If the viral replication can be stopped at the time of exposure, this may help prevent actual infection. Consider daily nasal irrigation with Xlear saline nasal spray, neti pot, Neilmed sinus rinse or equivalent. The measles virus is easily inactivated – wash your hands frequently and before you touch your face or eat.

Initial symptoms mimic influenza symptoms, with a fever which can rise as high as 103°F-105°F. This is followed by coryza (runny nose), cough, and conjunctivitis (pinkeye) – the 3 "C’s". With our concurrent flu season in full force, it can be very challenging to differentiate initial measles symptoms with flu symptoms. However, it is during these early stages of measles that we can see what are called "Koplik spots", which are considered definitive for measles. These are discrete white spots on a red base on the inner cheek that appear 1-2 days before, and last 1-2 days after the measles rash develops, and unfortunately are usually gone by the time patients present to a clinic with a rash. The measles rash will develop 2-4 days after upper respiratory symptoms appear and last for approximately 5-6 days. The rash is red and blotchy and some spots may merge, typically starting on the face and moving down the body to the hands and feet, and disappears in that same order. The rash is generally not itchy.

An infected person is contagious for about 4 days before symptoms start, and until 4 days after the rash develops. The secondary "attack rate", or the likelihood of an unprotected person actually getting the infection if they are exposed during this period, is over 90%. The attack rate is highest the younger you are – 94% for children 1 to 4 years of age, and 91% for children 5 to 14 years of age.

The prognosis for measles is generally good. Complications are more likely to occur in children younger than 5 years of age and adults over 20 years of age, and in individuals with vitamin A deficiency, malnutrition, and immunodeficiency. The risk of death is approximately 1-2 per 1,000 cases – with the highest fatality rates seen in children less than 5 years, and in particular those infants aged 4-12 months. Common relatively minor complications include diarrhea in 8%, ear infections in 7% and pneumonia in 6%. While rare, encephalitis (brain infection) can occur in about 1 per 1,000 cases of measles, with an approximately 15% fatality rate, and 25% who will continue to have some residual neurologic damage. While very rare, with anywhere from 1-22 per 100,000 cases, subacute sclerosing panencephalitis (SSPE) is a very serious complication of measles. This is a fatal, progressive degenerative neurologic disease that occurs unpredictably, 7-10 years after a seemingly full recovery from the initial measles infection, resulting eventually in behavioral and cognitive changes, seizures, coma, and death. The risk of SSPE may be higher for patients who contract measles before 2 years of age.

Treatment for measles is supportive. Several studies have shown that high-dose vitamin A may be useful in reducing complications and death from measles, especially in those patients who are deficient in vitamin A. The World Health Organization recommends high-dose vitamin A for all children with acute measles, regardless of vitamin A status. High doses of vitamin A for prolonged periods may have associated toxicity. However, this 2-day protocol is very unlikely to lead to toxicity in the short term. The protocol is as follows – Vitamin A is administered once daily for 2 days at the following doses:
• 50,000 IU for infants aged less than 6 months
• 100,000 IU for infants aged 6–11 months
• 200,000 IU for children aged 12 months and older
Takeaway: Measles is generally a self-limiting disease in most healthy children. Complications are more likely to be severe in individuals who are deficient in vitamin A and malnourished in general. Eat plenty of fruits and vegetables. Avoid sugars and processed foods. Supplement with vitamin D as one of the most important ways to boost your immune system through the winter. Ensure that you and your children get at least the recommended daily allowance of vitamin A. Remember that cod liver oil is a great source of vitamin A AND vitamin D. While optimal daily supplementation levels are not entirely clear, the following are the "tolerable upper intake levels" of vitamin A in international units (IU) as set forth by the Food and Nutrition Board:
Life Stage Upper Limit
Birth to 12 months 2,000 IU
Children 1–3 years 2,000 IU
Children 4–8 years 3,000 IU
Children 9–13 years 5,667 IU
Teens 14–18 years 9,333 IU
Adults 19 years and older 10,000 IU

Antipyretics (fever reducers such as Tylenol and Motrin) have been found in many studies to prolong the course of viral illnesses, like chickenpox and measles. Studies have linked the use of antipyretics for the fever with measles to a significantly higher risk of prolonged illness, complications, and mortality. In fact, one study of children in Ghana during a measles outbreak found higher survival rates in children who had higher fevers and more severe rashes.

Takeaway: Fever is the body’s natural and useful response to infection. Do not succumb to fever phobia. In general, limit antipyretics for when your child is uncomfortable enough that it interferes with staying hydrated or getting adequate sleep. There are many homeopathic medicines that can be used to help the body naturally regulate its fever response. Please consult with your doctor for the most appropriate natural and/or conventional medicines to use should your child develop a fever.

What about the MMR vaccine?

The only vaccination against measles that is currently available is the MMR (measles-mumps-rubella) vaccine, and MMRV (MMR plus chickenpox) vaccine. The measles vaccine is no longer available as a separate single-strain vaccine. The MMR vaccine is a "live-virus" vaccine, which means that you are receiving a live, but weakened version of the viruses to create a mild infection with subsequent antibody response and protection. MMR is typically first given between 12-18 months of age, with a second MMR given between 4-6 years of age. After the first dose, approximately 95% of children vaccinated at 12 months of age, and approximately 98% of children vaccinated at 15 months of age will develop protective measles antibodies. Even one dose can be highly effective in preventing measles. But a second dose (technically not a booster) at 4-6 years of age is recommended to capture the 2-5% of children who did not respond to the first vaccine. This second dose may be administered as soon as 4 weeks after the first dose should there be a question as to efficacy. For children who have had their first MMR but are not yet at the recommended age for their second dose, options include receiving their second MMR before they are 4-6 years of age, or doing bloodwork to check for protective antibody levels (measles titers). Adults do not need a booster if they received a measles vaccine after 1968. For adults who are not sure that they’ve been vaccinated, options include checking measles titers or receiving an MMR vaccine. In outbreaks, the CDC may recommend that children as young as 6 months of age receive the MMR. Children between 6-12 months of age are less likely to respond to the vaccine and make appropriate antibodies, and are still recommended to receive the recommended 2 doses at 12-18 months and 4-6 years. There is evidence that vaccination within 72 hours of exposure to measles may prevent disease in those who are unprotected.

The vaccination status is known for 39 of the California patients who have contracted measles. Of these 39 patients, 32 were unvaccinated and 7 were fully vaccinated.

Takeaway: Even one dose of the MMR appears to be very effective in providing immunity against measles. However, no vaccine is 100% effective. A second dose may be required for some patients, especially those who received their first vaccine at less than 12 months of age. Post-exposure vaccination within 72 hours may be effective. Ensuring adequate nutrition and vitamin A as above continue to be important for all individuals regardless of vaccination status.

Because it is a live-virus vaccine, the MMR is not to be given to pregnant women or to individuals who are immunocompromised or are receiving immunosuppressant therapies. It is also contraindicated in individuals with a history of severe allergic reaction to gelatin, neomycin or any other component of the vaccine. Precautions should be taken in patients with moderate or severe illness with or without fever, or a personal or family history of febrile seizures. The measles virus used in the vaccine is grown in chicken embryo culture, but anaphylactic egg allergy is not considered a contraindication to the vaccine.

Takeaway: There are individuals for whom the MMR vaccine is not an option. Unprotected individuals who cannot receive the MMR vaccine (infants, pregnant women, immunocompromised individuals) may rely on "herd immunity", or high vaccination rates in the community, for their protection.

What are the possible adverse reactions to the MMR? Just as no vaccine is 100% effective, no vaccine is 100% risk-free. The most common adverse reaction is typically due to the replication of the measles vaccine virus to induce a mild illness. This typically occurs 5-12 days after receiving the vaccine, and can include fever for 1-2 days and a rash. Joint pains are seen in 25% of susceptible adult women, due to the rubella component. The risk of febrile seizures increases 3-fold 8-14 days after the MMR vaccine, but is still relatively low. Anaphylaxis and thrombocytopenia (low platelet count) are other rare complications. There may be a link between the measles vaccine and SSPE of about 1 case per million vaccine doses, which is significantly lower than the risk of SSPE from a primary measles infection.

Of biggest concern for many parents is the proposed link between vaccines and autism, and in particular between the MMR vaccine and autism. While the media and common public opinion are quick to say that the link between vaccines and autism has been absolutely disproved, they have not done their due diligence research. The National Vaccine Injury Compensation Program (VICP, also called “vaccine court”), established by Congress in 1986, was created to provide a “no-fault” mechanism to compensate individuals found to be injured by vaccines. By 2010, the VICP had awarded nearly $2 billion to individuals who had suffered vaccine injuries. It has awarded at least 4 families millions of dollars after finding that their children had suffered from brain damage (encephalitis) caused by the MMR and other vaccines, which then resulted in regressive autistic symptoms. Since its inception, the vaccine court has awarded money judgments, often to the tune of millions of taxpayer dollars, to 1,322 families whose children were found to have suffered brain damage from vaccines. In August of 2014, a top research scientist whistleblower at the CDC released information that the CDC had manipulated data in an MMR and autism study to obscure the higher incidence of autism found in African-American boys who received the MMR vaccine before 36 months of age.

That being said, it remains that most children will not develop significant adverse reactions to the MMR vaccine. Is there any way to predict which children may be more vulnerable to vaccine reactions, or any way to prevent these reactions from occurring? In taking a closer look at the cases that were won in vaccine court, one case was won on the grounds that the MMR caused autism by aggravating an underlying mitochondrial disorder, and another case was won on the grounds that the MMR caused autism by triggering an autoimmune reaction called Acute Disseminated Encephalomyelitis (ADEM) which caused irreparable brain inflammation. One might conjecture then, that a child who has a suspected mitochondrial dysfunction, or who has a strong family history of autoimmune illness, may be more at risk for these rare, albeit devastating, reactions. What are possible signs of mitochondrial dysfunction – low muscle tone, easy fatigue/poor endurance, delayed developmental milestones, regressions with illness, and lab evidence (including high serum lactate, high serum CK, high AST, low serum carnitine).

A possible mitochondrial dysfunction and/or family history of autoimmune illness are not absolute contraindications to the MMR vaccine. They are, however, precautions. The risk of adverse vaccine reactions must be weighed against the risk of actual disease. In 2000, measles was thought to be mostly eliminated in the US. Measles is now on the rise, and hopefully will not reach the epidemic proportions it has in Europe. Now that the measles infection rate may potentially be climbing, this risk must be taken into account. Likewise, the community benefit of herd protection for infants and immunocompromised individuals must also be considered. These are all considerations that each parent must take into account for their own children. For children who may have mitochondrial dysfunction, or a family history of autoimmune illness, there are supplements that may help to reduce and prevent potential adverse reactions from the MMR vaccine while still enabling the measles protection that it can afford.

Takeaway: Most children will not experience adverse reactions to the MMR vaccine. Given the increasing prevalence of measles, consideration should be given to getting vaccinated, either now or within 72 hours of known exposure. However, if there is a possibility of mitochondrial dysfunction, or strong family history of autoimmune illness or neurodegenerative disease you may want to reconsider. Supplements to help reduce the risk of adverse reactions. These may include carnitine, coQ10, milk thistle, vitamin A, homeopathic Thuja, and others.



Good information on Hib and MMR.
Most of you have heard of the recent measles outbreak mostly linked to Disneyland over the holidays. As of this writing, a total of 73 cases of measles have been confirmed in the state of California, 48 of which are linked to those who recently visited Disneyland. There are 9 confirmed cases in the Bay Area. Alameda County has 5 cases, 4 of which are probably linked to Disneyland. There are 2 cases each in San Mateo and Santa Clara counties, none of which are directly linked to Disneyland.

Since news of the outbreak, I have received numerous questions about measles and the MMR vaccine. My goal in writing this newsletter now is to hopefully shed some light on this measles epidemic, and to separate fact from the fear that is circulating in the media.

What is measles?

In order to understand what the fear is about, the first thing to understand is what exactly measles is. Measles, also called rubeola, is a highly-contagious viral infection. It is airborne, meaning that it is transmitted by droplets from an infected person’s nose and throat, such as during coughing and sneezing. These droplets can survive in the air and on objects and surfaces for up to 2 hours, but are rapidly killed by heat, light (UV and visible), detergents and organic solvents. Once exposed, the measles virus begins to multiply in the nasal cavity. Two to three days later, the virus continues to replicate and spread from the nasopharynx to the lymphatic system, and eventually to the respiratory tract and other organs. It typically takes 10-12 days for a person to develop symptoms after exposure to measles (the incubation period), but this may be as short as 7 or as long as 18 days.

Takeaway: If the viral replication can be stopped at the time of exposure, this may help prevent actual infection. Consider daily nasal irrigation with Xlear saline nasal spray, neti pot, Neilmed sinus rinse or equivalent. The measles virus is easily inactivated – wash your hands frequently and before you touch your face or eat.

Initial symptoms mimic influenza symptoms, with a fever which can rise as high as 103°F-105°F. This is followed by coryza (runny nose), cough, and conjunctivitis (pinkeye) – the 3 "C’s". With our concurrent flu season in full force, it can be very challenging to differentiate initial measles symptoms with flu symptoms. However, it is during these early stages of measles that we can see what are called "Koplik spots", which are considered definitive for measles. These are discrete white spots on a red base on the inner cheek that appear 1-2 days before, and last 1-2 days after the measles rash develops, and unfortunately are usually gone by the time patients present to a clinic with a rash. The measles rash will develop 2-4 days after upper respiratory symptoms appear and last for approximately 5-6 days. The rash is red and blotchy and some spots may merge, typically starting on the face and moving down the body to the hands and feet, and disappears in that same order. The rash is generally not itchy.

An infected person is contagious for about 4 days before symptoms start, and until 4 days after the rash develops. The secondary "attack rate", or the likelihood of an unprotected person actually getting the infection if they are exposed during this period, is over 90%. The attack rate is highest the younger you are – 94% for children 1 to 4 years of age, and 91% for children 5 to 14 years of age.

The prognosis for measles is generally good. Complications are more likely to occur in children younger than 5 years of age and adults over 20 years of age, and in individuals with vitamin A deficiency, malnutrition, and immunodeficiency. The risk of death is approximately 1-2 per 1,000 cases – with the highest fatality rates seen in children less than 5 years, and in particular those infants aged 4-12 months. Common relatively minor complications include diarrhea in 8%, ear infections in 7% and pneumonia in 6%. While rare, encephalitis (brain infection) can occur in about 1 per 1,000 cases of measles, with an approximately 15% fatality rate, and 25% who will continue to have some residual neurologic damage. While very rare, with anywhere from 1-22 per 100,000 cases, subacute sclerosing panencephalitis (SSPE) is a very serious complication of measles. This is a fatal, progressive degenerative neurologic disease that occurs unpredictably, 7-10 years after a seemingly full recovery from the initial measles infection, resulting eventually in behavioral and cognitive changes, seizures, coma, and death. The risk of SSPE may be higher for patients who contract measles before 2 years of age.

Treatment for measles is supportive. Several studies have shown that high-dose vitamin A may be useful in reducing complications and death from measles, especially in those patients who are deficient in vitamin A. The World Health Organization recommends high-dose vitamin A for all children with acute measles, regardless of vitamin A status. High doses of vitamin A for prolonged periods may have associated toxicity. However, this 2-day protocol is very unlikely to lead to toxicity in the short term. The protocol is as follows – Vitamin A is administered once daily for 2 days at the following doses:
• 50,000 IU for infants aged less than 6 months
• 100,000 IU for infants aged 6–11 months
• 200,000 IU for children aged 12 months and older
Takeaway: Measles is generally a self-limiting disease in most healthy children. Complications are more likely to be severe in individuals who are deficient in vitamin A and malnourished in general. Eat plenty of fruits and vegetables. Avoid sugars and processed foods. Supplement with vitamin D as one of the most important ways to boost your immune system through the winter. Ensure that you and your children get at least the recommended daily allowance of vitamin A. Remember that cod liver oil is a great source of vitamin A AND vitamin D. While optimal daily supplementation levels are not entirely clear, the following are the "tolerable upper intake levels" of vitamin A in international units (IU) as set forth by the Food and Nutrition Board:
Life Stage Upper Limit
Birth to 12 months 2,000 IU
Children 1–3 years 2,000 IU
Children 4–8 years 3,000 IU
Children 9–13 years 5,667 IU
Teens 14–18 years 9,333 IU
Adults 19 years and older 10,000 IU

Antipyretics (fever reducers such as Tylenol and Motrin) have been found in many studies to prolong the course of viral illnesses, like chickenpox and measles. Studies have linked the use of antipyretics for the fever with measles to a significantly higher risk of prolonged illness, complications, and mortality. In fact, one study of children in Ghana during a measles outbreak found higher survival rates in children who had higher fevers and more severe rashes.

Takeaway: Fever is the body’s natural and useful response to infection. Do not succumb to fever phobia. In general, limit antipyretics for when your child is uncomfortable enough that it interferes with staying hydrated or getting adequate sleep. There are many homeopathic medicines that can be used to help the body naturally regulate its fever response. Please consult with your doctor for the most appropriate natural and/or conventional medicines to use should your child develop a fever.

What about the MMR vaccine?

The only vaccination against measles that is currently available is the MMR (measles-mumps-rubella) vaccine, and MMRV (MMR plus chickenpox) vaccine. The measles vaccine is no longer available as a separate single-strain vaccine. The MMR vaccine is a "live-virus" vaccine, which means that you are receiving a live, but weakened version of the viruses to create a mild infection with subsequent antibody response and protection. MMR is typically first given between 12-18 months of age, with a second MMR given between 4-6 years of age. After the first dose, approximately 95% of children vaccinated at 12 months of age, and approximately 98% of children vaccinated at 15 months of age will develop protective measles antibodies. Even one dose can be highly effective in preventing measles. But a second dose (technically not a booster) at 4-6 years of age is recommended to capture the 2-5% of children who did not respond to the first vaccine. This second dose may be administered as soon as 4 weeks after the first dose should there be a question as to efficacy. For children who have had their first MMR but are not yet at the recommended age for their second dose, options include receiving their second MMR before they are 4-6 years of age, or doing bloodwork to check for protective antibody levels (measles titers). Adults do not need a booster if they received a measles vaccine after 1968. For adults who are not sure that they’ve been vaccinated, options include checking measles titers or receiving an MMR vaccine. In outbreaks, the CDC may recommend that children as young as 6 months of age receive the MMR. Children between 6-12 months of age are less likely to respond to the vaccine and make appropriate antibodies, and are still recommended to receive the recommended 2 doses at 12-18 months and 4-6 years. There is evidence that vaccination within 72 hours of exposure to measles may prevent disease in those who are unprotected.

The vaccination status is known for 39 of the California patients who have contracted measles. Of these 39 patients, 32 were unvaccinated and 7 were fully vaccinated.

Takeaway: Even one dose of the MMR appears to be very effective in providing immunity against measles. However, no vaccine is 100% effective. A second dose may be required for some patients, especially those who received their first vaccine at less than 12 months of age. Post-exposure vaccination within 72 hours may be effective. Ensuring adequate nutrition and vitamin A as above continue to be important for all individuals regardless of vaccination status.

Because it is a live-virus vaccine, the MMR is not to be given to pregnant women or to individuals who are immunocompromised or are receiving immunosuppressant therapies. It is also contraindicated in individuals with a history of severe allergic reaction to gelatin, neomycin or any other component of the vaccine. Precautions should be taken in patients with moderate or severe illness with or without fever, or a personal or family history of febrile seizures. The measles virus used in the vaccine is grown in chicken embryo culture, but anaphylactic egg allergy is not considered a contraindication to the vaccine.

Takeaway: There are individuals for whom the MMR vaccine is not an option. Unprotected individuals who cannot receive the MMR vaccine (infants, pregnant women, immunocompromised individuals) may rely on "herd immunity", or high vaccination rates in the community, for their protection.

What are the possible adverse reactions to the MMR? Just as no vaccine is 100% effective, no vaccine is 100% risk-free. The most common adverse reaction is typically due to the replication of the measles vaccine virus to induce a mild illness. This typically occurs 5-12 days after receiving the vaccine, and can include fever for 1-2 days and a rash. Joint pains are seen in 25% of susceptible adult women, due to the rubella component. The risk of febrile seizures increases 3-fold 8-14 days after the MMR vaccine, but is still relatively low. Anaphylaxis and thrombocytopenia (low platelet count) are other rare complications. There may be a link between the measles vaccine and SSPE of about 1 case per million vaccine doses, which is significantly lower than the risk of SSPE from a primary measles infection.

Of biggest concern for many parents is the proposed link between vaccines and autism, and in particular between the MMR vaccine and autism. While the media and common public opinion are quick to say that the link between vaccines and autism has been absolutely disproved, they have not done their due diligence research. The National Vaccine Injury Compensation Program (VICP, also called “vaccine court”), established by Congress in 1986, was created to provide a “no-fault” mechanism to compensate individuals found to be injured by vaccines. By 2010, the VICP had awarded nearly $2 billion to individuals who had suffered vaccine injuries. It has awarded at least 4 families millions of dollars after finding that their children had suffered from brain damage (encephalitis) caused by the MMR and other vaccines, which then resulted in regressive autistic symptoms. Since its inception, the vaccine court has awarded money judgments, often to the tune of millions of taxpayer dollars, to 1,322 families whose children were found to have suffered brain damage from vaccines. In August of 2014, a top research scientist whistleblower at the CDC released information that the CDC had manipulated data in an MMR and autism study to obscure the higher incidence of autism found in African-American boys who received the MMR vaccine before 36 months of age.

That being said, it remains that most children will not develop significant adverse reactions to the MMR vaccine. Is there any way to predict which children may be more vulnerable to vaccine reactions, or any way to prevent these reactions from occurring? In taking a closer look at the cases that were won in vaccine court, one case was won on the grounds that the MMR caused autism by aggravating an underlying mitochondrial disorder, and another case was won on the grounds that the MMR caused autism by triggering an autoimmune reaction called Acute Disseminated Encephalomyelitis (ADEM) which caused irreparable brain inflammation. One might conjecture then, that a child who has a suspected mitochondrial dysfunction, or who has a strong family history of autoimmune illness, may be more at risk for these rare, albeit devastating, reactions. What are possible signs of mitochondrial dysfunction – low muscle tone, easy fatigue/poor endurance, delayed developmental milestones, regressions with illness, and lab evidence (including high serum lactate, high serum CK, high AST, low serum carnitine).

A possible mitochondrial dysfunction and/or family history of autoimmune illness are not absolute contraindications to the MMR vaccine. They are, however, precautions. The risk of adverse vaccine reactions must be weighed against the risk of actual disease. In 2000, measles was thought to be mostly eliminated in the US. Measles is now on the rise, and hopefully will not reach the epidemic proportions it has in Europe. Now that the measles infection rate may potentially be climbing, this risk must be taken into account. Likewise, the community benefit of herd protection for infants and immunocompromised individuals must also be considered. These are all considerations that each parent must take into account for their own children. For children who may have mitochondrial dysfunction, or a family history of autoimmune illness, there are supplements that may help to reduce and prevent potential adverse reactions from the MMR vaccine while still enabling the measles protection that it can afford.

Takeaway: Most children will not experience adverse reactions to the MMR vaccine. Given the increasing prevalence of measles, consideration should be given to getting vaccinated, either now or within 72 hours of known exposure. However, if there is a possibility of mitochondrial dysfunction, or strong family history of autoimmune illness or neurodegenerative disease, Dr. Song and Dr. Ruiz are available to consult with you on supplements to help reduce the risk of adverse reactions. These may include carnitine, coQ10, milk thistle, vitamin A, homeopathic Thuja, and others.

[BIG_DADDY]

Originally Posted by DaneMcCloud

Good luck getting into a private school wthout being vacinated. People paying $10k-$25k per aren't doing so if their children are at risk of being exposed to once eradicated childhood diseases.

This isn't true either Dane. Right now we are in a public school that is level 10 so there is no reason to go private. I have 3 friends with kids in private schools that are not vaccinated. One is in Menlo Park, one in San Carlos and the other in either Woodside or Atherton, I forget.

Truth be know the very most educated and affluent are the ones not vaccinating. That well documented as I am sure you know.

[duncan_idaho]

Originally Posted by BIG_DADDY

This isn't true either Dane. Right now we are in a public school that is level 10 so there is no reason to go private. I have 3 friends with kids in private schools that are not vaccinated. One is in Menlo Park, one in San Carlos and the other in either Woodside or Atherton, I forget.

Truth be know the very most educated and affluent are the ones not vaccinating. That well documented as I am sure you know.

I hope your kids are better at math than you are, or they're going to struggle in that school.

[LoneWolf]

Originally Posted by BIG_DADDY

Truth be know the very most educated and affluent are the ones not vaccinating. That well documented as I am sure you know.

These two sentences prove that you are not one of the aforementioned "very most educated" people.

[KC native]

Originally Posted by BIG_DADDY

This isn't true either Dane. Right now we are in a public school that is level 10 so there is no reason to go private. I have 3 friends with kids in private schools that are not vaccinated. One is in Menlo Park, one in San Carlos and the other in either Woodside or Atherton, I forget.

Truth be know the very most educated and affluent are the ones not vaccinating. That well documented as I am sure you know.

Educated doesn't equal scientifically literate.

[BIG_DADDY]

Originally Posted by AustinChief

Beat me to it. I was just going to say this. I would expand it to include culpability even if a direct linkage can not be established. For example, if your kid goes to a school where an outbreak occurs and your kid was not vaccinated... even if the other party cannot prove your kid exposed the other kid to the disease you would still carry liability... even if your kid never had the disease.

Obviously exceptions being made for those with legit medical conditions that preclude vaccinations.

Yea, that makes about as much sense charging a driver for manslaughter for not having insurance when a drunk and driver crosses the middle line and dies in the accident. Brilliant.

[Ebolapox]

Originally Posted by KC native

What happened to H1N1/Ebolaids (the poster)?

Wasn't he an epidemiologist?

genetics phd student (done in less than a year) and undergrad in microbiology/biotech

and what should you know about measles?

VACCINATE YOUR ****ING KIDS

[ThaVirus]

Don't you want your kids to get chicken pox while they're young?

I remember when our cousins got it our mom made us rub him so we'd get it as well.

[AustinChief]

Originally Posted by BIG_DADDY

Yea, that makes about as much sense charging a driver for manslaughter for not having insurance when a drunk and driver crosses the middle line and dies in the accident. Brilliant.

It's either increased liability or remove them entirely from public schools.

The fact is, unvaccinated children in public schools increase risks for everyone else. That (to me) is unacceptable because that risk factor is forced upon my (fictional) children because of someone else's poor choice.

There needs to be a "cost" associated with unnecessarily increasing risk. Mandating liability even without a direct link to causality is how I would levy that cost.

The science on this is clear. It doesn't cause autism, that claim is beyond ludicrous but even if it DID, the percentages would still NEVER add up to a logical conclusion of not vaccinating.

[DaneMcCloud]

Originally Posted by BIG_DADDY

I'm glad you're happy. Claiming science as your own when 1,322 families have been awarded over 2 billion dollars for brain damage due to vaccines and that only represents a tiny fraction of the lawsuits filed is lame. This very simply should be a choice. I choose 1 in a million chance of catching something over the alternative. These are simply facts. I look at health a little differently. Monthly my entire family is checked to make sure every vitamin and mineral in our system is as close to perfect as possible and there are no allergies effecting us. We caught the flu this year but didn't even know it until we got our readout. IT was the sore throat, stuffy head day. Big wow. If people spent as much time and effort at keeping their body and immunity systems up as they do running around like chicken little trying to control what others do in their life this wouldn't even be an issue.

Proper immunity isn't going to stave off deadly diseases in every living person.

And while it's tragic that 1,300 children were affected, there are more than 300 million people in the United States alone that were not affected. That's 0.00000450667% of Americans.

I'll stick with science.

[scho63]

You can thank our wonderful president and all the illegals he keeps letting in for all these greats illnesses and old time diseases that are suddenly rearing their ugly head!

There is shit coming into this country we haven't send or had in decades.

I'm sure Rickets and Polio are next!

[Ebolapox]

I'll include an excerpt of a text I wrote regarding vaccination and the dreaded autism...

-----------------------------------------

As always, one should take anything one hears (especially on the internet) with a grain of salt. I will, on occasion, use government websites as a source—as long as I can verify the source material itself. I will not be quoting blogs. I will not be quoting personal opinion. Data. Beautiful, published data.

As such, I’ll be sourcing all of my material. The best material to quote is peer-reviewed, unbiased and hypothesis-driven research that has been published. Unfortunately, not all of you will have access to the papers I quote— they are found using pubmed (http://www.ncbi..nih.gov/pubmed/). I do not expect that this will assuage all of your fears, nor will it be comprehensive. As a graduate student, I don’t exactly have the time to find everyone’s pet theory and debunk/clarify the causal link.

In 1998, an English surgeon/researcher published (in the prestigious journal Lancet) a paper entitled “Ileal-lymphoid-nodular hyperplasia, non-specific colitis, and pervasive developmental disorder in children.” In this paper, he claimed that autism and colitis were caused by the mercury component in Thermisol.

[ASIDE: For those of you without a basic knowledge in how a vaccine works, here is a link (http://www.niaid.nih.gov/topics/vacc...s/Default.aspx). Mercury is used as an adjuvant, or something that activates the immune system. Your bodies contain two ‘layers’ of immunity, innate immunity and acquired immunity (active immunity—cell-mediated immunity, by T-cells and humoral immunity, by B-cells). As an aside, those that are immunodeficient are not immunized because there is too large a risk of averse reaction to vaccines and it may make them sick.]

However, it’s worth noting that neither of his claims was substantiated. Great claims require great evidence. For over a decade, researchers from around the world attempted to replicate his results (he, himself, was unable to replicate his results). The original paper was retracted and the researcher, Andrew Wakefield, was found to have been paid by a law firm that was going to use his study to sue the manufacturers of vaccines (conflict of interest, anyone?) Most of his co-authors withdrew their names from the study in 2004, yet the damage had already been done. In England, the incidences of Measles, which had been eliminated previously by stringent vaccination, has made a rapid comeback (http://adc.bmj.com/content/98/10/752.long).

Others are concerned that throughout history, vaccines have been shown to harm children and use this logic as the determining factor for not vaccinating their children. There are several types of vaccines, vaccines that contain a killed virus and those that contain a live, attenuated virus. In the USA before 2000, the common form of polio vaccine was the attenuated version. In our bodies, this form would very rarely revert to the virulent form of polio and paralysis would occur, which obviously is not what you want to happen to your child (I certainly don’t). However, we no longer use this form in this country. This vaccine, for what it’s worth, can be taken by mouth, and has been deemed safe by a medical researchers throughout the world. This tells me that, in spite of being safe, we are doing our best in this country to ensure that your children will get the best care and will be statistically less likely to get side-effects of vaccines. Certainly, there are those that will have allergic reactions to a vaccine. That’s why you get vaccines at your doctor’s office and not from the internet. Your medical professionals are incredibly capable of handling medical emergencies from the sniffles to a toxic reaction to mercury (that is no longer in Thermisol). By the way—Re: the new version of the polio vaccine? NOBODY has gotten polio from the new vaccine.

When I was a child, we got the pertussis vaccine. Research tells me that there were a range of side-effects (http://www.ncbi..nih.gov/pmc/articles/PMC1748773/) from fever to fainting. After 1990, however, they switched to a new pertussis vaccine that has milder side-effects. It’s important (at least to me) to weigh the possible consequences of vaccines. Generally, the side-effects are 1/1000 kids will experience prolonged crying due to mild pain. 1/20,000 will get bowel blockage (http://informahealthcare.com/doi/abs...84.2014.942223). 1/1000 children who contract measles will get encephalitis, and 3/2000 will die. 1/2000 who get whooping cough will die (this is especially deadly to children). These diseases are completely, utterly preventable.



http://www.path.org/vaccineresources...-Vaccinate.pdf

[Frosty]

Originally Posted by ThaVirus

Don't you want your kids to get chicken pox while they're young?

I remember when our cousins got it our mom made us rub him so we'd get it as well.

I had it and my kids had it. I used to think the vaccine for it was stupid but in reality, actually having chicken pox opens you to a bunch of nasty stuff later in life, like shingles. I watched my mom and grandpa go through shingles (my grandpa is still in bad pain from it after two years) and want no part of that.

[AustinChief]

Originally Posted by ThaVirus

Don't you want your kids to get chicken pox while they're young?

I remember when our cousins got it our mom made us rub him so we'd get it as well.

I am SOOO tempted to change your username to CousinRubber right now.

[KC native]

Originally Posted by Ebolapox

genetics phd student (done in less than a year) and undergrad in microbiology/biotech

and what should you know about measles?

VACCINATE YOUR ****ING KIDS

[Ebolapox]

and yes, I find the middle fingers a bit apropos