By now, most of us have heard the news that an unvaccinated child in Texas died from measles just a few weeks ago. It was the first measles death in a decade and the first child measles death in more than two decades. Most of us who are strangers to these measles victims might think that three deaths in two decades is not a terrible number. But we’d be wrong because the three deaths don’t tell the whole story.
Here is what you need to know:
Because we are learning that measles is proving to be a virus that extends its reach for years after a patient has recovered. During the past decade, we have learned that measles doesn’t just cause the acute illness with the rash and fever—it also erases immune memory. Even after recovering from a measles infection, individuals have lost much of the immunity they had previously built from past infections or vaccinations. This leaves them more susceptible to other diseases for years and means survivors may later encounter childhood illnesses at older ages, when complications can be more severe.
By destroying some of the bodily functions that keep us healthy, measles may be responsible for many more unnecessary deaths during the course of a lifetime. This makes measles much more dangerous than we have always thought. Until researchers began measuring broad immunity levels right after recovery from the measles, we had no way of knowing that people who had a previous measles infection were facing future infections at a supreme disadvantage.
Before the introduction of vaccines, it’s possible that measles contributed to a significant proportion of childhood deaths from infectious diseases. If these findings hold, the true toll of measles extends far beyond its immediate death toll, with long-term consequences that could persist long after an outbreak is declared over. This is truly frightening news at a time when vaccine rates are dropping.
Today, the measles vaccine is usually combined with formulas for mumps and rubella (MMR), or mumps, rubella, and varicella, known to us as chicken pox (MMRV). The two doses are typically given to children between the ages of one and four.
A single dose of the vaccine is 93 percent effective against measles. The US childhood vaccine schedule recommends two doses, which together are 97 percent effective. Measles was not considered eradicated until scientists figured out that it took two doses to get the US under the eradication level. A fully vaccinated person (3 in 100) can develop measles if exposed to the virus, but the symptoms will be much milder. The vaccine keeps virtually 100% of people alive and out of the hospital.
What the vaccine will not do is trigger autism.
The measles vaccine has been a major target of vaccine skepticism due to now-debunked research falsely linking it to autism. However, decades of studies involving tens of thousands of children have proven it to be extremely safe and highly effective.
The debunked study that falsely linked vaccines to autism was authored by Andrew Wakefield, a former British doctor. His study, published in The Lancet in 1998, claimed to find a connection between the measles, mumps, and rubella (MMR) vaccine and autism. It’s not clear how the study made it through The Lancet’s approval process because the study was a disaster from start to finish.
Yet that single, phony, retracted study ignited the vaccine hesitancy that continues to grow, now perpetuated by people in a position to make things worse.
Robert Kennedy Jr. has been a vocal anti-vaxxer for years. Today he is in charge of the US healthcare system. But even he seems to be retracting his more extreme antipathy for vaccine science in the face of the death of the child in Texas. Kennedy had downplayed the growing outbreak, saying annual outbreaks were “not unusual,” and suggesting that parents administer vitamin A and/or castor oil.
But on Sunday, Kennedy said he was “deeply concerned about the recent measles outbreak,” in an opinion piece published by Fox News. “Vaccines not only protect individual children from measles, but also contribute to community immunity, protecting those who are unable to be vaccinated due to medical reasons,” he wrote.
But just when it looked as though science had prevailed, Kennedy added that “vaccines are a personal choice.”
That’s the problem. Many Americans are making the “personal choice” to leave their children unvaccinated based on information overwhelmingly proven to be false. But in doing so, they are risking the lives of their friends and neighbors who would never make the same choice.
The risks aren’t confined to families who decline vaccinations because measles is among the most contagious diseases known. Certainly, young children who have not yet been vaccinated are at highest risk for contracting the disease and at highest risk of a dangerous outcome. Children remain vulnerable until they receive both doses of the vaccine—typically starting after 12 months and completed between ages four and six. That means the entire population of American children younger than four years old is vulnerable to a measles infection—an infection which can compromise their immune systems for years to come.
It turns out that some Baby Boomers and Gen-Xers may also be at higher risk of contracting the measles virus. Here’s why: The CDC estimates that prior to 1958-ish, most children were exposed to, and contracted, the highly contagious measles virus. This number declined when the vaccine began being used, but before the national measles vaccine program was adopted in 1963. Some young children during that period were not exposed to the measles and missed getting the vaccine. So there are some Medicare-aged people walking around without any measles immunity.
Additionally, adults born between 1962 and 1989, most likely only received a single dose of the vaccine, giving them limited immunity to the measles. Given the rising numbers of measles cases and the contagious nature of the disease, this is not an insignificant threat.
When it comes to measles, we are seeing a perfect storm of contagion. Social media echo chambers are perpetuating vaccine misinformation. More children are being diagnosed with autism, which is mistakenly adding fuel to the fire. We now have an HHS Secretary who is extremely unlikely to promote vaccination and even less likely to perpetuate vaccination requirements.
Measles is spreading, and for the first time in over 20 years, an unvaccinated child has died from the disease. Now, American families must rely on facts —not baseless fear—to protect our children and our most vulnerable friends and neighbors. Let’s prevent needless deaths.