El sarampión "podría resurgir con toda su fuerza" por el descenso de la vacunación

Expertos en enfermedades infecciosas del Instituto Nacional de Alergias y Enfermedades Infecciosas de Estados Unidos (NIAID, por sus siglas en inglés) han alertado de que el sarampión “podría resurgir con toda su fuerza” por el descenso en las tasas de vacunación.

El sarampión es una enfermedad extremadamente contagiosa que se transmite a través del aire y partículas en aerosol que pueden permanecer en el aire hasta dos horas. Esta enfermedad, que se observa con mayor frecuencia en niños pequeños, se caracteriza por fiebre, malestar, congestión nasal, conjuntivitis, tos y un sarpullido rojo y salpicado.

La mayoría de las personas con sarampión se recuperan sin complicaciones en una semana. Sin embargo, para los lactantes, las personas con inmunodeficiencias y otras poblaciones vulnerables, las consecuencias de una infección por sarampión pueden ser graves. Pueden ocurrir complicaciones poco frecuentes, como neumonía, encefalitis, otras infecciones secundarias, ceguera e incluso la muerte.

Antes de que se desarrollara la vacuna contra el sarampión, la enfermedad mataba entre dos y tres millones de personas al año en todo el mundo. En la actualidad, sigue causando más de 100.000 muertes al año en todo el mundo. En el año 2000, se declaró la eliminación del sarampión en Estados Unidos, al no observarse una transmisión sostenida del virus durante más de 12 meses. Hoy, sin embargo, Estados Unidos y muchos otros países que también habían eliminado la enfermedad están experimentando brotes preocupantes de sarampión.

En un artículo publicado en la revista New England Journal of Medicine , estos investigadores recuerdan que el sarampión se puede prevenir con una vacuna que es altamente efectiva y segura. Cada complicación y cada muerte relacionada con el sarampión es una “tragedia prevenible que podría haberse evitado mediante la vacunación” , aseguran los autores.

“LAS VACUNAS SON SEGURAS”

“Algunas personas son reacias a vacunar a sus hijos basándose en la desinformación generalizada sobre la vacuna. Por ejemplo, pueden temer que aumente el riesgo de autismo de su hijo, una falsedad basada en un reclamo desacreditado y fraudulento. Un número muy pequeño de personas tiene contraindicaciones médicas válidas para la vacuna contra el sarampión, como ciertas inmunodeficiencias, pero casi todas pueden ser vacunadas con seguridad”, exponen.

Cuando los niveles de cobertura de la vacuna disminuyen, el debilitado paraguas de protección que proporciona la ‘inmunidad del rebaño’ (protección directa que resulta cuando un porcentaje suficientemente alto de la sociedad es inmune a la enfermedad) coloca a los niños pequeños no vacunados y a las personas inmunocomprometidas en una situación de mayor riesgo. “Esto puede tener consecuencias desastrosas” , alertan.

En este punto, los autores describen un caso en el que un solo niño con sarampión infectó a otros 23 niños en una clínica oncológica pediátrica, con una tasa de mortalidad del 21%. “Si las tasas de vacunación continúan disminuyendo, los brotes de sarampión pueden volverse aún más frecuentes, esto es alarmante”, indican.

https://www.elmundo.es/ciencia-y-salud/salud/2019/04/22/5cbd8f8121efa0f45e8b4609.html

Antes de que el hilo desemboque en una retahíla de faltas de respeto a los antivacunas, dejo en el aire la siguiente pregunta: ¿existe alguna manera de hacerles cambiar de opinión?

Sé que con evidencia científica no se puede, ni con emociones. Habré leído alguna posible solución en algún artículo pero no lo recuerdo, así que antes de ir por el camino de siempre de dilapidar al enemigo propongo que investiguemos por internet y encontremos una forma de solucionar este problema.

Estos yankis…

A la fuerza claro, judicialmente se puede obligar a unos padres a vacunar a sus hijos si ello puede desembocar en un riesgo para la salud pública.

Yo de hecho amenazaria con la retirada de la guardia y custodia.

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Yo ya lo doy por imposible, así que voy con una pregunta más práctica: ¿existe alguna forma de garantizar que no afecta a los que sí se vacunan y vacunan a sus hijos? Visto que ellos mismos sudan de lo que les pueda pasar en estos aspectos, al menos que no nos arrastren en su caída.

Darwin se frota las manos

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Hombre, si la persona ya está vacunada no le va a afectar, solo afectaría a los que no están vacunados

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Igual me equivoco, pero ninguna vacuna garantiza inmunidad al 100%.

Con legislación, obligación estatal a vacunarse contras enfermedades potencialmente peligrosas para la salud pública y el niño. No cumples fuera custodia. Easy.

Si sólo se murieran los subnormales sería hasta buena noticia y todo, lástima por tantos críos que no tienen la culpa de que sus padres sean imbéciles y por la gente que no pueda ser vacunada.

1 me gusta

disfruten lo no-vacunado

Lo mejor seria expulsarlos a todos a aquella isla de Italia. … Poveglia

Intercambiar argumentos con una persona que ha renunciado a la lógica es como darle medicinas a un muerto (Thomas Paine)

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La culpa la tienen los judíos, y no, no es coña.

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Es un precio pequeño por reducir la cantidad de gente con autismo

Si mal no recuerdo estaba en venta. Está tan maldita que nadie la quiere usar, pero yo estoy ahorrando para ponerme allí la finca

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Creo que en America se están dando muertes ya por el tema de no estar vacunado contra el sarampión. (no se si en EEUU o en sudamérica) Igual si la cosa se extiende, empiezan a ver las orejas al lobo.

https://www.washingtonpost.com/national/health-science/new-york-city-vaccination-order-shines-spotlight-on-insular-jewish-community/2019/04/11/fd59b098-5bc3-11e9-a00e-050dc7b82693_story.html?noredirect=on&utm_term=.b0131198f9a2

Me piden dineros, qué diantres es eso?

dale a FREE, y acepta dar tus datos personales al FBI para poder leer un articulo del Washington Post sobre vacunas, judios y new york


New York City vaccination order shines spotlight on insular Jewish community

By Lenny Bernstein ,

Lena H. Sun and

Gabrielle Paluch

April 11

NEW YORK — Even among New York’s Hasidic Jews, members of the ultra-Orthodox Satmar sect are known for their strict religious and cultural traditions. They speak mainly Yiddish. They shun the secular world. They are skeptical, if not suspicious, of anyone from outside their insular community in Brooklyn’s Williamsburg neighborhood.

Now the refusal of some parents to vaccinate their children — a decision not based on any religious proscription — and a resulting measles outbreak have brought public health authorities to their doorsteps in a collision of cultures that could turn messy.

On Wednesday, the city sent 15 to 20 “disease detectives” into the community, some with Yiddish interpreters, a day after Mayor Bill de Blasio (D) vowed to quash the outbreak with $1,000 fines and misdemeanor charges for anyone in certain areas who refuses to be immunized.

The workers, wearing blue Health Department jackets, conducted interviews in the homes of people who may have been exposed to the dangerous, highly contagious measles virus and checked the immunization records of all those they may have had contact with. Others pored over records for the same information at a federally funded health clinic in the heart of the community. There are 1,800 unvaccinated yeshiva, or Orthodox Jewish, students with religious exemptions in the four Zip codes targeted by the city, spokeswoman Marcy Miranda said.


Men identified with the Satmar Hasidic sect go about their business a day after New York City declared a public health emergency in their community because of spiraling measles cases. (Sharon Pulwer/For The Washington Post)

“It is highly unusual for the city to deploy health workers in this manner,” Miranda said. The last time health-care workers undertook the time-consuming work of contact tracing was during the Zika outbreak in 2016.

New York City has had 285 cases, virtually all of them in Brooklyn, since the outbreak began in October. Of those, 229 were reported this year, accounting for nearly half of the 465 cases that have been reported nationwide in 2019. Now, measles has been found in more than a third of U.S. states — up and down both coasts, and across the plains, the Midwest and the South — with most of the illnesses in children.

In Williamsburg, the attention is becoming a sore spot for some in a community that would rather be left alone.

David Oberlander, principal of a yeshiva where measles was found earlier in the outbreak, criticized De Blasio’s office and what he called “very, very inaccurate stories” about his community. “Three percent are anti-vaccination,” he said. “Ninety-seven percent of our students and family are vaccinated.”

Israel Friedman, a property manager who said his many siblings and two of his three children have been immunized, agreed, saying: “We’re talking about a very small minority who aren’t vaccinated.” His infant is still too young to be vaccinated, he said.


John Marshall, chairman of the emergency department at Maimonides Medical Center, is pictured in an isolation room where people with measles are treated. (Sharon Pulwer/For The Washington Post)

Health authorities say they are seeing a very different reality. When 90 percent of a population is vaccinated against a particular threat, “herd immunity” protects all but a few.

“It certainly can’t be 98 or 99 percent,” said John Marshall, chairman of emergency medicine at Maimonides Medical Center, the main hospital in the area. “If there were 90 percent of people immunized in the community, it wouldn’t be spreading.”

In fact, Marshall and other medical officials called the 285 known cases a severe undercount of the real measles toll in Williamsburg and its vicinity. Seven children and two adults have been hospitalized at Maimonides since the outbreak began, including one adult and one child in intensive care.

The child, a 13-month old, had breathing difficulties as a result of the measles, said Rabia Agha, director of pediatric disease. Still, the girl’s parents refused to have her vaccinated against other diseases after she recovered, despite the entreaties of the medical staff.

Another time, Marshall said he threatened to call police on parents who were refusing to send a feverish child to a hospital in an ambulance for fear the authorities would learn all their children were unvaccinated.

“The ones who are so vehemently anti-vaccination, I don’t know how to convince them,” said Edward Chapnick, director of Maimonides’s infectious-disease division.

Public health experts warn that the city’s use of emergency power, while reasonable, could further alienate the ultra-Orthodox who already isolate themselves from greater society.

“When an outbreak is concentrated in a specific group, there is a risk of outsiders stigmatizing that group,” said Saad Omer, an infectious-disease expert at Emory University who researches public health and immunization. “This risk is exacerbated when a public health emergency is declared.”

But with only a week until the Jewish Passover holiday, when families gather in large groups and travel to see relatives and friends, city officials thought they had to move quickly to try to stop the spread of the disease.

Measles, considered eliminated from the United States in 2000, leads not only to a fever and a rash, it also can cause pneumonia as well as encephalitis, an inflammation of the brain that can have long-term consequences. Before the widespread use of vaccines began in 1963, it infected millions every year in the United States, killing several hundred.


Most of the measles cases in Williamsburg have involved children. (Sharon Pulwer/For The Washington Post)

One dose of the vaccine is considered more than 90 percent effective at protecting against the virus; the recommended two doses are 95 to 97 percent effective, said Jeffrey R. Avner, chairman of the Maimonides Department of Pediatrics.

Measles is contagious from four days before the appearance of the telltale rash and until four days after, so exposure often occurs without people realizing, especially during flu season, when many children show similar symptoms.

At the ODA Primary Health Care Network clinic on Heyward Street, chief executive Joseph Deutsch acknowledged that any call from an agency such as the city Health Department makes patients nervous. But the clinic understands that the only way to end the outbreak is to trace and test everyone who may have been exposed.

“We call those people and tell them they have to come in,” he said. “Does everyone come in? No. But most people are coming in.”

At least some of the misinformation in the community comes from a 40-page pamphlet produced by the anti-vaccination group Parents Educating and Advocating for Children’s Health (PEACH), whose members are largely anonymous. Although rabbinical leaders in the community have urged vaccinations as consistent with Jewish law, one article in the pamphlet, published under a pseudonym, challenges the morality of vaccines.

Another questions how much money doctors make by administering what the author describes as unnecessary care.

PEACH also runs a hotline, with archived conference calls, and 140 lectures by speakers it describes as doctors who do not believe in vaccinations.

Rabbi David Niderman, executive director and president of the United Jewish Organizations of Williamsburg, expressed anger about the pamphlets spreading fear by putting out false information linking immunizations to autism and illnesses.

Citing the strong rabbinical support for vaccinations, Niderman said he would be surprised if the city had to fine anyone in his community for flouting the order.

“I don’t think they’ll ever get to that,” he said, “and we believe that those few who have not complied until now will fall in place.”

He said he has found a foolproof way to handle periodic calls from people upset about what they’ve read in the pamphlets, who ask him to reconsider his pro-vaccination message.

“I listen politely,” he said. “And then at the end . . . I say, ‘Mrs. So and So, I want to ask you one question: If your child needs emergency surgery, do you go to the person who tells you things anonymously? Or do you go to your family physician to get a referral to a good surgeon?’ In every case, the conversation stops there.”


David Oberlander, principal of Kehilath Yakov Pupa schools, one of many yeshivas in the community asked to bar unvaccinated children. (Sharon Pulwer/For The Washington Post)

Sun reported from Washington.

Read more

New York City’s order on mandatory vaccinations

How does measles spread and other frequently asked questions about measles

New York City orders mandatory shots in toughest U.S. action to date against measles