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Jun 11 2014
The diseases they fight are worse than you remember. The people who oppose them are a bigger risk than you realize.

Concerned, caring parents make the decision every day to forego life-saving immunity by refusing to vaccinate their children, truly believing they are doing the right thing. They do not perceive an imminent risk to their child from the older contagious diseases, focusing instead on the low—or often non-existent but ballyhooed—risks of vaccinations.

The Daily Show recently gawked at these kinds of parents—most of them well-educated and on both ends of the political spectrum—who refuse to vaccinate their children, thereby denying a consensus of scientific evidence and increasing the risk for further outbreaks. "Oh my God. Wealthy, white, liberal enclaves are at risk!" declares correspondent Samantha Bee, mocking the anti-vaccine bloggers and activists. So too at risk are some conservative Christian church communities where vaccination rates are low.

As clever the satire may be, I can't bring myself to laugh or crack a smile. Now in my 60s, I remember the illnesses brought on by these diseases before vaccines. As a physician, I've seen cases of them coming back with fatal consequences.

Maybe some of us have forgotten or are too young to realize the severity of these conditions. Healthcare providers who haven't had firsthand experience with these contagious diseases don't always think of them when confronted with classic signs and symptoms. But it's only been a little over 50 years since vaccinations became routine for childhood killers like tetanus, diphtheria, polio, measles, mumps, and pertussis, or whooping cough. Americans growing up before then had no choice but to suffer through childhood infectious diseases as they quickly spread through a community.

Most of us survived our illnesses, rewarded for our affliction with permanent natural immunity. Others suffered lifelong consequences: paralysis from polio, deafness from rubella, sterility from mumps. Some did not survive at all. My father nearly died at age 41 from a case of the mumps I brought home from school. As an infant, my sister-in-law almost didn't pull through when she turned blue from pertussis infection.

Today, I've seen healthy people develop encephalitis and pneumonia from chicken pox. A fit college student in my practice died of influenza within a week of the start of his symptoms. Our herd-immunity for many vaccine-preventable conditions has been waning, as reports of pertussis, measles, mumps, and chicken pox remerge, in affluent countries with robust health care systems. Just a couple weeks ago, the Washington Post penned an editorial encouraging readers to vaccinate against measles. "The Centers for Disease Control and Prevention reported Thursday (May 29) that there have already been more cases this year, 288, than in any full year this century," they wrote.

Related Topics:Medicine and Health
From: June 2014
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