US Is Slipping Toward Measles Being Endemic Once Again, Says Study (arstechnica.com) 335
An anonymous reader quotes a report from Ars Technica: With firm vaccination campaigns, the US eliminated measles in 2000. The highly infectious virus was no longer constantly present in the country -- no longer endemic. Since then, measles has only popped up when travelers carried it in, spurring mostly small outbreaks -- ranging from a few dozen to a few hundred cases each year -- that then fizzle out. But all that may be about to change. With the rise of non-medical vaccine exemptions and delays, the country is backsliding toward endemic measles, Stanford and Baylor College of Medicine researchers warn this week. With extensive disease modeling, the researchers make clear just how close we are to seeing explosive, perhaps unshakeable, outbreaks. According to results the researchers published in JAMA Pediatrics, a mere five-percent slip in measles-mumps-and-rubella (MMR) vaccination rates among kids aged two to 11 would triple measles cases in this age group and cost $2.1 million in public healthcare costs. And that's just a small slice of the disease transmission outlook. Kids two to 11 years old only make up about 30 percent of the measles cases in current outbreaks. The number of cases would be much larger if the researchers had sufficient data to model the social mixing and immunization status of adults, teens, and infants under two.
Looking at calendar. (Score:5, Insightful)
Medically - politically - I have to look at the calendar everyday because it feels like I'm in a time warp and it's really 1917.
We, the USA, are getting dumber.
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Medically - politically - I have to look at the calendar everyday because it feels like I'm in a time warp and it's really 1917.
We, the USA, are getting dumber.
And just think, we haven't even hit peak stupidity yet.
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Peak stupidity is a myth, there is more than enough stupidity to last forever.
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Peak stupidity is a myth, there is more than enough stupidity to last forever.
Peak stupidity doesn't imply that there will be no more stupidity after we hit the peak. That is an incorrect understanding. The theory of peak stupidity implies stupidity will be harder to find and more expensive to maintain after that point.
There will always be some stupidity expressed by society, it will just necessarily be less once we pass peak stupidity.
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Don't worry about Peak Stupidity, the government is busily working on renewable sources of Stupid.
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Like obesity ;)
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You are thinking small there, soooo 18th century
The 1918 Spanish flu killed 50M to 100M people.
A political issue (Score:2, Interesting)
Medically - politically - I have to look at the calendar everyday because it feels like I'm in a time warp and it's really 1917.
We, the USA, are getting dumber.
One thing you have to realize is that political issues are never black-and-white, but there are shades of grey. Issues have both positive *and* negative aspects, and it is up to us to assign an inherent value to the plusses and minuses in each case.
Vaccination in the US is all tangled up with immigration and foreign culture.
Measles is brought in by travellers from foreign countries and spurred mostly by immigration - going to visit relatives back in the home country, or having relatives come to visit. Neith
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PresidentMadagascar.jpg
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As a Californian, I read the same thing. As someone who went through the California public school system decades ago, I can tell you that schools funded this shit. They had "medical providers" do the doing, but it was on the school's dime. And in the case of shit like scoliosis checks, the "medical providers" were the lunch ladies who received 4 minutes of training.
Fallout from poor choices (Score:2)
This is fallout from overly aggressive vaccination efforts. When we mandate vaccination for things that don't have a high death rate and aren't contagious through air and touch, we lose the moral authority to resist the bajillion claims for exemption.
Measles is deadly and highly contagious. The measles vaccine should be mandatory barring medical exemption. But because we also screw around with trying to make STD vaccines (like HPV) mandatory we open the door to refusal of all vaccines on the flimsiest of ex
People Don't Remember (Score:5, Insightful)
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This is unfortunately, possibly not enough to stop them getting measles, or even dying from it :(
Herd immunity also protects a small proportion of the vaccinated who for various reasons can still catch the disease; it's not abnormal for some vaccinated people to be part of an outbreak.
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Not to mention the people who can't be vaccinated due to valid medical conditions (allergies, immune system disorders, etc).
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Everybody dies. Some people get dealt a shitty hand. If you can't run with the pack, too bad.
We can't drag the rest of society down for a handful of unfit (or stupid) people. Cold and heartless? Sure.
Can we force people who don't want to get vaccinated in order to indirectly protect the people who can't get vaccinated?
I say hell fucking no. If people has baseless fears about vaccines, a general distrust of the government and corporations pushing them, or just plain don't want to, that's their fucking r
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Disease and death are the natural state of things, and we will never win that war.
We already beat smallpox. We will probably never really beat death, but there are quite a few diseases - at least contagious ones - that we could beat like we beat smallpox. Nothing has stepped in to replace it. New infections arise, and we get better and better about dealing with them.
I think it's reasonable to say you can't do some things if you haven't been vaccinated. You shouldn't be strapped down to a table and given the shot, but maybe you pay higher health insurance premiums and can't work in jobs
Re:People Don't Remember (Score:5, Interesting)
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Not that I like mentioning this but perhaps it's a good think if the kids with these diseases don't get a chance to reproduce, at least from a species-wide point of view.
Then again, we'd certainly win more if the stupidity were curbed...
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So being an infant is now a genetic defect?
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I mean it's not like there are any people born with physical handicaps that go on to do important things for society /s
Pretty sure Robert Anton Wilson would disagree with you. He had polio.
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It involves you even if you got your kids vaccinated.
No medication is 100% effective. About 2% of recipients fail to develop resistance -- more for patients using "alternative" vaccination schedules. Also for a significant number (about 5%) of patients immunity wanes after about ten years.
What this means is that everybody depends on herd immunity. Unless you've had wild measles, that includes you as an adult who received the vaccination decades ago.
Re:People Don't Remember (Score:5, Interesting)
It would be great if libertarian principles applied to vaccines (my base ideology is libertarian), but:
1. Vaccines are not anywhere near 100% effective, so even a fully vaccinated person may be relying on herd immunity.
2. You can't vaccinate a newborn, so everyone relies on herd immunity for the first 6 months or so of their life.
3. Some people can't be vaccinated at all.
So we're left with a social solution, which is vaccinating everyone who can be vaccinated, whether they like it or not.
Re:People Don't Remember (Score:4, Informative)
It would be great if libertarian principles applied to vaccines (my base ideology is libertarian), but: 1. Vaccines are not anywhere near 100% effective, so even a fully vaccinated person may be relying on herd immunity. 2. You can't vaccinate a newborn, so everyone relies on herd immunity for the first 6 months or so of their life. 3. Some people can't be vaccinated at all.
So we're left with a social solution, which is vaccinating everyone who can be vaccinated, whether they like it or not.
Not in MN where I live. Here are the vaccinations a child must have at 2 months, more at 4 months and yet more at 6 months:
Rotavirus (oral), Haemophilus Influenzae Type B (HIB), Pneumococcal Conjugate Vaccine (PCV13), Diphtheria, Tetanus, Pertussis, Inactivated Polio Virus (IPV) and Hepatitis B (HBV).
They might all be needed for the survival of the race, but that's a lot of vaccinations.
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I think your numbers square with mine - until 6 months a baby is not fully vaccinated.
There's a lot of vaccinations because there's a lot of diseases.
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When is the MMR vaccine administered? There have been several recent Measles outbreaks in Minnesota's Somali communities due to anti-vaxers targeting them with misinformation campaigns.
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I think MMR is from 6 months through several years, but all vaccines can be taken at any time, so lapses are easy to cure.
Vaccinations are also damn cheap to administer and from a purely monetary POV, have some of the largest ROI around - the cost is very low (we mass produce vaccines nowadays, so the vaccine itself only costs a few pennies per shot), and yet, keeping such virulent diseases at bay means less lost productivity - parents don't have to care after sick kids,
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convince everyone
I think I spotted the flaw in your plan. I can, at times, be convincing. But I'm no Jenny McCarthy.
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Ayn Rand devotees are "Objectivists". There is a lot of cross-pollination, but one can certainly be Libertarian and think she was a crackpot. You don't even need to necessarily support strong property rights, though again the vast majority of Libertarians consider property a "right". Personally I think it's a stretch to call it a natural right.
Re:People Don't Remember (Score:4, Interesting)
I'm sorry, but you're probably mistaken. Thanks mainly to hospitals, where heroic measures can be taken to save the offspring of anti-vaxxer morons, the little ones won't die. They'll spread disease amongst people who cannot be vaccinated due to age or other factors, then be dragged by their idiot parents to the nearest emergency ward when they get really sick. Once there, it might cost many thousands of dollars to save each of the little darlings. For the most part, though, they'll avoid paying the price for their parents' bad decisions.
We will do that, with our tax dollars.
Re:People Don't Remember (Score:4, Informative)
You are mostly right. Except the hospital thing. As far as I know these deseases are so contageous because they have an incubation period. The simptoms only appear after a certain time but it is contagous before. So the most victims have already been made by the time the first patients arrive in hospital.
Then they have to track down who was in contact with these childeren (family, school, hobby's...) in the last X hours...
Cheers!
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Good point!
Not so simple (Score:5, Informative)
Just make sure *your* children have their vaccinations. The kids of all the dumbasses will be weeded out due to genetic stupidity. It is as it always was... thank you Mr. Darwin.
If only it were that simple. Problem is that the asshats who don't vaccinate by choice cause illness in those who cannot get vaccinated for valid medical reasons. If it was simply people competing for darwin awards along with their spawn I could almost not give a damn. But unfortunately I do actually care about the kids of these dumbass parents. You don't get to pick your parents and just because they are idiots doesn't mean the kid necessarily is.
Personally I think anyone who doesn't vaccinate without a valid medical excuse should have to live in quarantine.
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The problem is that kids need to reach a certain age before they get vaccinations. An infant will be susceptible to viruses that non-vaccinated kids spread and can die before they are old enough to get the vaccine [abc.net.au].
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Nothing thwarts Darwin. In other words, change in allele frequency is happening in human populations all the time. There are still a few "Social Darwinists", who don't understand the first thing about evolutionary biology, who imagine certain types of medical intervention somehow magically defy nature, but these people are simply morons, and should be ignored, or treated with the contempt that vile halfwits earn.
Re:People Don't Remember (Score:4, Interesting)
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Exactly this. Vaccines have been TOO successful. I'm the parent of two boys (13 and 10). Both are vaccinated. However, I've educated myself about what life was like before vaccines. I'll never know first hand the horrors of not knowing if today was the day your child would get sick with Polio, Measles, Mumps, etc. For that I'm grateful. However, it means that it can be easy to wrongfully minimize the risks of the diseases ("Who gets measles today? It's just like chicken pox - you get lumps for a few days an
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The political left doesn't like to admit it, but the real problem here
Just like every problem, eh? Stay stupid.
Re:Unvaccinated third-world illegal aliens (Score:5, Interesting)
Re:Unvaccinated third-world illegal aliens (Score:4, Informative)
Where is the line when it becomes justified? I don't advocating for forced vaccinations, but a little coercion is certainly in order. I do not see religious or philosophical objections as legitimate excuses for allowing unvaccinated children to attend public school.
Chickenpox kills about 0.003% of victims and hospitalizes about 0.26%. The overall death rate is low, but one quarter of a percent for hospitalizations makes for a lot of unnecessary strain on healthcare systems, especially for a disease that will infect around 95% of unvaccinated individuals.
Measles, besides the immediate death rate (about 0.15% in the US), Encephalitis (0.1% in the US), and hospitalization rate (about 25% in the US) brings a potential for a delayed neurological disease that is 100% fatal for those stricken with it. Around 1.7% of infants who get measles and 0.07% of children under 5 who contract measles will later develop this neurological disease. The mortality rate for subacute sclerosing panencephalitis is 100%. The mortality risk for individuals who contract measles as infants is the most concerning for me because it can happen before they are old enough to get the vaccine.
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People who advocate forced vaccination should give some thought to what they are promoting. They are stating that they want a government that forces them to do things whether they are opposed to them or not. That might be justified with smallpox or polio, but measles and chickenpox are not so devastating as to call for fascism.
It's not fascism. The government (as an agent of society) has a duty to protect those citizens that are unable to do so themselves. In this case it is people who rely on herd immunity due to an inability to receive vaccinations. Because the government cannot realistically or ethically force those people into social and physical isolation for the rest of their lives, the only other alternative is to ensure they are in an environment safe enough for them (please do not try to construe this into a "safe spa
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These outbreaks aren't happening in the suburbs, they're happening in the migrant ghettos.
Disneyland [cdc.gov] is a "migrant ghetto" now?
Evolution (Score:2, Flamebait)
Evolution. All the idiots who won't get their kids vaccinated will see their genetic line die off. Those with vaccinations will be OK.
Eventually we'll only have sensible people left, the kind that vaccinate their kids.
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>All the idiots who won't get their kids vaccinated will see their genetic line die off. Those with vaccinations will be OK.
You need to read up on herd immunity. Vaccines aren't 100% effective (and some people simply can't have them for medical reasons), so just having your shot isn't enough, you need to have everyone else have their shots so it's unlikely an infected person will even come into contact with a vulnerable person.
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>All the idiots who won't get their kids vaccinated will see their genetic line die off. Those with vaccinations will be OK.
You need to read up on herd immunity. Vaccines aren't 100% effective (and some people simply can't have them for medical reasons), so just having your shot isn't enough, you need to have everyone else have their shots so it's unlikely an infected person will even come into contact with a vulnerable person.
Yeah, I know. I also know that the kids aren't responsible for the decisions that their parents foolishly make- nor should they suffer for the mistakes of their parents. My post was perhaps too flippant. It was more a raised middle finger at the numpties who won't vaccinate their kids than my real point of view.
Not an evolutionary pressure (Score:4, Interesting)
Evolution. All the idiots who won't get their kids vaccinated will see their genetic line die off. Those with vaccinations will be OK.
Might work if these diseases were always fatal. Problem is that they aren't. They are only sometimes fatal. Sometimes carriers aren't even symptomatic. And they also can infect people who cannot get vaccinated for valid medical reasons.
I wouldn't have a philosophical problem with parents of children who choose not to vaccinate without a valid medical reason to have to live in quarantine. Separate them from the rest of the herd. Basically they are deciding to join a voluntary leper colony. This would keep them and their DNA from infecting the rest of us.
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and under the GOP plan it will get on to the PRE E (Score:2)
and under the GOP plan it will get on to the PRE EX pool plan. If there is an opening / you have the funds for it and it's does not run out of fed / sate funds. But there is plan B ER (they will not fully cover you and will sue to get paid) plan C is jail / prison fully covered and in TX max cost $100/year.
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well not passing can end up with a defended ACA that give people 0 planes to pick from.
A more likely explanation... (Score:2)
The MMR vaccine has not been updated to keep up with the evolution of the measles virus.
The claims for non-vaccinated is often merely, no proof of vaccination. However, most public schools require it. A few states allow for a religious exemption, which must be filed and recorded with the school.
The fact parents do not have records of vaccinations does not mean these children were not vaccinated. Most of the time they have been if they're of school age.
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How about you stop being as stupid as an anti-vaxxer, and be a bit more scientific and open-minded. I am not saying vaccines are bad. Just that, well maybe we need to look at new formulations of our vaccines for greater efficacy.
http://www.thv11.com/news/loca... [thv11.com]
http://www.sciencedirect.com/s... [sciencedirect.com]
https://www.scientificamerican... [scientificamerican.com]
https://www.sciencedaily.com/r... [sciencedaily.com]
http://www.pbs.org/newshour/up... [pbs.org]
"Among the 51 measles cases linked directly to Disneyland, six of the people had received their measles, mumps and ru
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Pretty much all the private schools do to. In fact, even here is Pennsyltucky, most religious schools will not accept children without their vaccinations. Almost ALL schools follow the state policies. It may be slightly easier to get a state waiver and have a religious school accept it. But an interesting aspect is that while a public school MUST accept such waivers, private schools do not. And often will still refuse entry of a child without immunizations.
Stupidity costs money and lives (Score:2, Insightful)
Stop coddling these people who are willing to put their children and the rest of society at risk for the sake of their pseudoscientific BS. It's been very well studied, and the time has ended for putting up with this stuff. I'm not saying force needles into their or their children's arms against their permission, because it's still their own body and their choice to make, but make the consequences of their (stupid and selfish) choices real. There are people who can not be safely vaccinated for medical re
The answer is straightforward (Score:5, Insightful)
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Mandate which vaccinations children are required to have to avail of private / public daycare and schools. And make the parents criminally liable if the child or someone he/she comes into contact with contracts a preventable disease because of their negligence.
Might not even need that. We just need to get anyone properly vaccinated (or medically unable to be vaccinated) that gets sick to start suing the hell out of the parents of voluntarily unvaccinated children if there's even a shred of evidence to suggest their child might be the source. If there gets to be a significant enough financial risk of not vaccinating, stupidity might take a back seat to the pocketbook. Since civil juries don't don't have to be unanimous, the small percentage of anti-vaxxers would b
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Like every anti vaxxer you miss the target completely. Without immunizations more children would die.
I'll take one kid dead over thousands more dead any day, even if it's my own. It would be criminal to not do so.
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If the parents cannot prove that the child was vaccinated, or could not be vaccinated due to a health condition, charge them with manslaughter.
Because that's *exactly* what they did.
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How do you prove who contracted a disease from whom? If that were easy and reliable wouldn't we just be using that method to find source vectors quickly and quarantining them?
They do this all the time. It's just that once you realize you have an outbreak and not just isolated cases, the disease has spread far enough/killed enough people that quarantining people will not work or the original source vector may already be dead/over the disease. Finding the patient zero or the initial infection vector can't be done in real time. It can only be done at the earliest once you actually realize you have an outbreak, and may not be finished until the outbreak is already over or contain
vaccination needs to be like Mississippi's (Score:2)
So, one of the most backwards states, is actually the most forward thinking when it comes to that.
Sad that ANY of the states allows otherwise,
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Very good analogy. "Why do I need a firewall and anti-virus software? It just slows my system down and annoys me. I'll just turn it off and I'll be fine." Perhaps this user will be fine. Or, maybe, they'll open an e-mail from "TheIRS@GonnaScamU.com" and be infected without ever really knowing. (Comparable to passing on measles to everyone while not knowing you're coming down with it.)
Re:Vaccination Rates *and* Autism Rates are slippi (Score:4, Insightful)
[Citation Needed]
It falls on you to back up your claim, first.
Autism Rates are not slipping, and not correlated (Score:5, Informative)
[Citation Needed]
It falls on you to back up your claim, first.
Uh, that post is almost certainly trolling, in the original internet sense of the word: somebody who is posting for no other reason than to get a reaction. Responding to him in any way does nothing other than feed the troll; the correct reaction was to ignore him and wait for him to be moderated "troll".
It's too late for that now, though. To deal with facts: the actual response is that autism rates are not declining: http://blogs.discovermagazine.... [discovermagazine.com]
Here's a good correlation graph, if you're looking for correlation: https://www.sciencebasedmedici... [sciencebasedmedicine.org]
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Uh, that post is almost certainly trolling...
Well, yeah. And I called him out on it.
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Bookmarked! :D
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Autism rates have been on the decline, and this decline started when vaccination rates began their decline.
It has? Can you please give a citation or two? From what I understand autism rates have been steadily increasing for a while now. Though I've read a few sources that state it may be about to plateau.
Granted, part of the increase has to be from prior misdiagnosis and things like Asperger now considered autism. Black and Hispanics are also seeing increases. But some of that can be attributed to a lack of medical care in the past too. Regardless, it's still on the rise
It's my understanding that there are so
Re:Vaccination Rates *and* Autism Rates are slippi (Score:5, Informative)
1) Not a decline, more like a plateau. It's also very recent, and doesn't correspond with the rise of the anti-vax campaigns, which happened years earlier.
2) Autism rates did not increase when vaccinations were introduced; again, the rise in autism only happened later--in this case, decades later.
3) Correlation is not causation.
Not that you will read any of this. You've reached your conclusion, and evidence that doesn't fit it will be ignored.
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Autism rates have been on the decline, and this decline started when vaccination rates began their decline.
Explain that, poison advocates.
Has to be a troll, too lucid. Most anti-vaxxers wouldn't be able to write two sentences without quite a few embarrassing mistakes.
On the off chance you are really an anti-vax dickhead, give my commiserations to your children. Their mother/father is a stupid prick.
Re:Vaccination Rates *and* Autism Rates are slippi (Score:4)
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https://slashdot.org/comments.... [slashdot.org]
So, the whole planet Earth was populated by stupid fucks back then, eh? All those common people and dignitaries who hailed Jenner as the Savior - everyone basically - they were all crazy! Or maybe, just maybe those people lived daily with diseases and dead toll that we can hardly imagine today...oh, why don't we have a time-machine to send you, AC, back in time to tell them all how EVIL vaccination really is....I wonder what Napoleon would do to you....
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Autism rates have been on the decline, and this decline started when vaccination rates began their decline.
Explain that, poison advocates.
Correlation does not imply causation.
The supposed "link" from vaccinations to autism is easily studied so it's actually been thoroughly studied multiple times by looking at medical records. No obvious link exists in the available data. I'd call this whole idea that there is a link a lie..
There is just about as much "proof" of the link between vaccines and autism as there is to unleaded gasoline to autism, if you follow the logic used in the first argument.
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That's not how any of this works.
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Epic fail - USA 92%, Mexico 99% (Score:5, Informative)
http://theweek.com/articles/53... [theweek.com]
So what was the point?
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Don't you feel ashamed of yourself in going that low just to feed a two minute hate?
Re:Illegal Immigration? (Score:5, Informative)
While its extremely non-PC to suggest this, but illegal immigration has a role here. The study was done in Texas (a border state). While parents should vaccinate their children, herd immunity should prevent any large-scale outbreaks unless there is an injection of sick people who are acting as carriers.
A lot of outbreaks are also happening in West Coast states (where you have enclaves of non-immunized children due parents' belief in misinformation) where non-immunized foreigners are visiting and spread diseases that are otherwise no longer endemic in the US. Oregon [oregonlive.com] is a good example.
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Not to rain on your anti-immigrant parade, but the west-coast states also have a lot of hippy dippy anti-vaxxers. Immigrants might have some responsibility for the increase; however, I'd guess that the anti-vax movement probably has more to do with it.
How was my post an anti-immigrant parade? I specifically mentioned the idiocacy of the parents belief and that the infections come from non-immunized foreign visitors. But the blame lies fully on the parents for not vaccinating their children, not the foreigners who may not have the money for/availability of vaccinations in their home countries.
Re:Illegal Immigration? (Score:4, Interesting)
The numbers really don't support the idea that illegal immigration is a significant driver here. While it's always *possible* for someone to bring in measles, measles has an incubation period of about 10-12 days, so you only have to worry about the number of people who crossed the border illegally in the last week or so.
The total number of undocumented in the US is estimated to be around 11 million (useful fact to keep in mind in the immigration debate), two thirds of whom have lived here for a decade or more. By DHS's internal estimates, about 170,000 - 200,000 people annually cross the border illegally who are not caught.
Compare that to the number of Americans who travel abroad. Last year, that hit a record sixty-six million, twenty five million to Mexico alone. Since the vaccine has about a 2% failure rate, that means about 1.3 million non-immune Americans cross the US border legally every year, almost 10x the number of illegal immigrants. What's more Americans overwhelmingly fly in, which is significant given the incubation time of the virus. About 40% of illegal immigrants arrive by air, and these are overwhelmingly "overstays", people who enter the US illegally but overstay their visa. They are not "illegals" during the period they would be contagious.
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Re:Free birth control is a better idea. (Score:5, Insightful)
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First you have to stop certain religious groups in the first world telling people in the first world that birth control is a sin.
FTFY.
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We're blaming anti-vaxxers because it's the fucking anti-vaxxers' fault. How fast does the measles virus mutate? Go ahead and link your research showing that the modern vaccine is no longer effective. I'm supposed to be impressed by the four digits 1971? On it's own that's fucking meaningless mate.
You're just another "big pharma is evil" clown, and safe to ignore.
Re:1971 (Score:5, Informative)
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Actually, it's not so much a giant vat made in the 70's as much as the select genepool continuously (in)bred for generations.
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So Obamacare was an improvement on what was before? Have we seen a population explosion as a result of Obamacare?
Infant mortality rates have dropped 15% in the past 10 years [nbcnews.com]. That adds about 4000 children per year who would have died in infancy. Obviously not all of these saved lives are because of Obamacare, but the industry certainly cites increased access to healthcare over the past decade as a major driver of this trend.
Certainly not a population explosion, but then again you were probably merely mirroring the same level of hyperbole as the AC you were replying to.
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Polio has been eradicated everywhere except for a few small areas of two countries. Thus it is no longer in the normal vaccine schedule.
So no, anti-vaxxers are not getting the polio vaccine. Neither are people who get all their vaccines.
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The USA really doesn't vaccinate against Polio any more? wow...
My daughter has been vaccinated against Polio as part of our normal vaccine schedule. Her most recent Polio vaccine was only a couple of months ago.
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Polio is still on the vaccine schedule everywhere in the U.S. because - you know - it hasn't been eradicated from the entire world.
You may be thinking of small pox which does not exist outside of the freezers in two high security labs. We do not vaccinate against that.
Think about it. If we stopped vaccinating for polio because it "has been eradicated everywhere except for a few small areas of two countries" then we get an entire generation of people with no immunity. One of those people is eventually going
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Pay phone.
Think that's funny? Go ask the Golgafrincams what happens when you rid your society of telephone sanitizers.