Measles Vaccine Analysis

All too often we hear on the news of the devastating effects of a disease that could have been prevented by vaccines, but because of parents refusal to vaccinate their infants and children, public health professionals are now confronted with a health crisis. The importance of vaccinations is to provide children with added protection because of a young, developing immune system. Consequently, vaccines will help in boosting the immune system in recognizing and protecting children from vaccine-preventable diseases, such as measles, mumps, and pertussis, also known as whooping cough.1 For example, pertussis, a bacterial infection that is preventable by vaccines, has infected 16 million persons worldwide, and causes about 195,000 deaths

Many infectious diseases that once quickly spread and easily killed have been controlled or eradicated due to vaccinations. The efficacy of vaccines in reducing morbidity and mortality, particularly in children, is undeniable. Per the World Health Organization, childhood vaccinations prevent approximately 2-3 million deaths per year worldwide (WHO, 2016). In the United States, the value of immunizations is clearly displayed by comparing pre-vaccine era morbidity/mortality rates to post-vaccine era in regards to vaccine-preventable diseases. For example, prior to the diphtheria vaccine in the 1920’s, 206,000 people annually contracted the disease resulting in 15,520 deaths (History of Vaccines, 2009). However, between 2004 and 2014, only

Despite significant progress in the fight against preventable disease, millions still die needlessly each year. According to UNICEF, originally known as the United Nations International Children’s Emergency Fund, a vaccine preventable disease is responsible for 2 million fatal infections worldwide each year. About 75% of these deaths occur in children under five years of age. (N) In more vivid terms, UNICEF notes that vaccine-preventable diseases kill a child every 20 seconds. (D) Due to high rates of childhood vaccination, the United States has experienced a dramatic reduction in such deaths. A comparison of the years 1950 and 2010 clearly illustrates the benefits of vaccinations. During this 60-year period, deaths from diphtheria reduced from 410 to 0, tetanus from 336 to 3, pertussis from 1,118 to 26, and polio from 1,904 to 0. Measles deaths dropped from 468 in 1950 to 0 in 2008, the last year a United States death rate was recorded. It’s not surprising that vaccinations have been touted as one of the top ten health achievements of the 20th century by the Centers for Disease Control and Prevention (CDC).

* Collaborating with government and international agencies to reduce mortality and expand measles elimination goals on a global level. ("Vaccines and

​Over the past decade, the concern among parents regarding the safety and effectiveness of childhood vaccinations has become a concern in the United States and other countries around the world. A survey of physicians showed that 89% of the physicians who were surveyed reported at least one refusal of childhood vaccinations by parents each month (Gowda & Dempsey, 2013). Other researchers have noted that as many as 77% of parents have concerned about one or more of the childhood vaccinations that are recommended for children (McKee & Bohannon, 2016). However, organizations such as the World Health Organization (2017) note that not only are childhood vaccinations safe, the reduction in children receiving childhood vaccinations has brought back diseases such as measles that had been completely wiped out in the United States. It is clear that there are opposing viewpoints about childhood vaccinations that need to be understood and examined to determine which side has a better argument.

In the 1998 article in the Lancet, Wakefield studied 12 children “who, after a period of apparent normality, lost acquired skills, including communication” (Wakefield, Murch, Anthony, Linnell, Casson, Malik, Berelowitz, Dhillon, Thomson, Harvey, Valentine, Davies, & Walker-Smith,1998). All 12 children were reported to show behavioral symptoms after receiving the vaccination. After receiving the vaccination, the features associated with exposure collectively included fever/delirium, rash, self-injury, repetitive behavior, loss of self-help, convulsion, gaze avoidance, diarrhea, disinterest, lack of play, vomiting, and recurrent viral pneumonia. In 8 of the 12 children, the beginning of behavioral problems was linked to the measles, mumps, and rubella vaccination by either the parents or by the child’s

The new trend of parents not having their children vaccinated for measles is causing harm to the child and contributing to future outbreaks of the disease.

Research done by the Centres for Disease Control and Protection (CDC) has shown that the MMR vaccine, or the measles-mumps-rubella vaccine, is 93% effective against measles after one dosage, and 97% effective after two doses. Moreover, the Varicella (chickenpox) vaccine is shown to be 98% effective after two doses, and the hepatitis B vaccine is shown to be over 90% effective in infants, children and adults alike. Despite the fact that the aforementioned vaccines aren’t 100 percent effective, their high success rates still prove that vaccines are extremely effective, thus making them essential to maintaining children’s

In December of 2014, an outbreak of measles, which started in Disneyland, resulted in nearly two hundred people being sickened across the United States, Mexico, and Canada. The highly contagious respiratory disease spread for three months. Among those who contracted the illness, one developed severe pneumonia and multiple organ injury, while another suffered acute respiratory distress syndrome. So, why did an illness, which was purportedly eliminated sixteen years ago, experience a surge so dramatic that it caused more cases in 2014 than in the five preceding years combined? According to the CDC, the outbreak could be boiled down to one simple reason: “The majority of people were unvaccinated.” So while the California measles outbreak is a thing of the past, the fight to increase compliance with vaccinations continues. Although the benefits and safety of vaccinations are undisputed by the medical and scientific community, there are still sizeable groups of “anti-vaxxers” who refuse to vaccinate their children. These groups spread misconceptions, sometimes unknowingly, and become even more influential when coupled with the power of the internet and social media. Therefore, in order to increase compliance with routine vaccinations, the misconceptions of parents should be targeted, and legislation should be changed in order to prevent leniency and loopholes regarding vaccine exemptions.

Twenty-three people from across the United States were reported to have measles in the month of January 2017. While a measles vaccine exists (MMR-measles mumps rubella), cases of the measles and other vaccine-preventable diseases (VPDs), are on the rise in the United States. A contributing factor to this rise, is the anti-vaccine movement. Although anti-vaxxers have questioned the safety, effectiveness and necessity of vaccinations since the 19th Century, it was not until Andrew Wakefield’s study, “Ileal-lymphoid-nodular hyperplasia, non-specific colitis, and pervasive developmental disorder in children,” (1998) that the anti-vaccine movement gained momentum.

Throughout history, it has been shown that vaccines make a significant impact on the health of our communities and “administration of these vaccines led to dramatic reduction in the number of cases of, as well as deaths from smallpox, polio, diphtheria, pertussis, measles, mumps and preventable diseases” (Jacobson, 2012, p.36). Generally, those involved in campaigns for and research in these preventable diseases attribute vaccines for children as the main contributing factor to the overall decline in diseases such as measles, mumps, smallpox and pertussis (Jacobson, 2012). In the public health setting, there are many issues that threaten the health and safety of the public, not just in the local community but the nation and world-wide. One such issue, surfacing in public health, is the issue of vaccinations; those who choose to vaccinate, those who choose not to vaccinate and those who do not

Now, many once-forgotten diseases are reappearing. TIME Magazine reported that “In 2014, the U.S. experienced a major outbreak of measles that totaled 383 cases and was primarily spreading among an unvaccinated Amish community in Ohio.” (Measles Outbreak) The number of cases of these diseases is going up when it can be easily prevented. Worldwide, “Measles is one of the leading causes of death among young children even though a safe and cost-effective vaccine is available.” (World Health

Although it is very important to immunise against this disease, the vaccine does have side-effects, and no vaccine is completely safe. The Measles vaccine is given as part of the MMR vaccine, which protects against measles, mumps and rubella. The common and less severe side effects are; fever; mild rash; temporary pain or stiffness of joints,

In 1963 the Noble Peace Prize winning virologist John F. Enders finally licensed his vaccine for measles. Prior to this vaccine the United States alone reported 4 million cases of the measles each year. With more scientific discoveries the measles vaccine today has evolved to include immunity against rubella and mumps along with protecting millions against illness each year. However, vaccination is a word surrounded by controversy in today’s parenting world and the Measles Mumps and Rubella vaccine (MMR) can be distinguished as possibly the most controversial vaccine of our time. Controversial because of the fear that many have that it causes autism along with other hazards. This fear has clouded

Since this vaccine debate, “about 40 percent of American parents today has chosen to delay certain vaccines or outright refuse to allow their children’s physicians to vaccinate their children with one or more of the recommended or mandated vaccines” (Largent). As the rates of being vaccinated go down, it is putting not only that child in danger but also the whole community. Diseases that were once gone are on the rise.” A 2013 study published in the journal Pediatrics reports that California’s worst whooping-cough outbreak, which infected more than 9,000 people (Rothstein)”. Also “the CDC reports that from Jan. 1 to Feb. 28, 2014, 54 people in the U.S. have reported being infected with measles” (Sifferlin).