Measles outbreak calls for vaccination vigilance

As a fail-safe mechanism, parents should be required to show proof their children have been immunised against measles before they are allowed to start school, says infectious diseases expert and director of the National Centre for Immunisation Research and Surveillance (NCIRS) Peter McIntyre. The suggestion…

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The vast majority of children that get measles will overcome it, but in some cases it can prove fatal. Dave Haygarth/Flickr

As a fail-safe mechanism, parents should be required to show proof their children have been immunised against measles before they are allowed to start school, says infectious diseases expert and director of the National Centre for Immunisation Research and Surveillance (NCIRS) Peter McIntyre.

The suggestion comes after a measles outbreak in New South Wales, said to be the worst in 14 years, and warnings from the Northern Territory Health Department after two cases were reported in one week.

NSW Health last week said it had stepped up efforts to combat the highly contagious disease, after a total of 145 cases were reported this year, more than a third of which were diagnosed in the last month.

“To start primary school in the US if you don’t have your paperwork showing two measles shots they say “sorry, come back when you have the paperwork,” Professor McIntyre said.

“That might be seen as a bit tough…but on the other hand it does really work.”

Despite NSW Health saying the outbreak is the worst in more than a decade, Professor McIntyre said Australia had a high level of immunity to measles, with the latest outbreak the result of travellers acquiring measles overseas, and families with children who are not immunised.

These families may have been born overseas, have not been able to access immunisation services, or less commonly are “objectors”, and are living in areas with high population density.

He said there were also cases of babies aged less than 12 months – too young for the first vaccine dose – contracting measles.

Given the relatively minor number of measles cases seen in Australia in the last decade, Professor McIntyre said doctors didn’t readily diagnose the viral disease.

“It hasn’t been around for such a long time, in a lot of circumstances people turn up in hospitals and the possibility of measles isn’t realised until it’s too late.”

Robert Booy, professor at the University of Sydney and head of clinical research at the NCIRS, agreed.

“Doctors these days find it very hard to diagnose it because they’re not used to seeing it.”

Nevertheless, he said public health units had responded admirably, were taking the issue on as a priority and advising GPs to put suspected cases into a separate waiting room and take other practical measures like wearing a mask.

NSW Health has set up special clinics offering the measles vaccine for free to help combat the outbreak, but Professor McIntyre said other measures might be required.

“It’s difficult to find these people and get them immunised, that’s the reason they’re susceptible in the first place.

“They’re not easy to find and won’t necessarily turn up in clinics for the same reasons they aren’t immunised in the first place.”

Professor McIntyre said social media sites like Facebook may be of more use than clinics in helping community groups spread the word about the importance of immunisation and find unimmunised people.

Professor Booy said newly arrived migrants, travellers returning from overseas or students heading overseas for gap years should all be targeted.

But he played down the size of the current outbreak, pointing out surveys from blood samples showed about 94% of the population were immune to measles.

“We’re going to have these small outbreaks, nothing like we used to have. In the bad old days we had peaks every two years.”

With Australians now commonly given two doses of MMR (Measles, Mumps and Rubella) vaccine, Professor Booy said he didn’t believe mandatory approaches were required.

“We do so well with voluntary approaches…More people vote for MMR vaccine than Liberal, Labor and Greens combined.”

Professor Booy added that while Australia was doing well with childhood vaccinations, there was less uptake in adults.

NSW Health said it was safe to have the vaccine more than twice, so people who were unsure of their immunity should get vaccinated.

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73 Comments sorted by

Comments on this article are now closed.

  1. Laurie Willberg

    Journalist

    Provide free blood titre tests to determine whether the theory of high antibody titres is valid when exposure to outbreaks is inevitable.
    This is a far less invasive way of obtaining unbiased data than suggesting that people who have issues with vaccination, for whatever reason, be pressured into violating their stance.
    Those who elect to use Homeoprophylaxis instead can also be incorporated into a larger study of exposure/disease incidence.
    Problem solved.

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    1. Matthew Rowles

      logged in via Facebook

      In reply to Laurie Willberg

      Violating their stance? What is the reasoning behind their stance? Some reasons that I've heard are downright stupid, others I'll entertain.

      In the long run, if you want to partake in society, you need to live by the rules, and if too many people take advantage of herd immunity, then there will be no herd immunity.

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    2. Laurie Willberg

      Journalist

      In reply to Matthew Rowles

      Well pardon those members of the public that you think are stupid. They may not have such a high opinion of you either, especially if you can't demonstrate informed knowledge of the subject.

      Fortunately we live in a democratic society where people have freedom of choice. If you think you're smart by getting shots then you have nothing to worry about if you believe it gives you immunity. Excuse others from doubting you do this because you think it's your civic duty and will uncomplainingly accept…

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    3. Sue Ieraci

      Public hospital clinician

      In reply to Laurie Willberg

      Laurie Willberg repeats all the old anti-vaccination tropes.

      India has recently celebrated a year without new cases of polio - simply due to vaccination.

      "Acute flaccid paralysis" is an umbrella term referring to a group of neurological signs, with a range of causes, including Guillain-Barre syndrome, tick bite, snake bit and a range of other causes.

      Laurie Willberg has alleged that antibodies do not reflect immunity, and yet now he/she calls for using testing. What tests do homeopaths use for immunity, Laurie Willberg?

      Anti-vaxers learn a few words of jargon from the science of immunology, and misapply them. That doesn't make for a rational argument.

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    4. Matthew Rowles

      logged in via Facebook

      In reply to Laurie Willberg

      I think the article on opinions is quite valid here.

      A stupid argument for not vaccinating: They cause autism (cf, MMR vaccination). This has been roundly found to be false.

      A good reason not to vaccinate: Child reacting to the vaccine (as happened to my youngest)

      A reason I'll entertain: religious/conscientious objection, but only if you can justify it with respect to your child. Case in point: Friends initially objected on religious grounds to a vaccine that was originally developed using blood from an aborted foetus. They eventually decided that they couldn't object on behalf of their child on religious grounds as their child had no religious opinions.

      And I think the fact that doctors are having trouble diagnosing measles because they never see it, as a big tick in the box that immunisation works.

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    5. Bryn Hull

      Health researcher

      In reply to Laurie Willberg

      "There are also legitimate concerns regarding the financial motives of drug manufacturers in promoting their products"

      The same could be said regarding the financial motives of homeopathy practitioners.

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    6. Grendelus Malleolus

      Senior Nerd

      In reply to Laurie Willberg

      "those who have scientific objections to the adjuvants/toxins in vaccines"

      It is true they have an objection, but it is not a scientific one.

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    7. Sue Ieraci

      Public hospital clinician

      In reply to Bryn Hull

      All the more, Bryn, because homeopaths often retail the "remedies" that they recommend, at a grossly inflated price for the ingredients.

      IN medicine, dispensing is almost always at arm's length from prescription.

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    8. Laurie Willberg

      Journalist

      In reply to Sue Ieraci

      Until the concerns of vaccine sceptics are properly addressed they will continue to arise. The problem with people like Sue Ieraci is that she merely defends the status quo and attacks anyone that disagrees with her, especially when they have the medical knowledge to do so.
      Sue Ieraci's take on the situation in India is incorrect. Acute flaccid paralysis is the term being used because researchers will only use the term Polio to describe natural/wild polio. Sue Ieraci is entirely unaware that the…

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    9. Laurie Willberg

      Journalist

      In reply to Sue Ieraci

      Yeah, it's "at arms length" because GPs like to close themselves off from the backlash that their patients invariably have when they find they can't afford prescribed medication or have to do without food, rent, or clothing in order to buy it. GPs also don't like it when patients complain that they've been given 17 different drugs and feel worse than they did when they first started taking the drugs or ask them pointed questions about toxic effects.
      Sue Ieraci seems to be practising false economy or at the very least, indulging in about the weakest argument regarding homeopathic treatment I've ever heard.

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    10. Laurie Willberg

      Journalist

      In reply to Matthew Rowles

      The possibility of a vaccine/autism link has not been "roundly" found to be false -- more independent research needs to be done that is NOT sponsored by the vaccine industry. You are entitled to make your own choices regarding vaccination hopefully after satisfying yourself that it's the right choice for you.
      Doctors frequently have trouble diagnosing all sorts of medical conditions, especially when they're acute self-limiting ones like childhood diseases. There is no evidence that disease outbreaks=lack of vaccination and more than lack of outbreaks=more vaccination. These are untestable hypotheses and have no scientific validity. It's an assumption not a fact. No exposure, no disease. No susceptibility, no disease.

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    11. mark mc dougall

      educator

      In reply to Laurie Willberg

      Add the concern that childhood inflamatory illnesses seem to provide an enhancement of the warmth organism that is also associated with reduced likelihood of cancer and degenerative diseases for life.??

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    12. mark mc dougall

      educator

      In reply to Grendelus Malleolus

      And Grendel might answer for the infants that lately died,.. with the vaccine manufacturer later allowing the DNA strands were not broken down sufficiently....and show how how he is aware that it was only those infants that died that had adverse effects?

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    13. Debra Joan Smith

      Account Executive

      In reply to Laurie Willberg

      OK, TIME OUT! A little logic goes a long way. Is anyone saying that big pharma is good or great? I do not think so -

      But all anyone has to do to see that vaccinations are great it to see how far the disease profile that kills humanity has declined. More and more of us survive into adulthood thanks to vaccinations- what else do you really think is a viable explanation??

      Sometimes the status quo IS the status quo BECAUSE it works! I am thankful for that.

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    14. Laurie Willberg

      Journalist

      In reply to Debra Joan Smith

      Major epidemic disease outbreaks of the past were largely eradicated due to the advent of universal public sanitation and water purification in developed countries. It is also very likely that parents who experienced various diseases passed on immunity to their children.
      There is no evidence to suggest that "most of us survive into adulthood thanks to vaccinations". It's a great promotional slogan for vaccine manufacturers, but it has never been proven. No exposure, no disease. No susceptibility…

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    15. Debra Joan Smith

      Account Executive

      In reply to Laurie Willberg

      You know what they say about a little bit of knowledge being dangerous and it is even more dangerous in some hands. Would it not make more sense for you to target the populations that you believe are at risk instead of sewing such fear and discent?

      Yes, longevity is greatly and primarily advanced by public sanitation but please look at the curves - one was just about completed when the other started.

      I am not apologist nor advocate of the pharmaceutical business and at one time this sort of…

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    16. Sue Ieraci

      Public hospital clinician

      In reply to Laurie Willberg

      Wrong, yet again, Laurie Willberg.

      Australia has a subsidised and universally accessible public health and medication system.

      The infinite dilution of a "mother tincture" to no detectable initial ingredients, and infinite re-sale in little bottles of water and/or alcohol, or sugar/lactose "pillules" has to be one ot he greatest money-making scams yet discovered. Add the conflict of interest of the presriber-retailer, and you have an even greater scandal.

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    17. Sue Ieraci

      Public hospital clinician

      In reply to Laurie Willberg

      Vaccination has virtually eradicated childhood epiglottitis (caused by Haemophilus Influenzae type B) - since the 1980's in Australia. No change in nutrition, sanitation or living standards, Laurie Willberg. Just vaccination.

      The same is now happening with measles, chickenpox, rotavirus, and soon, pneomococcus. No change in living standards or hygiene, Laurie Willberg, just vaccination.

      I have not heard anybody claim that immunisation "strengthen's" the immune system - that is a term used by…

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    18. Laurie Willberg

      Journalist

      In reply to Sue Ieraci

      We have all seen your transparent attempts to belittle factual information that refutes your opinions, Sue Ieraci. Face it, you're not an immunologist or epidemiologist and are hardly an expert on the subject. Your tired repetition of well-worn vaccine propaganda isn't going to push people with more medical knowledge than you give them credit for into going along with your opinions.
      It's the vaccines that are keeping these diseases going and the independent research verifies it. You can choose to go along with the official party line if you wish. Those of us who know better won't.

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    19. Grendelus Malleolus

      Senior Nerd

      In reply to Laurie Willberg

      Laurie - whenever you have been presented with evidence to the contrary, you deny it. Whenever you have been pointed in the direction of studies quite clearly not paid for by drug companies, you deny their validity on some other spurious grounds. You deny vaccines work and you repeatedly make scientific sounding claims - like this: "There is no evidence that disease outbreaks=lack of vaccination and more than lack of outbreaks=more vaccination. These are untestable hypotheses and have no scientific validity. " that are just wrong.

      You have no credibility.

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    20. Sue Ieraci

      Public hospital clinician

      In reply to Laurie Willberg

      Weak attempt to avoid my question, Laurie Willberg.

      Where did epiglottitis go?

      And "those of us who know better"? About what? Journalism?

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    21. Grendelus Malleolus

      Senior Nerd

      In reply to mark mc dougall

      You'd think so! No, mostly we a solitary types with little time for cults*

      As far as I can tell there is no actual nerd Heirarchy - the title of "senior nerb" being bestowed merely in respect of time served as a nerd rather than any position among nerds.

      *Intriguingly I grew up in a cult, perhaps this is why I reject narrow dogmatism and fallaceous belief in favour of scepticism. I do however acknowledge the existence of cults around specific consumer objects - such as Apple products but would consider the membership to be broader than nerds alone.

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    22. mark mc dougall

      educator

      In reply to Grendelus Malleolus

      The following cases are what I am talking about, and they dont mention the deaths--vanished off the net?, and youll be looking pretty hard to get these up on google, they've already moderated their algorithms,..1984 was years ago,

      1. The 7.30 Report - ABC

      The flu vaccine was suspended last week after hundreds of children in Western
      Australia experienced side effects including fever and in some cases
      convulsions The scare has significantly damaged par
      http://www.abc.net.au/7.30/content/2010

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    23. Grendelus Malleolus

      Senior Nerd

      In reply to mark mc dougall

      "And Grendel might answer for the infants that lately died"

      There was a significant issue with the manufacture of the flue vaccine in 2010 - it cause febrile convulsions. I do not recall any recorded deaths however. None of the reports you posted reported any deaths.

      I am aware that in a coronial case in Brisbane there was a death recorded in which a link to the vaccine could not be ruled out, and another case in Western Australia where a child acquired brain damage - again a link to the vaccine…

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    24. Sue Ieraci

      Public hospital clinician

      In reply to Laurie Willberg

      LOL, Laurie Willberg.

      I'll ask again: Where did epiglottitis go?

      Oh, and when you say "those of us who know better..."- know better about what? Journalism??

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    25. Sue Ieraci

      Public hospital clinician

      In reply to Grendelus Malleolus

      It is correct that the flu vaccine that was given to young children in WA caused a lot of fevers - that's why it was withdrawn for children aged less than five.

      Do you know, however, what the most common cause of febrile convulsions (seizures with fever) is, Mark McDougall? Infections - including the flu.

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    26. Debra Joan Smith

      Account Executive

      In reply to Matthew Rowles

      I would like to add an excerpt from an article in the Canadian Medical Assoication Journal which clearly deals with the original offender that led so many hurting parents of autistic kids and their supporters astray. I think this very act of victimizing hurting people is heinous and that is part of why i fight it so seriously.

      Quote:

      Lancet retracts 12-year-old article linking autism to MMR vaccines

      Laura Eggertson

      Twelve years after publishing a landmark study that turned tens of…

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    27. Laurie Willberg

      Journalist

      In reply to Grendelus Malleolus

      If you believe I'm wrong then let's see the science to back up your opinion. The vaccine hypothesis can only be validated through challenge studies -- comparing vaccinated vs. unvaccinated groups through actual exposure. The vaccine industry neatly ducks this challenge by claiming it's "unethical", however that's the only real proof that will lay their hypothesis to rest. Therefore the vaccine hypothesis is untestable and invalid.

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    28. Laurie Willberg

      Journalist

      In reply to Debra Joan Smith

      The curves show that vaccines were brought out at the end of the natural cycle of the disease outbreaks.
      Try to explain why the latest measles outbreaks have occurred in 90% vaccinated populations, and why 90% of unvaccinated kids don't get it?
      If you seriously believe that vaccination works as promised then you/your kids won't be infected and you have nothing to worry about. Why the histrionics?

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    29. Debra Joan Smith

      Account Executive

      In reply to Laurie Willberg

      Histrionics Laurie?. This is an hillarious suggestion but then laughable suggestions are what we are coming to expect.

      What is worth histrionics however, if we can prevent even one, is the suffering of those who contract these almost vanquished disease courtesy of the ignorant who choose to become cess pools of contageon. Have you actually bothered to look at them? Do you care for the reality of these people? While you are busy defending some unproven hypothesis, I think it is real people who deserve my efforts.

      Just a cue= just because you think it 'must or might' work that way does not mean that it does in reality.

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    30. mark mc dougall

      educator

      In reply to Grendelus Malleolus

      Grendelus (you do have an interesting name) its rather a specific google you are doing for what should be a significant issue, "infant death vaccine" (which still works at the abc and smh). There were more cases by my memory, and what is worrying is the cowboy attitude of bringing a vaccine to market without careful trials. Assumed safe, mass circulated, serious unexpected issues, at first shouted down, continuing serious issues, eventual retraction/recall, studies revealing a fundamental process…

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    31. Laurie Willberg

      Journalist

      In reply to mark mc dougall

      The mainstream doctors during the 1918 flu pandemic gave their patients aspirin to "bring down their fevers" which invariably killed them http://cid.oxfordjournals.org/content/49/9/1405.full
      The purpose of fever is to "burn off" pathogens, and well-established medical wisdom is to leave the patient alone unless it goes over 104F. Of course this is an innate immune system response and it needs to develop in infants once immunity conferred by breast milk from the mother begins to wane.
      Veterinary…

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    32. Debra Joan Smith

      Account Executive

      In reply to Laurie Willberg

      OK, Laurie, I will allow myself to be baited by this silliness one more time.

      You are referrring to a cytokine storm- and science only recently- in preparation for a new pandemic learned that it is what actually killed all those young healthy people that you propose we let die due to exposure. As parents and lovers of humanity we think that is a bad idea.

      Here is an easy to access segment from Wili[pedia pm the topic:

      Tissue samples from frozen victims were used to reproduce the virus for…

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    33. Laurie Willberg

      Journalist

      In reply to Sue Ieraci

      The medical literature indicates that only 25% of epiglottitis are caused by HIB? So that's what the vaccine was "supposed" to prevent.
      It couldn't "prevent" the other 75% so your guess is as good as mine.
      You're not open-minded enough to be a journalist and not much of a writer. I was accepted into medical school but decided against it.

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    34. Laurie Willberg

      Journalist

      In reply to Debra Joan Smith

      FYI a cytokine storm can be averted by the use of elderberry (sambuccus) in a variety of forms. As per another post of mine, totally avoid aspirin or any other suppressive drug.
      Debra, you've got a long way to go to catch up on the immunological/epidemiological studies I've done in both conventional and alternative medicine.
      Nobody with a university education would use Wikipedia.
      The risk of adverse vaccine reactions, among other issues, are enough to make educated consumers think twice. Since you're obviously not one of them continue to vaccinate yourself and your family members. No one is stopping you.

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    35. Debra Joan Smith

      Account Executive

      In reply to Laurie Willberg

      HMMMMMMMMMM Laurie, maybe as a journalist or one working to bring a topic into focus for one having trouble grasping the issues you might admit that you bring the sources that are approachable.

      This pattern of attacking the person is old and tired and you have worn it out. NO SALE, Laurie.

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    36. Laurie Willberg

      Journalist

      In reply to Debra Joan Smith

      So why is Andrew Wakefield suing the Lancet and Brian Deer for defamation?
      Moreover, other researchers have since verified Wakefield's findings of MMR vaccine virus in the bowel tissues of vaccinated children. This really isn't surprising, since it's not uncommon for vaccines to be "shed" in feces. This is also validated in veterinary research regarding parvo virus vaccine being shed after vaccination and infecting other puppies/dogs in the vicinity.
      The nasal flu vaccine can be shed from a patient's nostrils and infect other family members with a "flu-like illness".
      Wakefield never actually said that MMR vaccines cause autism. Read the original research paper and stop relying on anecdotes of what his detractors are claiming. As usual, his paper called for "further research".
      In the meantime, if you have an autistic child, you'll know that they have lots of digestive/bowel problems. It's a universal characteristic of autism spectrum disorders.

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    37. Grendelus Malleolus

      Senior Nerd

      In reply to Laurie Willberg

      Utter rubbish. Vaccination is no more a hypothesis than gravity. Let's try this on for size Laurie - you test a person for polio antibodies, and find none. You give that person the vaccine for polio, then test again - and what do you find? Antibodies that protect that person against polio. Where did the antibodies come from Laurie? Better hygiene?

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    38. Sue Ieraci

      Public hospital clinician

      In reply to Laurie Willberg

      Laurie Willberg - lucky you didn't go to medical school - your error rate is astounding. (Did you go to journalism school instead - or is that just a self-imposed title?).

      Before HiB immunisation, almost all paediatric epiglottitis was caused by HiB infection. Following introduction of the vaccine, the incidence has dropped dramatically, and the few remaining rare cases are now those remaining cases caused by other organisms. They were always there, but now that HiB has gone, epiglottitis in children has virtually disappeared. Is that clear enough?

      For your information, here is a good article about paediatric HiB infection - which has now virtually disappeared in the wealthy world.
      http://emedicine.medscape.com/article/964317-overview#a0104

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    39. Grendelus Malleolus

      Senior Nerd

      In reply to Laurie Willberg

      "So why is Andrew Wakefield suing the Lancet and Brian Deer for defamation?"

      Because if he doesn't he has no business anymore. His credibility in the medical world is non-existent so he has to maintain it among his followers.

      I have an autistic child. He does not have bowel problems. In fact this is a particular area of interest to me, since I work with people who have autism. I would suggest you are quite wrong in describing bowel disorders as "universal characteristic of autism spectrum disorders" since the prevalence rate of bowel disorders, other than constipation from a low-fibre diet, is almost identical to the rate in the rest of the population.

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    40. Sue Ieraci

      Public hospital clinician

      In reply to Laurie Willberg

      ANother old anti-vaxer trope.

      The vast majority of the population is vaccinated. So, the majority of breakthrough cases will be in vaccinated children (in crude numbers).

      As a proportion of the population, however, many more non-vaxed children get the disease. Quite simple, really.

      Oh, and a paper analysing the 2009 European outbreak (Lancet 2009) found that

      " In 2006, 2820 (91%) cases aged 5–19 years had known vaccination status, of whom 2058 (73%) were unvaccinated, 452 (16%) had received a single dose of vaccine, and 39 (1%) had been vaccinated with an unspecified number of doses. The following year, 1796 (95%) cases from the same age-group had known vaccination status, of whom 1567 (87%) were unvaccinated, 156 (9%) had received a single dose, and two (0·1%) had been vaccinated with an unspecified number of doses."

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  2. Elizabeth Hart

    Independent Vaccine Investigator

    In my opinion, it is wrong for paternalistic ‘experts’ to tell people to have medical interventions without properly informing them of their options.
    Information in The Australian Immunisation Handbook, 9th Edition is confusing. However this quote is relevant:
    (ii) Vaccination of adults and adolescents
    “…Those ≥18 months of age should have documented evidence of 2 doses of MMR (administered at least 4 weeks apart with both doses administered at 12 months of age or over), or serological evidence…

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    1. Elizabeth Hart

      Independent Vaccine Investigator

      In reply to Elizabeth Hart

      Further to my previous comment. If a doctor urged me to have a MMR shot, without advising me of the option to have serological testing, I would complain to the AMA (for what that would be worth….) And who else can you complain to? Because it appears there is no protection from the tyranny of ‘experts’…
      On the subject of serological testing , I provide a personal anecdote. I was born in 1959 and do not remember if I have ever had measles/mumps/rubella. If I did, it wasn’t memorable. My family…

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    2. Grendelus Malleolus

      Senior Nerd

      In reply to Elizabeth Hart

      "In my opinion, it is wrong for paternalistic ‘experts’ to tell people to have medical interventions without properly informing them of their options."

      In my opinion, it is wrong for unqualified laypeople to provide advice to families that may lead to death and disease because they failed to have medical interventions made available for the purpose of preventing disease.

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    3. Grendelus Malleolus

      Senior Nerd

      In reply to Elizabeth Hart

      Elizabeth,

      If we conducted Serological testing and THEN had to vaccinate we would double the interventions (and the cost). When vaccination alone occurs we then have a record that it has occurred and the knowledge that probability of protection is high. Individuals who choose to seek Serological testing are free to do so.

      The vaccination is free - why should the government also provide free testing. This is even more relevent for the early years vaccinations when the testing would almost certainly find that pre-vaccination results showed nil protection against the diseases.

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    4. Elizabeth Hart

      Independent Vaccine Investigator

      In reply to Grendelus Malleolus

      ‘Grendelus Malleolus’, the dictatorial attitude from ‘experts’ in imposing an increasing amount of medical interventions on healthy people is just wrong . It’s an affront to individual liberty. The power that scientific and medical ‘experts’ have taken upon themselves has just gotten way out of hand, most recently in insisting on HPV vaccination for all children, and flu vaccinations for all of us every year. How many more vaccines has the vaccine industry got in the pipeline to foist upon us? It’s about time more academics in the university politics and philosophy departments started examining this issue.

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    5. Elizabeth Hart

      Independent Vaccine Investigator

      In reply to Grendelus Malleolus

      ‘Grendelus Malleolus’, the first MMR live vaccine dose at 12 months or later is likely to produce an immune response and provide lifelong immunity. (Read the link to the letter I provided: http://users.on.net/~peter.hart/Letter_to_Minister_Plibersek_re_MMR_vaccine.pdf )
      So why should every child be revaccinated with a second dose, just because a small minority might not respond? Why shouldn’t parents have the option of serological testing to verify a response to vaccination, i.e. evidence based…

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    6. Sue Ieraci

      Public hospital clinician

      In reply to Elizabeth Hart

      Elizabeth Hart - you appear to have confused the childhood vaccination strategy with checking (and possibly topping up) immunity in adults.

      It is normal practice for adults to be screened before being offered follow-up vaccinations - this happens all the time in general practice, ante-natal clinics, health worker screening. If you remain immune - whether from previous vaccination or surviving the infection - you don't need another top-up.

      Childhood vaccination is different - for the reasons outlined by GM above.

      If you are not familiar with the science of immunology or vaccination, there is no shame in taking the advice of a person who is trained and experienced in the area.

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    7. Sue Ieraci

      Public hospital clinician

      In reply to Elizabeth Hart

      According to a 2011 paper in the BMJ, reviewing the measles outbreak in Europe that year, "Rates of measles seroconversion after vaccination are around 90% after a single dose and 99% after two doses.12 WHO recommends 95% uptake of two doses of measles containing vaccine for elimination of the infection in a population"

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    8. Laurie Willberg

      Journalist

      In reply to Elizabeth Hart

      Excellent points Elizabeth!
      But if the vaccines are being subsidized then serological testing should also be subsidized.
      You should be aware that this Grendelus individual is a member of a Skeptic cult, as is Sue Ieraci. Their general MO is to attack anyone who questions the status quo of the medical establishment. They never question the obvious faults of the system or have anything negative to say about it. If a CAM article mentions a strategy for boosting immunity these skeptics will make…

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    9. Debra Joan Smith

      Account Executive

      In reply to Laurie Willberg

      Well, I am not a member of any cult and I confirm that those two persons are supplying needed and accurate information that will work to save lives and suffering for many.

      Any one in this day and age who declines to be or to have their children immunized creates and spreads a cess pool of danger for everyone else in society- at least that 5% or more of Australians who are under immunized and do not know it. They have rights too or should have.

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    10. Sue Ieraci

      Public hospital clinician

      In reply to Laurie Willberg

      "Member of a Skeptic cult"? Hilarious, Laurie Willberg. As an Australian, I don't even spell sceptical in that way. Anyway, I'm too sceptical to be a member of any cult.

      I have never heard anyone claim that vaccination greates "more" immunity - and certainly not "magically". It is easy to demonstrate that allowing the immune system to form antibodies to an antigen in a vaccine is much safer than having to survive a full infection - assuming you are exposed.

      Knowing a bit of jargon is not enough, Laurie Willberg.

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    11. Sue Ieraci

      Public hospital clinician

      In reply to Elizabeth Hart

      Elizabeth Hart, when you refer to "paternalistic 'experts' ", do you mean immunologists, padiatricians, infectious diseases experts, epidemiologists, early chidlhood nurses, or NICU nurses and doctors?

      All these people research and promote vaccination. Which of them do you find "paternalistic" or not to hold expertise?

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    12. Grendelus Malleolus

      Senior Nerd

      In reply to Laurie Willberg

      Member of a "Skeptic cult" Laurie? Really? Care to demonstrate my membership of any organisation?

      I support a sceptical view of medicine and CAM. I think I should, as a parent, have access to good information with an evidence base that I can use to reduce the risk to my children. Most CAM modalities are unable to meet my parental risk test, in fact most of them fail it abysmally as presenting a risk from their advice to not undertake some actions known to prevent disease (such as vaccination) or to undertake action with no proven benefit or with some risk (such as stupid cleansing diets that can cause liver damage).

      I have a son with Autism. I questioned much after the diagnosis and came to the clear view of where the evidence lay - and it was not with the AVN or similar groups.

      Immunization is extremely low risk for very high benefit - far more so than risking a "natural" immunity through disease.

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    13. Sheri Mills

      Secondary School Home Economics Coordinator

      In reply to Sue Ieraci

      And that is exactly why trust the (vast) majority medical opinion on issues like vaccination because I do not pretend to have any medical qualifications whatsoever.

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    14. Debra Joan Smith

      Account Executive

      In reply to Sheri Mills

      Sheri, you make such an important point above and that is why many of us insist that medical professionals be held to a high standard and academic rigor. Thank you.

      Here is an idea for many- please see if it helps. Into your search bar put CMAJ Lancet retracts 12-year-old article linking autism to MMR vaccines to read the realities.

      CMAJ is the Canadian Medical Association Journal.

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    15. Laurie Willberg

      Journalist

      In reply to Grendelus Malleolus

      Humans "risked" natural immunity through disease outbreaks through thousands of years of evolution (or are you a creationist?)
      If you believe that vaccines create immunity and that they're low risk, you and your offspring are free to take that risk. Fortunately you don't get to make that choice for others.
      You don't seem to be able to do anything other than to quote public health jargon while conveniently ignoring the fact that most mild childhood disease outbreaks like measles take place in highly vaccinated populations.

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    16. Elizabeth Hart

      Independent Vaccine Investigator

      In reply to Sue Ieraci

      Sue, on the subject of 'expertise'...
      Re my previous comment on this article about Dr John D’Arcy and his statements on measles vaccination.
      What do you think about his advice that the second MMR live dose “builds up the immunity”, and his suggestion that if parents are unsure if their children are “up to date” they should talk to their GP about a “booster”?

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    17. Elizabeth Hart

      Independent Vaccine Investigator

      In reply to Elizabeth Hart

      I ask Sue a simple question, i.e. "do you do MMR vaccinations?" and it rates a negative vote. The sooner The Conversation gets rid of this crude and ridiculous voting system the better.

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    18. Sue Ieraci

      Public hospital clinician

      In reply to Elizabeth Hart

      Elizabeth Hart - I don't know John D'Arcy - I suspect he is a good GP and a is certainly a good communicator. The ansers are found in the medical literature.

      I have already posted the information about seroconversion here. By "builds up the immunity", I suspect D'Arcy is trying to explain that the second dose increases the seroconversion rate, and, in individuals, increases the antibody levels to immune levels.

      It seems to make good sense that if children have not completed their course, their parents should talk to their GPs about completing them. Nothing controversial there.

      I suspect D'Arcy takes his approach from the same information that other doctors use - the research and policy produced by legions of researchers and clinicians in immunology, infectious diseases, paediatrics.

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    19. Sue Ieraci

      Public hospital clinician

      In reply to Laurie Willberg

      "Humans "risked" natural immunity through disease outbreaks through thousands of years of evolution " says Laurie Willberg.

      The our brains, expertise and knowledge evolved, humans invented vaccination, and we no longer have to lose many young children to infectious diseases (at least in the developed world).

      Isn't evolution great?

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    20. Grendelus Malleolus

      Senior Nerd

      In reply to Laurie Willberg

      "Humans "risked" natural immunity through disease outbreaks through thousands of years of evolution (or are you a creationist?)"

      Oh dear.

      Quite sad.

      Humans died Laurie, we got sick and died. Those who survived had immunity - and also passed on their DNA of a "better than the other guy" immune system. Natural selection ensured that we became better at fighting disease, but the diseases were also evolving - and waves of pandemics through history demonstrate that our natural immune response…

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  3. Elizabeth Hart

    Independent Vaccine Investigator

    On the subject of measles vaccination, here's a link to a blog post by Dr John D'Arcy, (who promises "quality, evidence based medical information"), discussing the measles outbreak in Sydney, in which he states: "If they had the first injection for MMR, (mealses [sic], mumps, rubella) at 12 months they would have received some protection but having the second injecton [sic] at 4 years puts the icing on the cake and builds up the immunity." He also suggests if parents are unsure if their children…

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    1. Sue Ieraci

      Public hospital clinician

      In reply to Elizabeth Hart

      The rates for seroconversion are posted above:

      " According to a 2011 paper in the BMJ, reviewing the measles outbreak in Europe that year, "Rates of measles seroconversion after vaccination are around 90% after a single dose and 99% after two doses.12 WHO recommends 95% uptake of two doses of measles containing vaccine for elimination of the infection in a population"

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  4. Dustin Welbourne

    PhD Candidate in Biogeography + Science Communicator at University of New South Wales

    I scroll down to see the interesting comments that are accumulating on this article, and what do we find? A crazy salad of homeopathic and anti-vaccination drivel, beating the same old tired drum that the link between vaccinations and autism still exists; and as soon as there is opposition, the personal attacks, hyperbole, slander, and appeals to emotion start to fly.
    You have the right to speak, but do not expect anyone to respect the bat-shit crazy ideas you put forward unless you have some evidence that topples the status quo.

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    1. Debra Joan Smith

      Account Executive

      In reply to Dustin Welbourne

      Bat shit crazy? I thought you were speaking Canadian and it appears i was wrong- you were just speaking universally effective TRUTH. Bravo!

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    2. Elizabeth Hart

      Independent Vaccine Investigator

      In reply to Dustin Welbourne

      Dustin, I am going to some trouble to back up the comments I am making on this discussion thread and I do not appreciate your biased and glib response. You have added no value to this conversation.

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  5. Dave Hughes

    Safety Consultant

    I can recall my childhood in the UK and how it wasn't the least bit unusual to see kids in leg-irons because they had suffered from polio. Nor was it uncommon for funerals of kids each winter - I'm not sure why but I do recall the grief it caused. I do remember my brother nearly dying because of a combined infection of measles and chickenpox.

    I'm not an immunologist or a medical practitioner of any type nor an epidemiologist or an expert in this field at all. However, I no longer see kids in…

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