After three months and 33 deaths, the Ebola outbreak in the Democratic Republic of Congo has been declared by the World Health Organization to have come to an end. The loss of 33 lives to the disease is absolutely tragic, but comes close to a miracle when you stop to consider the fact that the last time Ebola broke in West Africa, more than 11,000 people died. The high number of deaths in that instance was due to the fact that The WHO (not the one with Roger Daltrey,) was slow to react to the epidemic last time around, moving slowly to deploy medical resources to the regions that needed it the most. Additionally, no vaccine designed to fight the Ebola virus was put into play until near the end of the outbreak.
That wasn’t the case this time.
After being tongue lashed for dragging their ass during the last outbreak, The WHO sent specialists to Congo as soon as a handful of cases of Ebola were confirmed, back in May.
From the New York Times:
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Even though Congo is familiar with Ebola — this was the country’s ninth outbreak since the disease first appeared in 1976 — more than 350 support personnel were deployed there. They included vaccinators from Guinea, where a novel Ebola vaccine was first field-tested.
The Congo outbreak marked the first in which an Ebola vaccine was readily available. In addition to giving injections to all front-line health care workers, experts used “ring vaccination” to protect all contacts of each person with the disease.
Hey gang, let's talk Ebola: Everyone's favorite viral boogeyman.
Over the weekend, the AFP News Agency reported that health professionals in the Democratic Republic of Congo have uncovered five new confirmed cases of Ebola: three cases in the Bikoro area and two in Wangata. This most recent outbreak of the disease in the country’s northwest has resulted in more than 50 confirmed cases and 25 deaths. These numbers, of course, only reflect the incidents of the disease that health agencies such as the World Health Organization and Medecins Sans Frontieres and DR Congo’s healthcare system are aware of.
As such, the push to track everyone who has come into contact with the disease and take appropriate precautions continues, albeit slowly. One of the biggest hurtles in tracking and containing Ebola is that, logistically, the rural regions of DR Congo are a pain in the ass. The roads are often so pocketed with potholes that the only way to reliable traverse them is with a motorcycle—and that’s if there are any roads at all. Many of the smaller villages surrounding Bikoro are packed away by dense jungle. Additionally, cellular coverage in the country’s northwestern region comes with massive holes. This makes doing important work, such as sending field operatives into areas of infection, shipping vaccines or sending collected data back for processing extremely difficult.
According to the New York Times, because of these difficulties, researchers are having a hard time piecing together how the current strain of the virus was transmitted. This, in turn, makes vaccinating the right people in the hopes of stopping the spread of the disease an uphill battle. Read the rest
My grandmother's longtime partner Rusty was a former weightlifter with the sunniest, most reslient disposition of anyone I've known, and the only time I ever saw him reduced to tears was from the pain of a bout of shingles; now a new shingles vaccine called Shingrix has proven almost miraculously effective against the virus (which nearly every person who lives to 80 will suffer from) with a notable lack of downsides. If you're over 50, you should go get it right now. (via Naked Capitalism)
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There are no good reasons, and a lot of bad ones, that your dog can be vaccinated for Lyme disease but you can not. Profiteering and vaccination fears have teamed up to leave humans defenseless from a terrible malady.
WBUR shares the story:
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For Dr. Stanley Plotkin, a prominent vaccine scientist, Lyme disease is personal. His son, Alec, collapsed from a slow heart rate when he was 39, brought down by a rare heart complication from Lyme.
His son survived, but the incident helped cement Plotkin's resolve to pursue a human vaccine against Lyme disease. Using his bully pulpit as an emeritus professor of infectious diseases at the University of Pennsylvania, he’s taken his case from The New York Times to the New England Journal of Medicine, in which he called the lack of Lyme protection "the worst recent failure to use an effective vaccine."
That’s because we used to have a vaccine for Lyme, called LYMErix, but it was pulled from the market. Now, the only family member who can get a Lyme vaccine is your dog.
LYMErix had some problems. It required three doses at $50 each, and they were not covered by insurance -- so involved some inconvenience and out-of-pocket money. Despite a good safety record in clinical trials, some people experienced what they thought were side effects and sued SmithKline Beecham, the manufacturer. In 2002, SmithKline pulled the vaccine, after only four years on the market. (More on the history of the Lyme vaccine here.)
While the official line is that poor sales led the vaccine's maker to pull it, most experts think the specter of lawsuits was a key factor.
From YouTube description for this Bozeman Science video: "In this video Paul Andersen explains how immune individuals in a population give the entire group a herd immunity. Concepts of immunity, vaccines, basic reproduction number, and herd immunity threshold are discussed." Read the rest
Yet another opinion piece, this one in the New York Times, detailing how incredibly cavalier folks who decline to vaccinate their children are.
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It’s looking as if 2017 could become the year when the anti-vaccination movement gains ascendancy in the United States and we begin to see a reversal of several decades in steady public health gains. The first blow will be measles outbreaks in America.
Measles is one of the most contagious and most lethal of all human diseases. A single person infected with the virus can infect more than a dozen unvaccinated people, typically infants too young to have received their first measles shot. Such high levels of transmissibility mean that when the percentage of children in a community who have received the measles vaccine falls below 90 percent to 95 percent, we can start to see major outbreaks, as in the 1950s when four million Americans a year were infected and 450 died. Worldwide, measles still kills around 100,000 children each year.
The myth that vaccines like the one that prevents measles are connected to autism has persisted despite rock-solid proof to the contrary. Donald Trump has given credence to such views in tweets and during a Republican debate, but as president he has said nothing to support vaccination opponents, so there is reason to hope that his views are changing.
However, a leading proponent of the link between vaccines and autism said he recently met with the president to discuss the creation of a presidential commission to investigate vaccine safety.
Scientific American summarized five of Donald Trump's "major moves many see as hostile toward science." They are:
• Trump’s pick for head of the U.S. Environmental Protection Agency has actively battled its mission
"To lead the EPA, Trump appointed Scott Pruitt, the Oklahoma attorney general who has long opposed environmental regulations and has questioned the science behind climate change."
• He chose former Texas Gov. Rick Perry for Energy Secretary
"It is a science-heavy department, and one that (climate change skeptic) Perry—who is not a scientist—had advocated dismantling during his 2012 presidential bid."
• He chose an energy company executive for secretary of State
"Trump tapped former ExxonMobil Chief Executive Rex Tillerson for Secretary of State."
• He met with a vaccine critic while planning a commission on autism
"(Robert Kennedy, Jr) has repeatedly promoted discredited arguments that link vaccines to autism."
• His transition team sought information about Energy Department staff associated with climate change
"In December Trump’s team asked the DoE for the names of employees who have worked on issues related to climate change."
"Trump's 5 Most 'Anti-Science” Moves (Scientific American) Read the rest
Donald Trump has a long history of promulgating anti-vaccine conspiracy theories (contrary to received wisdom, the anti-vaxx movement draws most of its support from the political right, not hippie liberals), and the tireless leaders of the anti-vaccine movement now claim to have met with Trump and received his promise to ban the most efficient and effective vaccination techniques (nevermind that the president doesn't have the authority to do this). Read the rest
Public Health officials in Shelby County, Tennessee today confirmed six cases of measles in the county, up from two last Friday. Victims of the measles outbreak are "widely diverse" in terms of age, gender and where they live, authorities said. Read the rest
A new report says anti-vaxxers are responsible for the rise in two infectious diseases we'd nearly eliminated from the United States. Read the rest
At last night's GOP Presidential Debate Theatrical Funtime Special on CNN, a brilliant moment of shining stupidity from the abundantly stupid Donald Trump.
“I am totally in favor of vaccines, but I want smaller doses over a longer period of time. … We’ve had so many instances — people that work for me, just the other day. Two years old, 2 ½ years old, a child, a beautiful child, went to have the vaccine, and came back and a week later got a tremendous fever, got very, very sick, now is autistic.”
Ladies and gentlemen, burn all of the things.
Politico's wrong-o-meter is a good roundup of all the crazy shit these megalomaniacal rich liars said on TV last night, and how wrongfully wrong all of it is.
Donald Trump stuck to a position that’s totally unsupported by medical evidence — that a link exists behind autism and vaccines.
The Centers for Disease Control and Prevention and other medical authorities have said repeatedly that science has demonstrated there is no link between vaccination and autism. Giving children multiple vaccinations at the same has also been proven to be safe, the CDC said.
Here's how we felt last night, watching the debate:
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Two decades years ago, 95.4 percent of kindergarteners in Washington state were vaccinated for polio. This year, only 88.4 percent had the vaccine.
Scientists may say that brakes save lives, but virtually every car-wreck co-occurs with panicked braking -- did you know that in the old days, cars didn't have brakes? Read the rest
Unvaccinated people are being officially warned by California epidemiologists to avoid Disneyland in the wake of a measles outbreak. In some counties in California, more than 1 in 5 kindergartners are unvaccinated due to "personal belief exemptions." Read the rest
I'm 38 weeks pregnant now. Two weeks ago, my husband and I both got Tdap vaccines — tetanus, diphtheria, and pertussis. This despite the fact that we've both gotten Tdaps relatively recently, within the last six years, thanks to a home renovation lifestyle that involves regular exposure to rusty nails.
So why re-up on the Tdap before the birth of our baby? It's all about the pertussis. Also called whooping cough, pertussis is particularly hard on infants. Pre-vaccine, it killed 4000 Americans every year, and most of them were new babies — and infections are on the rise in this country, so there's actually a reasonable risk of a newborn coming into contact with the bacteria that causes pertussis. But the larger problem is with the pertussis vaccine, itself. It doesn't have the staying power it once did. A little over 20 years ago, we switched the formulation for pertussis vaccines. There were good reasons for doing that — the "new" formula has fewer side effects. But it also doesn't seem to protect people as well for as long. In fact, the protection starts to wear off within a year of vaccination. Read the rest
It's not just that bad information on the "dangers" of vaccines is working to reduce the number of children getting vaccines — a fact that affects herd immunity. Now, there's evidence that the fake scares (and efforts to debunk them) are getting in the way of scientists publishing real evidence about actual problems with certain vaccines. These aren't the kind of broad "vaccines are poison" claims you're familiar with. Instead, we're talking about legitimate science documenting side effects that are usually very rare, but still have an impact on certain subsets of the population and need to be addressed. Read the rest
When we talk about the resurgence of childhood illnesses, we tend to focus on vaccine-resistant people as the primary cause. And it's true that a large population of un-vaccinated kids can give a disease like whooping cough a foothold in a community, and allow it to spread to kids who haven't been vaccinated yet or who can't be vaccinated for various medical reasons. But there's another facet to this story, as well. Some of the strains of bacteria that cause whooping cough are also resistant to the vaccine. Those strains have been found in Japan, France, and Finland. Last week, The New England Journal of Medicine reported on 12 cases of vaccine-resistant whooping cough in Philadelphia. Read the rest