Disaster Measles outbreak kills 1,200 in Madagascar, where parents want to vaccinate but lack means - In Madagascar, many parents would like to protect their vulnerable children but face immense challenges to receiving vaccines.

Ahriman

Vivere Militare Est.
kiwifarms.net
Source.

Mothers wait to have their babies vaccinated against the measles at a healthcare center in Larintsena, Madagascar, on March 21, 2019.

AMBALAVAO, Madagascar — Babies wail as a nurse tries to reassure mothers who have come to vaccinate their children. They fear a measles epidemic that has killed more than 1,200 people in this island nation where many are desperately poor.

As Madagascar faces its largest measles outbreak in history and cases soar well beyond 115,000, resistance to vaccinating children is not the driving force.

Measles cases are rising in the United States and other parts of the world, in part the result of misinformation that makes some parents balk at a crucial vaccine. New York City is now trying to halt a measles outbreak by ordering mandatory vaccinations in one Brooklyn neighborhood.

In Madagascar, many parents would like to protect their children but face immense challenges including the lack of resources.

Just 58 percent percent of people on Madagascar's main island have been vaccinated against measles, a major factor in the outbreak's spread. With measles one of the most infectious diseases, immunization rates need to be 90 to 95 percent or higher to prevent outbreaks.

On a recent day the Iarintsena health center's waiting room was full, with mothers sitting on the floor and others waiting outside in the overwhelming heat. Two volunteer nurses and a midwife tried to respond to the demand.

Nifaliana Razaijafisoa had walked 15 kilometers (9 miles) with her 6-month-old baby in her arms.

"He has a fever," she said. "I think it's measles because there are these little pimples that have appeared on his face." The nurse quickly confirmed it. "I'm so scared for him because in the village everyone says it kills babies," Razaijafisoa said.

The measles outbreak has killed mostly children under age 15 since it began in September, according to the World Health Organization.

"The epidemic unfortunately continues to expand in size" though at a slower pace than a month ago, said Dr. Dossou Vincent Sodjinou, a WHO epidemiologist in Madagascar. By mid-March, 117,075 cases had been reported by the health ministry, affecting all regions of the country.

Some cases of resistance to vaccinations exist because of the influence of religion or of traditional health practitioners but they are isolated ones, he said.

This epidemic is complicated by the fact that nearly 50 percent of children in Madagascar are malnourished.

"Malnutrition is the bed of measles," Sodjinou said.

Razaijafisoa's baby weighs just 11 pounds.

"This is the case for almost all children with measles who have come here," said Lantonirina Rasolofoniaina, a volunteer at the health center.

Simply reaching a clinic for help can be a challenge. Many people in Madagascar cannot afford to see a doctor or buy medicine, and health centers often are understaffed or have poorly qualified workers.

As a result, information about health issues can be unreliable. Some parents are not aware that vaccines are free, at least in public health centers.

Four of Erika Hantriniaina's five children have had measles. She had wrongly believed that people could not be vaccinated after nine months of age.

"It's my 6-year-old daughter who had measles first. She had a lot of fever," she said. "I called the doctor but it was Friday. He had already gone to town. I went to see another doctor who told me that my daughter had an allergy. ... This misdiagnosis was almost fatal."

The girl had diarrhea and vomiting and couldn't eat, Hantriniaina said, adding that she narrowly survived.

Measles, a highly infectious disease spread by coughing, sneezing, close contact or infected surfaces, has no specific treatment. The symptoms are treated instead.

"Vitamin A is given to children to increase their immunity. We try to reduce the fever. If there is a cough, we give antibiotics," said Dr. Boniface Maronko, sent by WHO to Madagascar to supervise efforts to contain the outbreak. If the disease is not treated early enough, complications appear including diarrhea, bronchitis, pneumonia and convulsions.

Madagascar's health ministry has sent free medications to regions most affected by the epidemic. Maronko reminded heads of health centers in the Ambalavao region not to make parents pay, saying he had seen some doctors asking for money. He told the AP he feared the medicines wouldn't be enough.

The country's capital, Antananarivo, a city of some 1.3 million, has not been spared by the epidemic.

Lalatiana Ravonjisoa, a vegetable vendor in a poor district, grieves for her 5-month-old baby.

"I had 5 children. They all had measles. For the last, I did not go to see the doctor because I did not have money," she said. "I gave my baby the leftover medications from his big brother to bring down the fever."

For a few days she did not worry: "I felt like he was healed." But one morning she noticed he had trouble breathing. Later she found his feet were cold.

"Look at my baby," she told her mother.

"She hugged him for a long time and she did not say anything. Then she asked me to be strong. He was gone."

Ravonjisoa said she blames herself, "but I did not imagine for one moment that he was going to die." At the hospital, a doctor confirmed that her baby died of measles-related respiratory complications.

Late last month WHO started a third mass measles vaccination campaign in Madagascar with the overall goal of reaching 7.2 million children aged 6 months to 9 years.

"But immunization is not the only strategy for the response to this epidemic. We still need resources for care, monitoring and social mobilization," said Sodjinou, the WHO epidemiologist.
These people absolutely need the vaccines but then, "New York City is now trying to halt a measles outbreak by ordering mandatory vaccinations in one Brooklyn neighborhood."... let that sink in.
 

SigSauer

kiwifarms.net
Well now we know where to ship all the antivaxxers

Alternatively doctors who give vaxxes will probably move there where they'd actually be appreciated
Yeah, it's not like vaccines haven't eliminated virtually every ailment that has plagued humanity throughout history. Polio, smallpox, tetanus, rabies, etc. etc. etc. These exceptional individuals who think they can outsmart science really need to go fuck themselves. They're endangering not only their own lives but the lives of their children as well.
 

SigSauer

kiwifarms.net
Yeah, as much as college is becoming less viable for certain people as the years go by, if you want to outsmart science you absolutely still need to go to school for that.
I take the part about them being a danger to themselves back. If you think the only thing that can cure you of a preventable, but yet deadly disease is bad for you, then you deserve a Darwin Award for your stupidity. You clearly are unworthy of oxygen and deserve to die because of how utterly exceptional you are.
 

Cosmos

Soldier of Love and Bitching on the Internet
Supervisor
True & Honest Fan
kiwifarms.net
This is a tragic case where people want vaccines but there simply weren’t enough (or they couldn’t be distributed properly). This is exactly what vaccines prevent and why they’re so important. Only ignorant people living in safe, healthy countries think vaccines are a bad thing. Everyone else only knows too well what vaccines prevent.

This exact scenario would happen in America if anti-vaxxers had their way. Just keep that in mind.

I take the part about them being a danger to themselves back. If you think the only thing that can cure you of a preventable, but yet deadly disease is bad for you, then you deserve a Darwin Award for your stupidity. You clearly are unworthy of oxygen and deserve to die because of how utterly exceptional you are.
The sad thing is that anti-vaxxers are usually vaccinated themselves (as their parents were responsible), but they refuse to vaccinate their children. So in most cases it’s innocent children who suffer, not the stupid people themselves.
 

SigSauer

kiwifarms.net
This is a tragic case where people want vaccines but there simply weren’t enough (or they couldn’t be distributed properly). This is exactly what vaccines prevent and why they’re so important. Only ignorant people living in safe, healthy countries think vaccines are a bad thing. Everyone else only knows too well what vaccines prevent.

This exact scenario would happen in America if anti-vaxxers had their way. Just keep that in mind.



The sad thing is that anti-vaxxers are usually vaccinated themselves (as their parents were responsible), but they refuse to vaccinate their children. So in most cases it’s innocent children who suffer, not the stupid people themselves.
And what’s even funnier is that they probably get their stuff from the internet. They’re usually tinfoil hat types who shouldn’t even be allowed to breed to begin with, so they push their suicidal lifestyle onto their kids as well. To be honest, if your idea is being promoted by people like Jim Carey, then you’re probably being led by a leash. They claim that vaccines are “population control” by teh REPTILIAN HUMANOID LIZARD PEOPLE, when in reality, what they’re doing is more likely to reduce a population than what they’re supposedly fighting against. So, it’s controlled opposition by their own definition.

And also, mandatory castration for anti-vaxxers when?
 
Reactions: Uncanny Valley

Normal_Guy

Dark Bone
kiwifarms.net
Well that suck, I know other countries wanna help but they have they hands tied with gender and degenerates touching kids at pride matches
 

Ahriman

Vivere Militare Est.
kiwifarms.net
And what’s even funnier is that they probably get their stuff from the internet. They’re usually tinfoil hat types who shouldn’t even be allowed to breed to begin with, so they push their suicidal lifestyle onto their kids as well. To be honest, if your idea is being promoted by people like Jim Carey, then you’re probably being led by a leash. They claim that vaccines are “population control” by teh REPTILIAN HUMANOID LIZARD PEOPLE, when in reality, what they’re doing is more likely to reduce a population than what they’re supposedly fighting against. So, it’s controlled opposition by their own definition.

And also, mandatory castration for anti-vaxxers when?
Here you have them.


Re-reading the article only makes their smiles and moral grandstanding more infuriating. Mandatory castration for anti-vaxxers indeed.
 

nonvir_1984

kiwifarms.net
Anti-vaxxers cause massive public health issues - but people who are responsible and get their kids vaxxed then pay through their taxes to fix the problem caused by the antivaxers: essentially the responsible people are paying for the lifestyle choice of the tin foil hat brigade. I'm sick of paying for others fucked up lifestyle choices.
But on the bright side, the anti-vaxer kids will die; the parents will die leaving the world to the vaxers. It will take a century, but Darwin is right on that. Only problem is those countries where this is extensive vaccination and are shitholes.
 

repentance

True & Honest Fan
kiwifarms.net
This is a tragic case where people want vaccines but there simply weren’t enough (or they couldn’t be distributed properly). This is exactly what vaccines prevent and why they’re so important. Only ignorant people living in safe, healthy countries think vaccines are a bad thing. Everyone else only knows too well what vaccines prevent.
It's difficult, but not impossible to get vaccines to remote areas. In parts of Vanuatu, drones are used to deliver them to villages located in terrain which is difficult to access.

Even the financial aspect isn't a huge barrier. The Gates Foundation has played a huge role in removing financial obstacles to vaccination in developing nations.

We currently have a measles outbreak here, too. Unfortunately, it's now spread to areas with low herd immunity.
 

nonvir_1984

kiwifarms.net
Saw this article. The interesting thng is the second graphic...which countries have high rates of vaccination. and which have lower or falling rates.


Number of measles cases rocket amid warnings of poor vaccination rates
Anne Gulland, Global health security correspondent
15 April 2019 • 6:47pm
The number of cases of measles rose by more than 300 per cent in the first three months of this year compared to the same period in 2018, according to new figures from the World Health Organization.
Some 112,163 cases of measles globally were reported between January and March this year compared to just 28,124 during the same period last year.
While the figures are not yet complete, with some countries only reporting data for January and February, WHO say they indicate a “clear trend” of an increase in the number of cases, mostly driven by poor rates of vaccination.
WHO says that the actual number of cases is likely to be much higher as less than one in 10 cases globally are reported.
The huge explosion in the figures comes amid growing concern over the rise of anti-vaccine sentiment around the world, fueled by a range of factors including distrust of authority, religious objections and the spread of fake news on social media.
Earlier this year the WHO said that vaccine hesitancy was one of the top health risks facing the world, alongside threats such as air pollution and obesity.
The biggest increases in the number of cases of measles were seen in the WHO African region, which recorded a 700 per cent rise. Madagascar in particular has been fighting a huge measles outbreak, with 46,000 cases of the highly contagious in the first three months of this year, compared to 23,000 in the whole of 2019.

727780


In Europe, the number of cases has risen by 300 per cent year on year, driven by an increase in the number of cases in Ukraine - there were 25,000 cases of the disease in the first three months of 2019, compared to 8,700 in the same period last year.
Many countries around the world are currently battling measles outbreaks, including the Democratic Republic of the Congo, Ethiopia, Georgia, Kazakhstan, Kyrgyzstan, Myanmar, Philippines and Sudan, causing many deaths – mostly among young children.

727781


Measles is a highly contagious disease and in 2017 - the latest year for when mortality figures were available - it is thought to have caused 100,000 deaths. Even in high-income countries up to a quarter of patients end up in hospital and the disease can lead to lifelong disability, including brain damage, blindness and hearing loss.
Despite the fact that there is a safe and effective vaccine, immunisation rates have stalled at 85 per cent globally, WHO warns. Rates need to be at 95 per cent to protect the population, so-called “herd immunity”.
There has also been a spike in the number of cases in countries where there are high rates of vaccination, including in the United States, Israel, Thailand and Tunisia, as the disease has spread fast among clusters of unvaccinated people.
Authorities in New York have taken the unprecedented step of calling for mandatory vaccinations after an outbreak in the city’s ultra orthodox Jewish community where vaccination coverage is generally low. The city can’t legally physically force someone to get a vaccination, but officials said people who ignore the order could be fined $1,000 (£767).
 
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