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In fact, there are a number of twists to this story and they involve issues of free choice, religion and science.
In the waning months of last year someone with the measles was at Disneyland in California and managed to infect several other people who had not been vaccinated against the disease. Although it is not known who the initial carrier was, it is assumed they had picked up the disease overseas, because measles is almost unknown in America these days, or at least it was. Now there are more than 100 cases in the United States, it has spread into neighboring Canada and the total number is growing. Measles is extremely infectious. The virus is airborne, can survive in the air and on surfaces for extended periods and people can be infected and contagious before they show any symptoms.
When I was growing up, measles was fairly common. I had it as a kid and shook it off, meaning I’m probably immune now. Most children of that era caught the measles, broke out in red, itchy spots, recovered and life went on. What changed the picture was an extremely safe and effective vaccine that virtually wiped out the disease across North America and in many other places. The problem is that while most parents get their children vaccinated as a matter of course, some don’t and that is allowing measles to come roaring back with sometimes devastating results. The American Centers for Disease Control and Prevention, the CDC, says measles can cause hearing loss, swelling of the brain, pneumonia and, in a very small percentage of cases, death. It is a nasty disease but the vaccine works, so what’s the problem?
The problem isn’t that the vaccine is ineffective; it’s that some people refuse to let their children be vaccinated. Some fear the vaccine causes autism and other disorders and that it contains dangerous ingredients. There have been dozens of tests on the vaccine over the years, both in Canada and the United States, and there is absolutely no science to prove that these fears have any basis in fact but, as one Canadian researcher noted, “it is hard to unscare people.”
A potentially bigger problem is from people who hold religious views to the effect that having vaccinations is somehow against God’s will. Logical arguments have little, if any effect, on these people.
The difficulty is that a child who is not vaccinated against the measles can not only get the disease but can then spread it to others. Parents who refuse to have their children vaccinated are, of course, responsible for the health of their own children but they are also putting the health and lives of others at risk.
In Canada, children can be removed from school if they haven’t had a measles vaccination but their parents can also apply for an exemption to this rule. It becomes a tricky balance between the rights of the parents to determine what they think is best for their own child and the rights of the community, which has an interest in keeping everyone safe from a disease which can easily be controlled.
In the United States, this issue is heading for a prominent place in, of all things, next year’s presidential election. President Obama has already been asked about it and, with the Teflon ease of most politicians, has managed to suggest that parents should have their children vaccinated against the measles without actually saying he would require this to be done. Rand Paul, a potential presidential candidate for the Republicans and a licensed medical doctor, amazed many people by saying he is aware of some serious effects from the vaccine, although again, there’s no science to support this. He was clearly laying the foundation for a stance that would allow parents a free choice in the matter. Chris Christie, another Republican hopeful, said he thinks people should have a choice although he would have his own children vaccinated. He later back-pedaled, issuing a statement saying measles vaccinations should be mandatory for all children.
Whatever the political landscape, universal vaccination against measles won’t happen. Although all the science says the vaccine is safe and effective there will be some parents who either simply won’t believe enough or, in the case of the religious objectors, believe too much. We can’t change that but we can and should change the ability of unvaccinated children to infect others by keeping them out of schools and even out of other crowded places such as Disneyland. When the children become old enough they can make their own decisions about vaccination whether their parents like it or not but in the meantime the parents must live with the consequences of their actions, as we all must. My children have been vaccinated and so have my grandchildren. We have chosen not to contribute to the problem.
Brad Franklin is a former political reporter, newscaster and federal government employee in Canada. He is a regular columnist for China’s English Salon magazine and lives on Vancouver Island.