Belief in bogus studies and stories undermines use of vaccines that have been proven safe, resulting in spread of diseases

UPDATE: Jan. 16, 2014 4:50  Kentucky has not had any reports of measles in the past three years. It has had two cases of mumps in 2013 and two cases of mumps in 2014. Kentucky continues to have a large number of  pertussis, or whooping cough, cases with 666 in 2012; 383 in 2013; and 292 in 2014. The 2014 reports have not been finalized at this time.

The United States has recently seen a significant rise in the number of cases of vaccine-preventable diseases such as measles, mumps and pertussis, commonly called whooping cough.

A recent report blames this on an anti-vaccine movement caused by widespread misinformation about the safety of immunizations, John Wihbey reports for Harvard University's Shorenstein Center on Media, Politics and Public Policy.

"Over the past two decades, a combination of fraudulent scientific studies, irresponsible reporting, and well-meaning but misinformed citizen activists has led to a steady increase in the proportion of parents who have concerns about the recommended childhood vaccine schedule," says a 2014 report from the American Academy of Arts and Sciences.

Many young parents in the United States have no memory of  the time before vaccines and don't realize how important successful vaccination programs are to prevent the reemergence of the diseases they protect us from. In 2014, the United States had 610 confirmed cases of measles and 20 outbreaks, the highest number of cases since measles elimination was documented in the U.S. in 2000, according to the federal Centers for Disease Control and Prevention.

Chart provided by the federal Centers for Disease Control and Prevention

The origin of much of this misinformation is a "fraudulent" 1998 study, published in a well-respected British medical journal, that linked the measles-mumps-rubella (MMR) vaccine to autism. And while the study never claimed a definite link between the vaccine and autism, "sensational media reports ignited a public panic and MMR vaccinations fell dramatically," WebMD reports.

The study has since been discredited and retracted from the journal because it "was proven entirely false and even labeled "fraudulent,"" Wihbey writes. A new study, that updated this 1998 fraudulent study, has also shown that the MMR vaccine is not the cause of autism, Daniel J. DeNoon reports for WebMD.

"We are convinced there is no link between MMR vaccination and autism," study leader W. Ian Lipkin, MD, director of the center for infection and immunity at Columbia University in New York City, said at a news conference, DeNoon reports. Lipkin noted that this study did not address the theory that the mercury-containing preservative thimerosal might cause autism. The MMR vaccine does not contain thimerosal.

As for thimerosal, "A very large number of scientific studies have been carried out, and extensive scientific reviews, that have concluded there is no causal connection between vaccines or the preservative thimerosal and autism," Anne Schuchat, director of the CDC's National Center for Immunization and Respiratory Diseases, told DeNoon in a different article for WebMD.

The rate of vaccination in the United States is 92 percent for measles, mumps and rubella, which is relatively high, Wihbey reports.And only 1 percent of children in the United States do not receive any vaccines, according to the CDC..

But, "if we stop vaccinating, even the few cases we have in this country could very quickly become tens or hundreds of thousands of cases," says the CDC website.

How "herd immunity" protects us all.

National Institute of Allergy and Infectious Diseases

One concern is that as the vaccination rate drops, the United States will loose its "herd immunity," which offers a level of protection across an entire community that protects even the un-vaccinated. This type of noncompliance occurred in 2011, when 15 states saw MMR vaccination levels below the target level of 90 percent, Wihbey reports. Adding to misinformation about immunizations is media coverage of activists and celebrities with anti-vaccine positions.

In an in-depth article about the media's role in spreading misinformation that childhood vaccines cause autism, Curtis Brainard, for Columbia Jouralism Review, writes: "The consequences of this coverage go beyond squandering journalistic resources on a bogus story. There is evidence that fear of a link between vaccines and autism, stoked by press coverage, caused some parents to either delay vaccinations for their children or decline them altogether."

And it looks like many choose to believe unsubstantiated stories rather than public-health campaigns that attempt to address this misinformation, according to a recent study published in the peer-reviewed medical journal Pediatrics.

“None of the pro-vaccine messages created by public health authorities increased intent to vaccinate with MMR among a nationally representative sample of parents who have children age 17 years or younger at home," the study concluded.

The researchers said there should be more careful testing of public health campaign messages, suggesting that pediatricians, rated by parents in the study as the most trusted source of vaccine safety information, could be an "especially persuasive source" for this information.

The vast majority of Kentucky's children have been immunized, possibly because state law requires immunizations for admission to school, with exemptions made only for medical or religious purposes.  The CDC reported that less than 1 percent of Kentucky kindergarten children were exempted from one or more vaccine during the 2013-14 school year.

U.S. measles cases highest in 2 decades; blamed mainly on Americans' foreign travel, but also on opting out of vaccination

By Melissa Patrick
Kentucky Health News

In the wake of the highest number of measles outbreaks in the U.S. in the last 20 years, it is important to make sure you and your children are fully immunized, especially if you are traveling abroad.

"The current increase in measles cases is being driven by unvaccinated people, primarily U.S. residents, who got measles in other countries, brought the virus back to the U.S. and spread (it) to others in communities where many people are not vaccinated," Ann Schuchat, director of the Center for Immunizatons and Respiratory Diseases of the federal Centers for Disease Control and Prevention, said in a press release.

Centers for Disease Control photo

Measles is a virus and is one of the most contagious diseases known. It spreads through the air when an infected person coughs or sneezes and will infect 90 percent of those who are exposed if they are not protected. It starts with a fever, followed by a cough, runny nose and red eyes. Then a rash of tiny, red spots breaks out, which starts at the head and spreads to the rest of the body. It can lead to pneumonia, swelling of the brain and death. Of every 1,000 children who get the disease, one or two will die, the CDC says.

Kentucky requires measles immunizations for children in child care and school, with exemptions made only for medical or religious purposes.

The Kentucky Annual School Immunization Survey for Kindergarten and Sixth Grade reports that for the 2013-2014 school year: 148 kindergarten students (0.3 percent) and 228 sixth graders (0.4 percent) opted out of immunization under the medical exemption, while 359 kindergartners (0.6 percent) and 249 sixth graders (0.5 percent) opted out for religious reasons.

As of May 23, measles cases have been reported in 18 states and New York City, with most reported from Ohio (138), California (60), and New York City (26). Ninety percent have been among people who have not been vaccinated or have unknown vaccination status, according to the CDC. Most of the patients report religious, philosophical or personal reasons for avoiding vaccines. Through May 23, no deaths had been reported.