Measles and the media: Are parents are being duped?

Something is in the air right now. There’s a strange mix of vaccine-preventable illness sweeping the country (measles) and a strange bump in media coverage for celebrities and vocal opponents to tested and recommended vaccine schedules. Part of me thought we might be done with that but pageviews, clicks, and views all sell.

My hope is the coincidence of coverage and outbreaks is just that, a coincidence. But as a mom, pediatrician, author and media reporter, the view from here is unsettling. We can’t prove that mishandled media coverage is changing the way we immunize our children (or at least I haven’t seen the data) and how parents protect them, but there are moments like this it feels it’s possible that trust is simply being eroded with this 24-hour online/TV/print news cycle. Parents might be vulnerable to bad medicine when gowned as good business. A couple of examples:

Recently, Kristin Cavallari (a wife to an NFL player and reality TV star) went on Fox News to discuss her career (and parenting) and ended up discussing her theories on a group of vaccine refusers and autism. Perhaps talking about medical theories is a really good model for accelerating a career?

Next up was Huffington Post where she dropped the bomb, “’I’ve read too many books’ to vaccinate my child.” I suspect she’s yet to read mine. Particularly chapter number 57 entitled “Measles In America.”

Then, Mother Jones published a lengthy expose of a pediatrician in Marin County, California who doesn’t immunize along the recommended and tested vaccine schedule. Although the reporter concludes the piece noting that the doctor “is playing a dangerous game,” the substance of the article discusses the tactics of this pediatrician going against the experts because of her hunch. The article likens her gorgeous waiting room to a Montessori classroom and provokes a sense that she is an inventive pediatrician, and one who really cares. Who wouldn’t want to see someone like that? Read this quote:

AT THE END of my visit to Pediatric Alternatives, I found that I liked Dr. Kenet Lansman. I could tell that she was bright and caring and open-minded, and most impressively, she tried to think creatively about how to keep her patients healthy.

What?! We get confused with all the attention paid to these outliers. We forget that about 9 out of 10 parents in the United States do immunize following their doctor’s recommended schedule. We forget not a single study finds an alternative schedule is any safer. We forget that unvaccinated and under-vaccinated kids are at risk for preventable disease. We get confused how stories like this make us feel and we ditch what the science tells us. We forget that when we immunize ourselves we protect our body, the children too small to be immunized and those at high risk for severe infection.

I feel parents are being duped. It’s really hard to know who is and who isn’t a good doctor; we all use different value systems to decide. We know in fact health care has yet to figure out exactly who is the best. So we patients are left to find a good match for ourselves when partnering with a doctor — sometimes it’s the wait times, the waiting room, the sense that someone really cares, the sense that they actually know what they’re talking about, or that the clinician comes recommended.  There is little transparency about how good the quality of care a doctor provides so we are left to feel it out ourselves.

Measles in Washington, California, New York

Why does it take epidemics to grab our attention? What a miserable failure on our behalf (in health care and health reporting).

Measles info if you’re concerned about an exposure

  • The MMR vaccine protects against measles.  Read that link re: how it’s made, what it protects, and how to ensure you and your children are protected (have 2 doses of the shot). Over 99% of children and adults who get 2 doses of measles vaccine are protected for life. Experts describe the risk/benefit like this, “Because the measles vaccine has no serious permanent side effects, its benefits still clearly outweigh its risks.” It can cause pain at the injection site, fever in up to 10% of children who get it, rash, and rarely a decrease in platelets (blood cells that assist in blood clotting).
  • Measles is a highly contagious disease. You can get it simply by being in a room that a person with measles was in up to 2 hours before you. Measles causes red rash that appears as if it was poured over your child head to toe, a fever, runny nose, eye infections and most dangerous, it can cause life-threatening pneumonia. Rarely it can cause brain infections, too. Measles is serious: on average, about 1 to 3 out of every 1000 children who get measles will die from it.
  • Information from King County Public Health: Children should be vaccinated with two doses of the Measles Mumps Rubella (MMR) vaccine. The first dose should be at 12 through 15 months of age, and the second dose at four through six years of age. Infants traveling outside the United States can be vaccinated as early as six months but must receive the full two dose series beginning at 12 months of age; more information is available at the Centers for Disease Control and Prevention (CDC) website. Adults should have at least one dose of measles vaccine, and two doses are recommended for international travelers, healthcare workers, and students in college, trade school, and other schools after high school. For help finding low cost health services, call the Family Health Hotline at 1-800-322-2588.

Wendy Sue Swanson is a pediatrician who blogs at Seattle Mama Doc. She is the author of Mama Doc Medicine: Finding Calm and Confidence in Parenting, Child Health, and Work-Life Balance.

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  • guest

    I notice that a favorite tactic of the medical establishment, when discussing vaccines, is to portray those who express concern about the advisability of our vaccine schedule as vapid and uninformed celebrities.

    There are plenty of other educated and thoughtful people who are skeptical about wholesale acceptance of an aggressive schedule of vaccination for the very young.

    Here is a link to an article by the head of the Consumer Protection Institute, pointing out that mortality rates for measles in adults have risen since the advent of the MMR, since it does not confer the life-long protection that wild-type immunity does. Most affected by adult measles? Pregnant women.

    http://business.financialpost.com/2014/04/16/lawrence-solomon-the-untold-story-of-measles/

    • Kristy Sokoloski

      That’s because the celebrities that do speak out are many times uninformed, but like you say there are even those that are not celebrities that have been skeptical about vaccination schedules for the young. But like I commented to an article I read the other day about the issue of mandating that everyone be vaccinated just like medications and other medical procedures vaccines have risks and benefits. Also, people have been complaining about vaccines since the day that vaccines first came on the scene back when Jenner first started the process of giving vaccines. And the arguments are often the same. You have those that are so strongly against vaccines calling out those that are for vaccinations and trying to say that some of the epidemics such as this latest one with measles is also including children that were vaccinated that got measles. The other thing I have noticed from the antivaxers is that they don’t believe that “herd” immunity really exists.

  • Peggy Zuckerman

    If I were putting my young children into a preschool or elementary school, I would demand to know exactly which children were NOT vaccinated, and avoid enrolling my children where they might be so exposed. I applaud the doctors who work with parents to educate them on the value of vaccinations, but am especially impressed with doctors who refuse to treat such children in their practices where other children are likely to be at risk. It is my right to know what puts my child at risk, and the obligation of the schools and medical practices to make that data available to the public at large.

    • RenegadeRN

      No school would give out that kind of personal health information on students. It is a HIPPA violation.

      • Peggy Zuckerman

        Of course, I know that, but this is the kind of information which should be shared. Thus, the school and/or physician is forced to put the greater patient /student population at risk, or have a strict and public policy on which others can rely–just like we used to have when fewer people claimed religious exemptions, and were generally known to express that sentiment.

        Of course, we used to quarantine families who children had polio, closed schools and limited public meetings during outbreaks.

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