Measles cluster in Philadelphia, thanks to people who won't follow public health advice

[Anonymous]

Anonymous wrote:

Anonymous wrote:What the measles eradicated historically, and then came back somehow?

Yes. It was declared eradicated in United States by the WHO back in 2000. Not sure it can “come back” after being eradicated. They probably mean hand and foot and mouth disease which is similar

Wait…you think people are mistaking HFM for measles? Are you serious??

[Anonymous]

Are there any updates? Is this contained yet?

[Anonymous]

Anonymous wrote:

Anonymous wrote:people have forgotten that measles can kill children.

https://fs.blog/roald-dahl-letter-daughter/

Thank goodness it’s not 1962.
Today death from measles itself is extremely rare.

Per the CDC: For every 1,000 children who get measles, one or two will die from it. As many as one out of every 20 children with measles gets pneumonia, the most common cause of death from measles in young children. About one child out of every 1,000 who get measles will develop encephalitis (swelling of the brain) that can lead to convulsions and can leave the child deaf or with intellectual disability.

I should skip vaccinating my child because the risk of death is rare? I should go out in public while contagious and ignore quarantine protocols?

[Anonymous]

The measles vaccine only has a 95% success rate. Unless you checked immunity you could be vulnerable

[Anonymous]

My parents are pretty elderly so remember when we had real public health authorities prior to WWIi. They would come and put a sign on your door if you had measles or step or yellow fever or typhoid or or polio or anything like that and you were legally obligated to quarantine—that included the whole family even those who didn’t have it (although there were exceptions for wage earners who had previously had it and needed to go to work).

But then we got vaccines and antibiotics and we got rid of all those people. And people forgot about what it is like.

Measles is waaaaaaay more infectious than Covid — do not mess around with transmitting that.

[Anonymous]

Anonymous wrote:Are there any updates? Is this contained yet?

No. Now 6 confirmed cases, and 3 suspected - the 3 suspected are kids from the day care.
https://www.inquirer.com/health/measles-philadelphia-cases-2024-chop-20240105.html

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Out of curiosity, I looked up the daycare provider to see if it was accredited. It looks like the state revoked its certificate of compliance last week, likely due to this incident. I couldn't tell from the story, but I'm wondering if the daycare exposure was from an employee (the parent of the unvaccinated kid who was told to quarantine).

Regardless, it's reprehensible that the adult who was advised to quarantine allowed other children to be exposed at the daycare and at healthcare facilities where the kids sought treatment. Here is the press release from the Philadelphia Health Department.

https://www.phila.gov/2024-01-04-health-department-reports-additional-measles-exposures/

I totally agree and this is horrifying to me because I have kids in daycare and infants under 1yo don't have the MMR vaccine yet.

That said, daycare workers are not paid enough to stay home for 3 weeks nor do they have that much sick leave. I wish there was some govt backstop measure to pay/reimburse people in these situations, where public health externalities are so important (the cost is focused on the person missing work but the benefits would accrue to so many).

I was speculating that it might have been an adult who exposed the children at daycare. If it was, in this case I have no sympathy for lost wages if the adult was not vaccinated for measles. We should not encourage those who disregard well-established medical advice and then reimburse them for the consequences of your irresponsible decision. On the other hand, I agree with you that daycare workers are underpaid and am not against supporting any individuals who cannot work because of public health advice iif they become ill despite precautions.

I am the PP and I agree with that. I am surprised any adult could work in a daycare without being up to date on vaccines. I guess they have their own policies and this one may be unaccredited anyway per another PP.

[Anonymous]

Anonymous wrote:

Anonymous wrote:Are there any updates? Is this contained yet?

No. Now 6 confirmed cases, and 3 suspected - the 3 suspected are kids from the day care.
https://www.inquirer.com/health/measles-philadelphia-cases-2024-chop-20240105.html

And presumably, they could’ve spread this to others. Are any of the cases outside of the Philadelphia area?

[Anonymous]

Anonymous wrote:I blame the Ds for this too. They flew too fast and loose with mandates on covid vaxx so people now don't trust them on any vaxxes.

COVID vaccines were effective. In every age group, People who got vaccinated were 10x less likely to e hospitalized or die of COVID than unvaccinated people.

You’re part of the problem.

[Anonymous]

Anonymous wrote:Not sure why we haven’t learned from covid that unreasonable quarantines don’t work. An asymptotic, working parent is not going to isolate for 21 days.

Quarantines do work if people follow them. The problem is people who break quarantine.

[Anonymous]

There are some terrible parents involved in this mess. One set took an unvaccinated baby to travel internationally. The baby then spread the virus in the hospital to other children. The parents of at least one of those children knowingly dropped them off at the day care to infect other kids. Too bad the hospital didn't notify the daycare for the parents who didn't want to take care of their sick kid.

https://www.cbsnews.com/philadelphia/news/philadelphia-health-department-measles-outbreak-philadelphia-2024/

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Out of curiosity, I looked up the daycare provider to see if it was accredited. It looks like the state revoked its certificate of compliance last week, likely due to this incident. I couldn't tell from the story, but I'm wondering if the daycare exposure was from an employee (the parent of the unvaccinated kid who was told to quarantine).

Regardless, it's reprehensible that the adult who was advised to quarantine allowed other children to be exposed at the daycare and at healthcare facilities where the kids sought treatment. Here is the press release from the Philadelphia Health Department.

https://www.phila.gov/2024-01-04-health-department-reports-additional-measles-exposures/

I totally agree and this is horrifying to me because I have kids in daycare and infants under 1yo don't have the MMR vaccine yet.

That said, daycare workers are not paid enough to stay home for 3 weeks nor do they have that much sick leave. I wish there was some govt backstop measure to pay/reimburse people in these situations, where public health externalities are so important (the cost is focused on the person missing work but the benefits would accrue to so many).

But of course lets get a criminal misdemeanor record for breaking QT, that will really help with future employment and day to day life in general. Do you really think that breaking QT is optional and CDC just counts on people to obey out of the goodness of their hearts?[/quote]

Is it actually true that there are penalties for breaking quarantine? The Covid ones are basically advisory and were even at the outset.

[Anonymous]

Here's a fun fact: Despite being vaccinated against measles, I have no immunity. I get labwork done every other year, and all my other vaccines stick, but when it comes to measles, it's like I never got vaxxed. I get a booster, and then new labs: no measles immunity.

Antivax idiots are their own stupid problem, and it's a real problem. But there may be more to this.

[Anonymous]

Anonymous wrote:There are some terrible parents involved in this mess. One set took an unvaccinated baby to travel internationally. The baby then spread the virus in the hospital to other children. The parents of at least one of those children knowingly dropped them off at the day care to infect other kids. Too bad the hospital didn't notify the daycare for the parents who didn't want to take care of their sick kid.

https://www.cbsnews.com/philadelphia/news/philadelphia-health-department-measles-outbreak-philadelphia-2024/

Please don’t blame this baby’s family. The MMR vaccine isn’t given until 1. Many people travel internationally with infants.

[Anonymous]

Anonymous wrote:

Anonymous wrote:Not sure why we haven’t learned from covid that unreasonable quarantines don’t work. An asymptotic, working parent is not going to isolate for 21 days.

Quarantines do work if people follow them. The problem is people who break quarantine.

That’s the point. A working class person is not going to quarantine for 21 days. Relying on 21 day quarantines may as well be relying on pixie dust. Public health has amply shown during covid that it does not understand or care about people’s actual circumstances.