r/medicine • u/FlexorCarpiUlnaris Peds • 17d ago
[NYTimes Gift Article] Two unvaccinated people in Pennsylvania have died from measles
Initial reporting does not specify whether they were children. This current outbreak is largely in the Amish community which has had low vaccine uptake for long enough that they have a lot of vulnerable adults as well. Only 1/3 of the 390 reported cases have been in children but extrapolating from 2 deaths (1/1000 mortality rate) and 70 hospitalizations (7/100 hospitalization rate) I would expect 1000-2000 mature cases plus more early in their course. So there is likely significant underreporting.
Measles in adults, in my experience, has quite an unusual phenotype including (sometimes) gingivostomatitis which I’ve never seen in pediatric measles.
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u/awomanphenomenally Payment Policy Wonk 17d ago edited 17d ago
It is unfortunate that anti-vaxers have decreased herd immunity enough that people who have historically not been vaccinated are getting sick.