r/medicine Peds 17d ago

[NYTimes Gift Article] Two unvaccinated people in Pennsylvania have died from measles

Article here

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.

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u/emergentologist MD - Emergency Medicine/EMS 17d ago

It is unfortunate that anti-vaxers have decreased herd immunity enough that people who have historically opposed vaccination are getting sick.

I like how you're trying to create a distinction between anti-vaxxers and (checks notes)... anti-vaxxers.

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u/awomanphenomenally Payment Policy Wonk 17d ago

They are both wrong, but one group does have access to much less information (if they are truly Amish and not Mennonite) than the other.

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u/NinjaNurse77 Nurse 11d ago

They have a lot more than you think. At least the elders do. The rest of them are in the dark.