measles – Learning, Science and Society

As the sun sets on the Americas, politically and economically, a new and insidious trend is only going to add to their problems. Read this from the ineffable Nature Briefing: Canada loses measles elimination status

Canada no longer holds measles elimination status after experiencing a cross-country outbreak that has persisted for more than 12 months. By default, this means that the entire Americas region has also lost its status. Infections took hold in undervaccinated Mennonite communities where the COVID-19 pandemic eroded already-shaky trust in the healthcare system — a shared source of recent measles outbreaks in the United States. The number of new cases is going down, but the loss is “a giant wake-up call that we have gaps in our public health infrastructure”, says physician-scientist Isaac Bogoch.CBC | 6 min read

If only it were just them! But it’s now a world-wide trend. According to a recent report by the WHO,[1] Measles cases rose to 10.3 million in 2023, a 20% increase from 2022, with outbreaks intensifying into 2024 and 2025. No less than 138 countries reported measles cases in the past year, with 61 facing large or disruptive outbreaks—the highest since 2019. Meningitis and diphtheria (horrid afflictions) are also re-emerging, particularly in regions with strained health systems and declining immunization coverage. And the causes? Funding cuts and humanitarian crises for one thing Access barriers, especially in marginalized communities, for another But the prime one, and most baffling to us, is our old bugbear: Misinformation and vaccine hesitancy, A fact well illustrated by a similar study from Europe which showed that vaccine hesitancy among adolescents and parents ranges from 12% to over 30%. We invite you to research more, gentle readers.

And so combining with the previous part of our Dreary Depressing Diptych of dispatches (that’s enough D’s-ed) we get a truly dismal picture of this species which has the barefaced cheek to call itself “sapiens.” If an tiger came to you an announced it was was giving up its stripes, you would counsel “don’t do it-if you throw away your principle evolutionary advantage, you will get no dinner!” Similarly if a spider monkey were to forego the use of its tail, or a real spider its web. But humanity seems determined to forego the use of its principal evolutionary advantage, its brain. Palaeontology will record what comes next.

[1]https://www.who.int/news/item/24-04-2025-increases-in-vaccine-preventable-disease-outbreaks-threaten-years-of-progress–warn-who–unicef–gavi

#vaccine #measles #diptheria #medicine #health #childhood disease

As if the US State of Florida didn’t have enough problems, what with coastline erosion and all that, it has now become the epicentre of of a mighty battle over public health, and who calls the shots over what is, and is not, scientific evidence. [1] This is how the two sides square up, according to Richard Luscombe of The Guardian

In the Red corner: Dr Joseph Lapado [2] Florida’s Surgeon General, whose principle back is State Governor Ron Di Santis, who, as older readers will recall, is a former Next President of the United States of America. In the Blue corner, most of what passes for orthodox medical and scientific opinion. And, before you take sides, gentle readers, note this. Dr Lapado is no unqualified quack, but an eminently learned and trained medical doctor. Who, as an immigrant from Nigeria had no doubt to fight more than his fair share of of prejudice before finding his way to a well-deserved place at the top. The trouble is that some of his opinions, are to say the least, controversial. As our sources report, huge storms are now swirling around his recommendations in matters concerning masks, vaccines the use of various medical and public health literature sources, and certain treatment methods [3] The outcome of many is still unresolved, we hasten to add. But, with Big Ron in your corner, does any of this matter? Everyone has a right to their opinion, as they say; maybe Dr Lapado’s is as good as anyone else’s?

The trouble with opinions is that they get get tested in fact. Now an outbreak of measles among the unvaccinated burghers of Florida is testing Dr Lapado’s practices and beliefs to destruction. And it’s not just matters of Life and Death, it’s more important than that. Florida’s economy depends more than most on tourism and real estate, and the guardians of that economy are beginning to realise this, as Richard notes:

Come for the Sunshine, Leave With the Measles, opined the Orlando Sentinel; “Measles? So On-brand for Florida’s Descent Into the 1950s”, was the take of the Tampa Bay Times.

Only time will tell who is correct, Dr Lapado or his detractors. . But we close with this thought. For a long time now- ten, twenty years-everyone has loudly, aggressively proclaimed their right to hold opinions Fair enough; but they cannot all be right. The one that really was right all along only emerges with the tests of fact and experience. Until they come along, a little humility might be in order for all of us. Otherwise that test might be very painful indeed.

[1]https://www.theguardian.com/us-news/2024/mar/03/florida-measles-outbreak-preventable

[2]https://en.wikipedia.org/wiki/Joseph_Ladapo

[3]https://www.newyorker.com/humor/borowitz-report/floridas-surgeon-general-urges-cvs-to-stock-leeches

# joseph lapado #ron di santis #vaccination #measles #florida #public health #empiricism#measles