Measles: There is No Vaccine against Vaccine Phobia

Rodney A McLaren1, Janet L Stein1, Howard Minkoff1,2

  • 1Department of Obstetrics and Gynecology, Maimonides Medical Center, Brooklyn, New York.

Insights

Measles was eliminated in the US by 2000, but declining vaccination rates due to misinformation have led to the largest outbreak since 2014. This resurgence highlights the impact of anti-vaccine sentiment on public health.

Area of Science:

  • Public Health
  • Epidemiology
  • Immunization Practices

Background:

  • Measles (Morbilliform virus) was declared eliminated in the United States in 2000.
  • Recent years have seen a significant decline in measles vaccination rates.
  • This decline is attributed to misinformation and non-scientific concerns regarding vaccine safety.

Purpose of the Study:

  • To explore the reasons behind the re-emergence of measles in the United States.
  • To analyze the current measles epidemic in the context of the anti-vaccine movement.
  • To understand the implications of vaccine hesitancy on communicable disease control.

Main Methods:

  • Review of epidemiological data on measles cases.
  • Analysis of vaccination coverage trends.
  • Examination of factors contributing to vaccine hesitancy and the anti-vaccine culture.

Main Results:

  • The US is experiencing its largest measles outbreak since 2014, with 1,095 confirmed cases as of June 2019.
  • Declining vaccination rates correlate with the resurgence of measles.
  • The outbreak underscores the influence of misinformation on public health decisions.

Conclusions:

  • The re-emergence of measles is a direct consequence of decreased vaccination adherence.
  • The current epidemic serves as a critical case study of the challenges posed by the anti-vaccine culture.
  • Maintaining high vaccination coverage is essential for preventing the spread of vaccine-preventable diseases.

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