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  #571  
Old 06-15-2019, 10:24 AM
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Originally Posted by Helena Lake View Post
That's why I added using public services - like public transportation, museums, parks, etc.

Realistically, I have serious internal conflict on this issue. A part of me really kind of thinks that these anti-vaxxers should be rounded up and put into segregated camps somewhere. I mean, yeah - I get the concept of it being precluded by religion... but on the other hand their religion doesn't give them the right to endanger other people.
Part of the problem is that a lot of people are claiming religious exemptions when their religions donít actually prohibit vaccinations.

Thereís not very many that do.
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  #572  
Old 06-15-2019, 10:26 AM
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If anyone really cares about those who legitimately need a medical exemption (e.g. immunocompromised--whether themselves or a family member, allergy, etc.) or can't be otherwise vaccinated (young babies), they'd insist on vaccines for everyone who can be vaccinated.
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  #573  
Old 06-15-2019, 11:21 AM
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I don't know the specifics of the bill, but it's BS that Jessica Biel is complaining that it'll compromise the health of those seeking a medical exemption. I can only assume she's claiming this because it'll cut down on those using "vaccines cause autism" for their medical exemption. If anyone really cares about those who legitimately need a medical exemption (e.g. immunocompromised--whether themselves or a family member, allergy, etc.) or can't be otherwise vaccinated (young babies), they'd insist on vaccines for everyone who can be vaccinated. There are parents whose hands are tied by not being able to vaccinate their kids who are relying on herd immunity, particularly on an airborne disease that's much more difficult to insulate yourself from.
This is the right take. A small % of people really need a medical exemption, and they do need the rest to get vaccinated to rely on herd immunity. For the rest of the anti-vaxxers, they risk not only the lives of their own children but also the lives of those that legit canít be vaccinated.

Itís also annoying that CA brings in a celeb to testify about legislation. Who cares what a celeb with no education on the matter has to say about this?
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  #574  
Old 06-15-2019, 12:06 PM
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... If anyone really cares about those who legitimately need a medical exemption (e.g. immunocompromised--whether themselves or a family member, allergy, etc.) or can't be otherwise vaccinated (young babies), they'd insist on vaccines for everyone who can be vaccinated. ..
hell yes!

(My boss can't get the flu shot due to an egg allergy. She's glad I get it.)
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Old 06-17-2019, 10:02 AM
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Australia is getting slammed by flu currently. Has anyone done any work around seeing the correlation between Aussie flu levels over our summer to US flu levels the following winter?

I know they try to base the US vaccines on flu strains that are seen in the Southern Hemisphere, and as good as I can tell it seems like our flu vaccine this coming fall is based on the same strains that Australia is seeing currently.
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  #576  
Old 06-17-2019, 10:37 AM
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Originally Posted by greenman View Post
Australia is getting slammed by flu currently. Has anyone done any work around seeing the correlation between Aussie flu levels over our summer to US flu levels the following winter?

I know they try to base the US vaccines on flu strains that are seen in the Southern Hemisphere, and as good as I can tell it seems like our flu vaccine this coming fall is based on the same strains that Australia is seeing currently.
That is correct (and vice-versa), due to the amount of time it takes to produce the flu vaccines.

https://www.cdc.gov/flu/prevent/vaccine-selection.htm

Quote:
More than 100 national influenza centers in over 100 countries conduct year-round surveillance for influenza. This involves receiving and testing thousands of influenza virus samples from patients. The laboratories send representative viruses to five World Health Organization (WHO) Collaborating Centers for Reference and Research on Influenza, which are located in the following places:

Atlanta, Georgia, USA (Centers for Disease Control and Prevention, CDC);
London, United Kingdom (The Francis Crick Institute);
Melbourne, Australia (Victoria Infectious Diseases Reference Laboratory);
Tokyo, Japan (National Institute for Infectious Diseases); and
Beijing, China (National Institute for Viral Disease Control and Prevention).

Twice a year, the World Health Organization (WHO) organizes a consultation with the Directors of the WHO Collaborating Centers, essential regulatory laboratories and representatives of key national laboratories and academies. They review the results of surveillance, laboratory, and clinical studies, and the availability of vaccine viruses and make recommendations on the composition of the influenza vaccine. These meetings take place in February for selection of the upcoming Northern Hemisphereís seasonal influenza vaccine and in September for the Southern Hemisphereís vaccine.
[My MIL used to prep the samples from North Carolina hospitals that were sent to the CDC, and she told me about the meetings, etc.]

But look at the timing of the meetings -- February, they won't have seen much of the Southern Hemisphere outbreak, and September, they won't have seen much of the Northern Hemisphere experience. There is some, but it may differ from the peak that occurs months later.
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  #577  
Old 06-17-2019, 10:38 AM
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UNITED STATES
MEASLES

https://www.wsj.com/articles/measles...ts-11560677401
Quote:
Measles Outbreaks Strain Local Health Departments
Tracking and containing measles outbreaks falls primarily to state and local public-health officials

Spoiler:
Measles first appeared in Clark County, Wash., on New Year's Eve, when a child who had traveled from Ukraine arrived at an urgent-care clinic.

By January 15, the outbreak had taken over the local health department, with two additional confirmed cases and 11 more under investigation. By mid-March, the number of confirmed cases jumped to 71.

Clark County Public Health took over the building it had been sharing with several other departments and nonprofits to make room for more than 200 employees, volunteers and state and federal health officials, who worked in shifts. Nurses who normally would visit with low-income pregnant women instead tracked down measles cases. Things like food inspections and dealing with other infectious diseases sometimes didn't get done.

As measles continues to spread in the U.S., with over 1,000 confirmed cases this year across 28 states, the outbreaks are exacting a hefty toll on local and state health departments, draining resources and siphoning health-care workers from other needs.

"If you have something like a measles outbreak, pretty much everyone in your department is going to be working on that," said Karen Smith, the state public-health officer and director of the California Department of Public Health, which has seen 51 confirmed measles cases as of June 5. "It really impacts the entire system."

Although some federal help is available, local and state public-health officials, working with local health-care providers, are primarily responsible for tracking and stopping the outbreaks. When a health-care provider reports a case of suspected measles to the local health department, officials have to determine when and where the person may have spread the disease.

Clark County health officials logged over 19,000 working hours and spent more than $800,000 to contain the outbreak, said Alan Melnick, director of Clark County Public Health. The county hasn't had a new confirmed case of measles since March 18.

Officials contacted over 4,000 people for initial interviews, kept more than 800 people under quarantine and daily monitoring, and excluded nearly 850 students from school, he said.

"It was kind of a nightmare, in terms of the workload," Dr. Melnick said. "Public health is underfunded at all levels, and this is $800,000 spent on something completely preventable."

Measles patients are contagious for roughly four days before and four days after the telltale rash appears, and infected people often venture out in public during that period. The virus can remain viable in the air for up to two hours after a cough or a sneeze, and it can infect up to 90% of unprotected people who are exposed.

Health officials try to notify everyone who may have been in contact with an infected person. They will often post notices listing exposure sites and times, view security footage and get hospital records to identify other patients who may have been exposed.

In Tennessee, an infected person drove through the state while contagious, and health officials had to figure out who might have been exposed during the patient's rest stops. "How do you even track down someone who visited a gas station at certain hours?" asked Michelle Fiscus, medical director of the immunization program at the Tennessee Department of Health.

Tennessee officials determined the person had stayed in a hotel, resulting in roughly 90 contacts from 15 states and three countries. Overall, health officials reached out to 537 people for that one case, which led to four more confirmed cases, all close contacts of the original patient.

Measles outbreaks are a burden on government funding. California's 44 cases from January 1 to May 10 cost more than $400,000, according to a May 10 report by state Sen. Richard Pan.


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