Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

So what’s the big deal about measles?

Chad Hayes, MD
Conditions
February 18, 2015
Share
Tweet
Share

In a recent post (“Dear Anti-Vax Parents: We’re Not Mad At You”), I wrote about the critical need for better education and communication between doctors and vaccine-hesitant parents. It was far more popular than I would have imagined, and I appreciate all of you who shared it. And in the spirit of providing reliable information about vaccine-preventable illnesses, I wanted to take the time to write about why measles matters.


The measles vaccine was released in 1963. Before that time, nearly everybody got measles. And it usually didn’t matter. The most common symptoms are fever, cough, runny nose, and a rash. These symptoms last a few days and go away, usually leaving children with lifelong immunity. So what’s the big deal?

Prior to 1963, measles would affect between 300,000 and 700,000 children per year in the U.S. That’s a lot. It caused a lot of physical suffering. Affected children would miss several days of school. And a few hundred of them died … every year. That comes out to about 1 to 2 for every 1,000 children that got the disease. The fact that most children fully recovered from measles is not a legitimate argument that the virus is insignificant. As Dr. Roy Benaroch recently wrote, “Old cemeteries are littered with tiny little headstones for little dead children.” Measles is not “just a virus,” and it is a big deal.

1. Measles matters because it kills children. It can do this in a couple different ways. It can cause several neurologic complications including encephalitis — an inflammatory process of the brain that can lead to seizures, coma, permanent neurologic damage, or death. More commonly, it kills kids by causing severe pneumonia, either directly or by weakening the body’s defenses and leaving the lungs vulnerable to other infections. The measles virus can also cause lifelong paralysis, blindness, and epilepsy.

2. Measles matters because it’s very good at what it does. A few months ago, I wrote a post about Ebola — another virus that could kill you … but that you really shouldn’t worry about. I made the case that while Ebola is fatal in about 55 percent of cases (in Africa), it’s not very good at getting from one person to another — which is, after all, a virus’s only job. Measles, on the other hand, is a very good virus. As we have seen at Disneyland recently, it can spread rapidly without direct contact. It is infectious before symptoms appear. The number of cases in a measles outbreak grows exponentially. If our population were entirely unvaccinated, we would already have seen thousands of cases and probably a few deaths.

3. Measles matters because it is preventable. The number of cases of measles decreased by over 99 percent since 1963. Aside from a small outbreak in 1989 to 1991, we’ve seen maybe 1 or 2 measles-related deaths per year for the past couple decades. But it’s not gone. As we have recently seen, it doesn’t take much to start an outbreak — just one germy kid on It’s A Small World. And when a significant percentage of parents choose not to immunize their children, the outbreak spreads quickly, leaving behind a wake of destruction. I wonder how many children will have to die to make a point.

Chad Hayes is a pediatrician who blogs at his self-titled site, Chad Hayes, MD.

Prev

What we can learn from cardiology-related malpractice claims

February 18, 2015 Kevin 1
…
Next

Giving test results directly to patients: What's missing is context

February 19, 2015 Kevin 5
…

Tagged as: Infectious Disease, Pediatrics

Post navigation

< Previous Post
What we can learn from cardiology-related malpractice claims
Next Post >
Giving test results directly to patients: What's missing is context

ADVERTISEMENT

More by Chad Hayes, MD

  • No, the HPV vaccine isn’t optional

    Chad Hayes, MD
  • On vaccines: 1 pediatrician vs. 13 celebrity opinions

    Chad Hayes, MD
  • Patients made this doctor care about politics

    Chad Hayes, MD

More in Conditions

  • How denial of hypertension endangers lives and what doctors can do

    Dr. Aminat O. Akintola
  • How physicians can reclaim resilience through better sleep, nutrition, and exercise

    Kim Downey, PT & Shirish Sachdeva, PT, DPT & Ziya Altug, PT, DPT
  • Who are you outside of the white coat?

    Annia Raja, PhD
  • How hospitals can prepare for CMS’s new patient safety rule

    Kim Adelman, PhD
  • The humanity we bring: a call to hold space in medicine

    Kathleen Muldoon, PhD
  • The truth about fat in whole milk and your health

    Larry Kaskel, MD
  • Most Popular

  • Past Week

    • Why pain doctors face unfair scrutiny and harsh penalties in California

      Kayvan Haddadan, MD | Physician
    • Love, birds, and fries: a story of innocence and connection

      Dr. Damane Zehra | Physician
    • How a doctor defied a hurricane to save a life

      Dharam Persaud-Sharma, MD, PhD | Physician
    • Why primary care needs better dermatology training

      Alex Siauw | Conditions
    • Why physician strikes are a form of hospice

      Patrick Hudson, MD | Physician
    • The overlooked power of billing in primary care

      Jerina Gani, MD, MPH | Physician
  • Past 6 Months

    • Why transgender health care needs urgent reform and inclusive practices

      Angela Rodriguez, MD | Conditions
    • COVID-19 was real: a doctor’s frontline account

      Randall S. Fong, MD | Conditions
    • Why primary care doctors are drowning in debt despite saving lives

      John Wei, MD | Physician
    • Confessions of a lipidologist in recovery: the infection we’ve ignored for 40 years

      Larry Kaskel, MD | Conditions
    • Why taxing remittances harms families and global health care

      Dalia Saha, MD | Finance
    • mRNA post vaccination syndrome: Is it real?

      Harry Oken, MD | Conditions
  • Recent Posts

    • Why reforming medical boards is critical to saving patient care

      Kayvan Haddadan, MD | Physician
    • How denial of hypertension endangers lives and what doctors can do

      Dr. Aminat O. Akintola | Conditions
    • AI in health care is moving too fast for the human heart

      Tiffiny Black, DM, MPA, MBA | Tech
    • How physicians can reclaim resilience through better sleep, nutrition, and exercise

      Kim Downey, PT & Shirish Sachdeva, PT, DPT & Ziya Altug, PT, DPT | Conditions
    • This isn’t burnout, it’s moral injury [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why heart and brain must work together for love

      Felicia Cummings, MD | Physician

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 24 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Why pain doctors face unfair scrutiny and harsh penalties in California

      Kayvan Haddadan, MD | Physician
    • Love, birds, and fries: a story of innocence and connection

      Dr. Damane Zehra | Physician
    • How a doctor defied a hurricane to save a life

      Dharam Persaud-Sharma, MD, PhD | Physician
    • Why primary care needs better dermatology training

      Alex Siauw | Conditions
    • Why physician strikes are a form of hospice

      Patrick Hudson, MD | Physician
    • The overlooked power of billing in primary care

      Jerina Gani, MD, MPH | Physician
  • Past 6 Months

    • Why transgender health care needs urgent reform and inclusive practices

      Angela Rodriguez, MD | Conditions
    • COVID-19 was real: a doctor’s frontline account

      Randall S. Fong, MD | Conditions
    • Why primary care doctors are drowning in debt despite saving lives

      John Wei, MD | Physician
    • Confessions of a lipidologist in recovery: the infection we’ve ignored for 40 years

      Larry Kaskel, MD | Conditions
    • Why taxing remittances harms families and global health care

      Dalia Saha, MD | Finance
    • mRNA post vaccination syndrome: Is it real?

      Harry Oken, MD | Conditions
  • Recent Posts

    • Why reforming medical boards is critical to saving patient care

      Kayvan Haddadan, MD | Physician
    • How denial of hypertension endangers lives and what doctors can do

      Dr. Aminat O. Akintola | Conditions
    • AI in health care is moving too fast for the human heart

      Tiffiny Black, DM, MPA, MBA | Tech
    • How physicians can reclaim resilience through better sleep, nutrition, and exercise

      Kim Downey, PT & Shirish Sachdeva, PT, DPT & Ziya Altug, PT, DPT | Conditions
    • This isn’t burnout, it’s moral injury [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why heart and brain must work together for love

      Felicia Cummings, MD | Physician

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

So what’s the big deal about measles?
24 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...