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  • 3
    days
    ago

    Measles surges in UK years after vaccine scare

    By Maria Cheng, Associated Press

    More than a decade ago, British parents refused to give measles shots to at least a million children because of a vaccine scare that raised the specter of autism. Now, health officials are scrambling to catch up and stop a growing epidemic of the highly contagious measles virus.

    This year, the U.K. has had more than 1,200 cases of measles, after a record number of nearly 2,000 cases last year. The country once recorded only several dozen cases every year. It now ranks second in Europe, behind only Romania.

    Last month, emergency vaccination clinics were held every weekend in Wales, the epicenter of the outbreak. Immunization drives have also started elsewhere in the country, with officials aiming to reach 1 million children aged 10 to 16.

    "This is the legacy of the Wakefield scare," said Dr. David Elliman, spokesman for the Royal College of Paediatrics and Child Health. He’s referring to a study published in 1998 by Andrew Wakefield and colleagues.

    That work suggested a link between autism and the combined childhood vaccine for measles, mumps and rubella, called the MMR vaccine.

    Several large scientific studies failed to find any connection, the theory was rejected by at least a dozen major U.K. medical groups and the paper was eventually retracted by the journal that published it.

    Britain's top medical board stripped Wakefield of the right to practice medicine in the U.K., ruling that he and two of his colleagues showed a "callous disregard" for the children in the study. Wakefield took blood samples from children at his son's birthday party, paying them about 5 pounds each ($7.60) and later joked about the incident.

    Still, MMR immunization rates plummeted across the U.K. as fearful parents abandoned the vaccine — from rates of over 90 percent to 54 percent. Wakefield has won support from parents suspicious of vaccines, including Hollywood celebrities like Jenny McCarthy, who has an autistic son.

    Nearly 15 years later, the rumors about MMR are still having an impact. Now there's "this group of older children who have never been immunized who are a large pool of infections," Elliman said.

    The majority of those getting sick in the U.K. — including a significant number of older children and teens — had never been vaccinated. Almost 20 of the more than 100 seriously ill children have been hospitalized and 15 have suffered complications including pneumonia and meningitis. One adult with measles has died, though it's unclear if it was the infection that killed him.

    The first measles vaccines were introduced in the 1960s. They dramatically cut cases of the virus, which causes a distinctive rash. Since 2001, measles deaths have dropped by about 70 percent worldwide; Cambodia recently went more than a year without a single case.

    Globally, though, measles is still one of the leading causes of death in children under 5 and kills more than 150,000 people every year, mostly in developing countries. Measles is highly contagious and is spread by coughing, sneezing and close personal contact with infected people; symptoms include a fever, cough, and a rash on the face.

    Across the U.K., about 90 percent of children under 5 are vaccinated against measles and have received the necessary two doses of the vaccine. But among children now aged 10 to 16, the vaccination rate is slightly below 50 percent in some regions.

    To stop measles outbreaks, more than 95 percent of children need to be fully immunized. In some parts of the U.K., the rate is still below 80 percent.

    Unlike in the United States, where most states require children to be vaccinated against measles before starting school, no such regulations exist in Britain. Parents are advised to have their children immunized, but Britain's Department of Health said it had no plans to consider introducing mandatory vaccination.

    Last year, there were 55 reported cases of measles in the United States, where the measles vaccination rate is above 90 percent. So far this year, there have been 22 cases, including three that were traced to Britain. In previous years, the U.K. has sometimes exported more cases of measles to the U.S. than some countries in Africa.

    Portia Ncube, a health worker at an East London clinic, said the struggle to convince parents to get the MMR shot is being helped by the measles epidemic in Wales.

    "They see what's happening in Wales, so some of them are now sensible enough to come in and get their children vaccinated," she said.

    Clinic patient Ellen Christensen, mother of an infant son, acknowledged she had previously had some "irrational qualms" about the MMR vaccine.

    "But after reading more about it, I know now that immunization is not only good for your own child, it's good for everyone," she said.

    Related:

    • Vaccine refusals mean more measles
    • Autism, measles vaccine link further debunked
    • Nearly half of US children late receiving vaccines

    217 comments

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    Explore related topics: britain, health-care, measles, vaccination, mmr
  • 13
    Feb
    2013
    9:43am, EST

    New virus passed person to person in Britain, officials say

    By Maria Cheng, Associated Press

    British officials say a mysterious virus related to SARS may have spread between humans, as they confirmed the 11th case worldwide of the new coronavirus in a patient who they say probably caught it from a family member.

    The new virus was first identified last year in the Middle East and the 10 people who have previously been infected had all traveled to Qatar, Saudi Arabia, Jordan or Pakistan.

    According to Britain's Health Protection Agency, the latest patient is a U.K. resident with no recent travel to any of those countries but who had close personal contact with an earlier case. The patient may also have been at greater risk of infection due to an underlying medical condition and is currently in intensive care at a Birmingham hospital.

    "Although this case provides strong evidence for person to person transmission, the risk of infection in most circumstances is still considered to be very low," John Watson, head of the respiratory diseases department at the Health Protection Agency, said in a statement. "If (the) novel coronavirus were more infectious, we would have expected to have seen a larger number of cases."

    Six hospital staffers where the patient is being treated are being monitored for infection but none has so far showed any symptoms of the illness. The patient did not come into contact with any other hospital patients and is currently being kept in isolation.

    The new coronavirus is part of a family of viruses that cause ailments including the common cold and severe acute respiratory syndrome or SARS. In 2003, a global outbreak of SARS killed about 800 people.

    Officials at the World Health Organization said the new virus has probably already spread between humans in some instances. In Saudi Arabia last year, four members of the same family became ill and two died. And in a cluster of about a dozen people in Jordan, the virus may have spread at a hospital's intensive care unit.

    "We know that in some of those cases there was close physical contact between family members caring for one another, so we can't rule out human-to-human transmission," said Gregory Hartl, a WHO spokesman.

    He said there were still big gaps in the understanding of the novel coronavirus, which can cause acute pneumonia and kidney failure. Of the 11 cases to date, five people have died.

    Health experts still aren't sure how humans are being infected. The new coronavirus is most closely related to a bat virus and scientists are considering whether bats or other animals like goats or camels are a possible source of infection.

    Michael Osterholm, an infectious diseases expert at the University of Minnesota, warned the virus could be adapting into a more transmissible form. "At any moment the fire hydrant of human-to-human transmission cases could open," he said. "This is definitely a 'stay tuned' moment." He said before SARS spread worldwide, there were a handful of human-to-human cases. Something such as a virus mutation may have triggered the explosion of cases.

    WHO says the virus is probably more widespread than the Middle East and has advised countries to test any people with unexplained pneumonia.

    Related stories:

    • Two die from new virus
    • Saudis confirm new infection
    • Another nasty new virus in Africa

    18 comments

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    Explore related topics: britain, sars, coronavirus
  • 6
    Jun
    2012
    6:43am, EDT

    1 dead, 15 critically ill after Legionnaires' disease outbreak in Scotland

    NBC News partner ITV News reports on the outbreak of Legionnaires' disease in Scotland.

    Watch on YouTube
    By msnbc.com's Alastair Jamieson and ITV News

    LONDON -- One man has died and 15 other people were listed in critical condition on Wednesday following an outbreak of Legionnaires' disease in Edinburgh, Scotland. Authorities believe the disease may have been spread by industrial cooling towers, potentially including some at a whisky distillery.

    Public health officials were investigating a further 15 suspected cases of the disease and say more cases could emerge in the coming days.


    The victim was a man aged in his 50s, who had underlying health problems, while 13 men and two women aged between 33 and 74 were in critical condition, according to The Scotsman newspaper.

    The source of the outbreak is still being investigated.

    The disease is contracted by breathing in small droplets of contaminated water, and is often traced to artificial water systems such as air conditioning units or cooling towers.


    Follow @msnbc_world

    All the cases so far are linked to the Gorgie, Saughton and Dalry areas in the south-west of the city. Britain’s Sky News reported that samples have been taken from 16 cooling towers at four industrial sites in those areas. However, it will be days before any firm link can be established.

    Shortbread cookie link?
    Sky News said one of the cooling towers being investigated was at a Scotch whisky plant while another was a shortbread cookie factory. There is no evidence either site is linked to the outbreak.

    The first case was identified on May 28. Sky News said health officials believe infected droplets may have been in the air on May 20 when thousands gathered to watch a victory parade by local soccer team Heart of Midlothian. The club won the Scottish Cup the previous day.

    The disease is named after its first recognized outbreak, which occurred among people attending a state convention of the American Legion in Philadelphia in 1976. That remains the world’s deadliest case, with 34 victims, and was traced to a hotel air conditioning system cooling tower.

    According to the World Health Organization website, Legionnaires' disease is not contagious and can take up to two weeks to develop.

    Symptoms include mild headaches and muscle pain, escalating to a high fever, persistent cough and sometimes vomiting, diarrhea and confusion.

    Read more on this story from Britain's ITV News

    It is treatable in the majority cases, but can be fatal in those with weakened immune systems or underlying health problems such as poor lungs.

    'Very, very severe'
    Professor Hugh Pennington, one of the world's leading bacteriology experts, told ITV News: “Essentially it is a preventable disease. Industrial water cooling towers are quite a common source of the bug. The bug lives in warm, fresh water. Basically what should be done is disinfectant should be put in the water to basically stop the bug growing. Well, clearly that hasn't happened and the aerosol of water that comes out of these cooling towers contains the bug, people breathe it in and then they get Legionnaires' disease which is essentially a very, very severe pneumonia.

    "It particularly affects people who already have weakened lungs through previous disease or immune-suppressed or elderly, so because it's aerosol it can spread on the wind and that's one of the reasons why it's quite difficult to track down a particular source."

    ITV News is the British partner of NBC News.

    More world news from msnbc.com and NBC News:

    • Deputy al-Qaida leader killed in Pakistan drone strike, White House confirms
    • Canadian police: Body parts delivered to Vancouver schools
    • After Nigeria plane crash, families mourn; government suspends airline
    • US drone strikes in Pakistan kill 27 people in 3 days
    • GI's letters provide a glimpse at fog of war
    • New Vatican documents leaked after arrest of pope's butler

    Follow us on Twitter: @msnbc_world

     

     

     

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