Dr. Bob dismissing measles harms: On that note, after having read Dr. Bob’s treatise above, I’d like you to go and read Marcella Piper-Terry’s initial response to the Disneyland measles outbreak from January 8 entitled Measles at Disneyland! Can you tell the difference? Other than Piper-Terry’s longer post, with calculations designed to make you think that measles was never a big deal, Dr. Bob is using exactly the same arguments without adding the calculations, in particular the key argument being that measles in developed countries is not a threat, only in those “other” people in Third World countries who aren’t as developed as we are because, you know, we’re superior. Measles doesn’t kill very many of us compared to those poor, blighted savages! (I exaggerate, but, I contend, only a little.) He dismisses complications of measles as being “treatable” and therefore of little consequence. In fact, he makes it sound as though a measles-associated ear infection is equivalent to measles-associated pneumonia, dismissing them both as “treatable” with a jaunty, “Ya, you don’t want those things to happen, but they are treatable.” Never mind that many, if not most, cases of measles-associated pneumonia require hospitalization. As Dr. Roy Benaroch sarcastically puts it in his post entitled Dr. Sears continues to salute our children with his middle finger, many parents would indeed consider an ICU stay “somewhat of an inconvenience.” (I like Dr. Benaroch’s style.) Think of it this way. According to the CDC, before the vaccine, 48,000 people a year were hospitalized for the measles; 4,000 developed measles-associated encephalitis; and 400 to 500 people died. By any stretch of the imagination that was a significant public health problem, and the introduction of the measles vaccine in 1963, followed by the MMR in 1971, made it much less so. As Dr. John Snyder reminded us five years ago responding to Dr. Sears making the same arguments in his book, measles is not a benign disease, regardless of what popular culture thought of it 50 or 60 years ago. Of course, even Dr. Bob has to concede that measles-associated encephalitis is a Very Bad Thing, but he dismisses the risk with an equally jaunty rejoinder that encephalitis is “extremely rare in well-nourished people” (i.e., his well-off patients at whom his Facebook post is aimed). As for death, Dr. Bob’s message is, “Don’t worry, be happy.” After all, according to him, the risk of fatality is “as close to zero as you can get without actually being zero,” or one in many thousands. Funny how Dr. Bob (and the antivaccine activists to whom he panders) dismiss a possibility of death of this magnitude as being of no consequence; yet, a one in a million chance of Guillan-Barre disease after the meningococcal vaccine (or a one in several hundred thousand risk of severe reactions to vaccines in general) is completely unacceptable. sciencebasedmedicine.org/appeal-to-brady-bunch-vaccine-fallacy/ ~D.
Posted on: Mon, 19 Jan 2015 13:37:19 +0000
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