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posted by takyon on Monday May 07 2018, @06:20PM   Printer-friendly

Measles exposure warning issued for four New York counties

A traveler from Europe may have exposed people to measles in Chemung, Genesee, Livingston and Niagara counties, the New York state Department of Health warned Saturday. The traveler, who has a confirmed case of measles, visited multiple sites in upstate New York on April 30, and May 1-2. Anyone who visited the following locations on these dates and times could have been exposed:

  • Old Country Buffet, 821 Country Route 64, Elmira, between 1 and 4 p.m. April 30.
  • Ontario Travel Plaza on the New York state Thruway in Le Roy, between 4 and 6:30 p.m. April 30.
  • Sheraton Niagara Falls, 300 3rd Street, Niagara Falls, from 5:30 p.m. April 30 to 9:30 a.m. on May 2.
  • Niagara Falls Urgent Care, 3117 Military Road. Suite 2, Niagara Falls, between 3 and 6 p.m. May 1.
  • Exit 5 on Interstate 390 in Dansville, from 9:30 a.m. to noon May 2.

The times reflect the period that the infected person was in these areas and a two-hour period after the individual left the area. The virus remains alive in the air and on surfaces for up to two hours.

takyon: Measles outbreaks have been reported in Okinawa, Pennsylvania, and Missouri recently.


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  • (Score: 2, Insightful) by chucky on Monday May 07 2018, @07:49PM (18 children)

    by chucky (3309) on Monday May 07 2018, @07:49PM (#676764)

    Yes, they have. But lately there's a growing number of people who refuse to give the vaccinations to their kids, so the overall vaccination ratio dropped under 95% of the population, which is needed to prevent the epidemic.

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  • (Score: 1, Interesting) by Anonymous Coward on Monday May 07 2018, @08:16PM (15 children)

    by Anonymous Coward on Monday May 07 2018, @08:16PM (#676770)

    And if there is an epidemic, every death should get anti-vaxxers charged with murder.

    • (Score: 0, Troll) by Anonymous Coward on Monday May 07 2018, @08:45PM (2 children)

      by Anonymous Coward on Monday May 07 2018, @08:45PM (#676782)

      Charge the people who shake hands. Charge the people who work in restaurants without face masks. Charge the people who recontaminate their hands when turning off sinks.

      We don't even have vaccines for most things. Enterovirus-68 can paralyze you, and there is no vaccine. Fix your filthy behavior... and if you don't, you should be charged with murder.

      • (Score: 2) by MichaelDavidCrawford on Monday May 07 2018, @09:12PM

        She refused to stop working in the food industry

        --
        Yes I Have No Bananas. [gofundme.com]
      • (Score: 3, Funny) by realDonaldTrump on Monday May 07 2018, @11:50PM

        by realDonaldTrump (6614) on Monday May 07 2018, @11:50PM (#676836) Homepage Journal

        Shaking hands is one of the curses of American society. Although President Macron is really, really good at it. OK, now tell me, tell me, you ever watch, I watch in amazement. They're standing there grabbing the urinal for balance. And then they come up and they say, "Mr. Trump, I'm a big fan, I'd like to shake your hand." I may be a bad guy, when you say excuse me, you were just holding the urinal. They go up and they, they want to shake your hand. They're not doing it to be bad people.

        Let me tell you, I'm a clean hands freak. I wash my hands as much as possible. I like cleanliness. Cleanliness is a nice thing. Not only hands, body, everything.

    • (Score: 1, Insightful) by Anonymous Coward on Monday May 07 2018, @09:05PM (1 child)

      by Anonymous Coward on Monday May 07 2018, @09:05PM (#676786)

      every death should get anti-vaxxers charged with murder.

      And every adverse reaction death should also charge the vaccine administrators with murder.

      Murder charges for everyone!

      • (Score: 2) by bob_super on Monday May 07 2018, @09:30PM

        by bob_super (1357) on Monday May 07 2018, @09:30PM (#676796)

        Sounds good to me. I need the dividends from the Private Prison stock, so I can avoid becoming their customer.

    • (Score: -1, Redundant) by Anonymous Coward on Monday May 07 2018, @10:19PM (8 children)

      by Anonymous Coward on Monday May 07 2018, @10:19PM (#676809)

      No, the measels vaccination scheme was originally predicted to eradicate it in a few years. They should have stopped it once they realized

      1) how much more virulant the measles virus is than eg small pox,
      2) waning measles immunity after vaccination was much stronger than after infection,
      3) Much weaker maternal immunity for the first months of life when birthed by vaccinated mothers,
      4) the plateau of vaccine effectiveness was too low

      Now we are in a "honeymoon period" and a giant epidemic of vaccinated people is nearly guaranteed at some point. That is real reason the cdc freak out so much about any sign of such a minor illness and they try to shift the blame to some negligible (compared to those lacking immunity for other reasons) number of anti-vaxxers. You are falling for propaganda.

      https://sinews.siam.org/Details-Page/when-treatments-go-awry-unexpected-consequences-of-disease-control-measures [siam.org]

      • (Score: 2) by All Your Lawn Are Belong To Us on Monday May 07 2018, @10:31PM (7 children)

        by All Your Lawn Are Belong To Us (6553) on Monday May 07 2018, @10:31PM (#676815) Journal

        Your source for waning measles immunity please?
        (Aside from the known pre-1967 dead vaccine which was not ineffective so they switched to attenuated...)
        One shot for low risk, two for high risk, lifetime. Here's mine. [cdc.gov] I wouldn't call 97% effectiveness low, you can worse secondary immunity scientifically of course? And AFAIK measles has never had quite the global eradication effort that smallpox and polio has, you're welcome to introduce sources to try and prove that....

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        • (Score: 2) by HiThere on Monday May 07 2018, @10:50PM (2 children)

          by HiThere (866) Subscriber Badge on Monday May 07 2018, @10:50PM (#676820) Journal

          Waning effectiveness I have always read not as "didn't provide an effective immunization" but rather "the conferred immunity wore off relatively quickly".

          FWIW, dead virus vaccines often have a relatively rapid waning of effectiveness. I believe the original Salk polio vaccine needed to be repeated every seven years. But they're relatively safe (as vaccines). The live (weakened) virus vaccines tend to confer relatively long immunizations (I think the Sabin polio vaccine was considered permanent), but they're relatively likely to induce an infectious case of the disease. IIRC for the current measles vaccine you are supposed to avoid the very elderly, infants, and pregnant women for a week or so.

          I've always felt that it should be a two stage vaccination process, first with a killed virus vaccine and a month or so later with a live virus vaccine.

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          • (Score: 4, Informative) by All Your Lawn Are Belong To Us on Monday May 07 2018, @11:29PM

            by All Your Lawn Are Belong To Us (6553) on Monday May 07 2018, @11:29PM (#676827) Journal

            It's the way I read it also, but the measles component of MMR vaccine is attenuated (live) since 1967. You get revaccinated with MMR because of the mumps and rubella components which do have half-lives, but once vaccinated for measles always vaccinated. So claiming there would be a waning effectiveness from measles vaccine is incorrect.

            The key word is 'relative...' The oral attenuated polio vaccine is problematic in that 3 per 1,000,000 doses will revert and cause paralytic polio (VAPP), however, those numbers are nothing compared to the number of persons who would be infected without it (IIRC 1 in 200 and the polio eradication program noted that for the 580 cases of VAPP found there would have been 6,000,000 polio cases (30,000 paralytics), so the numbers are still safer. The injected inactivated vaccine doesn't suffer that but does have a half-life, but is about three times as costly.

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          • (Score: 0) by Anonymous Coward on Tuesday May 08 2018, @02:45AM

            by Anonymous Coward on Tuesday May 08 2018, @02:45AM (#676872)

            The recommended protocol for polio depends on where you are. If you are in the U.S., or another low-risk area, they recommend 4 IPV vaccinations. If you are in a high-risk area, they recommend both the OPV for initial vaccination, as there are more side effects and the risk of actually causing a polio outbreak in the area, but it is faster acting. After the initial OPV, they recommend IPV for long-term immunity.

        • (Score: 0) by Anonymous Coward on Monday May 07 2018, @11:34PM (3 children)

          by Anonymous Coward on Monday May 07 2018, @11:34PM (#676829)

          Your source for waning measles immunity please?

          Regarding waning immunity in the vaccinated person:
          https://www.ncbi.nlm.nih.gov/pubmed/29317117 [nih.gov]

          Regarding waning immunity in the infants of vaccinated mothers:
          https://www.ncbi.nlm.nih.gov/pubmed/29398276 [nih.gov]

          One shot for low risk, two for high risk, lifetime. Here's mine. [cdc.gov]

          Although the cdc does host data elsewhere, their prose webpage is an awful source for anything besides "what does the cdc say about this?". They don't say where their data came from (how long was followup, etc) or anything.

          I wouldn't call 97% effectiveness low

          "Low" vs "high" depends on how easy it is for one person to infect another so it depends on the virus. The usual estimate is that ~93% of the population [nih.gov] needs to be immune in the case of measles. About 94% of the US population [nih.gov] is thought to be vaccinated for measles (MMR).

          That gives .97*.94 ~ 91% immunity, which won't work. And the primary reason for un/under-vaccination is not "anti-vaxxers", it seems to be simply poverty. Even if you got rid of all anti-vaxxers, 97% effectiveness still wouldn't be good enough:

          https://papers.ssrn.com/sol3/papers.cfm?abstract_id=2386034 [ssrn.com]
          https://www.ncbi.nlm.nih.gov/pubmed/11331131 [nih.gov]
          http://pediatrics.aappublications.org/content/114/1/187 [aappublications.org]
          https://www.sciencedirect.com/science/article/pii/S1876341312000496 [sciencedirect.com]

          And AFAIK measles has never had quite the global eradication effort that smallpox and polio has, you're welcome to introduce sources to try and prove that....

          Not sure what relevance this has but that makes this honeymoon phase even more tenuous.

          Also, I don't know the source of the 97% value but I do know there was never a real blinded RCT for any measles vaccine so it will be too high (the doctors know vaccination status and so diagnose something else). Also, all those sources are just for example so let me know if there are any methodological issues you see.

          • (Score: 2) by All Your Lawn Are Belong To Us on Tuesday May 08 2018, @02:40PM (2 children)

            by All Your Lawn Are Belong To Us (6553) on Tuesday May 08 2018, @02:40PM (#677034) Journal

            Very interesting set of sources. It will take me time to digest them, thank you. The first source seems to confirm that there is 96% effectiveness for the measles vaccine throughout the follow up period. But I see where titer results wane over time, the question would be at what point is the titration rate ineffective (and that is a variable range, not a set number...) And I follow the concern with passive immunity, however that was one study which suggested that in a very limited field of literature review. The usual "more study is needed" is emphasized with a review as limited as that. I don't believe the answer is "don't vaccinate the mother." But it is food for thought and further study.

            I'll need to review the second set of references closely, as it is an interesting construction; if the math and logic holds then the number would be around 96% required to be vaccinated to cross the 93% effected population. California had around 2.5% personal belief exemptions the last year they were allowed source, admittedly could be better if I had time. [latimes.com]. I realize the country-wide numbers could be significantly different, but that would be pretty darn close to crossing from 94% to 96% vaccinated population for proper herd immunity.

            Some of those secondary sources seem to be talking world population, and others U.S. I'd say it's poverty's handmaiden, lack of education, as much as poverty itself. But I could be wrong.

            The relevance of discussing global eradication was

            the measels vaccination scheme was originally predicted to eradicate it in a few years

            I'm not saying you wouldn't find a source to substantiate what you said, but a focused global effort did not happen whose concentration was eradication. The way smallpox was eradicated and the way polio is heading. However, I take the point that measles is highly contagious and therefore makes containment an even higher challenge.

            But I'll have to see if I have time to delve deeper because it's an interesting take you have.

            --
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            • (Score: 0) by Anonymous Coward on Tuesday May 08 2018, @09:28PM

              by Anonymous Coward on Tuesday May 08 2018, @09:28PM (#677193)

              the measels vaccination scheme was originally predicted to eradicate it in a few years

              I'm not saying you wouldn't find a source to substantiate what you said

              I was wrong, they predicted eradication in one year:

              The Center for Disease Control (CDC) led in mounting the program with a formal paper at the American Public Health Association annual meeting in Miami in the fall of 1966. Two colleagues and I wrote the “official statement” which outlined in detail unqualified statements about the epidemiology of measles and made an unqualified prediction. My third position in the authorship of this paper did not adequately reflect my contribution to the work.14 I will make but two quotes:

              1. “The infection spreads by direct contact from person to person, and by the airborne route among susceptibles congregated in enclosed spaces.” (Obviously the ideas of Perkins and Wells had penetrated my consciousness but not sufficiently to influence my judgment). 2. “Effective use of (measles) vaccines during the coming winter and spring should insure the eradication of measles from the United States in 1967.” Such was my faith in the broad acceptance of the vaccine by the public and the health professions and in the infallibility of herd immunity.

              [...]

              There are many reasons and explanations for this rather egregious blunder in prediction. The simple truth is that the prediction was based on confidence in the Reed-Frost epidemic theory, in the applicability of herd immunity on a general basis, and that measles cases were uniformly infectious. I am sure I extended the teachings of my preceptors beyond the limits that they had intended during my student days.

              In the relentless light of the well-focussed retrospectiscope, the real failure was our neglect of conducting continuous and sufficiently sophisticated epidemiological field studies of measles. We accepted the doctrines imbued into us as students wikout maintaining the eternal skepticism of the true scientist.

              https://www.ncbi.nlm.nih.gov/pubmed/6939399 [nih.gov]

            • (Score: 0) by Anonymous Coward on Tuesday May 08 2018, @10:50PM

              by Anonymous Coward on Tuesday May 08 2018, @10:50PM (#677216)

              the question would be at what point is the titration rate ineffective (and that is a variable range, not a set number...)

              From their Fig 1A it looked like the "seropositivity threshold" they use would be crossed 5-10 years later, which would be ~20 years after being vaccinated at 4-6 years old, or 25-30 years old.
              https://www.ncbi.nlm.nih.gov/pubmed/29317117 [nih.gov]

              And I follow the concern with passive immunity, however that was one study which suggested that in a very limited field of literature review. The usual "more study is needed" is emphasized with a review as limited as that.

              I would agree that understanding is limited (as is all medical understanding at this point), but this has been something known since the beginning. They have been changing the vaccination age based on this since the 1960s:
              https://www.ncbi.nlm.nih.gov/pubmed/3549395 [nih.gov]

              if the math and logic holds then the number would be around 96%

              It doesn't really since the math (SIR models) typically assume a "well-mixed population", ie every person is equi-likely to come in contact with every other person. However, that is whats used to determine policy... The models do seem capable of capturing elements of in the patterns of infectious disease incidence such as its cyclic nature though. Also you could probably find big issues with the vaccination rate data since it is based on a survey, but once again that is what they use.

              the way polio is heading

              Polio eradication seems to have its own issues. Diseases with the exact same symptoms are on the rise as polio diagnoses drop:

              The incidence of NPAFP was strongly associated with the number of OPV doses delivered to the area. A dose–response relationship with cumulative doses over the years was also observed, which strengthens the hypothetical relationship between polio vaccine and NPAFP. The fall in the NPAFP rate in Bihar and UP for the first time in 2012, with a decrease in the number of OPV doses delivered, is evidence of a causative association between OPV doses and the NPAFP rate.

              Trends in Nonpolio Acute Flaccid Paralysis Incidence in India 2000 to 2013. Neetu Vashisht, Jacob Puliyel, Vishnubhatla Sreenivas. Pediatrics Feb 2015, 135 (Supplement 1) S16-S17; DOI: 10.1542/peds.2014-3330DD. http://pediatrics.aappublications.org/content/135/Supplement_1/S16.2 [aappublications.org]

    • (Score: 1, Troll) by Bot on Tuesday May 08 2018, @07:13AM

      by Bot (3902) on Tuesday May 08 2018, @07:13AM (#676931) Journal

      what deaths? if you only vaxed adults you would have more deaths by asteroid striking. BTW the stats about measles deaths back in the day when vaccination did not occur are likely fudged. I am old enough to remember too few deaths in my circle of childhood acquaintances (none).

      I have been vaccinated, I once had reactions two days later, never been so weak in my whole life. But I still am not against them. Just don't have private profits over them, it's madness. What you should punish too, though, is harmful preservatives, harmful choice of combo vaccination, harmful choice of age, and consider nature is not standing still when humans strike so you become if not legally, morally responsible of pathogens mutations.

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      Account abandoned.
  • (Score: 1, Interesting) by Anonymous Coward on Monday May 07 2018, @08:40PM (1 child)

    by Anonymous Coward on Monday May 07 2018, @08:40PM (#676779)

    That number is determined by how unsanitary people are. We could go with 0% and still eliminate all human disease if people would stop being unsanitary.

    Some places have their act together more than other places. In the USA, we are expected to shake hands. In Japan, it is common for people to weak masks in public; the sick people particularly feel a duty to protect others from their disease.

    It's all about culture. Start with yourself, then teach your children.

    • (Score: 1, Touché) by Anonymous Coward on Tuesday May 08 2018, @03:10AM

      by Anonymous Coward on Tuesday May 08 2018, @03:10AM (#676878)

      Apparently didn't work in okinawa, japan.