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"content": "\u003cfigure id=\"attachment_17842\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/167095303-e1393030020245.jpg\">\u003cimg class=\"size-medium wp-image-17842\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/167095303-300x287.jpg\" alt=\"Vial of Measles Mumps and Rubella (MMR) vaccine. (Geoff Caddick/AFP/Getty Images)\" width=\"300\" height=\"287\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Vial of Measles Mumps and Rubella (MMR) vaccine. (Geoff Caddick/AFP/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>Julie Schiffman is a mother of two in Marin County. The choice to not vaccinate her kids, now 6 and 8, was a long and difficult one, she said. But deciding whether to intentionally expose them to measles was easy.\u003c/p>\n\u003cp>“I would never do that to my kid,” she said.\u003c/p>\n\u003cp>She was approached recently by a friend who knew her kids were unvaccinated. The friend offered to help set up a play date with another child who was sick.\u003c/p>\n\u003cp>“She said, ‘I know someone who has the measles, would you like to be connected with them?’” Schiffman said.\u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Measles parties and chicken pox parties are practices that developed in eras before vaccines for those diseases were available. Both viruses are known to cause greater, more dangerous complications in adults. So some parents would intentionally infect their kids when they were young to work through the illness in its milder form, then retain immunity.\u003c/p>\n\u003cp>“People did this with chicken pox all the time,” said \u003ca href=\"http://www.sph.berkeley.edu/arthur-reingold\">Art Reingold\u003c/a>, an epidemiology professor at UC Berkeley who worked at the Centers for Disease Control in the 1980s. “Parents would have kids lick a lollipop and give it to other kids, or mail it to other kids.”\u003c/p>\n\u003cp>The chicken pox vaccine was licensed for use in 1995; for measles in 1963. Today, some parents are still deliberately getting their kids sick because they don't believe in vaccines.\u003c/p>\n\u003cp>“The basic notion is ‘this is my opportunity for my kid to get immune the old fashioned way, the way God intended,’” Reingold said. “’The way nature intended.’”\u003c/p>\n\u003cp>Pockets of the\u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/01/18/bay-area-communities-are-home-to-clusters-of-people-refusing-vaccines/\"> San Francisco Bay Area\u003c/a>, Los Angeles, and rural areas in the far north of the state have an unusually high number of parents who opt out of vaccinating their kids. Public health officials are worried about what might happen if parents take it upon themselves to infect their children with measles.\u003c/p>\n\u003cp>“It unnecessarily places the exposed children at potentially grave risk and could contribute to further spread of the outbreak,” the California Department of Public Health said in an email, adding that it \"strongly recommends against the intentional exposure of children to measles.\"\u003c/p>\n\u003cp>Thirty percent of people with measles in the current California outbreak have been hospitalized. While measles is most dangerous in children under 5 and adults over 20, there can be serious consequences for kids, including pneumonia or hearing loss. A small number die.\u003c/p>\n\u003cp>Reingold says hosting measles play dates or parties is ill-advised.\u003c/p>\n\u003cp>“To me, it's looney tunes,” he said. “We have a safe, effective vaccine, why would you do it?”\u003c/p>\n\u003cp>Julie Schiffman says she and her husband are willing to reconsider vaccinating their kids, but no evidence has surfaced to change their minds yet. She says she respects the choice of other parents who decide to expose their unvaccinated kids to measles. But she and her husband declined the opportunity.\u003c/p>\n\u003cp>“I would want that to be something they decide on their own, when they’re older and are more capable of assessing the risks and dangers,” she says.\u003c/p>\n\u003cp>“When they’re teenagers, I’d say, ‘okay, you have a choice, you can get vaccinated or you can get the measles, what would you rather?’” she said. “Then they have more say over what they do with their bodies. And I would respect their choice, whatever it was.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[soundcloud url=\"https://api.soundcloud.com/tracks/189791419\"]\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_17842\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/167095303-e1393030020245.jpg\">\u003cimg class=\"size-medium wp-image-17842\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/167095303-300x287.jpg\" alt=\"Vial of Measles Mumps and Rubella (MMR) vaccine. (Geoff Caddick/AFP/Getty Images)\" width=\"300\" height=\"287\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Vial of Measles Mumps and Rubella (MMR) vaccine. (Geoff Caddick/AFP/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>Julie Schiffman is a mother of two in Marin County. The choice to not vaccinate her kids, now 6 and 8, was a long and difficult one, she said. But deciding whether to intentionally expose them to measles was easy.\u003c/p>\n\u003cp>“I would never do that to my kid,” she said.\u003c/p>\n\u003cp>She was approached recently by a friend who knew her kids were unvaccinated. The friend offered to help set up a play date with another child who was sick.\u003c/p>\n\u003cp>“She said, ‘I know someone who has the measles, would you like to be connected with them?’” Schiffman said.\u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Measles parties and chicken pox parties are practices that developed in eras before vaccines for those diseases were available. Both viruses are known to cause greater, more dangerous complications in adults. So some parents would intentionally infect their kids when they were young to work through the illness in its milder form, then retain immunity.\u003c/p>\n\u003cp>“People did this with chicken pox all the time,” said \u003ca href=\"http://www.sph.berkeley.edu/arthur-reingold\">Art Reingold\u003c/a>, an epidemiology professor at UC Berkeley who worked at the Centers for Disease Control in the 1980s. “Parents would have kids lick a lollipop and give it to other kids, or mail it to other kids.”\u003c/p>\n\u003cp>The chicken pox vaccine was licensed for use in 1995; for measles in 1963. Today, some parents are still deliberately getting their kids sick because they don't believe in vaccines.\u003c/p>\n\u003cp>“The basic notion is ‘this is my opportunity for my kid to get immune the old fashioned way, the way God intended,’” Reingold said. “’The way nature intended.’”\u003c/p>\n\u003cp>Pockets of the\u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/01/18/bay-area-communities-are-home-to-clusters-of-people-refusing-vaccines/\"> San Francisco Bay Area\u003c/a>, Los Angeles, and rural areas in the far north of the state have an unusually high number of parents who opt out of vaccinating their kids. Public health officials are worried about what might happen if parents take it upon themselves to infect their children with measles.\u003c/p>\n\u003cp>“It unnecessarily places the exposed children at potentially grave risk and could contribute to further spread of the outbreak,” the California Department of Public Health said in an email, adding that it \"strongly recommends against the intentional exposure of children to measles.\"\u003c/p>\n\u003cp>Thirty percent of people with measles in the current California outbreak have been hospitalized. While measles is most dangerous in children under 5 and adults over 20, there can be serious consequences for kids, including pneumonia or hearing loss. A small number die.\u003c/p>\n\u003cp>Reingold says hosting measles play dates or parties is ill-advised.\u003c/p>\n\u003cp>“To me, it's looney tunes,” he said. “We have a safe, effective vaccine, why would you do it?”\u003c/p>\n\u003cp>Julie Schiffman says she and her husband are willing to reconsider vaccinating their kids, but no evidence has surfaced to change their minds yet. She says she respects the choice of other parents who decide to expose their unvaccinated kids to measles. But she and her husband declined the opportunity.\u003c/p>\n\u003cp>“I would want that to be something they decide on their own, when they’re older and are more capable of assessing the risks and dangers,” she says.\u003c/p>\n\u003cp>“When they’re teenagers, I’d say, ‘okay, you have a choice, you can get vaccinated or you can get the measles, what would you rather?’” she said. “Then they have more say over what they do with their bodies. And I would respect their choice, whatever it was.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cdiv class='utils-parseShortcode-shortcodes-__shortcodes__shortcodeWrapper'>\n \u003ciframe width='undefined' height='undefined'\n scrolling='no' frameborder='no'\n src='https://w.soundcloud.com/player/?url=https://api.soundcloud.com/tracks/189791419&visual=true&undefined'\n title='https://api.soundcloud.com/tracks/189791419'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "New Vaccination Bill Would End 'Personal Belief Exemption'",
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"content": "\u003cfigure id=\"attachment_23614\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/01/495311669-e1422076915312.jpg\">\u003cimg class=\"size-large wp-image-23614\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/01/495311669-640x456.jpg\" alt=\"A dose of measles, mumps, rubella vaccine, known commonly as MMR. (Joe Raedle/Getty Images)\" width=\"640\" height=\"456\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A dose of measles, mumps, rubella vaccine, known commonly as MMR. (Joe Raedle/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By \u003ca href=\"https://twitter.com/FenitN\" target=\"_blank\">Fenit Nirappil\u003c/a>\u003cbr>\nAssociated Press\u003c/strong>\u003c/p>\n\u003cp>SACRAMENTO — California lawmakers are proposing legislation that would require parents to vaccinate all school children unless a child's health is in danger, joining only two other states with such stringent restrictions.\u003c/p>\n\u003cp>Parents could no longer cite personal beliefs or religious reasons to send unvaccinated children to school under a proposal introduced Wednesday after dozens of people have fallen ill from a measles outbreak that started in late December at Disneyland.\u003c/p>\n\u003cp>Mississippi and West Virginia are the only other states with such strict vaccine rules, though the California bill's chief author said he would consider including a religious exemption, as allowed now.\u003c!--more-->\u003c/p>\n\u003cp>\"People are starting to realize, 'I'm vulnerable, my children are vulnerable,'\" said \u003ca href=\"http://sd06.senate.ca.gov/\">state Sen. Richard Pan\u003c/a>, a Democrat and pediatrician from Sacramento. \"We should not wait for more children to sicken or die before we act.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Earlier Wednesday, California's two U.S. senators issued a joint letter calling for a repeal of the state's \"personal belief exemption.\"\u003c/p>\n\u003cp>[soundcloud url=\"https://api.soundcloud.com/tracks/189545740\" params=\"color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" iframe=\"true\" /]\u003c/p>\n\u003cp>“While a small number of children cannot be vaccinated due to an underlying medical condition, we believe there should be no such thing as a philosophical or personal belief exemption, since everyone uses public spaces,” Sens. Barbara Boxer and Dianne Feinstein wrote. “As we have learned in the past month, parents who refuse to vaccinate their children not only put their own family at risk, but they also endanger other families who choose to vaccinate.”\u003c/p>\n\u003cp>Childhood vaccine has become an emotionally charged topic and a national issue amid a measles outbreak that has sickened more than 100 people across the United States and in Mexico.\u003c/p>\n\u003cp>Like most other states, California allows religious or personal belief exemptions. According to the National Conference of State Legislatures, California is among 20 states that allow for personal belief exemptions and 48 that allow for religious exemptions.\u003c/p>\n\u003cp>Parents cite a variety of reasons for not immunizing their children, among them: religious values, concerns the shots could cause illness and a belief that allowing children to get sick helps them to build a stronger immune system.\u003c/p>\n\u003cp>Public health officials believe an immunization rate of at least 90 percent in all communities, including schools, is critical to minimizing the potential for a disease outbreak. Statistics \u003ca href=\"http://www.cdph.ca.gov/programs/immunize/Documents/2014-15%20CA%20Child%20Care%20Immunization%20Assessment.pdf\" target=\"_blank\">reported recently\u003c/a> by the state Department of Public Health show 89.4 percent of children in California child-care facilities -- kids between age 2 and 5 -- had received all required vaccinations at the start of the 2014-15 school year.\u003c/p>\n\u003cp>The report showed 2.67 percent of those children -- about 12,500 statewide -- were unvaccinated due to personal belief exemptions. About 2,500 students were unvaccinated due to permanent medical exemptions -- the only group that would remain exempt under Pan's proposal.\u003c/p>\n\u003cp>Pan, who previously served in the Assembly, was the author of another vaccination bill that took effect last year. It requires parents who don't have their children vaccinated for non-religious reasons to get a note from the doctor's office before enrolling their children in school.\u003c/p>\n\u003cp>A spokesman for Gov. Jerry Brown, who signed that bill, did not say if the governor would oppose efforts to end exemptions.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"The Governor believes that vaccinations are profoundly important and a major public health benefit and any bill that reaches his desk will be closely considered,\" Spokesman Evan Westrup wrote in an e-mail.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_23614\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/01/495311669-e1422076915312.jpg\">\u003cimg class=\"size-large wp-image-23614\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/01/495311669-640x456.jpg\" alt=\"A dose of measles, mumps, rubella vaccine, known commonly as MMR. (Joe Raedle/Getty Images)\" width=\"640\" height=\"456\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A dose of measles, mumps, rubella vaccine, known commonly as MMR. (Joe Raedle/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By \u003ca href=\"https://twitter.com/FenitN\" target=\"_blank\">Fenit Nirappil\u003c/a>\u003cbr>\nAssociated Press\u003c/strong>\u003c/p>\n\u003cp>SACRAMENTO — California lawmakers are proposing legislation that would require parents to vaccinate all school children unless a child's health is in danger, joining only two other states with such stringent restrictions.\u003c/p>\n\u003cp>Parents could no longer cite personal beliefs or religious reasons to send unvaccinated children to school under a proposal introduced Wednesday after dozens of people have fallen ill from a measles outbreak that started in late December at Disneyland.\u003c/p>\n\u003cp>Mississippi and West Virginia are the only other states with such strict vaccine rules, though the California bill's chief author said he would consider including a religious exemption, as allowed now.\u003c!--more-->\u003c/p>\n\u003cp>\"People are starting to realize, 'I'm vulnerable, my children are vulnerable,'\" said \u003ca href=\"http://sd06.senate.ca.gov/\">state Sen. Richard Pan\u003c/a>, a Democrat and pediatrician from Sacramento. \"We should not wait for more children to sicken or die before we act.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Earlier Wednesday, California's two U.S. senators issued a joint letter calling for a repeal of the state's \"personal belief exemption.\"\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cdiv class='utils-parseShortcode-shortcodes-__shortcodes__shortcodeWrapper'>\n \u003ciframe width='100%' height='166'\n scrolling='no' frameborder='no'\n src='https://w.soundcloud.com/player/?url=https://api.soundcloud.com/tracks/189545740&visual=true&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false'\n title='https://api.soundcloud.com/tracks/189545740'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003c/p>\n\u003cp>“While a small number of children cannot be vaccinated due to an underlying medical condition, we believe there should be no such thing as a philosophical or personal belief exemption, since everyone uses public spaces,” Sens. Barbara Boxer and Dianne Feinstein wrote. “As we have learned in the past month, parents who refuse to vaccinate their children not only put their own family at risk, but they also endanger other families who choose to vaccinate.”\u003c/p>\n\u003cp>Childhood vaccine has become an emotionally charged topic and a national issue amid a measles outbreak that has sickened more than 100 people across the United States and in Mexico.\u003c/p>\n\u003cp>Like most other states, California allows religious or personal belief exemptions. According to the National Conference of State Legislatures, California is among 20 states that allow for personal belief exemptions and 48 that allow for religious exemptions.\u003c/p>\n\u003cp>Parents cite a variety of reasons for not immunizing their children, among them: religious values, concerns the shots could cause illness and a belief that allowing children to get sick helps them to build a stronger immune system.\u003c/p>\n\u003cp>Public health officials believe an immunization rate of at least 90 percent in all communities, including schools, is critical to minimizing the potential for a disease outbreak. Statistics \u003ca href=\"http://www.cdph.ca.gov/programs/immunize/Documents/2014-15%20CA%20Child%20Care%20Immunization%20Assessment.pdf\" target=\"_blank\">reported recently\u003c/a> by the state Department of Public Health show 89.4 percent of children in California child-care facilities -- kids between age 2 and 5 -- had received all required vaccinations at the start of the 2014-15 school year.\u003c/p>\n\u003cp>The report showed 2.67 percent of those children -- about 12,500 statewide -- were unvaccinated due to personal belief exemptions. About 2,500 students were unvaccinated due to permanent medical exemptions -- the only group that would remain exempt under Pan's proposal.\u003c/p>\n\u003cp>Pan, who previously served in the Assembly, was the author of another vaccination bill that took effect last year. It requires parents who don't have their children vaccinated for non-religious reasons to get a note from the doctor's office before enrolling their children in school.\u003c/p>\n\u003cp>A spokesman for Gov. Jerry Brown, who signed that bill, did not say if the governor would oppose efforts to end exemptions.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"The Governor believes that vaccinations are profoundly important and a major public health benefit and any bill that reaches his desk will be closely considered,\" Spokesman Evan Westrup wrote in an e-mail.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Measles Update -- Marin Cases; State Lawmaker to Introduce Vaccine Bill",
"title": "Measles Update -- Marin Cases; State Lawmaker to Introduce Vaccine Bill",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_23614\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/01/495311669-e1422076915312.jpg\">\u003cimg class=\"size-large wp-image-23614\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/01/495311669-640x456.jpg\" alt=\"A dose of measles, mumps, rubella vaccine, known commonly as MMR. (Joe Raedle/Getty Images)\" width=\"640\" height=\"456\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A dose of measles, mumps, rubella vaccine, known commonly as MMR. (Joe Raedle/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>Two unvaccinated Marin children have been confirmed to have measles, county health officials announced Thursday night \u003ca title=\"https://www.marinhhs.org/sites/default/files/files/public-health-updates/measles_health_advisory_01_29_2015.pdf\" href=\"https://www.marinhhs.org/sites/default/files/files/public-health-updates/measles_health_advisory_01_29_2015.pdf\" target=\"_blank\">in an advisory\u003c/a> sent to all Marin County clinicians.\u003c/p>\n\u003cp>Dr. Matt Willis, Marin Health Officer, told the Marin Independent Journal that the two children were members of the same family and that they had become infected outside the county. The children are of school age, Willis added, but no other unvaccinated children would be barred from attending school.\u003c/p>\n\u003cp>More from the \u003ca title=\"http://www.marinij.com/News/ci_27423424/Two-measles-cases-confirmed-in-Marin-Wednesday\" href=\"http://www.marinij.com/News/ci_27423424/Two-measles-cases-confirmed-in-Marin-Wednesday\" target=\"_blank\">Independent-Journal\u003c/a>:\u003c/p>\n\u003cblockquote>\u003cp>\"These were two children who were out of school well before and throughout any infectious period,\" Willis said. \"The infectious period for measles is usually around eight days.\"\u003cbr>\n\u003c!--more-->\u003c/p>\n\u003cp>For this reason, the protocol of excluding unvaccinated children will not be observed, Willis said.\u003c/p>\n\u003cp>Willis said the two children \"have been safely isolated from the community, and will remain isolated for the next three weeks. The health department is in regular contact with the family.\"\u003c/p>\n\u003cp>The children were out of the county for part of that interval and were not in direct contact with anyone in the community, Willis said. \"We are taking appropriate measures to protect the community against further spread,\" he said.\u003c/p>\u003c/blockquote>\n\u003cp>Carl Krawitt, the Marin father of a \u003ca title=\"http://ww2.kqed.org/stateofhealth/2015/01/26/not-vaccinated-stay-home-from-school-says-marin-dad-of-leukemia-patient/\" href=\"http://ww2.kqed.org/stateofhealth/2015/01/26/not-vaccinated-stay-home-from-school-says-marin-dad-of-leukemia-patient/\" target=\"_blank\">child who cannot be vaccinated\u003c/a> because he is recovering from cancer treatment, said he is \"sorry for children who are sick and hope they heal fast.\" Krawitt has been advocating for changes in policy that would require schools to bar unvaccinated children from school, until they are immunized.\u003c/p>\n\u003cp>Marin is the 10th California county to see measles cases in the outbreak that started \u003ca title=\"http://ww2.kqed.org/stateofhealth/2015/01/07/nine-measles-cases-tied-to-disneyland-parks/\" href=\"http://ww2.kqed.org/stateofhealth/2015/01/07/nine-measles-cases-tied-to-disneyland-parks/\" target=\"_blank\">in connection to Disneyland\u003c/a> in December. The new cases bring the statewide total in the current outbreak to 81.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cstrong>New Law to be Introduced\u003c/strong>\u003c/p>\n\u003cp>The new cases come against a backdrop of a \u003ca title=\"http://www.latimes.com/opinion/editorials/la-ed-exemption-20150128-story.html\" href=\"http://www.latimes.com/opinion/editorials/la-ed-exemption-20150128-story.html\" target=\"_blank\">growing debat\u003c/a>e about California's use of the \"personal belief exemption\" which allows parents to opt-out of vaccines on behalf of their children. The statewide PBE rate is 2.5 percent, \u003ca title=\"http://ww2.kqed.org/stateofhealth/2015/01/18/bay-area-communities-are-home-to-clusters-of-people-refusing-vaccines/\" href=\"http://ww2.kqed.org/stateofhealth/2015/01/18/bay-area-communities-are-home-to-clusters-of-people-refusing-vaccines/\" target=\"_blank\">but in many areas \u003c/a>the rates are significantly higher. Marin county's PBE rate is 6.45 percent; some \u003ca title=\"http://www.cdph.ca.gov/programs/immunize/Documents/2014-15%20CA%20Kindergarten%20Immunization%20Assessment.pdf\" href=\"http://www.cdph.ca.gov/programs/immunize/Documents/2014-15%20CA%20Kindergarten%20Immunization%20Assessment.pdf\" target=\"_blank\">rural Northern California counties \u003c/a>are higher still. Nevada County's PBE rate is 21.55 percent.\u003c/p>\n\u003cp>Sen. Richard Pan (D-Sacramento) says he will \u003ca title=\"http://sd06.senate.ca.gov/news/2015-01-27-dr-richard-pan’s-2013-legislation-leads-more-vaccinated-children-schools-announces\" href=\"http://sd06.senate.ca.gov/news/2015-01-27-dr-richard-pan%E2%80%99s-2013-legislation-leads-more-vaccinated-children-schools-announces\" target=\"_blank\">introduce a bill \u003c/a>Friday that would require schools to notify parents of its immunization rates. They would also need to include a \"reference rate,\" he said, that would tell parents what public health officials say the rate of vaccination should be to protect people who cannot be vaccinated for medical reasons.\u003c/p>\n\u003cp>\"It's important to keep families informed of things their child may be at risk of at their school,\" Pan, who is also a pediatrician, said.\u003c/p>\n\u003cp>In addition, Pan said he wants to look at tightening the personal belief exemption. Only \u003ca title=\"http://www.vaccinesafety.edu/cc-exem.htm\" href=\"http://www.vaccinesafety.edu/cc-exem.htm\" target=\"_blank\">a minority of states\u003c/a> allow a personal belief exemption. \"Many other states have much stricter rules,\" Pan told me. \"There are \u003ca title=\"http://www.vaccinesafety.edu/cc-exem.htm\" href=\"http://www.vaccinesafety.edu/cc-exem.htm\" target=\"_blank\">many states \u003c/a>where you can only get exempted if you have a medical reason, or you can demonstrate a strong religious reason.\"\u003c/p>\n\u003cp>New York is one such state, and Pan said he plans to see if that approach might be a \"more appropriate model\" for California.\u003c/p>\n\u003cp>\"We need to look at what we need to do here in California,\" he said. \"We certainly understand people have different beliefs, but we also need children to be safe in their schools.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Krawitt, who has worried about the PBE rate in Marin and more broadly, was enthusiastic to hear of Pan's ideas. He said he and his wife would like to see a bill, but \"we would likely endorse it.\"\u003c/p>\n\n",
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"excerpt": "Two unvaccinated children with the measles are the first cases in Marin in the current outbreak.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_23614\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/01/495311669-e1422076915312.jpg\">\u003cimg class=\"size-large wp-image-23614\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/01/495311669-640x456.jpg\" alt=\"A dose of measles, mumps, rubella vaccine, known commonly as MMR. (Joe Raedle/Getty Images)\" width=\"640\" height=\"456\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A dose of measles, mumps, rubella vaccine, known commonly as MMR. (Joe Raedle/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>Two unvaccinated Marin children have been confirmed to have measles, county health officials announced Thursday night \u003ca title=\"https://www.marinhhs.org/sites/default/files/files/public-health-updates/measles_health_advisory_01_29_2015.pdf\" href=\"https://www.marinhhs.org/sites/default/files/files/public-health-updates/measles_health_advisory_01_29_2015.pdf\" target=\"_blank\">in an advisory\u003c/a> sent to all Marin County clinicians.\u003c/p>\n\u003cp>Dr. Matt Willis, Marin Health Officer, told the Marin Independent Journal that the two children were members of the same family and that they had become infected outside the county. The children are of school age, Willis added, but no other unvaccinated children would be barred from attending school.\u003c/p>\n\u003cp>More from the \u003ca title=\"http://www.marinij.com/News/ci_27423424/Two-measles-cases-confirmed-in-Marin-Wednesday\" href=\"http://www.marinij.com/News/ci_27423424/Two-measles-cases-confirmed-in-Marin-Wednesday\" target=\"_blank\">Independent-Journal\u003c/a>:\u003c/p>\n\u003cblockquote>\u003cp>\"These were two children who were out of school well before and throughout any infectious period,\" Willis said. \"The infectious period for measles is usually around eight days.\"\u003cbr>\n\u003c!--more-->\u003c/p>\n\u003cp>For this reason, the protocol of excluding unvaccinated children will not be observed, Willis said.\u003c/p>\n\u003cp>Willis said the two children \"have been safely isolated from the community, and will remain isolated for the next three weeks. The health department is in regular contact with the family.\"\u003c/p>\n\u003cp>The children were out of the county for part of that interval and were not in direct contact with anyone in the community, Willis said. \"We are taking appropriate measures to protect the community against further spread,\" he said.\u003c/p>\u003c/blockquote>\n\u003cp>Carl Krawitt, the Marin father of a \u003ca title=\"http://ww2.kqed.org/stateofhealth/2015/01/26/not-vaccinated-stay-home-from-school-says-marin-dad-of-leukemia-patient/\" href=\"http://ww2.kqed.org/stateofhealth/2015/01/26/not-vaccinated-stay-home-from-school-says-marin-dad-of-leukemia-patient/\" target=\"_blank\">child who cannot be vaccinated\u003c/a> because he is recovering from cancer treatment, said he is \"sorry for children who are sick and hope they heal fast.\" Krawitt has been advocating for changes in policy that would require schools to bar unvaccinated children from school, until they are immunized.\u003c/p>\n\u003cp>Marin is the 10th California county to see measles cases in the outbreak that started \u003ca title=\"http://ww2.kqed.org/stateofhealth/2015/01/07/nine-measles-cases-tied-to-disneyland-parks/\" href=\"http://ww2.kqed.org/stateofhealth/2015/01/07/nine-measles-cases-tied-to-disneyland-parks/\" target=\"_blank\">in connection to Disneyland\u003c/a> in December. The new cases bring the statewide total in the current outbreak to 81.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cstrong>New Law to be Introduced\u003c/strong>\u003c/p>\n\u003cp>The new cases come against a backdrop of a \u003ca title=\"http://www.latimes.com/opinion/editorials/la-ed-exemption-20150128-story.html\" href=\"http://www.latimes.com/opinion/editorials/la-ed-exemption-20150128-story.html\" target=\"_blank\">growing debat\u003c/a>e about California's use of the \"personal belief exemption\" which allows parents to opt-out of vaccines on behalf of their children. The statewide PBE rate is 2.5 percent, \u003ca title=\"http://ww2.kqed.org/stateofhealth/2015/01/18/bay-area-communities-are-home-to-clusters-of-people-refusing-vaccines/\" href=\"http://ww2.kqed.org/stateofhealth/2015/01/18/bay-area-communities-are-home-to-clusters-of-people-refusing-vaccines/\" target=\"_blank\">but in many areas \u003c/a>the rates are significantly higher. Marin county's PBE rate is 6.45 percent; some \u003ca title=\"http://www.cdph.ca.gov/programs/immunize/Documents/2014-15%20CA%20Kindergarten%20Immunization%20Assessment.pdf\" href=\"http://www.cdph.ca.gov/programs/immunize/Documents/2014-15%20CA%20Kindergarten%20Immunization%20Assessment.pdf\" target=\"_blank\">rural Northern California counties \u003c/a>are higher still. Nevada County's PBE rate is 21.55 percent.\u003c/p>\n\u003cp>Sen. Richard Pan (D-Sacramento) says he will \u003ca title=\"http://sd06.senate.ca.gov/news/2015-01-27-dr-richard-pan’s-2013-legislation-leads-more-vaccinated-children-schools-announces\" href=\"http://sd06.senate.ca.gov/news/2015-01-27-dr-richard-pan%E2%80%99s-2013-legislation-leads-more-vaccinated-children-schools-announces\" target=\"_blank\">introduce a bill \u003c/a>Friday that would require schools to notify parents of its immunization rates. They would also need to include a \"reference rate,\" he said, that would tell parents what public health officials say the rate of vaccination should be to protect people who cannot be vaccinated for medical reasons.\u003c/p>\n\u003cp>\"It's important to keep families informed of things their child may be at risk of at their school,\" Pan, who is also a pediatrician, said.\u003c/p>\n\u003cp>In addition, Pan said he wants to look at tightening the personal belief exemption. Only \u003ca title=\"http://www.vaccinesafety.edu/cc-exem.htm\" href=\"http://www.vaccinesafety.edu/cc-exem.htm\" target=\"_blank\">a minority of states\u003c/a> allow a personal belief exemption. \"Many other states have much stricter rules,\" Pan told me. \"There are \u003ca title=\"http://www.vaccinesafety.edu/cc-exem.htm\" href=\"http://www.vaccinesafety.edu/cc-exem.htm\" target=\"_blank\">many states \u003c/a>where you can only get exempted if you have a medical reason, or you can demonstrate a strong religious reason.\"\u003c/p>\n\u003cp>New York is one such state, and Pan said he plans to see if that approach might be a \"more appropriate model\" for California.\u003c/p>\n\u003cp>\"We need to look at what we need to do here in California,\" he said. \"We certainly understand people have different beliefs, but we also need children to be safe in their schools.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Krawitt, who has worried about the PBE rate in Marin and more broadly, was enthusiastic to hear of Pan's ideas. He said he and his wife would like to see a bill, but \"we would likely endorse it.\"\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Not Vaccinated? 'Stay Home from School,' Says Marin Dad of Leukemia Patient",
"title": "Not Vaccinated? 'Stay Home from School,' Says Marin Dad of Leukemia Patient",
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"content": "\u003cp>Carl Krawitt has watched his son, Rhett, now 6, fight leukemia for the last 4½ years. For more than three of those years, Rhett has undergone round after round of chemotherapy. Last year, he finished chemotherapy, and doctors say he is in remission.\u003c/p>\n\u003caside class=\"pullquote alignright\">Do you want to help the family of a child with cancer? Make sure your own children are vaccinated, doctor says.\u003c/aside>\n\u003cp>Now, there's a new threat: measles. \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/01/07/nine-measles-cases-tied-to-disneyland-parks/\" target=\"_blank\">An outbreak tied to Disneyland has grown from 9\u003c/a> to \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/01/21/state-measles-cases-now-at-59-expect-more-2/\" target=\"_blank\">73 cases \u003c/a>in just two and a half weeks. Public health officials fear it will spread further.\u003c/p>\n\u003cp>Rhett cannot be vaccinated, because his immune system is still rebuilding. It may be months more before his body is healthy enough to get all his immunizations. Until then, he depends on everyone around him for protection -- or what's known as \u003ca title=\"http://ww2.kqed.org/stateofhealth/2013/08/23/5-things-you-should-know-about-vaccines/\" href=\"http://ww2.kqed.org/stateofhealth/2013/08/23/5-things-you-should-know-about-vaccines/\" target=\"_blank\">herd immunity\u003c/a>.\u003c/p>\n\u003cp>But Rhett lives in Marin, a county with the \u003ca title=\"http://ww2.kqed.org/news/2013/08/21/marin-vaccinations/\" href=\"http://ww2.kqed.org/news/2013/08/21/marin-vaccinations/\" target=\"_blank\">dubious honor of having the highest rate of \"personal belief exemptions\"\u003c/a> (PBE) in the Bay Area and among the highest in the state. This school year, 6.45 percent of Marin's kindergarteners have a PBE, which allows parents to lawfully send their children to school unvaccinated against communicable diseases like measles, polio, whooping cough and more. The statewide average is 2.50 percent.\u003c!--more-->\u003c/p>\n\u003cp>Carl Krawitt has just about had enough. \"It's very emotional for me,\" he said. \"If you choose not to immunize your own child and your own child dies because they get measles, OK, that's your responsibility, that's your choice. But if your child gets sick and gets my child sick and my child dies, then … your action has harmed my child.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Krawitt is taking action of his own. His son attends Reed Elementary in Tiburon, a school with a 7 percent PBE rate, nearly triple the statewide average. Krawitt had previously worked with the school nurse to make sure that all the children in his son's class were fully vaccinated. He said the school was very helpful and accommodating.\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/09/11/vaccine-opt-out-rate-doubled-in-7-years-look-up-your-school-online/\">\u003cimg class=\"alignright size-full wp-image-23583\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/01/lookup.jpg\" alt=\"lookup\" width=\"300\" height=\"151\">\u003c/a>Now Krawitt and his wife, Jodi, have emailed the district's superintendent, requesting that the district \"require immunization as a condition of attendance, with the only exception being those who cannot medically be vaccinated.\"\u003c/p>\n\u003cp>Carl Krawitt provided me with Superintendent Steven Herzog's response. Herzog didn't directly address their query, instead saying: \"\u003cspan class=\"Apple-style-span\">We are monitoring the situation closely and will take whatever actions necessary to ensure the safety of our students.\"\u003c/span>\u003c/p>\n\u003cp>Typically, response to health emergencies rests with county health officers. During the current measles outbreak, we've already seen that unvaccinated students at Huntington Beach High School in Orange County \u003ca title=\"http://www.latimes.com/local/lanow/la-me-ln-students-exposed-to-measles-oc-20150120-story.html\" href=\"http://www.latimes.com/local/lanow/la-me-ln-students-exposed-to-measles-oc-20150120-story.html\" target=\"_blank\">were ordered to stay \u003c/a>out of school for three weeks after a student there contracted measles. It's a way to contain an outbreak.\u003c/p>\n\u003cp>But those steps were taken in the face a confirmed case at the school.\u003c/p>\n\u003cp>When I called Marin County health officer Matt Willis to see what he thought of keeping unvaccinated kids out of school even if there were no confirmed cases, he sounded intrigued. \"This is partly a legal question,\" he said.\u003c/p>\n\u003cp>But he was open to the idea and said he was going to check with the state to see what precedent there was to take such an action. Right now, there are no cases of measles anywhere in Marin and no suspected cases either. Still, \"if the outbreak progresses and we start seeing more and more cases,\" Willis said, \"then this is a step we might want to consider' -- requiring unvaccinated children to stay home, even without confirmed cases at a specific school.\u003c/p>\n\u003cp>[soundcloud url=\"https://api.soundcloud.com/tracks/188229275\" params=\"color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" iframe=\"true\" /]\u003c/p>\n\u003cp>Rhett has been treated at UCSF, and his oncologist there, Dr. Robert Goldsby, said that Rhett is likely at higher risk of complications if he were to get measles. \"When your immune system isn't working as well, it allows many different infections to be worse,\" he said. \"It's not just Rhett. There are hundreds of other kids in the Bay Area that are going through cancer therapy, and it's not fair to them. They can't get immunized, they have to rely on their friends and colleagues and community to help protect them.\"\u003c/p>\n\u003cfigure id=\"attachment_23648\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/01/pre-op-helping-doctors-12-6-10.jpg\">\u003cimg class=\"size-medium wp-image-23648\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/01/pre-op-helping-doctors-12-6-10-300x225.jpg\" alt=\"Rhett Krawitt, just weeks after starting chemotherapy, in 2010. (Courtesy: Carl Krawitt)\" width=\"300\" height=\"225\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Rhett Krawitt, just weeks after starting chemotherapy, in 2010. (Courtesy: Carl Krawitt)\u003c/figcaption>\u003c/figure>\n\u003cp>Goldsby pointed to the number of people who, when facing a friend or family member who receives a challenging diagnosis, will immediately ask how they can help. \"Many families will say, 'What can I do to help? What can I do to help?'\" he said, repeating it for emphasis. \"One of the main things they can do is make sure their [own] kids are vaccinated to protect others.\"\u003c/p>\n\u003cp>Krawitt has been speaking up about vaccination for a long time now. He told me about going to a parent meeting at his daughter's school just before the start of the school year, where a staff member reminded parents not to send peanut products to school, since a child or children had an allergy. \"It's really important your kids don't bring peanuts, because kids can die,\" Krawitt recalls the group being told.\u003c/p>\n\u003cp>The irony was not lost on him. He told me he immediately responded, \"In the interest of the health and safety of our children, can we have the assurance that all the kids at our school are immunized?\"\u003c/p>\n\u003cp>He found out later from a friend that other parents who were present were \"mad that you asked the question, because they don't immunize their kids.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>http://vimeo.com/118290318\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Carl Krawitt has watched his son, Rhett, now 6, fight leukemia for the last 4½ years. For more than three of those years, Rhett has undergone round after round of chemotherapy. Last year, he finished chemotherapy, and doctors say he is in remission.\u003c/p>\n\u003caside class=\"pullquote alignright\">Do you want to help the family of a child with cancer? Make sure your own children are vaccinated, doctor says.\u003c/aside>\n\u003cp>Now, there's a new threat: measles. \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/01/07/nine-measles-cases-tied-to-disneyland-parks/\" target=\"_blank\">An outbreak tied to Disneyland has grown from 9\u003c/a> to \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/01/21/state-measles-cases-now-at-59-expect-more-2/\" target=\"_blank\">73 cases \u003c/a>in just two and a half weeks. Public health officials fear it will spread further.\u003c/p>\n\u003cp>Rhett cannot be vaccinated, because his immune system is still rebuilding. It may be months more before his body is healthy enough to get all his immunizations. Until then, he depends on everyone around him for protection -- or what's known as \u003ca title=\"http://ww2.kqed.org/stateofhealth/2013/08/23/5-things-you-should-know-about-vaccines/\" href=\"http://ww2.kqed.org/stateofhealth/2013/08/23/5-things-you-should-know-about-vaccines/\" target=\"_blank\">herd immunity\u003c/a>.\u003c/p>\n\u003cp>But Rhett lives in Marin, a county with the \u003ca title=\"http://ww2.kqed.org/news/2013/08/21/marin-vaccinations/\" href=\"http://ww2.kqed.org/news/2013/08/21/marin-vaccinations/\" target=\"_blank\">dubious honor of having the highest rate of \"personal belief exemptions\"\u003c/a> (PBE) in the Bay Area and among the highest in the state. This school year, 6.45 percent of Marin's kindergarteners have a PBE, which allows parents to lawfully send their children to school unvaccinated against communicable diseases like measles, polio, whooping cough and more. The statewide average is 2.50 percent.\u003c!--more-->\u003c/p>\n\u003cp>Carl Krawitt has just about had enough. \"It's very emotional for me,\" he said. \"If you choose not to immunize your own child and your own child dies because they get measles, OK, that's your responsibility, that's your choice. But if your child gets sick and gets my child sick and my child dies, then … your action has harmed my child.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Krawitt is taking action of his own. His son attends Reed Elementary in Tiburon, a school with a 7 percent PBE rate, nearly triple the statewide average. Krawitt had previously worked with the school nurse to make sure that all the children in his son's class were fully vaccinated. He said the school was very helpful and accommodating.\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/09/11/vaccine-opt-out-rate-doubled-in-7-years-look-up-your-school-online/\">\u003cimg class=\"alignright size-full wp-image-23583\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/01/lookup.jpg\" alt=\"lookup\" width=\"300\" height=\"151\">\u003c/a>Now Krawitt and his wife, Jodi, have emailed the district's superintendent, requesting that the district \"require immunization as a condition of attendance, with the only exception being those who cannot medically be vaccinated.\"\u003c/p>\n\u003cp>Carl Krawitt provided me with Superintendent Steven Herzog's response. Herzog didn't directly address their query, instead saying: \"\u003cspan class=\"Apple-style-span\">We are monitoring the situation closely and will take whatever actions necessary to ensure the safety of our students.\"\u003c/span>\u003c/p>\n\u003cp>Typically, response to health emergencies rests with county health officers. During the current measles outbreak, we've already seen that unvaccinated students at Huntington Beach High School in Orange County \u003ca title=\"http://www.latimes.com/local/lanow/la-me-ln-students-exposed-to-measles-oc-20150120-story.html\" href=\"http://www.latimes.com/local/lanow/la-me-ln-students-exposed-to-measles-oc-20150120-story.html\" target=\"_blank\">were ordered to stay \u003c/a>out of school for three weeks after a student there contracted measles. It's a way to contain an outbreak.\u003c/p>\n\u003cp>But those steps were taken in the face a confirmed case at the school.\u003c/p>\n\u003cp>When I called Marin County health officer Matt Willis to see what he thought of keeping unvaccinated kids out of school even if there were no confirmed cases, he sounded intrigued. \"This is partly a legal question,\" he said.\u003c/p>\n\u003cp>But he was open to the idea and said he was going to check with the state to see what precedent there was to take such an action. Right now, there are no cases of measles anywhere in Marin and no suspected cases either. Still, \"if the outbreak progresses and we start seeing more and more cases,\" Willis said, \"then this is a step we might want to consider' -- requiring unvaccinated children to stay home, even without confirmed cases at a specific school.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cdiv class='utils-parseShortcode-shortcodes-__shortcodes__shortcodeWrapper'>\n \u003ciframe width='100%' height='166'\n scrolling='no' frameborder='no'\n src='https://w.soundcloud.com/player/?url=https://api.soundcloud.com/tracks/188229275&visual=true&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false'\n title='https://api.soundcloud.com/tracks/188229275'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Rhett has been treated at UCSF, and his oncologist there, Dr. Robert Goldsby, said that Rhett is likely at higher risk of complications if he were to get measles. \"When your immune system isn't working as well, it allows many different infections to be worse,\" he said. \"It's not just Rhett. There are hundreds of other kids in the Bay Area that are going through cancer therapy, and it's not fair to them. They can't get immunized, they have to rely on their friends and colleagues and community to help protect them.\"\u003c/p>\n\u003cfigure id=\"attachment_23648\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/01/pre-op-helping-doctors-12-6-10.jpg\">\u003cimg class=\"size-medium wp-image-23648\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/01/pre-op-helping-doctors-12-6-10-300x225.jpg\" alt=\"Rhett Krawitt, just weeks after starting chemotherapy, in 2010. (Courtesy: Carl Krawitt)\" width=\"300\" height=\"225\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Rhett Krawitt, just weeks after starting chemotherapy, in 2010. (Courtesy: Carl Krawitt)\u003c/figcaption>\u003c/figure>\n\u003cp>Goldsby pointed to the number of people who, when facing a friend or family member who receives a challenging diagnosis, will immediately ask how they can help. \"Many families will say, 'What can I do to help? What can I do to help?'\" he said, repeating it for emphasis. \"One of the main things they can do is make sure their [own] kids are vaccinated to protect others.\"\u003c/p>\n\u003cp>Krawitt has been speaking up about vaccination for a long time now. He told me about going to a parent meeting at his daughter's school just before the start of the school year, where a staff member reminded parents not to send peanut products to school, since a child or children had an allergy. \"It's really important your kids don't bring peanuts, because kids can die,\" Krawitt recalls the group being told.\u003c/p>\n\u003cp>The irony was not lost on him. He told me he immediately responded, \"In the interest of the health and safety of our children, can we have the assurance that all the kids at our school are immunized?\"\u003c/p>\n\u003cp>He found out later from a friend that other parents who were present were \"mad that you asked the question, because they don't immunize their kids.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/p>\u003c/div>",
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"disqusTitle": "Answers to Five Common Measles Questions",
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"content": "\u003cfigure id=\"attachment_23614\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/01/495311669-e1422076915312.jpg\">\u003cimg class=\"size-large wp-image-23614\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/01/495311669-640x456.jpg\" alt=\"A dose of measles, mumps, rubella vaccine, known commonly as MMR. (Joe Raedle/Getty Images)\" width=\"640\" height=\"456\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A dose of measles, mumps, rubella vaccine, known commonly as MMR. (Joe Raedle/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Amanda Stupi\u003c/strong>\u003c/p>\n\u003cp>An \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/01/21/state-measles-cases-now-at-59-expect-more-2/\" target=\"_blank\">outbreak of measles\u003c/a> and a \u003ca href=\"http://pediatrics.aappublications.org/gca?submit=Get+All+Checked+Abstracts&gca=pediatrics%3Bpeds.2014-2715v1\" target=\"_blank\">new report \u003c/a>that identified clusters of vaccine refusals in Northern California have become this week's hot topics. As such, KQED's daily talk show \u003ca href=\"http://www.kqed.org/a/forum/R201501230900\" target=\"_blank\">Forum\u003c/a> devoted an hour to the outbreak, and opened up the phones to listeners' questions. The result: the sharing of some very good information. Here are answers to five common questions:\u003c/p>\n\u003cp>\u003cstrong>1. Can people who have been vaccinated against the measles still get it? \u003c/strong>\u003c/p>\n\u003cp>Of the confirmed measles cases in California, at least five are people who were fully vaccinated. Experts aren't exactly sure why this is the case.\u003c/p>\n\u003cp>\"No vaccine is 100 percent effective,\" said Dr. Yvonne Maldonado, chief of the division of infectious diseases at Lucille Packard Children's Hospital. The measles vaccine comes close -- it protects 99 out of 100 people, but that's \"one percent of a lot of people,\" she said.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cstrong>2. What are the symptoms of measles?\u003c/strong>\u003c/p>\n\u003cp>Health care practitioners often refer to measles' symptoms as \"the three C's\": cough, coryza (runny nose) and conjunctivitis (red, watery eyes). High fever can also accompany these symptoms. After these symptoms are present, a rash appears on the face and spreads to the rest of the body.\u003c/p>\n\u003cp>Given how common coughs and runny noses are, measles can be tough to tell apart from other infections.\u003c/p>\n\u003cp>\"The child looks ill,\" said Maldonado. \"Some children can have these symptoms and not feel super sick, but these children are definitely not feeling well.\"\u003c/p>\n\u003cp>\u003cstrong>3. How is measles spread? \u003c/strong>\u003c/p>\n\u003cp>It is airborne in \"very, very small droplets,\" said Maldonado. How small? As small as 5 \u003ca href=\"http://www.ohiogt.com/pe/micron.html\" target=\"_blank\">microns\u003c/a>. These droplets can take as long as two hours to drop to the ground, meaning that a classroom or a doctor's exam room where an infected child visits can remain infectious for up to two hours after that child leaves the room.\u003c/p>\n\u003cp>People with measles are infectious starting four days before the rash starts -- during the time when they have cough and runny nose, similar to a cold -- and continuing for four days after it appears.\u003c/p>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/187547647&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" frameborder=\"no\" scrolling=\"no\">\u003c/iframe>\u003c/p>\n\u003cp>\u003cstrong>4. Should I get a booster shot just to be safe?\u003c/strong>\u003c/p>\n\u003cp>If you are an adult and you know you did not have the second dose of the vaccine, Maldonado suggests getting a booster. If you are not sure about your vaccination history, your doctor can do a blood test to check your immunity levels. But what's easier is to go ahead and get the booster. Even if it turns out to be an extra shot, it won't hurt you.\u003c/p>\n\u003cp>Most people born before 1957 have probably had the disease and are immune to it.\u003c/p>\n\u003cp>Erica Pan, with the \u003ca href=\"http://www.acphd.org/\" target=\"_blank\">Alameda County of Public Health\u003c/a>, says that if you received your first vaccination shot between 1963 and 1967 you may want to talk to your doctor as there have been instances of \"breakthrough infections\" in adults who received their vaccines during that period.\u003c/p>\n\u003cp>\u003cstrong>5. The \u003ca href=\"http://www.cdc.gov/vaccines/vpd-vac/measles/faqs-dis-vac-risks.htm\" target=\"_blank\">CDC\u003c/a> recommends children get the first of two measles vaccines between 12-15 months of age. What if my child is less than a year old? Can we still vaccinate her?\u003c/strong>\u003c/p>\n\u003cp>In many countries with highter exposure rates children do get vaccinated as young as 3 to 6 months, but \"we know that the vaccine doesn't work that well at that age,\" Maldonaldo said. The optimal time for an immune response to the vaccine starts at 12 months of age.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The measles vaccine can be given to kids as young as six months if they will be travelling abroad or parents are concerned because of an outbreak. But because it is unclear how well the measles vaccine administered to young infants works over the long haul, Maldonado says that parents should follow up with the complete two dose vaccine after the child is 12 months old.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_23614\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/01/495311669-e1422076915312.jpg\">\u003cimg class=\"size-large wp-image-23614\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/01/495311669-640x456.jpg\" alt=\"A dose of measles, mumps, rubella vaccine, known commonly as MMR. (Joe Raedle/Getty Images)\" width=\"640\" height=\"456\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A dose of measles, mumps, rubella vaccine, known commonly as MMR. (Joe Raedle/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Amanda Stupi\u003c/strong>\u003c/p>\n\u003cp>An \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/01/21/state-measles-cases-now-at-59-expect-more-2/\" target=\"_blank\">outbreak of measles\u003c/a> and a \u003ca href=\"http://pediatrics.aappublications.org/gca?submit=Get+All+Checked+Abstracts&gca=pediatrics%3Bpeds.2014-2715v1\" target=\"_blank\">new report \u003c/a>that identified clusters of vaccine refusals in Northern California have become this week's hot topics. As such, KQED's daily talk show \u003ca href=\"http://www.kqed.org/a/forum/R201501230900\" target=\"_blank\">Forum\u003c/a> devoted an hour to the outbreak, and opened up the phones to listeners' questions. The result: the sharing of some very good information. Here are answers to five common questions:\u003c/p>\n\u003cp>\u003cstrong>1. Can people who have been vaccinated against the measles still get it? \u003c/strong>\u003c/p>\n\u003cp>Of the confirmed measles cases in California, at least five are people who were fully vaccinated. Experts aren't exactly sure why this is the case.\u003c/p>\n\u003cp>\"No vaccine is 100 percent effective,\" said Dr. Yvonne Maldonado, chief of the division of infectious diseases at Lucille Packard Children's Hospital. The measles vaccine comes close -- it protects 99 out of 100 people, but that's \"one percent of a lot of people,\" she said.\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cstrong>2. What are the symptoms of measles?\u003c/strong>\u003c/p>\n\u003cp>Health care practitioners often refer to measles' symptoms as \"the three C's\": cough, coryza (runny nose) and conjunctivitis (red, watery eyes). High fever can also accompany these symptoms. After these symptoms are present, a rash appears on the face and spreads to the rest of the body.\u003c/p>\n\u003cp>Given how common coughs and runny noses are, measles can be tough to tell apart from other infections.\u003c/p>\n\u003cp>\"The child looks ill,\" said Maldonado. \"Some children can have these symptoms and not feel super sick, but these children are definitely not feeling well.\"\u003c/p>\n\u003cp>\u003cstrong>3. How is measles spread? \u003c/strong>\u003c/p>\n\u003cp>It is airborne in \"very, very small droplets,\" said Maldonado. How small? As small as 5 \u003ca href=\"http://www.ohiogt.com/pe/micron.html\" target=\"_blank\">microns\u003c/a>. These droplets can take as long as two hours to drop to the ground, meaning that a classroom or a doctor's exam room where an infected child visits can remain infectious for up to two hours after that child leaves the room.\u003c/p>\n\u003cp>People with measles are infectious starting four days before the rash starts -- during the time when they have cough and runny nose, similar to a cold -- and continuing for four days after it appears.\u003c/p>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/187547647&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" frameborder=\"no\" scrolling=\"no\">\u003c/iframe>\u003c/p>\n\u003cp>\u003cstrong>4. Should I get a booster shot just to be safe?\u003c/strong>\u003c/p>\n\u003cp>If you are an adult and you know you did not have the second dose of the vaccine, Maldonado suggests getting a booster. If you are not sure about your vaccination history, your doctor can do a blood test to check your immunity levels. But what's easier is to go ahead and get the booster. Even if it turns out to be an extra shot, it won't hurt you.\u003c/p>\n\u003cp>Most people born before 1957 have probably had the disease and are immune to it.\u003c/p>\n\u003cp>Erica Pan, with the \u003ca href=\"http://www.acphd.org/\" target=\"_blank\">Alameda County of Public Health\u003c/a>, says that if you received your first vaccination shot between 1963 and 1967 you may want to talk to your doctor as there have been instances of \"breakthrough infections\" in adults who received their vaccines during that period.\u003c/p>\n\u003cp>\u003cstrong>5. The \u003ca href=\"http://www.cdc.gov/vaccines/vpd-vac/measles/faqs-dis-vac-risks.htm\" target=\"_blank\">CDC\u003c/a> recommends children get the first of two measles vaccines between 12-15 months of age. What if my child is less than a year old? Can we still vaccinate her?\u003c/strong>\u003c/p>\n\u003cp>In many countries with highter exposure rates children do get vaccinated as young as 3 to 6 months, but \"we know that the vaccine doesn't work that well at that age,\" Maldonaldo said. The optimal time for an immune response to the vaccine starts at 12 months of age.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The measles vaccine can be given to kids as young as six months if they will be travelling abroad or parents are concerned because of an outbreak. But because it is unclear how well the measles vaccine administered to young infants works over the long haul, Maldonado says that parents should follow up with the complete two dose vaccine after the child is 12 months old.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "State Measles Cases Now at 73; Expect More",
"title": "State Measles Cases Now at 73; Expect More",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_23586\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/01/84933742-e1421892431232.jpg\">\u003cimg class=\"size-large wp-image-23586\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/01/84933742-640x426.jpg\" alt=\"Five Disney staff members are among California's cases. (David McNew/Getty Images)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Five Disneyland staff members are among California's cases. (David McNew/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Update, Monday, 1/26:\u003c/strong> The California Department of Public Health (CDPH) \u003ca title=\"http://www.cdph.ca.gov/HealthInfo/discond/Pages/Measles.aspx\" href=\"http://www.cdph.ca.gov/HealthInfo/discond/Pages/Measles.aspx\" target=\"_blank\">said Monday that California now has 73\u003c/a> confirmed cases of measles.\u003c/p>\n\u003cp>\u003cstrong>Update, Friday, 1/23:\u003c/strong> The CDPH said Friday that 68 Californians have confirmed cases of measles.\u003c/p>\n\u003cp>\u003cstrong>Original post, Wed. 1/21:\u003c/strong>\u003c/p>\n\u003cp>State health officials report \u003ca title=\"http://www.cdph.ca.gov/HealthInfo/discond/Pages/Measles.aspx\" href=\"http://www.cdph.ca.gov/HealthInfo/discond/Pages/Measles.aspx\" target=\"_blank\">59 confirmed cases\u003c/a> of measles in nine counties. The patients range in age from 7 months to 70 years. The California Department of Public Health has linked 42 of these cases to people who visited Disneyland or Disney's California Adventure Park. Initially, cases were linked to people who visited the parks in mid-December, but there are more confirmed cases who visited the parks in January while infectious.\u003c/p>\n\u003cp>The outbreak has spread beyond California with seven cases in Utah, Washington, Colorado and Oregon. Mexico has also confirmed a case.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Vaccination status is known for 34 of the California patients. State officials say that 28 were not vaccinated at all, one was partially vaccinated and five were fully vaccinated. (Six of the unvaccinated were babies, too young to be vaccinated.)\u003c/p>\n\u003cp>\u003cstrong>\"Devastating Consequences\"\u003c/strong>\u003c/p>\n\u003cp>\"Measles is not a trivial illness,\" said state epidemiologist Dr. Gil Chavez. \"It can be very serious with devastating consequences.\" Those consequences include pneumonia, encephalitis, and even death. Before the measles vaccine was introduced in 1963, 500 people a year died of the disease nationwide. In the current outbreak, 25 percent of people with measles have been hospitalized.\u003c!--more-->\u003c/p>\n\u003cp>In 1989-1991, a measles epidemic swept California and other places around the U.S. There were 17,000 cases in California, and 70 people died. In Philadelphia, nine children died in just three months. \"The city was in a panic,\" Dr. Paul Offit of Children's Hospital of Philadelphia told me, \"I saw children die of measles dehydration … measles encephalitis, measles can kill you.\"\u003c/p>\n\u003cp>By county, the case numbers are as follows:\u003c/p>\n\u003cul>\n\u003cli>Alameda 5\u003c/li>\n\u003cli>L.A. County 12\u003c/li>\n\u003cli>Orange 20\u003c/li>\n\u003cli>Riverside 4\u003c/li>\n\u003cli>San Bernardino 3\u003c/li>\n\u003cli>San Diego 10\u003c/li>\n\u003cli>San Mateo 1\u003c/li>\n\u003cli>Santa Clara 1\u003c/li>\n\u003cli>Ventura 1\u003c/li>\n\u003c/ul>\n\u003cp>Chavez stressed that Disneyland was a safe place to go -- as long as you are vaccinated. \"If you are not vaccinated, stay away from Disneyland,\" he said. The problem is not with Disneyland itself, but any place where large numbers -- including people from foreign countries -- congregate. Chavez described Disneyland staff as being helpful and \"quite concerned\" about the outbreak. Five Disneyland staff members are among the 59 cases.\u003c/p>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/187317626&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" frameborder=\"no\" scrolling=\"no\">\u003c/iframe>\u003c/p>\n\u003cp>Measles was declared eliminated from the United States in 2000, but can still be reintroduced if someone from another country is infected and travels to the U.S. -- or an unvaccinated person in the U.S. travels abroad and brings the illness back.\u003c/p>\n\u003cp>Measles is a\u003ca title=\"http://www.cdc.gov/vaccines/vpd-vac/measles/faqs-dis-vac-risks.htm\" href=\"http://www.cdc.gov/vaccines/vpd-vac/measles/faqs-dis-vac-risks.htm\" target=\"_blank\"> highly infectious, airborne illness\u003c/a>. It starts off with fever as high as 105 degrees, followed by symptoms that resemble a cold -- a cough and runny nose. The hallmark of measles is a red rash that appears first on the face and upper neck, then spreads to the rest of the body. If someone with measles coughs or sneezes, droplets of virus can live on surfaces up to two hours.\u003c/p>\n\u003cp>On the press call with reporters Wednesday afternoon, Kathleen Harriman with the California Department of Public Health described published case reports of a person with measles at a basketball game -- and people across the court became infected, \"because the virus can float and hang out in the air for a long, long time,\" she said.\u003c/p>\n\u003cp>Dr. Chavez urged everyone who was not vaccinated to \u003ca title=\"http://www.cdc.gov/vaccines/hcp/vis/vis-statements/mmr.html\" href=\"http://www.cdc.gov/vaccines/hcp/vis/vis-statements/mmr.html\" target=\"_blank\">get immunized\u003c/a>. The first dose of vaccine, called MMR as it protects against measles, mumps and rubella, is given at 12-15 months of age. The second dose is given at age 4-6. Most people who get the vaccine do not experience side effects, but the \u003ca title=\"http://www.cdc.gov/vaccines/vac-gen/side-effects.htm#mmr\" href=\"http://www.cdc.gov/vaccines/vac-gen/side-effects.htm#mmr\" target=\"_blank\">most common ones \u003c/a>are fever and a mild rash.\u003c/p>\n\u003cp>If you were born before 1957, you are presumed to be immune to measles, because the disease was so widespread before the introduction of the vaccine. For years, only one dose was recommended, it protects 95 percent of people. The second dose was recommended starting in 1991. If you don't know your vaccine status, Harriman said you can safely get the MMR vaccine -- if it's an extra dose, it won't hurt you, she said.\u003c/p>\n\u003cp style=\"text-align: center\">\u003cstrong>Related:\u003c/strong> \u003ca title=\"http://ww2.kqed.org/stateofhealth/2014/09/11/vaccine-opt-out-rate-doubled-in-7-years-look-up-your-school-online/\" href=\"http://ww2.kqed.org/stateofhealth/2014/09/11/vaccine-opt-out-rate-doubled-in-7-years-look-up-your-school-online/\" target=\"_blank\">Look Up Your School's Vaccine Opt-Out Rate Online\u003c/a>\u003c/p>\n\u003cp>Local health officers in counties affected are busy tracing those who infected patients have been in contact with. Dr. Erica Pan, deputy health officer of Alameda County, says the county has shifted resources from ebola preparedness to contact tracing for measles. Last year there were four cases of measles in Alameda County, she said, \"but we had 400 contacts to investigate.\"\u003c/p>\n\u003cp>The measles outbreak comes after years of increase of parents refusing vaccines for their children. From the 2007-2008 to 2013-2014 school years, the rate of kindergarten parents choosing the \"personal belief exemption\" to refuse vaccines doubled. While the statewide rate of personal belief exemptions reached 3.15 percent, geographic clusters had \u003ca title=\"http://ww2.kqed.org/stateofhealth/2015/01/18/bay-area-communities-are-home-to-clusters-of-people-refusing-vaccines/\" href=\"http://ww2.kqed.org/stateofhealth/2015/01/18/bay-area-communities-are-home-to-clusters-of-people-refusing-vaccines/\" target=\"_blank\">significantly higher opt-out rates\u003c/a>.\u003c/p>\n\u003cp>But that steady increase in vaccine refusals was halted with the current school year -- likely due to a \u003ca title=\"http://ww2.kqed.org/stateofhealth/2012/08/23/new-requirement-for-vaccine-exemption-passed-by-senate/\" href=\"http://ww2.kqed.org/stateofhealth/2012/08/23/new-requirement-for-vaccine-exemption-passed-by-senate/\" target=\"_blank\">new state law\u003c/a>. This school year is the first when parents who chose to opt out needed to meet first with a health care provider to discuss vaccines and vaccine preventable illnesses. The goal is to dispel misinformation and fear of vaccines. The opt-out rate dropped from 3.15 to 2.54 percent, nearly a 20 percent decrease.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>That change in vaccine refusals may be too late for this outbreak, but state officials are nonetheless pleased. \"That may change the number of people opting not to vaccinate out of pure misinformation,\" Chavez said.\u003c/p>\n\n",
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"description": "Update, Monday, 1/26: The California Department of Public Health (CDPH) said Monday that California now has 73 confirmed cases of measles. Update, Friday, 1/23: The CDPH said Friday that 68 Californians have confirmed cases of measles. Original post, Wed. 1/21: State health officials report 59 confirmed cases of measles in nine counties. The patients range in age",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_23586\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/01/84933742-e1421892431232.jpg\">\u003cimg class=\"size-large wp-image-23586\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/01/84933742-640x426.jpg\" alt=\"Five Disney staff members are among California's cases. (David McNew/Getty Images)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Five Disneyland staff members are among California's cases. (David McNew/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Update, Monday, 1/26:\u003c/strong> The California Department of Public Health (CDPH) \u003ca title=\"http://www.cdph.ca.gov/HealthInfo/discond/Pages/Measles.aspx\" href=\"http://www.cdph.ca.gov/HealthInfo/discond/Pages/Measles.aspx\" target=\"_blank\">said Monday that California now has 73\u003c/a> confirmed cases of measles.\u003c/p>\n\u003cp>\u003cstrong>Update, Friday, 1/23:\u003c/strong> The CDPH said Friday that 68 Californians have confirmed cases of measles.\u003c/p>\n\u003cp>\u003cstrong>Original post, Wed. 1/21:\u003c/strong>\u003c/p>\n\u003cp>State health officials report \u003ca title=\"http://www.cdph.ca.gov/HealthInfo/discond/Pages/Measles.aspx\" href=\"http://www.cdph.ca.gov/HealthInfo/discond/Pages/Measles.aspx\" target=\"_blank\">59 confirmed cases\u003c/a> of measles in nine counties. The patients range in age from 7 months to 70 years. The California Department of Public Health has linked 42 of these cases to people who visited Disneyland or Disney's California Adventure Park. Initially, cases were linked to people who visited the parks in mid-December, but there are more confirmed cases who visited the parks in January while infectious.\u003c/p>\n\u003cp>The outbreak has spread beyond California with seven cases in Utah, Washington, Colorado and Oregon. Mexico has also confirmed a case.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Vaccination status is known for 34 of the California patients. State officials say that 28 were not vaccinated at all, one was partially vaccinated and five were fully vaccinated. (Six of the unvaccinated were babies, too young to be vaccinated.)\u003c/p>\n\u003cp>\u003cstrong>\"Devastating Consequences\"\u003c/strong>\u003c/p>\n\u003cp>\"Measles is not a trivial illness,\" said state epidemiologist Dr. Gil Chavez. \"It can be very serious with devastating consequences.\" Those consequences include pneumonia, encephalitis, and even death. Before the measles vaccine was introduced in 1963, 500 people a year died of the disease nationwide. In the current outbreak, 25 percent of people with measles have been hospitalized.\u003c!--more-->\u003c/p>\n\u003cp>In 1989-1991, a measles epidemic swept California and other places around the U.S. There were 17,000 cases in California, and 70 people died. In Philadelphia, nine children died in just three months. \"The city was in a panic,\" Dr. Paul Offit of Children's Hospital of Philadelphia told me, \"I saw children die of measles dehydration … measles encephalitis, measles can kill you.\"\u003c/p>\n\u003cp>By county, the case numbers are as follows:\u003c/p>\n\u003cul>\n\u003cli>Alameda 5\u003c/li>\n\u003cli>L.A. County 12\u003c/li>\n\u003cli>Orange 20\u003c/li>\n\u003cli>Riverside 4\u003c/li>\n\u003cli>San Bernardino 3\u003c/li>\n\u003cli>San Diego 10\u003c/li>\n\u003cli>San Mateo 1\u003c/li>\n\u003cli>Santa Clara 1\u003c/li>\n\u003cli>Ventura 1\u003c/li>\n\u003c/ul>\n\u003cp>Chavez stressed that Disneyland was a safe place to go -- as long as you are vaccinated. \"If you are not vaccinated, stay away from Disneyland,\" he said. The problem is not with Disneyland itself, but any place where large numbers -- including people from foreign countries -- congregate. Chavez described Disneyland staff as being helpful and \"quite concerned\" about the outbreak. Five Disneyland staff members are among the 59 cases.\u003c/p>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/187317626&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" frameborder=\"no\" scrolling=\"no\">\u003c/iframe>\u003c/p>\n\u003cp>Measles was declared eliminated from the United States in 2000, but can still be reintroduced if someone from another country is infected and travels to the U.S. -- or an unvaccinated person in the U.S. travels abroad and brings the illness back.\u003c/p>\n\u003cp>Measles is a\u003ca title=\"http://www.cdc.gov/vaccines/vpd-vac/measles/faqs-dis-vac-risks.htm\" href=\"http://www.cdc.gov/vaccines/vpd-vac/measles/faqs-dis-vac-risks.htm\" target=\"_blank\"> highly infectious, airborne illness\u003c/a>. It starts off with fever as high as 105 degrees, followed by symptoms that resemble a cold -- a cough and runny nose. The hallmark of measles is a red rash that appears first on the face and upper neck, then spreads to the rest of the body. If someone with measles coughs or sneezes, droplets of virus can live on surfaces up to two hours.\u003c/p>\n\u003cp>On the press call with reporters Wednesday afternoon, Kathleen Harriman with the California Department of Public Health described published case reports of a person with measles at a basketball game -- and people across the court became infected, \"because the virus can float and hang out in the air for a long, long time,\" she said.\u003c/p>\n\u003cp>Dr. Chavez urged everyone who was not vaccinated to \u003ca title=\"http://www.cdc.gov/vaccines/hcp/vis/vis-statements/mmr.html\" href=\"http://www.cdc.gov/vaccines/hcp/vis/vis-statements/mmr.html\" target=\"_blank\">get immunized\u003c/a>. The first dose of vaccine, called MMR as it protects against measles, mumps and rubella, is given at 12-15 months of age. The second dose is given at age 4-6. Most people who get the vaccine do not experience side effects, but the \u003ca title=\"http://www.cdc.gov/vaccines/vac-gen/side-effects.htm#mmr\" href=\"http://www.cdc.gov/vaccines/vac-gen/side-effects.htm#mmr\" target=\"_blank\">most common ones \u003c/a>are fever and a mild rash.\u003c/p>\n\u003cp>If you were born before 1957, you are presumed to be immune to measles, because the disease was so widespread before the introduction of the vaccine. For years, only one dose was recommended, it protects 95 percent of people. The second dose was recommended starting in 1991. If you don't know your vaccine status, Harriman said you can safely get the MMR vaccine -- if it's an extra dose, it won't hurt you, she said.\u003c/p>\n\u003cp style=\"text-align: center\">\u003cstrong>Related:\u003c/strong> \u003ca title=\"http://ww2.kqed.org/stateofhealth/2014/09/11/vaccine-opt-out-rate-doubled-in-7-years-look-up-your-school-online/\" href=\"http://ww2.kqed.org/stateofhealth/2014/09/11/vaccine-opt-out-rate-doubled-in-7-years-look-up-your-school-online/\" target=\"_blank\">Look Up Your School's Vaccine Opt-Out Rate Online\u003c/a>\u003c/p>\n\u003cp>Local health officers in counties affected are busy tracing those who infected patients have been in contact with. Dr. Erica Pan, deputy health officer of Alameda County, says the county has shifted resources from ebola preparedness to contact tracing for measles. Last year there were four cases of measles in Alameda County, she said, \"but we had 400 contacts to investigate.\"\u003c/p>\n\u003cp>The measles outbreak comes after years of increase of parents refusing vaccines for their children. From the 2007-2008 to 2013-2014 school years, the rate of kindergarten parents choosing the \"personal belief exemption\" to refuse vaccines doubled. While the statewide rate of personal belief exemptions reached 3.15 percent, geographic clusters had \u003ca title=\"http://ww2.kqed.org/stateofhealth/2015/01/18/bay-area-communities-are-home-to-clusters-of-people-refusing-vaccines/\" href=\"http://ww2.kqed.org/stateofhealth/2015/01/18/bay-area-communities-are-home-to-clusters-of-people-refusing-vaccines/\" target=\"_blank\">significantly higher opt-out rates\u003c/a>.\u003c/p>\n\u003cp>But that steady increase in vaccine refusals was halted with the current school year -- likely due to a \u003ca title=\"http://ww2.kqed.org/stateofhealth/2012/08/23/new-requirement-for-vaccine-exemption-passed-by-senate/\" href=\"http://ww2.kqed.org/stateofhealth/2012/08/23/new-requirement-for-vaccine-exemption-passed-by-senate/\" target=\"_blank\">new state law\u003c/a>. This school year is the first when parents who chose to opt out needed to meet first with a health care provider to discuss vaccines and vaccine preventable illnesses. The goal is to dispel misinformation and fear of vaccines. The opt-out rate dropped from 3.15 to 2.54 percent, nearly a 20 percent decrease.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>That change in vaccine refusals may be too late for this outbreak, but state officials are nonetheless pleased. \"That may change the number of people opting not to vaccinate out of pure misinformation,\" Chavez said.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Disneyland Measles Cases Now at 26",
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"content": "\u003cfigure id=\"attachment_23448\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/01/53249939-2-e1421198243700.jpg\">\u003cimg class=\"size-large wp-image-23448\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/01/53249939-2-640x426.jpg\" alt=\"(Marsaili McGrath/Getty Images)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Marsaili McGrath/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>The number of measles cases linked to having \u003ca title=\"http://ww2.kqed.org/stateofhealth/2015/01/07/nine-measles-cases-tied-to-disneyland-parks/\" href=\"http://ww2.kqed.org/stateofhealth/2015/01/07/nine-measles-cases-tied-to-disneyland-parks/\" target=\"_blank\">visited Disneyland parks\u003c/a> in mid-December has climbed to 22 in California, according \u003ca title=\"http://www.cdph.ca.gov/HealthInfo/discond/Pages/Measles.aspx\" href=\"http://www.cdph.ca.gov/HealthInfo/discond/Pages/Measles.aspx\" target=\"_blank\">to state data\u003c/a>. There are four more cases in other states -- two in Utah and one each in Colorado and Washington.\u003c/p>\n\u003cp>While the incubation period for people who visited the parks between Dec. 17-20 ended on Jan. 10 -- meaning that anyone who was at Disneyland in that time frame would have gotten sick by now -- the \u003ca title=\"http://www.latimes.com/local/lanow/la-me-ln-disneyland-measles-20150113-story.html\" href=\"http://www.latimes.com/local/lanow/la-me-ln-disneyland-measles-20150113-story.html\" target=\"_blank\">Los Angeles Times is reporting\u003c/a> that an unvaccinated, infected woman took two flights after she became ill.\u003c/p>\n\u003cp>The woman was in her 20s, the TImes reported, had visited Disneyland in December and became ill on Dec. 28. \u003c!--more-->\u003c/p>\n\u003cp>Here's more from the \u003ca title=\"http://www.latimes.com/local/lanow/la-me-ln-disneyland-measles-20150113-story.html\" href=\"http://www.latimes.com/local/lanow/la-me-ln-disneyland-measles-20150113-story.html\" target=\"_blank\">Times:\u003c/a>\u003c/p>\n\u003cblockquote>\u003cp>She flew from Orange County to Seattle on Dec. 29, stayed with family in Washington's Snohomish County and returned to Orange County on Jan. 3. She wasn't diagnosed until Jan. 8 in California, health officials in Washington state said.\u003c/p>\n\u003cp>The passenger flew to Seattle on Alaska Airlines Flight 505 on Dec. 29, a Washington health official said. She returned to Orange County on Jan. 3 on Virgin America Flight 1780.\u003c/p>\u003c/blockquote>\n\u003cp>Measles is highly contagious, and the \u003ca title=\"http://www.cdc.gov/measles/about/transmission.html\" href=\"http://www.cdc.gov/measles/about/transmission.html\" target=\"_blank\">virus can live up to two hours \u003c/a>on a surface or in the airspace where the infected person coughed or sneezed, according to the Centers for Disease Control and Prevention. Initial measles symptoms include fever, cough, running nose and red eyes. After a few days, a red rash appears on the face and then spreads downward to the rest of the body.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Nine suspected measles cases are under investigation. Four of them are related to Disneyland; five have \"no known links\" to Disney parks,\u003c/p>\n\u003cp>Here's the breakdown by county of the 22 confirmed cases in California:\u003c/p>\n\u003cul>\n\u003cli>Alameda 3\u003c/li>\n\u003cli>L.A. County 3\u003c/li>\n\u003cli>Orange 9\u003c/li>\n\u003cli>Riverside 2\u003c/li>\n\u003cli>San Bernardino 2\u003c/li>\n\u003cli>San Diego 2\u003c/li>\n\u003cli>Ventura 1\u003c/li>\n\u003c/ul>\n\u003cp>Carlos Villatoro, a spokesman for the California Department of Public Health (CDPH), said in an email that 21 of the state's cases \"had direct links to Disney parks,\" and one was a \"secondary case,\" meaning the patient had direct contact with a \"Disney-linked case.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Vaccination status of the California cases is as follows:\u003c/p>\n\u003cul>\n\u003cli>12 cases were not vaccinated (although previous reports indicated \u003ca title=\"http://ww2.kqed.org/stateofhealth/2015/01/07/nine-measles-cases-tied-to-disneyland-parks/\" href=\"http://ww2.kqed.org/stateofhealth/2015/01/07/nine-measles-cases-tied-to-disneyland-parks/\" target=\"_blank\">two were too young to be vaccinated\u003c/a>)\u003c/li>\n\u003cli>4 were vaccinated\u003c/li>\n\u003cli>6 had unknown vaccination status or no vaccination documentation at this time.\u003c/li>\n\u003c/ul>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_23448\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/01/53249939-2-e1421198243700.jpg\">\u003cimg class=\"size-large wp-image-23448\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/01/53249939-2-640x426.jpg\" alt=\"(Marsaili McGrath/Getty Images)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Marsaili McGrath/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>The number of measles cases linked to having \u003ca title=\"http://ww2.kqed.org/stateofhealth/2015/01/07/nine-measles-cases-tied-to-disneyland-parks/\" href=\"http://ww2.kqed.org/stateofhealth/2015/01/07/nine-measles-cases-tied-to-disneyland-parks/\" target=\"_blank\">visited Disneyland parks\u003c/a> in mid-December has climbed to 22 in California, according \u003ca title=\"http://www.cdph.ca.gov/HealthInfo/discond/Pages/Measles.aspx\" href=\"http://www.cdph.ca.gov/HealthInfo/discond/Pages/Measles.aspx\" target=\"_blank\">to state data\u003c/a>. There are four more cases in other states -- two in Utah and one each in Colorado and Washington.\u003c/p>\n\u003cp>While the incubation period for people who visited the parks between Dec. 17-20 ended on Jan. 10 -- meaning that anyone who was at Disneyland in that time frame would have gotten sick by now -- the \u003ca title=\"http://www.latimes.com/local/lanow/la-me-ln-disneyland-measles-20150113-story.html\" href=\"http://www.latimes.com/local/lanow/la-me-ln-disneyland-measles-20150113-story.html\" target=\"_blank\">Los Angeles Times is reporting\u003c/a> that an unvaccinated, infected woman took two flights after she became ill.\u003c/p>\n\u003cp>The woman was in her 20s, the TImes reported, had visited Disneyland in December and became ill on Dec. 28. \u003c!--more-->\u003c/p>\n\u003cp>Here's more from the \u003ca title=\"http://www.latimes.com/local/lanow/la-me-ln-disneyland-measles-20150113-story.html\" href=\"http://www.latimes.com/local/lanow/la-me-ln-disneyland-measles-20150113-story.html\" target=\"_blank\">Times:\u003c/a>\u003c/p>\n\u003cblockquote>\u003cp>She flew from Orange County to Seattle on Dec. 29, stayed with family in Washington's Snohomish County and returned to Orange County on Jan. 3. She wasn't diagnosed until Jan. 8 in California, health officials in Washington state said.\u003c/p>\n\u003cp>The passenger flew to Seattle on Alaska Airlines Flight 505 on Dec. 29, a Washington health official said. She returned to Orange County on Jan. 3 on Virgin America Flight 1780.\u003c/p>\u003c/blockquote>\n\u003cp>Measles is highly contagious, and the \u003ca title=\"http://www.cdc.gov/measles/about/transmission.html\" href=\"http://www.cdc.gov/measles/about/transmission.html\" target=\"_blank\">virus can live up to two hours \u003c/a>on a surface or in the airspace where the infected person coughed or sneezed, according to the Centers for Disease Control and Prevention. Initial measles symptoms include fever, cough, running nose and red eyes. After a few days, a red rash appears on the face and then spreads downward to the rest of the body.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Nine suspected measles cases are under investigation. Four of them are related to Disneyland; five have \"no known links\" to Disney parks,\u003c/p>\n\u003cp>Here's the breakdown by county of the 22 confirmed cases in California:\u003c/p>\n\u003cul>\n\u003cli>Alameda 3\u003c/li>\n\u003cli>L.A. County 3\u003c/li>\n\u003cli>Orange 9\u003c/li>\n\u003cli>Riverside 2\u003c/li>\n\u003cli>San Bernardino 2\u003c/li>\n\u003cli>San Diego 2\u003c/li>\n\u003cli>Ventura 1\u003c/li>\n\u003c/ul>\n\u003cp>Carlos Villatoro, a spokesman for the California Department of Public Health (CDPH), said in an email that 21 of the state's cases \"had direct links to Disney parks,\" and one was a \"secondary case,\" meaning the patient had direct contact with a \"Disney-linked case.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Vaccination status of the California cases is as follows:\u003c/p>\n\u003cul>\n\u003cli>12 cases were not vaccinated (although previous reports indicated \u003ca title=\"http://ww2.kqed.org/stateofhealth/2015/01/07/nine-measles-cases-tied-to-disneyland-parks/\" href=\"http://ww2.kqed.org/stateofhealth/2015/01/07/nine-measles-cases-tied-to-disneyland-parks/\" target=\"_blank\">two were too young to be vaccinated\u003c/a>)\u003c/li>\n\u003cli>4 were vaccinated\u003c/li>\n\u003cli>6 had unknown vaccination status or no vaccination documentation at this time.\u003c/li>\n\u003c/ul>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cfigure id=\"attachment_23378\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/01/53249939-e1420672369712.jpg\">\u003cimg class=\"size-large wp-image-23378\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/01/53249939-640x426.jpg\" alt=\"(Marsaili McGrath/Getty Images)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Marsaili McGrath/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>Nine people who visited Disneyland or Disneyland California Adventure Park during December have confirmed measles cases, state health officials said Wednesday. Seven of the patients live in California and two live in Utah.\u003c/p>\n\u003cp>State and county health officers are investigating an additional four suspected cases, two in Utah and two in California. All the patients visited the parks in Orange County between Dec.15-20, California Department of Public Health officials said.\u003c/p>\n\u003cp>“If you have symptoms, and believe you may have been exposed, please contact your health care provider,” Dr. Ron Chapman, CDPH director and state health officer,\u003ca title=\"http://www.cdph.ca.gov/Pages/NR15-002.aspx\" href=\"http://www.cdph.ca.gov/Pages/NR15-002.aspx\" target=\"_blank\"> said in a statement\u003c/a>. “The best way to prevent measles and its spread is to get vaccinated.”\u003c!--more-->\u003c/p>\n\u003cp>Kathleen Harriman, chief of vaccine preventable diseases with the department, said that \"it's our speculation that there was an (infected) international visitor at one of the parks, and that person or persons was able to infect a lot of people.\"\u003c/p>\n\u003cp>Measles is \"a very infectious disease,\" she added, and was eliminated from the United States in 2000. \"So all the cases of measles in the United States originate with an imported case, even though there can be transmission once one of those cases gets here.\" Measles is airborne and highly contagious. \u003ca title=\"http://www.cdc.gov/measles/about/transmission.html\" href=\"http://www.cdc.gov/measles/about/transmission.html\" target=\"_blank\">It can live on a surface \u003c/a>where an infected person coughed or sneezed up to two hours and possibly infect others.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The California cases are in Alameda, Orange, Pasadena, Riverside and San Diego. The patients range in age from 8 months to 21 years. Of the seven California cases, six were not vaccinated, although two were too young to be vaccinated. The first of two recommended measles vaccine doses is typically given at 1 year of age.\u003c/p>\n\u003cp>Just one of the cases was fully vaccinated. Harriman said that while the measles vaccine is highly effective, \"it confers lifelong immunity in 99 percent of people who receive two doses,\" and there will always be a small number of people who can be infected despite vaccination.\u003c/p>\n\u003cp>One of the cases is in Alameda County. Deputy Chief Health Officer Dr. Erica Pan said officials are \"working with the health facility where the patient was seen\" to identify other patients and health care workers who may have been exposed.\u003c/p>\n\u003cp>Pan said health officers will quarantine susceptible contacts, especially those at high risk of developing disease, \"to make sure that contact stays home and away from other people to make sure that person does not infect others.\"\u003c/p>\n\u003cp>Initial measles symptoms include fever, cough, running nose and red eyes. After a few days, a red rash appears on the face and then spreads downward to the rest of the body.\u003c/p>\n\u003cp>Pan said if people are concerned they \"should check on their immunization status and get vaccinated\" if needed.\u003c/p>\n\u003cp>Disney officials told the Associated Press that they had not received any reports of staff contracting measles. Park officials are working with the health department to provide any necessary information, said Dr. Pamela Hymel, chief medical officer for Walt Disney Parks and Resorts.\u003c/p>\n\u003cp>The California Department of Public Health has notified the Centers for Disease Control of the cases.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cstrong>\u003cem>This post has been updated with a response from Disney.\u003c/em>\u003c/strong>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_23378\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/01/53249939-e1420672369712.jpg\">\u003cimg class=\"size-large wp-image-23378\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/01/53249939-640x426.jpg\" alt=\"(Marsaili McGrath/Getty Images)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Marsaili McGrath/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>Nine people who visited Disneyland or Disneyland California Adventure Park during December have confirmed measles cases, state health officials said Wednesday. Seven of the patients live in California and two live in Utah.\u003c/p>\n\u003cp>State and county health officers are investigating an additional four suspected cases, two in Utah and two in California. All the patients visited the parks in Orange County between Dec.15-20, California Department of Public Health officials said.\u003c/p>\n\u003cp>“If you have symptoms, and believe you may have been exposed, please contact your health care provider,” Dr. Ron Chapman, CDPH director and state health officer,\u003ca title=\"http://www.cdph.ca.gov/Pages/NR15-002.aspx\" href=\"http://www.cdph.ca.gov/Pages/NR15-002.aspx\" target=\"_blank\"> said in a statement\u003c/a>. “The best way to prevent measles and its spread is to get vaccinated.”\u003c!--more-->\u003c/p>\n\u003cp>Kathleen Harriman, chief of vaccine preventable diseases with the department, said that \"it's our speculation that there was an (infected) international visitor at one of the parks, and that person or persons was able to infect a lot of people.\"\u003c/p>\n\u003cp>Measles is \"a very infectious disease,\" she added, and was eliminated from the United States in 2000. \"So all the cases of measles in the United States originate with an imported case, even though there can be transmission once one of those cases gets here.\" Measles is airborne and highly contagious. \u003ca title=\"http://www.cdc.gov/measles/about/transmission.html\" href=\"http://www.cdc.gov/measles/about/transmission.html\" target=\"_blank\">It can live on a surface \u003c/a>where an infected person coughed or sneezed up to two hours and possibly infect others.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The California cases are in Alameda, Orange, Pasadena, Riverside and San Diego. The patients range in age from 8 months to 21 years. Of the seven California cases, six were not vaccinated, although two were too young to be vaccinated. The first of two recommended measles vaccine doses is typically given at 1 year of age.\u003c/p>\n\u003cp>Just one of the cases was fully vaccinated. Harriman said that while the measles vaccine is highly effective, \"it confers lifelong immunity in 99 percent of people who receive two doses,\" and there will always be a small number of people who can be infected despite vaccination.\u003c/p>\n\u003cp>One of the cases is in Alameda County. Deputy Chief Health Officer Dr. Erica Pan said officials are \"working with the health facility where the patient was seen\" to identify other patients and health care workers who may have been exposed.\u003c/p>\n\u003cp>Pan said health officers will quarantine susceptible contacts, especially those at high risk of developing disease, \"to make sure that contact stays home and away from other people to make sure that person does not infect others.\"\u003c/p>\n\u003cp>Initial measles symptoms include fever, cough, running nose and red eyes. After a few days, a red rash appears on the face and then spreads downward to the rest of the body.\u003c/p>\n\u003cp>Pan said if people are concerned they \"should check on their immunization status and get vaccinated\" if needed.\u003c/p>\n\u003cp>Disney officials told the Associated Press that they had not received any reports of staff contracting measles. Park officials are working with the health department to provide any necessary information, said Dr. Pamela Hymel, chief medical officer for Walt Disney Parks and Resorts.\u003c/p>\n\u003cp>The California Department of Public Health has notified the Centers for Disease Control of the cases.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cstrong>\u003cem>This post has been updated with a response from Disney.\u003c/em>\u003c/strong>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Measles Cases on Rise Statewide",
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"content": "\u003cfigure id=\"attachment_17842\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/167095303-e1393030020245.jpg\">\u003cimg class=\"size-large wp-image-17842\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/167095303-640x613.jpg\" alt=\"Vial of Measles Mumps and Rubella (MMR) vaccine. (Geoff Caddick/AFP/Getty Images\" width=\"640\" height=\"613\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Vial of Measles Mumps and Rubella (MMR) vaccine. (Geoff Caddick/AFP/Getty Images\u003c/figcaption>\u003c/figure>\n\u003cp>The California Department of Public Health says that California has 32 confirmed cases of measles so far this year. At this time last year, only three cases had been reported.\u003c/p>\n\u003cp>The cases are reported in both Northern and Southern California. Measles was declared to be eliminated in 2000 in the United States and CDPH says that many cases are linked to travel to parts of the world where measles is circulating. Of the cases reported so far this year, seven people had traveled to the Philippines where a large outbreak of measles is ongoing, two had been to India and one had traveled to Vietnam.\u003c/p>\n\u003cp>Health officials recommend that anyone planning travel outside of North or South America and has not been vaccinated to make sure they get the MMR (measles, mumps, rubella) vaccine before they go.\u003c!--more-->\u003c/p>\n\u003cp>Children typically receive their first of two doses at 12 to 15 months of age and the second one before they start kindergarten. But babies as young as 6 months can be vaccinated at six months if they are traveling.\u003c/p>\n\u003cp>The breakdown of cases by California county is as follows:\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Alameda -- 1\u003c/p>\n\u003cp>Contra Costa -- 4\u003c/p>\n\u003cp>Los Angeles -- 10\u003c/p>\n\u003cp>Orange -- 7\u003c/p>\n\u003cp>Riverside -- 5\u003c/p>\n\u003cp>San Mateo -- 1\u003c/p>\n\u003cp>San Diego -- 3\u003c/p>\n\u003cp>Santa Clara -- 1\u003c/p>\n\u003cp>Measles is a highly contagious illness, and infants, pregnant women and those with compromised immune systems are at greatest risk of complications which include pneumonia, diarrhea and even death, in severe cases. Measles can make a \u003ca href=\"http://www.cdc.gov/measles/about/overview.html\" target=\"_blank\">pregnant woman miscarry\u003c/a> or give birth prematurely, according to the Center for Disease Control.\u003c/p>\n\u003cp>Here's a description of measles symptoms from the California Department of Public Health:\u003c/p>\n\u003cblockquote>\u003cp>Symptoms begin with a fever that lasts for a couple of days, followed by a cough, runny nose, red, watery eyes and rash. The rash typically appears first on the face, along the hairline, and behind the ears and then affects the rest of the body. Infected people are usually contagious for about eight days, four days before their rash starts and four days after.\u003c/p>\u003c/blockquote>\n\u003cp> \u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"vdNRdlohgoFdlh0Ijrb8ceR0aeylnHiA\"]\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_17842\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/167095303-e1393030020245.jpg\">\u003cimg class=\"size-large wp-image-17842\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/167095303-640x613.jpg\" alt=\"Vial of Measles Mumps and Rubella (MMR) vaccine. (Geoff Caddick/AFP/Getty Images\" width=\"640\" height=\"613\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Vial of Measles Mumps and Rubella (MMR) vaccine. (Geoff Caddick/AFP/Getty Images\u003c/figcaption>\u003c/figure>\n\u003cp>The California Department of Public Health says that California has 32 confirmed cases of measles so far this year. At this time last year, only three cases had been reported.\u003c/p>\n\u003cp>The cases are reported in both Northern and Southern California. Measles was declared to be eliminated in 2000 in the United States and CDPH says that many cases are linked to travel to parts of the world where measles is circulating. Of the cases reported so far this year, seven people had traveled to the Philippines where a large outbreak of measles is ongoing, two had been to India and one had traveled to Vietnam.\u003c/p>\n\u003cp>Health officials recommend that anyone planning travel outside of North or South America and has not been vaccinated to make sure they get the MMR (measles, mumps, rubella) vaccine before they go.\u003c!--more-->\u003c/p>\n\u003cp>Children typically receive their first of two doses at 12 to 15 months of age and the second one before they start kindergarten. But babies as young as 6 months can be vaccinated at six months if they are traveling.\u003c/p>\n\u003cp>The breakdown of cases by California county is as follows:\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"disqusTitle": "15 Measles Cases Confirmed Statewide; State Officials Urge Vaccination",
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"content": "\u003cfigure id=\"attachment_17842\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/167095303-e1393030020245.jpg\">\u003cimg class=\"size-large wp-image-17842\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/167095303-640x613.jpg\" alt=\" prepare an injection of the combined Measles Mumps and Rubella (MMR) vaccination. Geoff Caddick/AFP/Getty Images\" width=\"640\" height=\"613\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Preparing an injection of the combined measles, mumps and rubella (MMR) vaccination. (Geoff Caddick/AFP/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>First the \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/02/07/5-things-you-should-know-about-this-years-h1n1-flu-influenza/\" target=\"_blank\">flu\u003c/a>, then \u003ca href=\"http://www.cdph.ca.gov/Pages/NR14-018.aspx\" target=\"_blank\">whooping cough\u003c/a> and now measles. State health officials announced Friday morning that the state has 15 confirmed cases, compared with just two at this time last year.\u003c/p>\n\u003cp>Of the 15 cases, three are in people who traveled to the Philippines, where a large outbreak is occurring, according to the California Department of Public Health (CDPH). Two more cases are in recently returned travelers from India, where measles is endemic. Nearly half of the cases -- seven -- are in people who were \"intentionally not vaccinated,\" said Dr. Gil Chavez, state epidemiologist with the CDPH.\u003c/p>\n\u003caside class=\"pullquote alignleft\">Measles is one of the most contagious viral illnesses. \u003c/aside>\n\u003cp>\"Today I am asking unvaccinated Californians who are traveling outside the Americas to get vaccinated before you go,\" Chavez said.\u003c/p>\n\u003cp>The measles vaccine is highly effective. It is administered in \u003ca href=\"http://www.cdc.gov/vaccines/schedules/hcp/imz/child-adolescent.html\" target=\"_blank\">two doses,\u003c/a> as part of the measles-mumps-rubella shot, or MMR. The first dose is given to toddlers at 12-15 months, and the second is recommended before children start kindergarten. \u003ca href=\"http://www.cdc.gov/vaccines/schedules/hcp/imz/child-adolescent.html\" target=\"_blank\">CDC guidelines\u003c/a> also clearly state that infants who are being taken for travel internationally can receive the first dose as young as 6 months. Two doses provide about 98 percent protection against measles, said Kathleen Harriman, with the CDPH. If you have had the measles, you are also protected.\u003c!--more-->\u003c/p>\n\u003cp>Measles is one of the most contagious viral illnesses, marked by a fever as high as 105 degrees, cough, runny nose and rash. One-third of cases result in complications ranging from diarrhea, ear infections, pneumonia, seizures and \"in some cases death is the final outcome,\" Chavez said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>And yet, some people continue to worry more about the vaccine than they do about the disease, even though concerns that the MMR vaccine causes illness have not held up scientifically.\u003c/p>\n\u003cp>\"It's very clear to anyone that's been following the issue that there's no information that supports the theory that vaccines are harmful to kids, and that any link to long-term problems, such as autism, has been debunked,\" Chavez said.\u003c/p>\n\u003cp style=\"text-align: center\">\u003cstrong>[RELATED: \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/08/23/5-things-you-should-know-about-vaccines/\" target=\"_blank\">Five Things You Should Know About Vaccines\u003c/a>]\u003c/strong>\u003c/p>\n\u003cp>Of the seven measles cases in people intentionally not vaccinated, the age range was 1 year to 32 years -- so they are either children or young adults whose parents did not have them vaccinated, Chavez noted.\u003c/p>\n\u003cp>Harriman said the measles outbreak in the Philippines was exacerbated by Typhoon Haiyan, which hit in November. In 2013, the country saw 1,700 cases and 21 deaths, most in the Manila area, she said.\u003c/p>\n\u003cp>If you're not vaccinated and \"you travel to these areas,\" Chavez said, \"the likelihood of getting infected is very high.\"\u003c/p>\n\u003cp>Of the 15 California cases, two are in Contra Costa County, one is in Alameda, and one in San Mateo County. The rest are in Southern California: five in Los Angeles County, three in Riverside County and three in Orange County.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"ar7yQ4lJHjhoqZi2fSJlZMEklhSWxD0L\"]\u003c/p>\n\n",
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"excerpt": "First the flu, then whooping cough and now measles. State health officials announced Friday morning that the state has 15 confirmed cases, compared with just two at this time last year.\r\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_17842\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/167095303-e1393030020245.jpg\">\u003cimg class=\"size-large wp-image-17842\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/167095303-640x613.jpg\" alt=\" prepare an injection of the combined Measles Mumps and Rubella (MMR) vaccination. Geoff Caddick/AFP/Getty Images\" width=\"640\" height=\"613\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Preparing an injection of the combined measles, mumps and rubella (MMR) vaccination. (Geoff Caddick/AFP/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>First the \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/02/07/5-things-you-should-know-about-this-years-h1n1-flu-influenza/\" target=\"_blank\">flu\u003c/a>, then \u003ca href=\"http://www.cdph.ca.gov/Pages/NR14-018.aspx\" target=\"_blank\">whooping cough\u003c/a> and now measles. State health officials announced Friday morning that the state has 15 confirmed cases, compared with just two at this time last year.\u003c/p>\n\u003cp>Of the 15 cases, three are in people who traveled to the Philippines, where a large outbreak is occurring, according to the California Department of Public Health (CDPH). Two more cases are in recently returned travelers from India, where measles is endemic. Nearly half of the cases -- seven -- are in people who were \"intentionally not vaccinated,\" said Dr. Gil Chavez, state epidemiologist with the CDPH.\u003c/p>\n\u003caside class=\"pullquote alignleft\">Measles is one of the most contagious viral illnesses. \u003c/aside>\n\u003cp>\"Today I am asking unvaccinated Californians who are traveling outside the Americas to get vaccinated before you go,\" Chavez said.\u003c/p>\n\u003cp>The measles vaccine is highly effective. It is administered in \u003ca href=\"http://www.cdc.gov/vaccines/schedules/hcp/imz/child-adolescent.html\" target=\"_blank\">two doses,\u003c/a> as part of the measles-mumps-rubella shot, or MMR. The first dose is given to toddlers at 12-15 months, and the second is recommended before children start kindergarten. \u003ca href=\"http://www.cdc.gov/vaccines/schedules/hcp/imz/child-adolescent.html\" target=\"_blank\">CDC guidelines\u003c/a> also clearly state that infants who are being taken for travel internationally can receive the first dose as young as 6 months. Two doses provide about 98 percent protection against measles, said Kathleen Harriman, with the CDPH. If you have had the measles, you are also protected.\u003c!--more-->\u003c/p>\n\u003cp>Measles is one of the most contagious viral illnesses, marked by a fever as high as 105 degrees, cough, runny nose and rash. One-third of cases result in complications ranging from diarrhea, ear infections, pneumonia, seizures and \"in some cases death is the final outcome,\" Chavez said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>And yet, some people continue to worry more about the vaccine than they do about the disease, even though concerns that the MMR vaccine causes illness have not held up scientifically.\u003c/p>\n\u003cp>\"It's very clear to anyone that's been following the issue that there's no information that supports the theory that vaccines are harmful to kids, and that any link to long-term problems, such as autism, has been debunked,\" Chavez said.\u003c/p>\n\u003cp style=\"text-align: center\">\u003cstrong>[RELATED: \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/08/23/5-things-you-should-know-about-vaccines/\" target=\"_blank\">Five Things You Should Know About Vaccines\u003c/a>]\u003c/strong>\u003c/p>\n\u003cp>Of the seven measles cases in people intentionally not vaccinated, the age range was 1 year to 32 years -- so they are either children or young adults whose parents did not have them vaccinated, Chavez noted.\u003c/p>\n\u003cp>Harriman said the measles outbreak in the Philippines was exacerbated by Typhoon Haiyan, which hit in November. In 2013, the country saw 1,700 cases and 21 deaths, most in the Manila area, she said.\u003c/p>\n\u003cp>If you're not vaccinated and \"you travel to these areas,\" Chavez said, \"the likelihood of getting infected is very high.\"\u003c/p>\n\u003cp>Of the 15 California cases, two are in Contra Costa County, one is in Alameda, and one in San Mateo County. The rest are in Southern California: five in Los Angeles County, three in Riverside County and three in Orange County.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"ar7yQ4lJHjhoqZi2fSJlZMEklhSWxD0L\"]\u003c/p>\n\n\u003c/div>\u003c/p>",
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"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
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"info": "The Political Mind of Jerry Brown brings listeners the wisdom of the former Governor, Mayor, and presidential candidate. Scott Shafer interviewed Brown for more than 40 hours, covering the former governor's life and half-century in the political game – and Brown has some lessons he'd like to share. ",
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"marketplace": {
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"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
"airtime": "MON-FRI 4pm-4:30pm, MON-WED 6:30pm-7pm",
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"masters-of-scale": {
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},
"mindshift": {
"id": "mindshift",
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"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
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"order": 12
},
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5",
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"morning-edition": {
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"info": "\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. Hosts Steve Inskeep, David Greene and Rachel Martin bring you the latest breaking news and features to prepare you for the day.",
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"onourwatch": {
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"title": "On Our Watch",
"tagline": "Deeply-reported investigative journalism",
"info": "For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?",
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"order": 11
},
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"on-the-media": {
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"title": "On The Media",
"info": "Our weekly podcast explores how the media 'sausage' is made, casts an incisive eye on fluctuations in the marketplace of ideas, and examines threats to the freedom of information and expression in America and abroad. For one hour a week, the show tries to lift the veil from the process of \"making media,\" especially news media, because it's through that lens that we see the world and the world sees us",
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},
"link": "/radio/program/on-the-media",
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},
"pbs-newshour": {
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"tuneIn": "https://tunein.com/radio/PBS-NewsHour---Full-Show-p425698/",
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},
"perspectives": {
"id": "perspectives",
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"order": 14
},
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"planet-money": {
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"info": "The economy explained. Imagine you could call up a friend and say, Meet me at the bar and tell me what's going on with the economy. Now imagine that's actually a fun evening.",
"airtime": "SUN 3pm-4pm",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/planetmoney.jpg",
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},
"link": "/radio/program/planet-money",
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"apple": "https://itunes.apple.com/us/podcast/planet-money/id290783428?mt=2",
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},
"politicalbreakdown": {
"id": "politicalbreakdown",
"title": "Political Breakdown",
"tagline": "Politics from a personal perspective",
"info": "Political Breakdown is a new series that explores the political intersection of California and the nation. Each week hosts Scott Shafer and Marisa Lagos are joined with a new special guest to unpack politics -- with personality — and offer an insider’s glimpse at how politics happens.",
"airtime": "THU 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Political-Breakdown-2024-Podcast-Tile-703x703-1.jpg",
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"order": 5
},
"link": "/podcasts/politicalbreakdown",
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"amazon": "https://music.amazon.com/podcasts/e0c2d153-ad36-4c8d-901d-f1da6a724824/political-breakdown",
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"possible": {
"id": "possible",
"title": "Possible",
"info": "Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.",
"airtime": "SUN 2pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Possible-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.possible.fm/",
"meta": {
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"source": "Possible"
},
"link": "/radio/program/possible",
"subscribe": {
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"spotify": "https://open.spotify.com/show/730YpdUSNlMyPQwNnyjp4k"
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},
"pri-the-world": {
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