Vatican position on vaccines derived from the descendent cells of fetal material

Despite very clear facts on the issue of fetal material used in the production of some vaccines, there is ample misinformation in circulation.

The anti-vaccine lobby aim to benefit from any confusion that can be created by misrepresenting the fact that human diploid cells derived from fetal cells are used in the production of some vaccines. During production the vaccines themselves are purified so that no cells remain in the final product.

In January 2014 I published Vaccines contain no aborted fetal cells and the piece is still relevant today. It’s important to remember that the diploid cellular material used to grow viral material in vaccine production are descendent cells.

Descendent cells are the medium in which these vaccines are prepared. The cell lines under consideration were begun using cells taken from one or more fetuses aborted almost 40 years ago. Since that time the cell lines have grown independently. It is important to note that descendent cells are not the cells of the aborted child. They never, themselves, formed a part of the victim’s body.

Source – National Catholic Bioetics Center

I see. One must be sure to observe “that descendent cells are not the cells of the aborted child. They never, themselves, formed a part of the victim’s body.”

A very clear source of information specific to the morality of this issue is the Vatican Statement on Vaccines Derived From Aborted Human Fetuses.

The article includes;

The matter in question regards the lawfulness of production, distribution and use of certain vaccines whose production is connected with acts of procured abortion. It concerns vaccines containing live viruses which have been prepared from human cell lines of foetal origin, using tissues from aborted human foetuses as a source of such cells. The best known, and perhaps the most important due to its vast distribution and its use on an almost universal level, is the vaccine against Rubella (German measles).

[…]

To summarize, it must be confirmed that:

  • there is a grave responsibility to use alternative vaccines and to make a conscientious objection with regard to those which have moral problems;
  • as regards the vaccines without an alternative, the need to contest so that others may be prepared must be reaffirmed, as should be the lawfulness of using the former in the meantime insomuch as is necessary in order to avoid a serious risk not only for one’s own children but also, and perhaps more specifically, for the health conditions of the population as a whole – especially for pregnant women;
  • the lawfulness of the use of these vaccines should not be misinterpreted as a declaration of the lawfulness of their production, marketing and use, but is to be understood as being a passive material cooperation and, in its mildest and remotest sense, also active, morally justified as an extrema ratio due to the necessity to provide for the good of one’s children and of the people who come in contact with the children (pregnant women);
  • such cooperation occurs in a context of moral coercion of the conscience of parents, who are forced to choose to act against their conscience or otherwise, to put the health of their children and of the population as a whole at risk. This is an unjust alternative choice, which must be eliminated as soon as possible.

 

  • Further reading;

Do vaccines contain aborted fetal tissue?

The Catholic Church and vaccines – Vaxopedia

The Australian Immunisation Handbook

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Australian government to provide meningococcal vaccine to teens

Recently the Australian government announced that from April 2019 the meningococcal vaccine Nimenrix will be available free to teenagers aged 14-19. This will prove to be a significant public health measure against Invasive Meningococcal Disease (IMD).

Nimenrix is a quadrivalent vaccine protecting against 4 of the 13 serogroups of the bacterium Neisseria meningitidis. The four serogroups are A, C, W and Y. The vaccine Bexsero protects against serogroup B and is presently the subject of a South Australian study. The manufacturers of the vaccine, GlaxoSmithKline have confirmed they will seek to have Bexsero listed on the National Immunisation Program once they have the study results. The ACWY vaccine has been freely available to 12 month olds since July 1st, 2018. Of these five primary strains of meningococcal disease, B and W serogroups are the most common.

The incidence of meningococcal disease and the serogroup responsible fluctuates over time. According to the National Centre for Immunisation Research and Surveillance (NCIRS), serogroup B (MenB) was the most common cause of IMD from 2006 to 2015. Over this period MenB accounted for 63% to 88% of annual notified cases where a serogroup was identified. An NCIRS fact sheet notes that since 2013 serogroup W (MenW) has increasingly caused IMD.

In that year 17.4% or 17 cases with an identified serogroup were responsible for the disease. By 2017 MenW was identified as responsible for 38.1% or 139 cases. It is also clinically interesting that the NCIRS have reported, “many of the MenW cases have been due to a single clone of meningococcus, the ST-11 strain type”. This suggests sustained person to person transmission. MenW appears to have a higher fatality rate (9.3%) than MenB (5%).

With serogroup Y there has been a “smaller but notable” increase. In 2014 there were 7.4% or 12 cases of those with an identified serogroup, increasing to 20.5% or 75 cases in 2017. IMD due to serogroup Y is more common in older Australians. 61% of the 75 notified cases in 2017 were in adults ≥ 45 years or older. The decrease in cases due to serogroup C (MenC) is an indication of the efficacy of immunisation programmes.

The MenC conjugate vaccination programme began in 2003. The number of MenC cases with an identified serogroup was 225 in 2002, falling to 14 (3.8%) in 2017. The NCIRS observe that, “serogroup A disease remains rare in Australia”. Nonetheless overall meningococcal disease and death from different serogroups has increased in recent years.

Reporting recently on the government intention to soon provide the quadrivalent Nimenrix vaccine to teens, both SBS and Fairfax published the following figures on IMD for 2015 – 2017.

  • 2015: 182 cases, 12 fatalities
  • 2016: 252 cases, 11 fatalities
  • 2017: 382 cases, 28 fatalities

The Fairfax article was published at 12.00am on September 25th and noted that there had been ten fatalities from meningococcal “so far this year”. A little over 44 hours later at 8.07pm on September 26th the Moree Champion reported;

Laboratory tests have confirmed meningococcal disease as the cause of death in a 25 year old woman in the New England region. The young woman collapsed at home on Saturday, September 22 and was taken to hospital by ambulance, but was unable to be revived.

Meningococcal disease can kill within 24 hours if not treated in time. The audio below is from Meningococcal Australia and addresses important points regarding infection, symptoms, prevention and treatment.

The Meningococcal Australia website notes;

10% of those infected will die, and around 20% will have permanent disabilities — ranging from learning difficulties, sight and hearing problems, to liver and kidney failure, loss of fingers, toes and limbs and scarring caused by skin grafts.

It is important to access reputable information with respect to diseases such as Invasive Meningococcal Disease. IMD from the five primary serogroups A, C, W, Y and B can be prevented by vaccination. This makes it a target for misinformation from the anti-vaccination lobby. In Australia the most vocal group is the Australian Vaccination-risks Network, or AVN.

Meningococcal bacteria can live harmlessly in the throat and nose in 20% of people and IMD is one of the less common bacterial diseases. Antivaccinationists use this information to wrongly assert there is no need to be vaccinated. Yet the reality is that in cases of meningococcal disease the bacteria enter the bloodstream and multiply rapidly, causing septicaemia and damage to blood vessel walls. This leads to bleeding into skin tissue producing the dark purple rash associated with meningococcal disease.

Bacterial meningitis caused by meningococcal disease is the most dangerous type of meningitis. Meningitis is a serious inflammation of the meninges – the lining of the spinal cord and brain. Thus the argument that humans “naturally” carry meningococcal bacteria and should avoid vaccination is based on deceptive reasoning and is dangerously misleading.

Vaccines are demonstrably very safe. The testing of vaccines before approval for use in Australia can take over a decade. Their ingredients are well understood and are themselves tested for safety.

The introduction of the quadrivalent meningococcal vaccine Nimenrix is a positive for Australian public health.

 

Judy Wilyman – unedited TV interview

Some thoughts on vaccine conspiracy theorist Judy Wilyman’s misleading “TV interview” which was published on YouTube on August 16th, 2018.

Viewers are being mislead by Ms. Wilyman’s constant and repetitive referral to “university research” and the allusion to an existing “scientific debate” on vaccination. The science on vaccination is settled and there is certainly no genuine debate. Only anti-vaccine conspiracy theorists constantly seeking to create the impression there is a debate and that the truth is being suppressed.

One wonders. What is the “objective and evidence based university research (approved by the University of Wollongong)” of which Ms. Wilyman speaks? What was the study design? What was the sample size? By what methodology were vaccine ingredients causally linked to chronic disease? Which ingredients were shown to cause chronic disease or pathological changes? By what mechanism do which ingredients cause pathology? How did the study control for other variables? What methods of analysis and statistical verification were used?

Where was this research, “approved by the University of Wollongong [UOW]”, published? Has it been reproduced? How many unsuccessful attempts to falsify the research have there been? Certainly Ms. Wilyman has not published any original research or data. Indeed apart from startlingly unverified claims gleaned frequently from dubious sources, Ms. Wilyman is yet to produce the basic outline of any study design. Rather Ms. Wilyman has joined the ranks of those who misrepresent the purpose of package inserts, and why certain information is included for legal purposes. Not as an indication of what vaccine recipients should expect.

Some Australians are aware that Ms. Wilyman was awarded a PhD from UOW Humanities Department on the basis of a literature review that sought to criticise the Australian Immunisation Schedule and the safety of vaccines in general. Ms. Wilyman has no qualification in health, medicine, public health, epidemiology, vaccine science or any qualifications relating to immunisation at all. During this interview Ms. Wilyman contends, whilst failing to cite any supporting research that vaccine ingredients are causing chronic disease in Australian children.

All Wilyman cites appears to be her own literature review, in which she mistakes correlation for causation. More so, the references cited by Ms. Wilyman in her thesis are firmly biased toward her anti-vaccine theory, and blatantly so. Because of this fact Wilyman has reinforced the fact there is no scientifically reputable debate on the safety and efficacy of mass vaccination at all. In cases where a debate on any topic could be mounted the author of a literature review would present bipartisan sources, review and critique the value of each then finally argue a conclusion based upon the material reviewed.

However the scientific consensus from peer reviewed material addressing vaccine safety and vaccination schedules is one that demonstrates absolutely the safety and success of vaccines. Ms. Wilyman is unable to demonstrate a scientific consensus in peer reviewed literature that suggests widespread chronic disease as a result of mass vaccination because such a consensus does not exist. Ms. Wilyman underscores the intellectual paucity of her stance by insisting that “it has not been proven that autism is not linked to the vaccines”. It has indeed been demonstrated over and over again that autism is not linked to MMR or any vaccine.

One finds it more than disturbing that someone awarded a PhD from an Australian university is incapable of understanding the vast body of work dismissing any link between autism and immunisation. More so, Wilyman goes on to falsely claim there have been deaths and widespread harm causally linked to vaccines. There have been no deaths linked to vaccination in Australia for close to 45 years. On November 21st, 2015 The Social Services Legislative Amendment Bill (No Jab, No Pay) in Brisbane was informed serious reactions to vaccines occur from zero to five times per year in Australia.

These figures reveal Ms. Wilyman’s claims of frequent death and disability from vaccination as bogus. Her abuse of the right to freedom of speech is significantly disturbing as she consciously presents demonstrably false information with the ability to cause community harm, harm to infants and children and the sabotage of public health. For over 17 minutes Judy Wilyman pushes the standard anti-vaccine conspiracy theory, and at one alarming point suggests the Australian Vaccination Schedule with the added incentive of No Jab, No Pay is a breach of The Nuremberg Code.

Let’s clear up what the purpose of the Nuremberg Code is. Following the Nuremberg trials and the conviction of Nazi doctors for human experiments on concentration camp prisoners, the Code was introduced in August 1947. It seeks to give clear instructions and rules as to what is legal when conducting human experiments. There are ten points to the Nuremberg Code.

Comments (below) in response to the video are predictably from the conspiracy theory handbook. The first observes that the government wants to hide what is in a vaccine. You may have noticed above that I linked to vaccine ingredients on this Australian Government Dept. of Health Fact Sheet. The second comment notes “government or doctors” don’t read package inserts. Deaths and serious sickness is covered up.

The harm caused by this misinformation – which is being constantly pushed (and certainly not corrected) by Judy Wilyman is not something one can take lightly.

YouTube comments;

  • “It’s very very suspicious when a government and the AMA want to hide the truth from the public about what is in a vaccine. The whole idea of vaccines is to sterilise the population and polysorbate 80 is in all of them. Obviously that idea has come from the minds of psychopaths”.
  • “All those who promote the lies of the safety of vaccines are equally responsible as BigPharma for the poisoning and maiming of their own people, (sic) They should recall the Nuremberg Trials and the consequences of those who experimented on the innocent people. The risks of vaccines are listed on the Data sheets of the vaccines and also the Package inserts, which are not studied by government or doctors, and the deaths and serious sicknesses are covered up.”

Ms Wilyman would be wise to stick to humanities it would seem.

 

Update: Note; Reference to “scientific debate” on vaccination above refers to the contention of the anti-vaccination lobby that the risk/benefit ratio of vaccines is something that is still being debated or a topic that warrants debate. The benefit of vaccines far outweighs the extremely small risk of harm.

Risky Business

Recently the Australian Vaccination-skeptics Network emailed members to announce their change of name to Australian Vaccination-risks Network.

The author of the email took the opportunity to falsely attack Australian Skeptics Inc., thoroughly misrepresent the global Skeptics movement and reinforce baseless fears about the risk benefit ratio of vaccines. The email also misrepresented the circumstances via which the Australian Vaccination Network came to have the word “skeptics” inserted into it’s name. As will become clear below the word “risks” could have been chosen by this anti-vaccine group four to five years ago.

The word “risks” was suggested along with “skeptics” by the NSW Administrative Decisions Tribunal as a means by which the group could satisfy a request by the NSW Department of Fair Trading. NSW Fair Trading had written to the AVN referencing;

…an increasing number of requests to have NSW Fair Trading amend the name of the Australian Vaccination Network Inc., based on the contention that the name is misleading and deceptive, and therefore undesirable.

The full letter dated August 28th, 2012 is below.

 

There were ample histrionics from the AVN. Despite the clarity of the correspondence they claimed only the AMA had complained, “- an industry lobby group who obviously feels threatened by the idea that parents might choose not to vaccinate – costing them money”. This was “anti-competitive behaviour” on the part of NSW Department of Fair Trading. Democracy and truth were threatened. The matter was an “abuse of process”. Skeptic blogs began to report on the issue about one hour before media outlets did. Thus, Meryl Dorey conspiratorially queried;

Is there a direct line of communication between the Australian Skeptics, Stop the AVN (SAVN) and government departments?

Which brings us back to the groups’ most recent email, the very tiring attacks on skeptics and the even more tiring contention that Australian Skeptics Inc. is linked to Stop The AVN. It’s worth noting that because of confusion with the official sounding Australian Vaccination Network, the volunteer citizens group Stop The Australian Vaccination Network had prior to the time of NSW Department of Fair Trading involvement changed their name to Stop The Australian (Anti) Vaccination Network.

Now, above I mentioned attacks and misinformation on the part of the Australian Vaccination-risks Network. Let’s continue to call them the AVN. Below is a snap from their email;

It seems quite clear the connotation of the email is that NSW Fair Trading “forced” the AVN to adopt the noun skeptics as part of their name. Worse the noun skeptic is purposefully misrepresented in the context in which it is used, which leads to such ridiculous name calling as “anti-skeptics”.

Let’s examine the misrepresentation of a very basic definition of the word “skeptic” with the term as it is understood by the Skeptic movement first. Then by examining the evidence that Ms. Dorey discarded the option of “risks” to instead choose “skeptics” after losing an appeal against NSW Department of Fair Trading, we will appreciate the deceptive argument that is laid out.

The noun cited above is a very basic, indeed rather limited understanding of the term. In fact by citing this and then immediately referring to the global skeptic movement Ms. Dorey (whom I have little doubt wrote this unsigned email) confirms she is ignorant of the difference between a skeptic and the Skeptic movement. She has completely ignored the importance of evidence and scientific consensus to the Skeptic movement.

Her view of a skeptic as used to attack genuine scientific skeptics would seem to be someone who doubts reality. I have written about this childish abuse of science and philosophy in addressing her blog The Real Australian Sceptics. At that time – May 2012 – Dorey used the exact same definition of the noun “skeptic” as in the email above. The article examines why Dorey and the AVN are in fact pseudo-skeptics, despite her antagonistic habit of using that term to describe skeptics who request she prevent current, reproducible, peer reviewed evidence.

I imagine the inventive ‘those who do not question accepted opinions and attack those who do’, may well reflect the anti-SAVN work of Brian Martin who was initially contacted and misled about apparent attacks, by Ms. Dorey herself. He then published a number of extremely biased pieces, which laden with conspiracy theory, appear to repeat the same conclusion from various angles. Namely that the SAVN and skeptics have bullied and attacked Ms. Dorey. Yet there is absolutely no mention of Dorey producing convincing evidence.

The Skeptical Movement page hosted at Wikipedia has far more suitable definitions under Scientific Skepticism. Note the importance of evidence as opposed to opinion and ideology.

What skeptical thinking boils down to is the means to construct, and to understand, a reasoned argument and, especially important, to recognize a fallacious or fraudulent argument. The question is not whether we like the conclusion that emerges out of a train of reasoning, but whether the conclusion follows from the premises or starting point and whether that premise is true.

— Carl Sagan in The Demon-Haunted World, 1995, p. 197

Science is […] a way of skeptically interrogating the universe with a fine understanding of human fallibility. If we are not able to ask skeptical questions, to interrogate those who tell us that something is true, to be skeptical of those in authority, then we’re up for grabs for the next charlatan, political or religious, who comes ambling along.

A skeptic is one who prefers beliefs and conclusions that are reliable and valid to ones that are comforting or convenient, and therefore rigorously and openly applies the methods of science and reason to all empirical claims, especially their own. A skeptic provisionally proportions acceptance of any claim to valid logic and a fair and thorough assessment of available evidence, and studies the pitfalls of human reason and the mechanisms of deception so as to avoid being deceived by others or themselves. Skepticism values method over any particular conclusion.

“Skepticism is a provisional approach to claims. It is the application of reason to any and all ideas—no sacred cows allowed. In other words, skepticism is a method, not a position.”

Back to the possible choice of “risks” to add to their name. Verily did the AVN appeal the NSW Department of Fair Trading request after proclaiming in the July 20th, 2012 email “The AVN Asks – What’s In A Name”;

The Australian Vaccination Network has no intention of changing its name and any group or government department that believes it has the right to try and force us to do so will find themselves strenuously opposed.

The AVN lost the appeal [ABC]. The full Administrative Decisions Tribunal finding can be found here.

I’d like to draw your attention to the Introduction of Reasons for Decision. A section of Part 3 has been emphasised;

1) The Australian Vaccination Network Inc (AVN) has been directed to change its name. The main reason the Director General of the Department of Finance and Services gave for making that direction was that the name is likely to mislead the public in relation to the nature, objects or functions of AVN. The Director General found that AVN’s message is anti-vaccination and that the name does not reflect that message. Two other reasons the Director General relied on were that the name is “undesirable” and that it suggests a connection with the Commonwealth government.

2) AVN applied to the Tribunal for a review of that decision. I have decided that the decision to direct AVN to adopt a new name is the correct and preferable decision. But my conclusion is not based on a finding that AVN’s message is exclusively anti-vaccination, that the name suggests a connection with the Commonwealth government or that the name itself is undesirable.

3) AVN’s main object is the dissemination of information and opinions that highlight the risks of vaccinations. AVN is sceptical about vaccinations. The existing name, Australian Vaccination Network Inc, suggests that the association is pro vaccination or, at least, is committed to providing comprehensive information and opinions about the pros and cons of vaccination. The name should be changed so that it is not likely to mislead the public in relation to its main object. Although I do not have to decide this issue, a name that includes the word “risk” or “sceptic” such as Vaccination Risk Awareness Association Inc or Vaccination Sceptics Network Inc would, in my opinion, be acceptable. The name could also include the word “Australia” or “Australian” without suggesting a link to government.

Still the choice made by Ms. Dorey and others was the word “skeptics”. They were not forced to use the term. Far from not wanting to be associated with the Skeptic movement it is more likely, given the online attacks by the AVN toward skeptics, that they enjoyed insisting that a true skeptic doubted everything. Their mistake of course is that members of the Skeptic movement are far more interested in seeking evidence and actively exposing charlatans, fraudsters and those who care little for discarding ideology in place of evidence.

Nonetheless there we have it. One simple email and once again members have been lied to. Unfortunately the group will continue to mislead the same members and readers about the risks of vaccines, which are very minor indeed.

  • Please speak to your GP about any safety concerns regarding immunisation
  • Department of Health – Immunisation

Measles makes a slow start to 2018 in Australia

According to the Australian Government’s Department of Health;

Measles is a highly infectious disease caused by the Morbillivirus. The virus is spread from person to person through droplets in the air. Symptoms take between 10 and 14 days to show after infection and include rash, fever, cough, runny nose and inflammation of the eye. Complications of measles include ear, brain and lung infections, which can lead to brain damage and death. Approximately one child in every 1,000 who contracts measles will develop inflammation of the brain (encephalitis). Immunisation rates of up to 95% are required for the sustained control of vaccine preventable diseases, such as measles.

The description above was last updated on March 20th, 2014. As evidenced in the National Notifiable Diseases Surveillance System table below, 2014 was a frightening year for measles infection. The year’s total of 339 was the highest for 16 years and each of the first three months had higher notifications than any other month of the year. Although June and July notifications were only two and four less, respectively.

Numbers of measles notification per State and Territory are tabulated here.

In fact 2014 saw measles outbreaks across the globe. Australia experienced an influx of cases from Asia, Indonesia and the Philippines which resulted in unvaccinated children in Australia being infected according to the Department of Health. There were over 58,000 cases in the Philippines and 110 deaths, reported in February 2015. The USA experienced an outbreak with a similar cause.

The Disease Daily reported in Outbreaks of 2014;

Over the course of the last year, there have been 610 reported cases of measles across twenty states.  The reemergence of measles can be attributed, in part, to increased international travel where infected travelers have imported the disease into the United States. Particularly for 2014, many measles case clusters were traced back to the large ongoing measles outbreak happening in the Philippines. However, those in the United States who have become infected are generally unvaccinated, often by their own volition.

Further highlighting the role the unvaccinated play in sparking measles epidemics, one notes that the CDC also highlighted the role of unvaccinated Amish communities;

2014: The U.S. experienced 23 measles outbreaks in 2014, including one large outbreak of 383 cases, occurring primarily among unvaccinated Amish communities in Ohio. Many of the cases in the U.S. in 2014 were associated with cases brought in from the Philippines, which experienced a large measles outbreak.

The Public Health Agency of Canada also raised concerns of measles infection and unvaccinated children;

Widespread use of the measles vaccine has dramatically reduced the numbers of cases in Canada over the past 45 years. But the recent outbreak in British Columbia is underscoring how the highly contagious virus can very effectively seek out groups of unprotected children.

With respect to The Netherlands a paper by Woudenberg, et al, entitled Large measles epidemic in the Netherlands, May 2013 to March 2014: changing epidemiology examined two measles epidemics (1999-2000 and 2013-14) that primarily effected orthodox Protestants. In the second epidemic, 27 May 2013 – 12 March 2014, 2,700 cases were reported. Molecular typing of the outbreak strain indicated a sequence indistinguishable from a strain first identified in Wales UK in the second half of 2012: the Taunton sequence.

The first Dutch case was identified with the Taunton sequence in May 2013. By this time 900 identical sequences had been reported from the UK, France, Ireland and the Russian Federation, making a source country difficult to identify. The Netherlands outbreak was indicated as the source of outbreaks in Belgium and Canada and from Canada to the USA. Social ties between orthodox Protestants in the Netherlands and Canada leading to the spread of vaccine-preventable disease such as polio, measles, mumps and rubella to Canada has been previously reported.

Reinforcing the importance of national herd immunity to international control of measles the authors of this study conclude in part;

The number of individuals refraining from vaccination is insufficient to sustain endemic measles transmission in the Netherlands. Nevertheless, this situation does pose a risk to public health in the Netherlands and contributes to the worldwide spread of measles, thus forming an impediment to the elimination of measles in Europe and elsewhere.

Amish communities and orthodox Protestants had a documented impact on reducing measles herd immunity in the USA, and Europe and Canada respectively and this was reflected in the 2014 outbreaks. In Australia whilst small numbers struggle to meet immunisation requirements due to social hardship, the anti-vaccination lobby have for years worked hard to spread disinformation, driving down immunisation rates nationally.

In June 2015 the ABC reported that the “surge” of measles the year before resulted in health authorities calling on Australians to ensure they were up to date with immunisations. If we compare this month’s present number of 4 notifications to the 78 for January 2014 it is clear measles notifications for the first month of this year are just over 5% of January 2014. The figure may rise slightly as further notifications for January reach the NNDSS but at this stage such a low figure is comforting.

Still, there have been warnings specific to measles this year and late last year. Victoria issued a measles health alert (Confirmed measles case in Melbourne) on December 5th 2017. This was a single case acquired overseas and fortunately the national total for December 2017 remains at 2. The alert is now resolved. An identical measles health alert for Melbourne, differing only in where the individual travelled when infectious was issued on January 17th 2018 and remains active.

This was reported in The Age on the same day.

Passengers who flew from Dubai to Melbourne last Thursday have been warned that a fellow passenger has an “extremely infectious” case of the measles.

[…]

Measles has an incubation period of seven to 18 days, so fellow passengers may develop symptoms from Thursday until the end of the month.

As today is the last day of the month this status may change to resolved as of midnight. W.A. Health issued a very similar warning via Twitter on January 11th.

This was reported the same day in Perth Now by Cathy O’Leary.

We have no way of telling what measles notifications will be over the remainder of 2018. September and October last year saw a worrying spike in notifications in Melbourne. However we in Australia can be grateful for No Jab No Pay legislation.

Globally at present measles is proving a problem in developed and developing nations. In the UK the NHS has confirmed well over 100 cases in five regions. The high risk of being unvaccinated and travelling is being stressed to the public. Dr Mary Ramsay, head of immunisation at Public Health England said;

People who have recently travelled, or are planning to travel to Romania, Italy and Germany and have not had two doses of the MMR vaccine are particularly at risk

Countries at risk are evident in this January 12th, 2018 report, Measles in the EU/EEA: current outbreaks, latest data and trends – January 2018. Most cases were unvaccinated or incompletely vaccinated. The report included.

The spread of measles across Europe is due to suboptimal vaccination coverage in many EU/EEA countries: of all measles cases reported during the one-year period 1 December 2016 to 30 November 2017 with known vaccination status, 87% were not vaccinated.

In the first two weeks of January the measles outbreak in the Ukraine has resulted in 1285 cases. Ukraine measles vaccination uptake is regarded as the worst in Europe, being under 50% in recent years according to the Ukraine Health Ministry. It was reported on January 21st that The Acting Health Minister Ulyana Suprun said;

Yesterday it became known about yet another death from measles. This is a child who has not been vaccinated. This is the eighth death case since the start of the outbreak, and this is the tragedy of our society, in which people die from diseases that are prevented by vaccinations […]

In order to achieve the measles elimination goal, the vaccination coverage rates for children targeted by routine vaccination programmes should increase in a number of countries, as the vaccination coverage of the second dose must be at least 95% to interrupt measles circulation and achieve herd immunity.

Presently a tragedy due to neglect, poverty, malnutrition and measles is unfolding in Papua, Indonesia.

AFP reported on January 28th;

Some 800 children have fallen ill and as many as 100 others, mostly toddlers, are feared to have died in what Jakarta called an “extraordinary” outbreak that was first made public this month. […]

When Widodo took office in 2014, he vowed to speed up infrastructure development and services, bolstering hopes for the region, observers said.

“What the government is saying is what we think is important to do (for Papua) is in fact not being done,” said Richard Chauvel, a Papua expert at the University of Melbourne’s Asia Institute. […]

“As measles is easily prevented with a safe and inexpensive vaccine, these deaths should never have happened,” said Freddy Numberi, a former governor of Papua. [He added] that Papua has Indonesia’s lowest life expectancy and highest infant, child and maternal mortality rates.

Without a doubt it is the same pattern across the globe. Measles epidemics will sprout wherever herd immunity is unsuitable. More so it is the unvaccinated who will suffer the consequences of widespread infection, whether in developing or developed nations.

Indeed even with low levels of infection the unvaccinated, with an infection rate of approximately 90%, bear the brunt of infection. Australia’s anti-vaccination lobby has for years pushed fear and disinformation, spreading ignorance and apathy leading directly to low herd immunity and epidemics of vaccine preventable disease.

This has resulted in effective legislative change manifesting as No Jab, No Pay and No Jab, No Play. The policy has been successful in raising vaccination uptake.

According to Immunise Australia;

The disease which requires the highest level of vaccine coverage to achieve herd immunity is measles as it is highly infectious. It is estimated that coverage of 92-94% is required for herd immunity from this virus. For this reason the national aspirational immunisation coverage target has been set at 95%. This target provides sufficient herd immunity to prevent transmission of other vaccine preventable diseases and supports Australia’s contribution to achieving measles elimination in the Western Pacific Region.

Fortunately January 2018 has indicated measles notification the lowest in four years. Whilst measles continues to present challenges around the world, Australia should remain vigilant and ensure we keep ahead of any potential outbreak.