More from YLE: Your Local Epidemiologist. And they are still banging on about measles.
I (last) “banged on about it” here.
Great post, that. Just enough rant, balanced nicely with facts and an appropriate amount of sarcasm.
Anyway…
The latest newsletter from YLE has the same title as this post. That’s not coincidence – I copied it.
Because it makes a very good point:
It’s not just about measles. It’s about what measles represents.
As scientists, having worked and studied hard for many years to become experts in our fields, we need to remember that not everyone is like us. Some people studied hard to become mechanics or accountants or teachers. And what seems obvious to us, perhaps only seems obvious to us because of our studying and our expertise. Much like the reasons behind a broken engine will be more obvious to a mechanic, or the meaning of a balance sheet will be more obvious to an accountant. And also teacher… stuff. Probably.
The measles outbreak in the US (and in Europe); the reappearance of a deadly disease that we had completely under control in the developed world is every bit as terrifying as it is completely avoidable.
Measles is a canary in the coal mine. When measles reappears in a country like the U.S., it signals that something has gone seriously wrong. This is a disease we had essentially eliminated—thanks to one of the safest and most effective vaccines in the history of medicine. But the way things are heading, the U.S. is at risk of losing its elimination status this year. This is not just a failure to move forward—it’s the unraveling of decades of progress, representing one of the greatest public health achievements of our era.
It’s a massive failure, and it’s a huge indicator of the high level of mistrust in what is – objectively – clear and obvious, successful science. But as we see regularly in politics, when there is a vacuum of power – or the perception of such – then nefarious parties will take advantage and move in.
It’s because trust has, both due to failures of public health to reach communities and due to well-organized efforts to spread inaccurate information about vaccination, leaving many Americans’ heads spinning as they sort through the noise and figure out who to trust.
We shouldn’t have to keep telling the public just how well vaccines work and just how essential they are: the proof is all there in the data. But maybe we should still have been explaining those data to the public, because in the absence of that sort of communication, others have taken the baton, contorted it, and presented their alternate version to the relay running public.
And as a scientist, it’s both absolutely infuriating that these snake oil salesmen and grifters have peddled their constant lies and unfounded theories around vaccination, and thoroughly depressing that (some) people have looked at the evidence set out before them, and then chosen to believe these venomous blatherskites.
For many in medicine, the resurgence of measles, along with declining rates of routine childhood vaccination, is a concerning sign of what’s to come. If we’re losing ground on measles, we may soon be vulnerable to other vaccine-preventable diseases. Whooping cough cases are already rising. Polio, Hib, or even diphtheria may soon appear in our emergency rooms.
It’s shocking and it’s embarrassing. And YLE’s attempt at a measured response to this upcoming crisis:
…the road back to a world where this isn’t a challenge will not be paved with more facts, fear, or finger-wagging. It will be built, as it always has, through stories and relationships—one respectful, genuine, evidence-based conversation at a time.
is absolutely admirable, but also smacks of someone living in a Walter Mitty world.
Sure, it would be perfect if we had the time, the resources and the ability to talk to concerned, confused parents and families out there and explain to them why they should listen to us and not the other “opinions” on this. But firstly, we don’t have the capacity to do that, and even if we did, in this divided, polarised world, there’s no reason why they would take our word over the nice “doctors” with their brain worms, and their books and supplements to sell. And I say that because if the public could see through the lies and the clever manipulation of the anti-vax lobby, then they would surely have done so already and we wouldn’t be facing this disastrous situation.
This won’t get any better anytime soon.
In fact, without wanting to be pessimistic, I don’t see how it will get any better anytime at all.
