Not only measles, vaccine-preventable diseases are present throughout the United States.



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The child was beautiful – a tiny little girl precious and beautiful. But as soon as her mother put her in my arms, I realized that something was wrong. She could not move her neck. Her shoulders clung to her ears and she stood still, visibly uncomfortable.

I am a calm pediatrician, proud of my calm. I would normally ask questions by holding it and examining it. Not that day.

"You have a beautiful baby," I say. "I'm going to give it to you while I'm taking a few people to help me."

I closed the curtain and ran to the doctor's office. This baby had a severe case of meningitis. She needed powerful antibiotics, and she needed them now.

Within minutes, the nurses helped me place intravenous lines and infuse multiple antibiotics. His mother looked incredulously out of the corner, not completely recording everything that was happening, despite our best efforts to explain.

We then took the baby to the intensive care unit. Antibiotics were not enough and she finally had to undergo brain surgery to clear the infection before recovering completely.

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His diagnosis: meningitis hemophilus influenzae type B, a disease preventable by vaccination caused by a bacterium. Her parents had chosen to be vaccinated, but she was so young that she had not received the full set of vaccines.

The type of invasive disease that affected my patient last year is rare, with an incidence of just over one in 100,000 children, according to the latest figures from the US Centers for Disease Control and Control. disease prevention.
More common these days: measles. At least 206 cases were reported to the CDC this year and individual cases were confirmed in 11 states. These figures add to the 372 cases reported in 2018 of this serious viral disease that can be prevented by vaccination.

I am worried about measles. Haemophilus influenzae type B m worries. More and more parents fearing vaccines will leave their children vulnerable to these diseases. And we have more to worry about.

Pertussis who broke the blood vessels in his eyes

Dr. Louis Bell, chief of the general pediatrics division of the Children's Hospital of Philadelphia, remembers distinctly a girl in whom he had been diagnosed with pertussis, a vaccine-preventable disease caused by by a bacterium called Bordetella pertussis.

16 cases of mumps have been reported at Temple University

"She was coughing so hard and so intense that she broke the small blood vessels in her eyelids and bleeding into the whites of her eyes," he said. After a stay in the hospital, his school-aged patient finally recovered completely.

For adults and older children, pertussis can often be treated at home with antibiotic therapy, with acute cough being the most troublesome symptom.

The real danger, Bell explains, is when pertussis affects children under 6 months old.

When young children get whooping cough, they may have a cough during which their oxygen level decreases. If it's serious enough, it can cause convulsions, Bell explained.

It is not uncommon for infants to spend several weeks in the hospital while their breathing stabilizes and they find the ability to feed themselves.

The number of cases of whooping cough varies each year. In 2017, 18,975 cases were reported to the CDC, the most recent year for which data are available.

Infants start the vaccine series at 2 months of age and receive additional doses at 4 and 6 months of age. The CDC also encourages pregnant women who have not been vaccinated to do so during their pregnancy.

Everyone around young babies needs to make sure they have been vaccinated, Bell said.

Mumps arrives on campus

This week, 16 cases of mumps – yet another vaccine-preventable disease – have been diagnosed at Temple University in Philadelphia.

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Mumps outbreaks usually occur in people in close contact, for example on university campuses and among sports teams. The disease usually causes swollen and painful salivary glands under the ears, as well as fever, fatigue, loss of appetite and other viral symptoms.

The MMR vaccine protects against measles, mumps and rubella. One dose of the vaccine is 78% effective in preventing mumps, and two doses are 88% effective. The vaccination status of the students and whether they have received the recommended booster is not known at this time.

By 2018, there were more than 2,000 cases of mumps in the United States. In January, 58 cases were reported, according to preliminary data from the CDC.

Tetanus led to eight weeks of hospitalization and hospitalization costs of $ 800,000

In 2017, a 6 year old boy went to play at his family's farm in Oregon. He fell and cut his forehead, which his family cleaned and sewed at home. Six days later, he began to tighten his jaw and feel spasms in his arms, soon followed by breathing difficulties.

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He was rushed to the hospital where doctors diagnosed him with tetanus – the first case seen in a child from Oregon in over 30 years. He had not been vaccinated. The details of his case were published this week in the CDC's weekly report on morbidity and mortality.

Tetanus is a disease of the nerves and muscles caused by Clostridium tetani bacteria. According to the CDC, bacterial spores in the soil can enter the body when the skin barrier is disrupted. The CDC recommends a series of vaccinations against tetanus from 2 months. The agency also recommends adult boosters every 10 years.

Since the early 1980s, less than 100 cases a year have been reported to the CDC.

Eight weeks, many medical procedures and $ 811,929 in hospital charges later, the boy's parents refused the second recommended dose of the tetanus vaccine. After intensive rehabilitation, he is well and resumed normal activities, according to the report.

Thousands of deaths from influenza each year

Every year, flu affects between 9.3 and 49 million Americans and between 12,000 and 79,000 die, according to the CDC.

In addition, almost a million people a season can be hospitalized because of the flu.

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This year, influenza activity remains high and some states report a second wave of infections, the CDC announced Friday.

"I just took care of a child under 2 who was not vaccinated against the flu and who was suffering from very serious secondary bacterial pneumonia," Bell said.

Influenza, which is caused by a virus, can predispose children and adults to developing complications such as bacterial pneumonia, he said. His patient had pus in the lungs and necrosis, or death of lung tissue.

"I think that if he had been vaccinated, he could have caught the flu, but he probably would not have contracted secondary pneumonia," said Bell, referring to the lowest known rate of flu-like complications at home. vaccinated persons who still contract the virus. disease.

Chickenpox: The disease of blister and itching that has not dissipated

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Chickenpox, a viral disease causing an itchy rash often accompanied by fever and generalized discomfort, has not disappeared since the vaccine was introduced in the United States in 1995 In 2017 alone, 8,775 cases were reported to the CDC, a reduction from the 4 million cases per year of the pre-vaccine era.

Initially, a single dose of the vaccine was recommended to children. But when experts realized that a small percentage of children had not developed solid immunity at this first dose, two doses are currently recommended: one to one year and one second to about four years. The two-dose vaccination program resulted in a reduction in the number of patients. epidemics, according to the CDC.

Bell remembers the time when chickenpox was so common that children were frequently admitted to the hospital with a complication called acute cerebellar ataxia. It is then that the cerebellum – the part of the brain responsible for coordination and balance – can become inflamed after an infection.

"It's a dizziness so intense that they can not walk or stand up, and that they're nauseated," Bell explained.

According to the CDC, most cases of chickenpox outbreak occur in unvaccinated individuals, and those who are vaccinated generally have a less severe disease.

"We, the health professionals and the designers of these vaccines, have been so successful that we now have a whole generation of parents who do not remember," said Bell.

But there are those who remember, who have seen these cases. And we are worried.

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