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Vaccine refusal is on the rise, and parents decide against immunizing their children for a wide variety of reasons. Common reasons are concerns that vaccines are not safe and can lead to dangerous side effects, the belief that vaccines are not very effective, and a general mistrust of government and pharmaceutical companies. The belief that (some) vaccine preventable diseases are simply not that dangerous combined with a conviction that a child is unlikely to catch a disease in the first place are other very important reasons to refuse childhood vaccines.
The MMR vaccine that protects against measles, mumps, and rubella has been one of the most controversial shots in circulation ever since the infamous and now-discredited study that linked the vaccine to autism appeared in 1998.
Would you say no to the MMR vaccine for your children? Media coverage of non-vaccination certainly makes it easy to start doubting the safety of vaccines, and this vaccine in particular. If we're perfectly honest, we have to admit that immunizations do, sometimes, lead to unpleasant and even dangerous side effects. That very fact may be quite enough to convince yourself that the MMR is not worth it, if you also think that measles, mumps, and rubella aren't very dangerous diseases. Are they really that benign, though? Let's take a look.
A common childhood illness not too long ago, many adults remember having measles as children and surviving without any long-term consequences. Indeed, some see getting measles as positive, and may even contemplate "measles parties" that ensure a larger number of children are infected. By intentionally infecting a child, parents make sure they go through measles before adolescence, and receive life-long immunity after the virus runs its course.
How does measles work? It's a virus from the paramyxovirus family that's spread through infected particles from the nose, mouth or throat. It has a symptom-free incubation period of 10 to 14 days. The first symptoms — a mild fever, a dry cough, a sore throat, a runny nose, and conjuctivitis — are relatively non-specific and parents may initially suspect their child has a common cold or the flu. A few days later, the fever suddenly shoots up. A blotchy skin rash appears, starting with the face and radiating downwards. Koplik's spots, little white spots that appear on the inside of the cheeks, are also characteristic. The whole process is usually over within two to three weeks.
Though measles is definitely unpleasant, few think of it as extremely dangerous.
Its complications explain why:
- Encephalitis is an inflammation of the brain that can lead to vomiting, convulsions, coma, and death. Around one in a thousand people infected with measles develop encepalitis, either while they have the virus, or weeks or months later.
- Respiratory infections like pneumonia, bronchitis, laryngitis and croup.
- Severe diarrhea and the dehydration that accompanies it.
- Ear infections.
- A low platelet count.
- In pregnant women, pregnancy loss, low birth-weight babies, and preterm labor.
See Also: Why Would Parents Reject Vaccines?
Malnourished children and those with weakened immune systems (due to HIV, for instance) are most at risk of complications. In vulnerable populations, up to 10 percent of those who get measles don't make it out alive. People living in developed western nations with access to quality healthcare and nutrition certainly have less to worry about. It is, however, wise to remember that there is no specific treatment for measles and that pneumonia and encephalitis are scary wherever a person happens to live.