Wednesday May 22, 2019

New York City’s Mandatory Measles Vaccination Order Stands Still

The health department's lawyers argued that quarantining was ineffective because people carrying the virus can be contagious before symptoms appear.

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Materials are seen left at demonstration by people opposed to childhood vaccination after officials in Rockland County, a New York City suburb, banned children not vaccinated against measles from public spaces. VOA

Brooklyn judge on Thursday ruled against a group of parents who challenged New York City’s recently imposed mandatory measles vaccination order, rejecting their arguments that the city’s public health authority exceeded its authority.

In a six-page decision rendered hours after a hearing on the matter, Judge Lawrence Knipel denied the parents’ petition seeking to lift the vaccination order, imposed last week to stem the worst measles outbreak to hit the city since 1991.

The judge sided with municipal health officials who defended the order as a rare but necessary step to contain a surge in the highly contagious disease that has infected at least 329 people so far, most of them children from Orthodox Jewish communities in the borough of Brooklyn.

Another 222 cases have been diagnosed elsewhere in New York state, mostly in a predominantly ultra-Orthodox Jewish neighborhood of Rockland County, northwest of Manhattan.

The New York outbreaks are part of a larger resurgence of measles across the country, with at least 555 cases confirmed in 20 states, according to the U.S. Centers for Disease Control and Prevention.

Health experts say the virus, which can cause severe complications and even death, has spread mostly among school-age children whose parents declined to get them vaccinated. Most profess philosophical or religious reasons, or cite concerns — debunked by medical science — that the three-way measles-mumps-rubella (MMR) vaccine may cause autism.

The judge rejected the parents’ contention that the vaccination order was excessive or coercive, noting it does not call for forcibly administering the vaccine to those who refuse it.

He also dismissed assertions in the petition disputing the “clear and present danger” of the outbreak. “Vaccination is known to extinguish the fire of contagion,” the judge said.

FILE PHOTO: A sign warning people of measles in the ultra-Orthodox Jewish community of Williamsburg in New York City, April 11, 2019.
A sign warning people of measles in the ultra-Orthodox Jewish community of Williamsburg in New York City, April 11, 2019. VOA

Secret identities

The vaccination order, which was extended this week, requires residents of certain affected Brooklyn neighborhoods to obtain the MMR vaccine unless they can otherwise demonstrate immunity to measles, or face a fine.

The court challenge was brought in Brooklyn’s Supreme Court by five people identified only as parents living in the affected neighborhoods. Their identities were kept confidential to protect their children’s’ privacy, their lawyers said.

In court on Thursday, they told Knipel the city had overstepped its authority and that quarantining the infected would be a preferable approach.

Robert Krakow, an attorney for the parents, estimated that just 0.0006 percent of the population of Brooklyn and Queens had measles. “That’s not an epidemic,” he said. “It’s not Ebola. It’s not smallpox.”

The health department’s lawyers argued that quarantining was ineffective because people carrying the virus can be contagious before symptoms appear.

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The vaccination order, which was extended this week, requires residents of certain affected Brooklyn neighborhoods to obtain the MMR vaccine unless they can otherwise demonstrate immunity to measles, or face a fine. Pixabay

The judge cited 39 cases diagnosed in Michigan that have been traced to an individual traveling from the Williamsburg community at the epicenter of Brooklyn’s outbreak.

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The surge in measles there originated with an unvaccinated child who became infected on a visit to Israel, where the highly contagious virus is also running rampant.

The number of measles cases worldwide nearly quadrupled in the first quarter of 2019 to 112,163 compared with the same period last year, the World Health Organization said this week. (VOA)

Next Story

Measles Cases in US Continue to Rise, With Most New Cases in New York

The Centers for Disease Control and Prevention reports outbreaks in 24 states

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FILE - Measles, mumps and rubella vaccines are seen in a cooler at the Rockland County Health Department in Pomona, New York, March 27, 2019. VOA

Federal health officials report 41 new cases of measles across the U.S. last week, bringing the number of total cases for the year to 880 — the highest number recorded since 1994.

The Centers for Disease Control and Prevention reports outbreaks in 24 states, with only the very Deep South and Northern Plains spared.

The CDC says outbreaks in several states, including California, Georgia, Michigan and New York, are linked to travelers who are suspected of bringing back the virus from countries with large measles outbreaks, such as Israel, the Philippines and Ukraine.

The CDC recommends vaccinations for everyone older than 12 months, except those who already had the disease as children and have become immune.

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Federal health officials report 41 new cases of measles across the U.S. last week. Pixabay

The virus has spread among school-age children whose parents have chosen not to vaccinate them. Parents who do not vaccinate their children often cite religious beliefs or the concerns the vaccine may cause autism or other health problems, despite scientific studies that have debunked such claims.

The World Health Organization says parents who refuse to inoculate their children against such diseases is one of the top 10 threats to global health.

The measles vaccine, first available in the 1960s, is considered safe and effective by most public health experts, who say that it also can save lives.

The measles virus is highly contagious and is spread primarily by coughing and sneezing.

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It is still a common disease in many parts of the world. It was declared eradicated in the United States in 2000 with only a handful of cases reported in the U.S. most every year since then.

Last week, the Pan American Health Organization (PAHO) released an update on measles activity in the Americas. It said 12 countries have reported cases in 2019: Argentina, the Bahamas, Brazil, Canada, Chile, Colombia, Costa Rica, Mexico, Peru, the U.S., Uruguay, and Venezuela. (VOA)