Pediatricians Remember Experiences with Measles
Two Cook Children's doctors explain why the anti-vaccine movement is especially difficult to understand
Another measles case has been confirmed in North Texas, and once again it's in Collin County. According to health officials, the second individual with a confirmed case of measles spent time inside the Kroger on North Preston Road in Prosper on March 15 while contagious.
It’s the third measles case to hit North Texas this year and the twelfth statewide. For the rare remaining physicians who have treated measles, the news is like déjà vu.
“We learned a lot from the 1989 measles epidemic,” said Deborah Susan Hucaby, M.D., an emergency room physician at Cook Children’s Medical Center. “We got to a point where anyone who came into the pediatric emergency room or clinics with a fever was presumed to have measles until proven otherwise.”
Dr. Hucaby was a resident at Ben Taub Hospital in Houston in 1989 when the worst measles outbreak in recent history occurred. That year, 17,850 measles cases were reported in 47 states with 3,201 of those in Texas.
“At the time, the MMR vaccine was recommended for children at 15 months,” Dr. Hucaby explained. “Due to the high number of unprotected children we were seeing with measles, that recommendation was lowered to 12 months of age. We also started giving the single measles vaccine at 6 months of age.”
For this reason, Dr. Hucaby says a doorbell was installed outside of the pediatric clinic where she worked during the outbreak.
“Parents were asked to ring the bell if their child had a fever, with or without other symptoms,” she said. “A nurse would go out into the hallway to look at the patient. If they appeared to have a risk factor for measles, we would take them straight into an exam room. We didn’t sit them in the waiting room.”
In Houston alone that year, 1,434 children under the age of 5 were diagnosed with measles. Dr. Hucaby says it’s frustrating to interact with parents today who refuse to vaccinate their children against diseases such as measles, mumps and rubella.
“So many of these parents have never seen these diseases. I’m 40 years older than most of them and I have. I have seen kids die from them,” she exclaimed.
Dr. Hucaby says there’s one child she will never forget. The little girl was only 6 months old when she arrived at the hospital with measles and pneumonia. She was too young to have been immunized and died as a result.
“Parents who decide they are OK with their children becoming infected with diseases probably frustrate me the most,” added Dr. Hucaby. “We didn’t see that during the Houston epidemic. Truly, people were willing to vaccinate their children. I don’t remember a single parent saying ‘no’ to a vaccine.”
She said in the 1980s, children often weren’t up to date on their immunizations mostly because parents didn’t see the importance or they had difficulties with transportation or finances. Today, vaccines are more accessible than ever in the U.S. with programs providing low-cost vaccines in every state.
“Every place I worked before Cook Children’s had an infectious disease ward where patients could be isolated,” said Dr. Nelson. “But as infectious diseases became better controlled, particularly the ones that are so contagious like chicken pox and measles, we didn’t need to have a special ward anymore.”
The reason for the decline in such quarantined areas is simply vaccines.
“I have lived through the era where I’ve seen vaccines come and save children’s lives. I have stood in line to get the polio vaccine,” Dr. Nelson explained. “I grew up with a great deal of anxiety about all of these diseases. That’s the piece that is missing in our society now, no one is anxious about these diseases.”
Dr. Nelson had good reason to be anxious. Not only did he know people who fell ill with polio, he himself lived through infections of measles, mumps and chicken pox.
“I had measles when I was a little boy, before I even started school. I remember having to stay in a dark room for four days because they thought light might increase your chances of losing your vision, which was not true, but that was the belief back then,” he said. “I didn’t want to eat. I didn’t want to do anything. I just wanted to die. It was that horrible.”
When vaccines for measles and mumps came along, Dr. Nelson said he felt relieved. He believed that he’d never have to worry about children becoming ill or dying from them again. Unfortunately, that hasn’t been the case. Currently, the CDC reports there are 268 measles cases in 12 states with vaccine exemption rates continuing to rise.
“As a physician, I’ve seen a ton of children die when there was nothing I could do about it. There was nothing anyone could do about it. So it does make me incensed that a parent would put a child at risk for a disease that could kill them based on emotion,” he said. “A parent that has never lost a child doesn’t understand the emotion that they are going to feel if they do.”
Resources Available at Cook Children's
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