HEALTH COACH - Anti-vaccination groups were blamed for the Minnesota measles epidemic

HEALTH COACH -
 Anti-vaccination groups were blamed for the Minnesota measles epidemic  

Of those affected, 46 are children aged 10 years and under; 41 are Somali-American; And 45 were not vaccinated against the disease, according to data.

The state outbreak - the most important one for more than two decades - seems to have started in a Somali community where vaccine skepticism has recently spread, Kristen Ehresmann, Director of the Division of Epidemiology, Infectious Disease Prevention and Control, Minnesota Department of Health.

"I want to be very clear that this epidemic has nothing to do with Somalia. It's just being unvaccinated," Ehresmann said.

The Somali community of Minnesota has seen an increase in resistance of vaccines due to fears of a link to autism, she said. Research shows that side effects of vaccines are rare and there is no evidence that vaccines cause autism.

"Usually states will see one or two cases in a year and what, as of today, We will be at 48 cases of measles," Ehresmann said in Minnesota .

"The most disturbing thing is, it is a completely useless epidemic," she said. "We have a vaccine that can prevent measles, and yet we see this widespread transmission."

"Measles finds unvaccinated people"

Skepticism around vaccines in Minnesota The Somali community, the largest Somali community in the United States, In 2008.

It was at this point that parents began to notice a disproportionate number of Somali children receiving special education services for autism In Minneapolis, which is located in Hennepin County, Ehresmann said.

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" At this point Then the anti-vaccine groups really started to target the community, "she said.

Then, vaccination rates against measles, mumps and rubella (MMR) began to sink.

"Between 2000 and around 2008, the Somali community in Minnesota actually had the highest immunization rates for 2-year-olds from a whole population in the state," said Michael Osterholm , Professor and Director of the Center for Infectious Diseases Research and Policy at the University of Minnesota and a former state epidemiologist for Minnesota.

As parents sought answers as to why some Somali children had a diagnosis of autism, they landed on the work of the discredited British researcher Andrew Wakefield, who de , First proposed a link between vaccines and autism in an article later found fraudulent, Osterholm said.
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At the same time, local anti-vaccination activity

"So around 2008 we started to see the vaccine rates drop when the word crossed the Somali community That autism was linked to vaccination against measles, "he said. he said. "In the years that followed, Andrew Wakefield was actually brought several times to the Somali community here in Minnesota to present presentations in support of this information ... His work was retracted."

Three years later, A research project from the University of Minnesota investigated whether there was a higher prevalence of autism among Somali children living in Minneapolis Of non-Somali children in Minneapolis. The project included data on children aged 7 to 9 in 2010.
The researchers found Somali and white children in Minneapolis to be equally likely to be identified with autism and Both groups were more likely to be identified with autism than non-Somali black and Hispanic children

Meanwhile, a steep decline in vaccine coverage continued in children of descent Somalia, said Ehresmann.

Osterholm said a measles epidemic hit the Somali community in Minnesota in 2011. Although it is smaller than the current epidemic, it has been largely associated To children who are not vaccinated, he said.

"Measles finds unvaccinated people and this epidemic has two key points," Ehresmann said. "One is the result of poor information targeted at a vulnerable community, but the other is that if you are not vaccinated, you are vulnerable."

Fighting an epidemic

Minnesota health officials offered MMR vaccination recommendations last week in response to the recent outbreak of the measles virus . The vaccine is generally administered to children in two doses: 12 months and 4 to 6 years.
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However, for children who have had a dose of MMR and live in counties where cases of measles have been identified, officials recommend that they Receive their second dose as soon as possible if their first dose was received at least 28 days ago.

All Somali Minnesotan children who received their first dose at least 28 days should do the same according to officials. In addition, health care providers at the state level may recommend a second early dose during routine appointments for children.

Health officials recommended that all children 12 months of age and older who have not received MMR vaccine receive a first dose as soon as possible. It was also recommended that adults born in 1957 or later, who were not vaccinated and who had never had measles, should do the same.

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