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Germany Considers $2,800 Fine for Parents Skipping Measles Vaccination
Germany, like the U.S., is in the midst of a measles outbreak. The country has seen 651 cases of the disease between March 2018 and February of this year, according to the European Centre for Disease Prevention and Control (ECDC), the sixth most of any country in the EU.
Germany's Health Minister Jens Spahn wants to put a stop to it. To that end, he has drafted legislation that would fine parents who fail to vaccinate their children up to €2,500 (approximately $2,800), CNN reported Tuesday.
"I want to eradicate measles," Spahn told told German newspaper Bild am Sonntag on Sunday, as CNN reported.
Spahn submitted the bill to Chancellor Angela Merkel's government this week, The New York Times reported. The bill would ban toddlers and children who have not been vaccinated from attending school. Since school attendance is mandatory in Germany after age six, parents who refused would have to pay the fines to keep their children out of school. The bill would also require adults working in schools, hospitals and other public institutions to prove they had been vaccinated.
Some have criticized the bill, which would enter into effect in early 2020 if approved, for infringing on families' freedoms, according to The Washington Post.
But Spahn argued it was time to take action.
"We have been having this debate every few months over the past 10, 20 years," he told television broadcaster ZDF Monday, according to The Washington Post. "Whenever there is an outbreak and children or students have to be kept away from lessons, everyone says we could, we should do something — but not enough happens."
Spahn's bill would follow a move by the German state of Brandenburg to mandate vaccines for all children attending Kindergarten. In the U.S., New York City introduced fines of up to $1,000 last month to fight an ongoing measles outbreak in the Orthodox Jewish community in Williamsburg, Brooklyn. According to the most recent data from the Centers for Disease Control and Prevention (CDC), there have been 764 cases of measles confirmed in 23 states in the U.S. this year, the most since 1994.
Globally, there have been almost four times as many measles cases in the first three months of 2019, compared with the same time period last year, the World Health Organization (WHO) said, according to The New York Times.
In Europe, more than 34,000 people have contracted the disease in the first two months of 2019, mostly in the Ukraine, Reuters reported. Thirteen people have died.
"If outbreak response is not timely and comprehensive, the virus will find its way into more pockets of vulnerable individuals and potentially spread to additional countries within and beyond the region," the WHO said in a statement announcing the figures. "Every opportunity should be used to vaccinate susceptible children, adolescents and adults."
The WHO maintains that 95 percent of a population needs to be vaccinated against measles in order for the population as a whole to be safe, The New York Times explained. In Germany, only 93 percent of first graders were sufficiently protected in 2017, the Robert Koch Institute found.
The global rise of measles comes from a combination of lack of access to vaccines, fear of vaccines and complacency, CNN reported.
A UNICEF study reported by CNN found that 110,000 people died from measles in 2017, mostly children. The number is 22 percent higher than the year before, and is due to 20 million children a year not receiving the first dose of the vaccine. The U.S. leads high-income countries for children missing the first dose of the vaccine, according to WHO.
In an interview with The Times Saturday, UK Health Secretary Matt Hancock said those who campaigned against vaccines had "blood on their hands," CNN reported.
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By Linda Lacina
World Health Organization officials today announced the launch of the WHO Foundation, a legally separate body that will help expand the agency's donor base and allow it to take donations from the general public.
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Henry J. Kaiser Family Foundation
By Nicholas Joyce
The coronavirus has resulted in stress, anxiety and fear – symptoms that might motivate a person to see a therapist. Because of social distancing, however, in-person sessions are less possible. For many, this has raised the prospect of online therapy. For clients in need of warmth and reassurance, could this work? Studies and my experience suggests it does.
Telehealth Versus Traditional Therapy<p><a href="https://www.cigna.com/hcpemails/telehealth/telehealth-flyer.pdf" target="_blank">Private insurance companies</a> like Cigna and Aetna, have come around; they now provide coverage for what they see as a "legitimate" service. And <a href="https://www.prnewswire.com/news-releases/american-wells-2019-consumer-survey-finds-majority-of-consumers-open-to-telehealth-adoption-continues-to-grow-300906438.html" target="_blank">surveys show</a> consumers are receptive to telehealth counseling: no driving to an appointment, no searching for a parking space, no worries about childcare while they're away, no need to switch providers if they move, and no problem if the specialist happens to be far away.</p><p>Online therapy opens doors for clients who wouldn't otherwise seek help, <a href="https://www.worldcat.org/title/empirical-examination-of-the-influence-of-personality-gender-role-conflict-and-self-stigma-on-attitudes-and-intentions-to-seek-online-counseling-in-college-students/oclc/941976505" target="_blank">particularly patients</a> who feel stigmatized by therapy or intimidated by a stranger sitting across the room from them. Often, <a href="https://doi.org/10.1089/1094931041291295" target="_blank">people open up</a> more easily in telehealth sessions. Firsthand accounts have detailed <a href="https://www.romper.com/p/i-tried-online-therapy-for-a-month-this-is-what-happened-13630" target="_blank">positive experiences from consumers</a>.</p>
Overcoming Prejudices About Online Counseling<p>Now COVID-19 is forcing most traditional psychotherapists to adapt their practice to <a href="https://www.psychologytoday.com/intl/blog/expressive-trauma-integration/202003/covid-19-etherapy-in-times-isolation" target="_blank">online counseling</a>. After experiencing the medium, they are <a href="https://www.wecounsel.com/blog/why-every-therapist-in-private-practice-needs-a-telehealth-option/" target="_blank">overcoming their prejudices</a>. Many will convert some or all of their caseloads to telehealth after the pandemic ends. Most of our clients seem to be good with it: responding to a satisfaction survey, 85% of USF students strongly or somewhat agreed their telehealth experience was comparable to an in-person visit.</p><p>All this allows a continuity of care for clients that before was impossible; there is, however, a caveat. Because of the coronavirus, some of my clients at USF who live out-of-state have moved back home. That means, legally, I can no longer serve them. Even though they are still USF students, my license is valid only in Florida.</p><p>For telehealth to work effectively, our national system of licensing and regulation law needs to adapt. Although the federal government temporarily halted HIPAA regulations to promote telehealth during this time, not all states are allowing out-of-state practice. The coronavirus may not be here forever, but spring break and Christmas holidays always will. We need seamless telehealth across state lines.</p>
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Kevin Frayer / Stringer / Getty Images
By Jessica Corbett
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