U.S. Could Lose Measles Elimination Status by October
By Julia Ries
- The measles virus was declared eliminated in the United States in 2000.
- But if more cases of the measles virus are detected next month, it could mean an end of that elimination status.
- There have been more than 1,200 measles cases this year so far. That's the largest number of cases since 1992.
The United States was declared to have eliminated the measles virus in 2000, meaning it was no longer endemic to the country.
But now ongoing outbreaks of the measles virus threaten that elimination status. There have been 1,241 cases of the measles in the United States since January.
The last time there was well over a thousand cases of measles was 27 years ago, in 1992. At least 2,200 people reported having the measles that year, and, while that may seem steep, it was a 77 percent drop in the number of measles cases the United States saw the year prior.
After 1992, the measles finally started to lose steam — all the way until 2000, when a vaccination program was declared successful. Health officials were able to officially declare the United States to have eliminated measles.
This year, as measles cases continue to climb, the country may lose its elimination status by early October if the disease continues to appear.
"That loss would be a huge blow for the nation and erase the hard work done by all levels of public health," Kristen Nordlund, a spokesperson for the Centers for Disease Control and Prevention (CDC), told Healthline.
According to Nordlund, the measles elimination goal — which was first announced in 1996 — was a monumental task.
Before the vaccine came around, which successfully wiped out measles, about 3 to 4 million people contracted the virus each year, with nearly 48,000 of them being hospitalized and around 500 dying.
New York State’s Measles Outbreak
Though promising, it's not enough to keep elimination status.
"Measles elimination status is lost immediately if a chain of transmission in a given outbreak is greater than 12 months," Nordlund explained.
It would just take one case to be reported in the area on or after Oct. 2, Nordlund says.
Measles Is on Its Way to Becoming Endemic Again
Aside from being a disappointing blow to the United States, losing elimination status means measles could become endemic again.
"We can, if this continues, go back in time to before the 1960s era when 3 to 4 million cases occurred every year. So many died and developed serious consequences from this disease," said Dr. Marietta Vazquez, a pediatrician and infectious disease expert with Yale Medicine.
Granted, the virus wouldn't be quite as destructive as it was decades ago. Since many people do get the measles, mumps, and rubella (MMR) vaccine, the level of cases, hospitalizations, and deaths would likely be nowhere near what the country saw pre-vaccine, according to Nordlund.
The virus, however, is extremely contagious. It infects about 90 percent of nonimmune people who come into contact with it.
"While many germs require skin-to-skin contact, or that someone sneezes or coughs on you, or that you consume contaminated food or water, measles is broadcast into the air so easily that merely being in the same room with an infected person — or even where that person recently spent time — is enough to cause transmission," said Dr. Michael Grosso, the chief medical officer and chair of pediatrics at Northwell Health's Huntington Hospital.
It also doesn't take many virus particles for someone to get sick. Infected people typically start spreading the virus about four days before they even begin to notice symptoms.
Because of this, the measles virus is perfectly suited to cause an epidemic, Grosso says.
Here’s What It Will Take to Reclaim Elimination Status
If the United States loses elimination status, the country will have to restart all over again to achieve elimination status yet again. And it might not be as easy this time around.
"Honestly, it would be even harder than when [the] original measles campaign started in the U.S., given globalization and how easy it is to move from country to country," Vazquez said.
To reclaim the status, the United States will need to keep measles at bay for another year.
"Just like elimination loss is defined as greater than 12 months of endemic transmission, gaining elimination status back would be the inverse — showing that we didn't have endemic transmission for more than 12 months," Nordlund said.
Healthcare officials have made it extremely clear that to beat measles, the vaccination rate must increase — and quickly.
"Getting control of measles again involves nothing more or less than what our nation did the first time around: Immunize enough persons to prevent the chain of transmission," Grosso said.
Right now, approximately 91 percent of infants are receiving the MMR vaccine. In certain close-knit communities, though, this vaccination rate is much, much lower.
About 93 to 95 percent of the population needs to be immune to prevent transmission. The big question is, how do we get there?
The anti-vaccine movement, which circulates inaccurate information and false theories about vaccines, has prevented thousands of people from getting the MMR vaccine.
For the country's immunization rate to go up and for the outbreaks to stop, these myths need to be broken down, and community attitudes need to change.
For now, all eyes are on New York. Sure, we may still have new importations or other outbreaks, Nordlund notes, but it's really that long, consistent outbreak in New York that must be stopped.
The Bottom Line
If the New York state measles outbreak continues, the United States could lose its measles elimination status by early October.
The loss of elimination status would be a huge disappointment for the country, which fought to immunize people and wipe out the virus in 2000.
To get control of measles, vaccination rates across the country need to increase. Otherwise, measles could easily become endemic again.
Reposted with permission from our media associate Healthline.
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EcoWatch Daily Newsletter
By Karen Charman
When President Donald Trump visited California on September 14 and dismissed the state Secretary of Natural Resources Wade Crowfoot's plea to recognize the role of climate change in the midst of the Golden State's worst and most dangerous recorded fire season to date, he gaslighted the tens of millions of West Coast residents suffering through the ordeal.
Foxes Guarding the Henhouse<p>Before he assumed power, Trump attacked regulations as unnecessary barriers to freedom and economic prosperity. Since taking office, he has targeted anything enacted by the administration of his predecessor, Barack Obama, and taken steps to withdraw the U.S. from the Paris agreement, the international effort to combat climate change. He has also staffed heads of key agencies with climate deniers of various stripes, forced out career public servants and created a hostile work environment for those who don't profess loyalty to his deregulatory agenda.</p><p>Like Trump himself, some of his cabinet choices displayed an audacious penchant for <a href="https://www.nytimes.com/interactive/2020/09/27/us/donald-trump-taxes.html?action=click&module=Spotlight&pgtype=Homepage" target="_blank">self-dealing</a> and abusing their positions of authority. One example is Trump's first Environmental Protection Agency (EPA) Administrator, Scott Pruitt, who aggressively worked to overturn Obama's climate regulations, spent most of his time in <a href="https://www.washingtonpost.com/national/health-science/trump-epa-head-steps-down-after-wave-of-ethics-management-scandals/2018/07/05/39f4251a-6813-11e8-bea7-c8eb28bc52b1_story.html" target="_blank" rel="noopener noreferrer">private meetings</a> with fossil fuel and chemical company executives, sidelined career EPA staff and reconfigured independent scientific advisory boards to make them more supportive of the industries EPA is charged with regulating. Dubbed "<a href="https://www.latimes.com/politics/la-na-pol-pruitt-leaves-20180705-story.html" target="_blank" rel="noopener noreferrer">one of the most scandal-plagued Cabinet officials in U.S. history</a>," Pruitt resigned in disgrace after revelations about his multiple brazen abuses, including using the agency as his personal concierge service and piggy bank.</p><p>Pruitt's deputy, Andrew Wheeler, a <a href="https://www.cbsnews.com/news/andrew-wheeler-acting-epa-administrator-former-number-two-before-scott-pruitt-resignation/" target="_blank">former coal industry lobbyist</a> and longtime Republican Washington insider, took over and has continued Trump's deregulatory agenda apace.</p><p>At the Department of Interior (DOI), a sprawling agency that oversees 75 percent of the country's public federal lands and includes the U.S. Geological Survey, which is tasked with evaluating natural hazards that threaten life and the health of our ecosystems, Trump installed another flamboyant anti-environmentalist to head the agency. Like Pruitt, Trump's first Interior Secretary Ryan Zinke aggressively attacked environmental regulations, <a href="https://www.washingtonpost.com/news/energy-environment/wp/2017/05/07/epa-dismisses-half-of-its-scientific-advisers-on-key-board-citing-clean-break-with-obama-administration/" target="_blank">ditched more than 200 advisory panels</a>, and pushed to open up vast swaths of public land to oil and gas drilling. Described by one environmental group as "<a href="https://www.washingtonpost.com/national/health-science/interior-secretary-zinke-resigns-amid-investigations/2018/12/15/481f9104-0077-11e9-ad40-cdfd0e0dd65a_story.html" target="_blank" rel="noopener noreferrer">the most anti-conservation Interior secretary in our nation's history</a>," Zinke was forced out after numerous highly publicized conflict-of-interest scandals.</p><p>The DOI is now run by Zinke's deputy secretary, David Bernhardt, another longtime Republican Washington insider and former oil industry lobbyist who has also been the subject of <a href="https://slate.com/news-and-politics/2020/05/this-is-still-happening-david-bernhardt-trump-lincoln.html" target="_blank">several government ethics complaints</a> for various violations favoring polluting industries.</p><p>More recently, longtime climate change denier David Legates, a climatologist at the University of Delaware previously <a href="https://insideclimatenews.org/news/19032015/u-delaware-refuses-disclose-funding-sources-its-climate-contrarian" target="_blank">funded by fossil fuel interests</a>, was hired for a <a href="https://www.npr.org/2020/09/12/912301325/longtime-climate-science-denier-hired-at-noaa" target="_blank" rel="noopener noreferrer">top job</a> advancing weather modeling and prediction at the National Oceanic and Atmospheric Administration (NOAA). Legates has called for <a href="https://www.democracynow.org/2020/9/18/noaa_david_legates_climate_crisis" target="_blank" rel="noopener noreferrer">increasing carbon emissions</a>.</p><p>The Trump administration has done much more than stack government agencies with fossil fuel industry proponents. It has removed or diluted discussion of climate change from as many government platforms as it can and decimated independent scientific advisory boards that provide unbiased, fact-based information the government needs to enact policies that protect the public. It has also <a href="https://thehill.com/policy/energy-environment/482352-trump-budget-slashes-funding-for-epa-environmental-programs" target="_blank" rel="noopener noreferrer">slashed environmental agency staffing and budgets</a>.</p>
The Damage So Far<p>A September 17 <a href="https://rhg.com/research/the-rollback-of-us-climate-policy/" target="_blank">report</a> by the Rhodium Group calculates that 1.8 billion tons more greenhouse gases will be released over the next 15 years as a result of climate change rollbacks the Trump administration has achieved so far. These include repealing Obama's main climate policy, the Clean Power Plan, which was intended to reduce dirty emissions from power plants; increasing pollution from cars by rolling back fuel economy standards and challenging California's longtime authority to set stricter emissions standards; targeting controls on hydrofluorocarbons, powerful greenhouse gases used mainly in refrigerators and air conditioners that also destroy the Earth's protective ozone layer; and allowing unreported and unregulated emissions of methane, another potent greenhouse gas, by oil and gas companies.</p><p>Besides these measures, Trump is also trying to gut core environmental statutes like the Clean Air Act, the Clean Water Act, the National Environmental Policy Act and the Endangered Species Act, all of which were enacted to protect human health and preserve a livable world.</p><p>The Paris agreement aims to keep the rise in average global temperatures at less than 2 degrees Celsius above pre-industrial levels and hopefully cap it at 1.5 degrees C or lower. We are now at approximately 1.2 degrees C and counting.</p>
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By Jan Ellen Spiegel
It wasn't so long ago that the issue of climate change was poised to play a huge – possibly even a decisive – role in the 2020 election, especially in the race for control of the U.S. Senate. Many people supporting Democratic candidates saw a possible Democratic majority as a hedge against a potential Trump re-election … a way to plug the firehose spray of more than 100 environmental regulation rollbacks and new anti-climate initiatives by the administration over its first term.
Potential Climate Voters<p>In a September 1 memo on climate and the election, Andrew Baumann, vice president of the consultants Global Strategy Group, wrote: "Few issues have seen as dramatic a shift in public opinion as climate change has over the last few years. Only marriage equality and the recent shift in views around racial justice outpace the rapid growth in the salience of climate change as an issue."</p><p>Calling it a "winning political issue" the memo says: "First, it is clearly a motivator for both younger and Latinx voters. Second, it has the power to move swing voters, particularly center-right white women."</p><p>Baumann points to a finding that when a group of such women were asked generic ballot questions, Democrats trailed by nine percentage points. But when the question was revised as a choice between:</p><p>"A Democrat who supports taking strong government action to combat climate change.<br>A Republican who opposes taking strong government action to combat climate change."</p><p>… the result was a 29 percentage point shift, putting Democrats ahead by 20 percentage points among that same group.</p><p>"I think it is playing a role," says Senator Sheldon Whitehouse, D-RI, a longtime outspoken climate activist who is on the Senate Environment and Public Works Committee and also on the Senate Democrats' Special Committee on the Climate Crisis. If Democrats win back the Senate, he stands to play an even more pivotal climate role as part of the majority. He is not up for re-election this year.</p><p><span></span>"I think from the Democratic side it's playing a role in generating enthusiasm – particularly making younger voters feel that they have a real stake in this election. On the Republican side, I think things have moved enough that candidates can no longer get away with simply scoffing about climate change."</p>
Climate a Top Concern for Youths, Latinx<p>So who's still thinking climate? Mostly young voters – 18 to 25 or 29 and Latinx voters.</p><p>Climate and the environment are the top concern among young voters, just above racism and healthcare according to <a href="https://circle.tufts.edu/latest-research/poll-young-people-believe-they-can-lead-change-unprecedented-election-cycle" target="_blank" rel="noopener noreferrer">CIRCLE</a>, the Center for Information and Research on Civic Learning and Engagement at Tufts University, which focuses on the political life of young people in the U.S. For Latinx youth, it drops a bit but remains in the top three.</p><p>The issues young people care about have an impact on how they volunteer their time, says Kristian Lundberg, an associate researcher at CIRCLE. He says that's played out most notably through the Sunrise Movement, which focuses on climate change and the environment along with other key activist groups such as Black Lives Matter and March for Our Lives.</p><p>He points to polling this summer that showed that 83% of 18-to-29-year-olds felt they had the power to change things. "Young people feel much more empowerment than in 2016 and 2018," Lundberg says. "It's intentional these movements are carving out space for young people. It's an important strategy."</p><p>In positions of power in these organizations, young people have developed peer-to-peer outreach on activism. And Lundberg says young people have made the leap that connects activism to voting as a lever for change. "In the past in very close races, young people breaking heavily have provided the margin of victory," he says.</p><p>CIRCLE is highlighting 10 U.S. Senate races as ones in which young voters can be decisive. Several of them have notable climate or environmental components – most prominently the Colorado and Montana races.</p><p>The Republican incumbents in each state – Cory Gardner in Colorado and Steve Daines in Montana – are running against a popular Democratic governor – John Hickenlooper in Colorado, now out of office — and Steve Bullock, still the governor of Montana. Both governors have had to balance their state's fossil fuel economic interests with supporting climate change solutions.</p>
Tying Climate Change to the Economy<p>In August, Data for Progress, a progressive research think tank, released polling on climate change – including in the battleground Senate elections in Arizona, Iowa, Maine, and North Carolina – showing voters back a Senate candidate supporting strong climate action.</p><blockquote>Climate change as 'mobilizing issue … key persuasion issue.'<br></blockquote><p>It also showed that linking climate change to the economy may be key. That means talking about clean energy and jobs together, says Danielle Deiseroth, climate data analyst for <a href="https://circle.tufts.edu/latest-research/poll-young-people-believe-they-can-lead-change-unprecedented-election-cycle" target="_blank">Data for Progress</a>. She says that in addition to jobs, climate change issues include climate justice and economic equality – both of heightened interest because of fallout from western wildfires.</p><p>"Climate change, we've observed over the last year or so, is a key mobilizing issue and a key persuasion issue," she says. "Climate issues can only grow support for Democratic candidates.</p><p>"I think it's pretty naive to say climate is the key issue for voters. For a lot of voters it really exemplifies so many things that are wrong with the Trump presidency," Deiseroth says.</p><p>So a factor among others. Helpful, but pivotal only in narrow circumstances.</p><p>At the League of Conservations Voters, a progressive environmentalist organization putting a lot of money and effort into the 2020 races, Senior Director of Political Affairs Craig Auster says: "I'll push back that climate change doesn't matter or isn't registering."</p><p>"It's still showing up in several Senate races. It's been playing a role in almost all of them."</p><p>Candidates are still talking about it, he says, pointing to Colorado, Montana, Iowa, and other states where ads are addressing climate and environmental issues. That shows the candidates believe their opponent is vulnerable on the issue or they're strong on it, he says.</p><p>Like others, Auster calls climate a motivator.</p><p>"Climate change matters," he says. "We have proof point after proof point about what's happening, whether it's a hurricane, a superstorm, derechos in Iowa, or wildfires out west.</p><p>"Pre-COVID it was top tier for Democratic voters along with healthcare. If COVID didn't happen I think climate would be a big deal."</p>
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Two lawmakers introduced a bill Tuesday addressing previous actions the U.S. government inflicted upon Native Americans.
The bill, authored by Rep. Deb Haaland from New Mexico and Sen. Elizabeth Warren from Massachusetts, specifically addresses the "intergenerational trauma" caused by policies that tore Native American children away from their families and sent them to boarding schools to be educated in white culture, HuffPost reported.
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By Gudrun Heise
Just as scientists are scoring successes in coronavirus research, new problems are on their way. Fall is with us and winter is around the corner, so the season for colds and flu has begun — joining COVID-19.
Influenza Vaccination<p>A flu vaccination may thus be able to narrow down the diagnostic options when flu-like symptoms occur, but whether such a vaccination also has an influence on the behavior of the dangerous new virus is — like so much else — not clear. "It is conceivable that there is an indirect effect. But it is, I believe, a matter of speculation whether it has an immunological effect in the narrower sense," says Krause.</p><p>Every winter, doctors' waiting rooms are full of people who are coughing and sniffing but who mostly turn out to have only a severe respiratory infection. According to current knowledge, the virus that causes COVID-19, SARS-CoV-2, is also likely to be subject to seasonal fluctuations. </p><p>In winter, cold viruses, at least, flourish because cold and dry air offers ideal conditions for their spread. In addition, it becomes more difficult to air rooms regularly and intensively — an important further measure to counteract the coronavirus and contain to some extent the danger posed by aerosols.</p><p>According to the <a href="https://www.rki.de/DE/Home/homepage_node.html" target="_blank">Robert Koch Institute, Germany's public health agency</a>, between 5% and 20% of people in Germany become infected with flu viruses every year. These viruses are also dangerous and can be fatal. The flu vaccination must be adapted to the influenza viruses every year, because they mutate. But at least there is a vaccination.</p><p>Most experts agree that there is unlikely to be a vaccine against the coronavirus by the time the next wave of influenza comes around. And even if a vaccine were to be approved, many unknowns remain.</p>
COVID-19 and Flu Simultaneously<p>For example, there is a lack of practical experience in dealing simultaneously with SARS-CoV-2 and influenza. It is possible to speculate that having influenza could facilitate the entry of the coronavirus into the human body. "The general weakening of the immune system during an influenza infection could increase the susceptibility of a patient to a SARS-CoV-2 infection," Krause says.</p><p>However, it is uncertain how dangerous this double infection could ultimately be and what can be done about it. Krause is of the opinion that we must arm ourselves against all three diseases — colds, flu and COVID-19. If we have a cold, bed rest, hot tea and cough medicine usually help. We can get vaccinated against flu. But how do we deal with COVID-19?</p><p><span></span>Probably people can only hope that if they get the illness, they will have a mild form with as few after-effects as possible. Here, it will certainly help to stick to suggested rules on hygiene to reduce or prevent our exposure to the virus. In an interview with DW, Bonn-based virology professor Hendrik Streeck made it clear that COVID-19 usually takes a more severe course when there is a high viral load at infection.</p>
Hygiene, Hygiene, Hygiene<p>The same hygiene measures with which we are trying to get at least some kind of grip on COVID-19 also apply to influenza. The less we come into contact with viruses, the greater the chance that we will be spared an infection or that it will be mild.</p><p>These measures include general hygiene precautions such as frequent hand washing and the wearing of protective face masks. "The various hygienic measures against COVID-19 will also reduce the spread of influenza," says Krause. "Possibly, further connections of a more immunological nature will be discovered."</p><p>Let us hope that is the case, because the flu season hasn't even started.</p>
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