Things are still bad in Samoa.
As of Saturday the death toll stands at 65, with 4,460 cases. The number of new cases may be starting to decline, but it's probably too early to be sure. Approximately 89% of eligible people have been vaccinated.
An
anti-vaccination campaigner has been arrested on charges of incitement against a government order as the
government blames anti-vaxxers for the outbreak. The UN, however, disputes this, and says that distrust of the healthcare system and poverty are more obvious causes and that anti-vaxx sentiment are a symptom of distrust, not a cause.
Dr. Turner [chair of the immunisation working group to the Strategic Advisory Group of Experts to the W.H.O.] has been following Samoa and other countries around the world grapple with measles, including New Zealand. She said by and large, poverty is a major contributor to whether families vaccinate their children or not. For poor, busy, and often very large families, preventative healthcare like vaccinations are not a priority. Like her United Nations colleagues, Dr. Turner is loath to suggest anti-vaccine attitudes cause epidemics, but are rather a symptom of larger problems.
“Every time we look at the major issues for why immunisation coverage rates are low it’s because our systems need strengthening,” she said. “If the system doesn’t work well the community loses trust and then anti-vaccination gets in. We have to make our healthcare services work for our communities and that means we have to get out there and support our communities, get the services to them effectively in a way that works for the communities.”
The piece also points out that a national appeal has asked for funds to,
digitise vaccination records that up until how have been entirely paper based and could not accurately reflect immunisation rates, nor inform any activities to deal with the epidemic.
A lack of digitised records suggests, to my uninformed mind, an underfunded health services that has not been modernised.
The
ABC has a piece on the causes of the epidemic. It notes that,
In 2018, two babies died shortly after getting measles vaccinations. The nurses who administered the injections had incorrectly mixed an expired anaesthetic with the vaccine. *It prompted the Government to suspend the nation's vaccination program* and though it was eventually restored, many Samoan mothers no longer trusted the vaccination process.[my emphasis]
I didn't realise the vaccination program had been suspended and I can certainly understand why people would have little confidence in it once it was reactivated.