State of Emergency in Samoa due to measles outbreak

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tom p
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Re: State of Emergency in Samoa due to measles outbreak

Post by tom p » Thu Nov 28, 2019 3:08 pm

Vertigowooyay wrote:
Thu Nov 28, 2019 12:08 pm
Whilst propagating lies about the ‘forced MMR’ causing problems that measles *definitely* causes in an outbreak that clearly shows the dangers of not immunizing. That was the cause of the FFS. In the aftermath of this horrific outbreak, this will pop up on tons of antivax sites about how it’s vitamins that did it, not MMR.
Oops, didn't see that bit 'cos I was reading on my phone
I share your frustration.

mikeh
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Re: State of Emergency in Samoa due to measles outbreak

Post by mikeh » Thu Nov 28, 2019 3:26 pm

Yeah I mean if quacks want to send over some vitamins, then good stuff , they could be a little bit helpful .
But you know the accompanying letter would have included something along the lines of "cooee, supplements for you! Use these instead of those nasty vaccines won't you?!"

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Re: State of Emergency in Samoa due to measles outbreak

Post by Squeak » Wed Dec 04, 2019 4:41 am

And getting grimmer.

My step-sister just started a job in Samoa, helping to develop their education system. She's currently working from a desk at my dad's house in South Australia because there's no child care of any kind available in Apia, so she'd be stuck at home with two small children instead of doing what she's employed to do. And she won't go back for at least a couple of months.

Alongside the entire government being shut down for a short period, I wonder how many more aid/development programs are being hamstrung as their ex-pat staff are evacuating. And the ramifications must be filtering through every part of society. What do you do with your kids during work hours if there are no schools, kindergartens, or options for a small number of adults to supervise a large number of kids?

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Re: State of Emergency in Samoa due to measles outbreak

Post by Brightonian » Wed Dec 04, 2019 5:20 am

Squeak wrote:
Wed Dec 04, 2019 4:41 am
And getting grimmer.

My step-sister just started a job in Samoa, helping to develop their education system. She's currently working from a desk at my dad's house in South Australia because there's no child care of any kind available in Apia, so she'd be stuck at home with two small children instead of doing what she's employed to do. And she won't go back for at least a couple of months.

Alongside the entire government being shut down for a short period, I wonder how many more aid/development programs are being hamstrung as their ex-pat staff are evacuating. And the ramifications must be filtering through every part of society. What do you do with your kids during work hours if there are no schools, kindergartens, or options for a small number of adults to supervise a large number of kids?
Wrong link? That's a video of a swing(?) dance.

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Re: State of Emergency in Samoa due to measles outbreak

Post by Bugs » Wed Dec 04, 2019 8:22 am

Re Amy Morris & vitamin supplements
What's wrong with that?
They are doing something useful.
Maybe local under currents swirling round here https://www.rnz.co.nz/news/world/404583 ... a-to-samoa
International anti-vaccination groups are sending the vitamins in a bid to help combat the disease. But there has been a mixed reaction to their efforts, as Samoan authorities struggle to combat low vaccination rates in the country.

The shipments are being received by a Samoan businessman, Edwin Tamasese, who opposes the use of paracetamol and antibiotics for measles patients.

He said the vitamins are working.

"We're having really good success, like in 16 hours we're having kids that are lying there looking like they're going to pass away, and they are weak, but then they get up and start drinking, and start to eat."
Utah teacher Amy Morris is among those who have sent packages.

The mother of three hasn't vaccinated her own children for MMR and said Samoan children need the vitamins due to higher levels of malnutrition.

"For example here in the United States, if someone were to get the measles, they would usually be fine, because they have enough vitamin A and nutrition. But in places like Samoa or other countries, the infection can cause encephalitis, and possible seizures."
No harm?? Well OK if it doesn't dilute the message about getting the population vaccinated

Chris Preston
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Re: State of Emergency in Samoa due to measles outbreak

Post by Chris Preston » Wed Dec 04, 2019 10:10 am

No harm?

Well I think there is harm. These vitamins and supplements are clearly intended by the donors to take the place of measles vaccination.

Following the incident last year when two young children died after being given MMR contaminated with muscle relaxant, anti-vaxxers have increased their activity in Samoa. This has been local anti-vaxxers, as well as those from New Zealand and Australia, but also RFK Jr. With an epidemic in full swing and more than 50 deaths (almost all of children under 4), the anti-vaxxers are showing no signs of taking a step back.
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Re: State of Emergency in Samoa due to measles outbreak

Post by murmur » Wed Dec 04, 2019 12:50 pm

Bugs wrote:
Wed Dec 04, 2019 8:22 am
Re Amy Morris & vitamin supplements
What's wrong with that?
They are doing something useful.
Maybe local under currents swirling round here https://www.rnz.co.nz/news/world/404583 ... a-to-samoa
International anti-vaccination groups are sending the vitamins in a bid to help combat the disease. But there has been a mixed reaction to their efforts, as Samoan authorities struggle to combat low vaccination rates in the country.

The shipments are being received by a Samoan businessman, Edwin Tamasese, who opposes the use of paracetamol and antibiotics for measles patients.

He said the vitamins are working.

"We're having really good success, like in 16 hours we're having kids that are lying there looking like they're going to pass away, and they are weak, but then they get up and start drinking, and start to eat."
Utah teacher Amy Morris is among those who have sent packages.

The mother of three hasn't vaccinated her own children for MMR and said Samoan children need the vitamins due to higher levels of malnutrition.

"For example here in the United States, if someone were to get the measles, they would usually be fine, because they have enough vitamin A and nutrition. But in places like Samoa or other countries, the infection can cause encephalitis, and possible seizures."
No harm?? Well OK if it doesn't dilute the message about getting the population vaccinated
So, yer man, Tamasese, has never heard of nor suffered from a secondary bacterial infection? Or does vit A magically sort those out too?

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Re: State of Emergency in Samoa due to measles outbreak

Post by Squeak » Wed Dec 04, 2019 1:14 pm

Brightonian wrote:
Wed Dec 04, 2019 5:20 am
Squeak wrote:
Wed Dec 04, 2019 4:41 am
And getting grimmer.

My step-sister just started a job in Samoa, helping to develop their education system. She's currently working from a desk at my dad's house in South Australia because there's no child care of any kind available in Apia, so she'd be stuck at home with two small children instead of doing what she's employed to do. And she won't go back for at least a couple of months.

Alongside the entire government being shut down for a short period, I wonder how many more aid/development programs are being hamstrung as their ex-pat staff are evacuating. And the ramifications must be filtering through every part of society. What do you do with your kids during work hours if there are no schools, kindergartens, or options for a small number of adults to supervise a large number of kids?
Wrong link? That's a video of a swing(?) dance.
Fucksticks. Guess what else I was doing today?

It was meant to be this: https://www.washingtonpost.com/health/2 ... es-deaths/

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Re: State of Emergency in Samoa due to measles outbreak

Post by FlammableFlower » Thu Dec 05, 2019 9:29 am

Another challenge:
the guardian wrote:Another challenge, he said, was that some people had been seeking help from traditional healers, who had been successfully treating tropical diseases in Samoa for some 4,000 years.

“Some of our people pay a visit to traditional healers thinking that measles is a typical tropical disease, which it is not,” the prime minister said.

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Re: State of Emergency in Samoa due to measles outbreak

Post by Fishnut » Mon Dec 09, 2019 10:49 am

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.
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Re: State of Emergency in Samoa due to measles outbreak

Post by Herainestold » Mon Dec 09, 2019 4:48 pm

Death toll up to 70, anti-vaxxer in jail, ongoing vaccination programs in the teeth of an escalating crisis.

Samoa is suffering because it is poor, undeveloped, and brown.

Do you have to show an MMR vaccination certificate to travel internationally? You should as is the case for yellow fever.
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Re: State of Emergency in Samoa due to measles outbreak

Post by Fishnut » Mon Dec 09, 2019 5:01 pm

Herainestold is correct that the death toll is up to 70. However, while the outbreak is due in part to poverty and under-development, particularly in the health service, the charge of racism as a contributing factor seems to be misplaced. The BBC points out that nearby Nauru, Nuie and Cook Islands have vaccine rates around 99%. While there are systemic issues that have contributed, the precipitating factor in this situation appears to be the death of two children following vaccination in 2018 and the following lack of leadership on the part of the government to reassure the population that such accidents would not occur again.
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Re: State of Emergency in Samoa due to measles outbreak

Post by mikeh » Mon Dec 09, 2019 7:21 pm

Fishnut wrote:
Mon Dec 09, 2019 10:49 am

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.
On this point - I don't know much about the Pacific Islands, but across most low- and lower-middle income countries (LMICs, pretty much all of Africa apart from South Africa, I think, and much of SE Asia and some of South America), paper-based recording is evident to some and possibly a very great extent.

Where countries tend to have things computerised, it's usually on their routine healthcare reporting of cases reported to clinics. Things that are beyond simple recording of diagnosis and treatment, such as community or household visits and broader programmes such as vaccination or Mass Drug Administrations, they're often still paper based. It's still very very common.

Me and others are involved in seeing how use of electronic data collection can be improved in bits of Africa. See this example (of other people's work) on using e-tablets to collect data rather than the traditional paper registers.

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Re: State of Emergency in Samoa due to measles outbreak

Post by Woodchopper » Tue Dec 10, 2019 7:34 am

Yes, low and middle income countries often still use paper based records.

The reasons are often not just due to lack of funding for a government department. In another field I’ve been involved in efforts to improve government record keeping and sometimes funds have been available which haven’t been used.

As Fishnut may well have encountered in her efforts, moving from paper to digital requires a wider infrastructure which may be difficult to sustain. For example: staff training, a reliable power supply, equipment maintenance. Even things like software licenses can be a problem if a donor just provides a one off grant (and using without a license may cause problems like not getting upgrades). In addition, many low and middle income countries face problems with corruption and computers often get stolen.

The basic problem is often that often it’s not possible to create an ‘island’ of best practice that’s sustainable in the long run.

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Re: State of Emergency in Samoa due to measles outbreak

Post by Chris Preston » Tue Dec 10, 2019 9:42 am

Fishnut wrote:
Mon Dec 09, 2019 5:01 pm
Herainestold is correct that the death toll is up to 70. However, while the outbreak is due in part to poverty and under-development, particularly in the health service, the charge of racism as a contributing factor seems to be misplaced. The BBC points out that nearby Nauru, Nuie and Cook Islands have vaccine rates around 99%. While there are systemic issues that have contributed, the precipitating factor in this situation appears to be the death of two children following vaccination in 2018 and the following lack of leadership on the part of the government to reassure the population that such accidents would not occur again.
Not helped by the interference of foreign anti-vaccine activists from Australia, New Zealand and elsewhere. Robert F. Kennedy Jr visited Samoa last July where he was photographed with an Australian WAG and anti-vaccine activists. He has also written a letter to the Prime Minister accerting that the measles outbreak in Samoa was caused by the MMR vaccine.
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Re: State of Emergency in Samoa due to measles outbreak

Post by Herainestold » Tue Dec 10, 2019 2:11 pm

RFK Jr. is reprehensible. Another case of rich entitled white men imposing their beliefs on poor brown people.
He should be in jail.
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Re: State of Emergency in Samoa due to measles outbreak

Post by Herainestold » Sat Dec 14, 2019 4:27 pm

Finally an American takes responsibility for anti-vax propaganda;
Dr. Sheldon Yett, the UNICEF representative to the Pacific, has put the case bluntly: “People who are spreading lies and misinformation about vaccinations are killing children.” Such lies are among the United States’ worst exports to the world.
https://www.washingtonpost.com/opinions ... utType=amp
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Re: State of Emergency in Samoa due to measles outbreak

Post by Stephanie » Sat Dec 14, 2019 4:47 pm

It's not just America
"I got a flu virus named after me 'cause I kissed a bat on a dare."

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Re: State of Emergency in Samoa due to measles outbreak

Post by Herainestold » Sat Dec 14, 2019 4:50 pm

Stephanie wrote:
Sat Dec 14, 2019 4:47 pm
It's not just America
So true. It is the epicentre of anti-vax sentiment. It needs to stop.
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Re: State of Emergency in Samoa due to measles outbreak

Post by tenchboy » Sat Dec 14, 2019 7:45 pm

It's not the epicentre either.
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Re: State of Emergency in Samoa due to measles outbreak

Post by Stephanie » Sat Dec 14, 2019 7:56 pm

Herainestold believes America is to blame for everything
"I got a flu virus named after me 'cause I kissed a bat on a dare."

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Re: State of Emergency in Samoa due to measles outbreak

Post by Herainestold » Sat Dec 14, 2019 9:57 pm

Not everything. Most things.
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Re: State of Emergency in Samoa due to measles outbreak

Post by Stephanie » Sat Dec 14, 2019 10:19 pm

Herainestold wrote:
Sat Dec 14, 2019 9:57 pm
Not everything. Most things.
So your worldview is a conspiracy? Good to know.
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Re: State of Emergency in Samoa due to measles outbreak

Post by Herainestold » Sat Dec 14, 2019 11:07 pm

Stephanie wrote:
Sat Dec 14, 2019 10:19 pm
Herainestold wrote:
Sat Dec 14, 2019 9:57 pm
Not everything. Most things.
So your worldview is a conspiracy? Good to know.
90% of the worlds problems are due to white Americans.

How many of the anti-vaxers are non American persons of colour?
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Re: State of Emergency in Samoa due to measles outbreak

Post by jdc » Sun Dec 15, 2019 12:02 am

Herainestold wrote:
Sat Dec 14, 2019 11:07 pm
Stephanie wrote:
Sat Dec 14, 2019 10:19 pm
Herainestold wrote:
Sat Dec 14, 2019 9:57 pm
Not everything. Most things.
So your worldview is a conspiracy? Good to know.
90% of the worlds problems are due to white Americans.

How many of the anti-vaxers are non American persons of colour?
If you're blaming white Americans then the counter you're looking for would be "non-Americans or persons of colour" rather than "non-American persons of colour".

Alternatively, perhaps you meant to blame "whites or Americans"?

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