I clarify the Associated Press’ article on the Texas measles outbreak and RFK

https://apnews.com/article/measles-outbreak-west-texas-death-rfk-41adc66641e4a56ce2b2677480031ab9

LUBBOCK, Texas (AP) — A child who wasn’t vaccinated died in a measles outbreak in rural West Texas, state officials said Wednesday, the first U.S. death from the highly contagious — but preventable — respiratory disease since 2015.

The school-aged child had been hospitalized and died Tuesday night amid the widespread outbreak, Texas’ largest in nearly 30 years. Since it began last month, a rash of 124 cases has erupted across nine counties.

The Texas Department of State Health Services and Lubbock health officials confirmed the death to The Associated Press. The child wasn’t identified but was treated at Covenant Children’s Hospital in Lubbock, though the facility noted the patient didn’t live in Lubbock County.

“This is a big deal,” Dr. Amy Thompson, a pediatrician and chief executive officer of Covenant Health, said Wednesday at a news conference. “We have known that we have measles in our community, and we are now seeing a very serious consequence.”

In federal response, RFK Jr. appears to misstate several facts

Robert F. Kennedy Jr., the nation’s top health official and a vaccine critic, said Wednesday that the U.S. Department of the Health and Human Services is watching cases and dismissed the Texas outbreak as “not unusual.”

He appeared to misstate a number of facts, including a claim that most who had been hospitalized were there only for “quarantine.” Dr. Lara Johnson at Covenant contested that characterization.

Some patients are hospitalized to protect other family members, for instance to protect immunocompromised relatives, but this cheeky doctor takes offense at the use of the word “quarantine.” Between 3 and 6.6% of the US population is immunocompromised—Nass

“We don’t hospitalize patients for quarantine purposes,” said Johnson, the chief medical officer.

Kennedy also seemed to misspeak in saying two people had died of measles. A spokesman — Andrew Nixon, for the Department of Health and Human Services — later clarified that the U.S. Centers for Disease Control and Prevention has identified only one death.

The federal government is providing vaccines as well as technical and laboratory support in West Texas, but the state health department is leading the response, Nixon said.

The CDC has said it will provide only weekly updates on the measles outbreak, and had not yet updated its public webpage to reflect the child’s death. Texas health department data shows that a majority of the reported measles cases are in children.

In rural Texas, some patients have needed oxygen or intubation

The virus has largely spread among rural, oil rig-dotted towns in West Texas, with cases concentrated in a “close-knit, undervaccinated” Mennonite community, state health department spokesperson Lara Anton said.

Gaines County, which has reported 80 cases so far, has a strong homeschooling and private school community. It is also home to one of the highest rates of school-aged children in Texas who have opted out of at least one required vaccine, with nearly 14% skipping a required dose last school year.

More than 20 measles patients have been hospitalized at Covenant, including the outbreak’s first identified case, hospital officials said.

Some patients’ respiratory issues progressed to bacterial pneumonia, and they needed an oxygen tube to breathe, Johnson told The Associated Press. Others had to be intubated, though Johnson declined to say how many due to privacy concerns.

What privacy concerns? She said others needed to be intubated, but cannot cite a number? As long as she does not provide names there are no privacy concerns. So why did she refuse to answer? — Nass

“Unfortunately, like so many viruses, there aren’t any specific treatments for measles,” she said. “What we’re doing is providing supportive care, helping support the patients as they hopefully recover.”

As the WHO, Cochrane Collaboration and many others have pointed out, Vitamin A is essential treatment for measles in those who are deficient.—Nass

Texas Gov. Greg Abbott said through a spokesman that his office is in regular communication with the state health department and epidemiologists, and that vaccination teams are in the “affected area.”

“The state will deploy all necessary resources to ensure the safety and health of Texans,” said spokesman Andrew Mahaleris, calling the child’s death a tragedy.

Later Wednesday, the state health department confirmed a new measles case in Rockwall County, east of Dallas. The person had traveled internationally and is not related to the West Texas outbreak.

This is the important information for the public: asymptomatic cases of measles enter the US a number of times per year, as measles has a long incubation period, cause small outbreaks and nearly all resolve quickly, but some do not.—Nass

Vaccines are safe and effective, and measles was once considered eliminated

Measles is STILL considered eliminated by the WHO and world community. Eliminated in this context means there is no regular spread. The disease is not endemic. It is present only during brief outbreaks. It cannot be entirely eliminated unless you stop people entering the US.—Nass

The measles, mumps and rubella vaccine is safe and highly effective at preventing infection and severe cases. The first shot is recommended for children ages 12 to 15 months, and the second for ages 4 to 6 years.

There are many reports of autism occurring after an MMR vaccine, which is a live vaccine that causes mild measles, mumps and rubella viral infections. Unfortunately, these infections are not mild in all children. The older the child is when receiving the vaccine, the less likely he is to have a severe neurologic complication.—Nass

The vaccine series is required for kids before entering kindergarten in public schools nationwide. Most kids will recover from measles, but infection can lead to dangerous complications such as pneumonia, blindness, brain swelling and death.

Correct: parents have to weight the risk from the vaccine against the risk from the disease. Few Americans will ever be exposed to measles, and about 99.9% of healthy children will be fine after having a case of measles, which everyone had until the late 1960s. But with the current huge number of neurologically damaged American children, the risk for most is greater from the vaccine. If you have just been exposed to measles, or live in a town experiencing an outbreak, the risk may be greater from measles. Parents need good information so they can make the best decision for their family.—Nass

Vaccination rates have declined nationwide since the COVID-19 pandemic, and most states are below the 95% vaccination threshold for kindergartners — the level needed to protect communities against measles outbreaks.

This is an arbitrary number pulled out of a hat. It fails to acknowledge vaccine waning (reduced effectiveness over time) and fails to acknowledge potential spread of vaccine strains of the virus that can cause illness–Nass

Last week, Kennedy vowed to investigate the childhood vaccine schedule that prevents measles, polio and other dangerous diseases, despite promises not to change it during his confirmation hearings.

I was listening to the hearing and I heard no promise not to change it. He promised to study the schedule and protect it, but vaccines that do more harm than good, like covid vaccines and Hepatitis B vaccines given on the day of birth ought to be studied and removed from the schedule!—Nass

The U.S. had considered measles — a respiratory virus that can survive in the air for up to two hours — eliminated in 2000, which meant there had been a halt in continuous spread of the disease for at least a year. Measles cases rose in 2024, including a Chicago outbreak that sickened more than 60.

In the current outbreak, Lubbock’s first case was in an unvaccinated child who sat in an emergency room with a kid who had measles, said Katherine Wells, director of the local health department, calling it a testament to how quickly the virus spreads.

Did the ER fail to immediately isolate a child with spots, causing the outbreak? That should always be the protocol—Nass

“When you see it in real life, you really realize how contagious it is,” said Wells, noting she expects more local cases, with a couple under investigation as of Wednesday. “An entire household gets sick so quickly. Whole families are getting sick with measles.”

Which is why some people are admitted—to protect their families—Nass