H5N1

Hidden cameras capture misinformation, fundraising tactics used by anti-vaxx movement

Via CBC News, a report from the CBC program Marketplace: Hidden cameras capture misinformation, fundraising tactics used by anti-vaxx movement. Excerpt:

They came from across North America, paying $200 each to attend the ritzy event in Washington, D.C., hoping to snag selfies with some of the biggest names in the anti-vaccination movement.  

For the anti-vaccination activists gathered in the U.S. capital last November, it was also a chance to strategize on ways to further their cause.  

And they were more than willing to share those strategies with the undercover Marketplace journalists who attended the event, posing as activists trying to grow the movement in Canada. 

The Marketplace investigation provided a rare glimpse into the inner workings of the anti-vaxx movement, which experts say is largely to blame for a shift in mindset about vaccination. Nearly half of Canadians today have some concern about vaccine safety.   

"Take vaccines out of the name — that way you won't get flagged," said one Virginian woman attending the event. 

She was speaking about how to get around social media filters geared at weeding out anti-vaccination content.

The woman also pointed to another popular tactic: Challenging vaccination policies under the seemingly libertarian banner of "health freedom," "medical freedom," or "informed consent." 

Her own group is named Virginians for Informed Consent and has about 1,200 members. She's also gone a step further, making the group almost impossible for the public to find. 

"We're secret," she said. "You can't search our name [on Facebook]." 

'Spreading misinformation will create chaos' 

The VIP event attended by Marketplace followed a public rally on Washington's National Mall, where a number of anti-vaccination celebrities — Andrew Wakefield, Del Bigtree and Robert F. Kennedy Jr. — galvanized loyal activists, eager to speak out against what they claim is a coverup of a massive vaccine injury epidemic.

The movement persists despite a scientific consensus among medical professionals, vaccininologists and toxicologists that vaccines are safe and effective.  

"Their goal is to create noise, to create uncertainty," said Timothy Caulfield, a health law and policy expert and author of The Vaccination Picture, a book debunking anti-vaccination myths. 

"Spreading misinformation will create chaos — and that's exactly what they've done." 

Non-medical exemptions from vaccines have spiked in recent years, as have outbreaks from vaccine-preventable diseases, such as measles. 

Canada: BC judge orders vaccinations for 2 boys over their mother's objections

Via CBC News Vancouver, some good news: B.C. judge orders vaccinations for 2 boys over their mother's objections. Excerpt:

A B.C. judge has ordered the vaccination of two children over the objections of their mother, who questioned the safety of immunization.  

The case went to provincial court in Salmon Arm, in B.C.'s southern interior, because of the father's concerns about recent measles outbreaks and a warning that education officials might not allow his two sons to attend school during an outbreak unless they were immunized. 

The mother attempted to introduce a report into evidence written by a U.S. doctor who testified in the high-profile case of a Michigan mother who fought for years to keep from vaccinating her young daughter.  

But Judge Stella Frame questioned Dr. Toni Lynn Bark's qualifications to speak about immunology, virology or epidemiology as well as her claims to be an expert in "vaccine adversomics."  

"It is difficult to know whether or not this is junk science or a recognized emerging field," Frame wrote in her eight-page decision. 

"Presented as it is in her report, her theory or opinion sounds like a conspiracy theory."  

'Vaccination is preferable to non-vaccination' 

The ruling highlights the role of the courts in adjudicating splits between parents divided over vaccination.  

Frame's decision refers to an earlier B.C. Supreme Court decision in which a judge rejected attempts to link vaccines to autism. Frame said she had reached the same conclusion.  

"The current best evidence is that vaccination is preferable to non-vaccination, that it is required in order to protect those who cannot be vaccinated as well as to protect ourselves, and that any adverse reaction the person may have from the vaccine is largely outweighed by the risk of contracting the targeted disease," Frame wrote.

‘Why my baby?’: How measles robbed Samoa of its young

Via The New York Times: ‘Why My Baby?’: How Measles Robbed Samoa of Its Young. Excerpt (but read the whole article):

UPOLU, Samoa — From the beginning, Nuu Lameko’s baby daughter radiated happiness. She clapped and danced to the songs of praise at church. Often, Ms. Lameko would roll a coconut across the floor of their home to hear her giggle. 

“Whenever I’m having a bad day, she would have that smile to cheer me up,” Ms. Lameko said. 

Late last month, that joy turned to despair. The baby girl, Lemina — called Mina for short — contracted measles as a calamitous epidemic swept the Pacific island nation of Samoa. Days later, Mina, just 10 months old, died in her mother’s arms.  

“I don’t really accept it,” Ms. Lameko said. “God, why? Why my baby?” 

That question has consumed Samoa as the epidemic has killed dozens of young children in the past two months and infected thousands more, leaving virtually no one in this nation of big families and communal living untouched. 

When measles arrived on its shores, Samoa was grievously unprepared. The government had left the door to contagion wide open, allowing the vaccination rate to fall to a staggeringly low level and putting thousands of children at risk.

The failure started with government complacency, compounded by a misguided decision to suspend a vaccination program after a medical scare. And the country’s skepticism about immunization was amplified by both anti-vaccine activists and traditional healers. 

Samoa is an acute example of how unfounded mistrust of vaccines and gaps in routine health care have led to a resurgence of measles around the world.

Outbreaks of measles have hit every region of the planet this year, with the virus emerging in places like the United States where it had once been considered eliminated. Worldwide, reported cases jumped 300 percent in the first three months of 2019, compared with the same period last year.

In Samoa, an independent nation that is part of the same island chain as American Samoa, the government has taken sweeping measures to control the disease’s spread after initial delays in the response to the outbreak. 

During a mass vaccination campaign in early December, the fear that had washed over the country was clear. Families hung red flags outside their homes to alert health workers that they needed a shot, with some bearing messages like “Help!” or “I want to live!”

That effort has put Samoa on the cusp of achieving a 95 percent vaccination rate, seen as the threshold for “herd immunity” — effective protection from the spread of the disease. 

For many, it came too late. Over all, 77 people have died in the epidemic, and at least 5,400 cases of measles have been reported among the population of 200,000, though the numbers are most likely higher.

DRC Ebola: CMRE update, December 8

CMRE has published Situation épidémiologique du 08 décembre 2019. Excerpt from the Google translation:

EVOLUTION OF THE EPIDEMIC IN THE PROVINCES OF NORTH KIVU AND ITURI AT 07 DECEMBER  2019    

Sunday, December 08, 2019     

Since the beginning of the epidemic, the cumulative number of cases is 3,320, of which 3,202 are confirmed and 118 are probable. In total, there were 2,209 deaths (2091 confirmed and 118 probable) and 1084 people healed. 

• 391 suspected cases under investigation; 

• 4 suspected cases were notified on 05 December 2019 in the Osso health area in Lubutu, Maniema province. 1 case was invalidated. Among the 3 remaining suspects, the first samples of 2 suspects are negative and their clinical evolution is good. They are in agreement of the second levy. One suspect died and the oral sample was not taken and the body was secured and returned to the family. 

• 1 new confirmed cases in North Kivu in Mabalako; 

• No new deaths among confirmed cases; 

• No cured person has emerged from CTEs;  

• No health worker is among the new confirmed cases. The cumulative number of confirmed / probable cases among health workers is 164 (5% of all confirmed / probable cases), including 41 deaths; 

• Ebola response activities are paralyzed in Beni, Mangina and Biakato sub-coordination for security reasons;

 

The data presented in this table are subject to change after extensive investigation and after redistribution of cases and deaths in their respective health areas.

NEWS  

Joint DRC-Rwanda launch of the second Johnson and Johnson vaccine in Rubavu, Rwanda 

• The official launch of the second Ebola vaccine took place on Sunday, 08 December 2019 in Rubavu, Rwanda, precisely on the border between the Democratic Republic of Congo and the Republic of Rwanda; 

• Launched jointly by the two countries as part of regional protection against Ebola Virus Disease, the International Health Regulations make cross-border relations one of its priorities;  

• WHO declared on July 17, 2019 in Geneva, this tenth outbreak of Ebola Virus Disease as a health emergency of international concern; 

• For the Technical Secretary of the CMRE, Prof. Jean-Jacques Muyembe Ntamfum, this joint launch will help strengthen regional and international health security in the immunization component; 

• The DRC has already started vaccinating its Majengo and Kahembe populations in the health zone of Karisimbi in the city of Goma and since November 14, 2019 more than 1300 people have been vaccinated; 

• The launch of the second J & J vaccine was made in front of the Deputy Governor of North Kivu Province accompanied by his provincial Minister of Health, the General Coordinator of the Epidemic Response to Ebola Virus Disease and various partners including a representative of the World Health Organization (WHO) and a representative of Johnson and Johnson; 

• For this launch in Rwanda, the first person to receive the second vaccine, is a Congolese, a collaborator of Prof. Muyembe, who welcomed this dose that protects him against the Ebola virus. To this end, he invited other persons from Rwanda and the Democratic Republic of the Congo to follow his example; 

• For the Rwandan Minister of Health, Dr. Diane Gashumba, it is very important to seize this opportunity during this time when the epidemic continues to make victims in the DRC to vaccinate their population in order to save them from possible epidemics. This vaccination, for Rwanda, is conducted by the Organization "Umurinzi", which means "the guardian"; 

• The J & J launch ceremony was closed with a press conference hosted by the Technical Secretary of the Multisectoral Ebola Virus Epidemic Committee and the Minister of Health of the Republic of Rwanda; 

• As soon as the Technical Secretary of the CMRE left Rwanda, he went directly to the health center, where are hospitalized the wounded returned from Biakato following the attacks by armed incivists on the night of 27 to 28 November 2019 ;  

• There are a total of 7, including 6 men and 1 woman, who have said they are ready to resume their life-saving work, especially saving lives, especially those who are sick with Ebola. 

VACCINATION  

• 1300 people were vaccinated, until 06 December 2019, with the 2nd Ad26.ZEBOV / MVA-BN-Filo vaccine (Johnson & Johnson) in the two health zones of Karisimbi in Goma; 

• Since the start of vaccination on August 8, 2018 with the rVSV-ZEBOV vaccine, 256,229 people have been vaccinated; 

• Approved October 22, 2019 by the Ethics Committee of the School of Public Health of the University of Kinshasa and October 23, 2019 by the National Ethics Committee, the second vaccine, called Ad26.ZEBOV / MVA-BN -Filo, is produced by Janssen Pharmaceuticals for Johnson & Johnson; 

• This new vaccine complements the first, the rVSV-ZEBOV, vaccine used until then (since August 08, 2018) in this epidemic manufactured by the pharmaceutical group Merck, after approval of the Ethics Committee on May 20, 2018. It has recently been pre-qualified for registration.

MONITORING AT ENTRY POINTS

• Sanitary control activities were resumed in the various entry and control points of the Beni and Mangina sub-coordinations in North Kivu;

• Health control activities are disrupted in the Biakato Sub-Coordinations in Ituri;

• Since the beginning of the epidemic, the total number of travelers checked (temperature increase) at the sanitary control points, until Wednesday 05 December 2019, is 123,984,301 ;

• To date, a total of 109 entry points (PoE) and sanitary control points (PoCs) have been set up in the provinces of North Kivu and Ituri to protect the country's major cities and prevent the spread of the epidemic in neighboring countries.

Samoa measles: Police charge anti-vaccine blogger

Via Talamua On-line News: Police charge Anti-Vaccine blogger.

APIA, SAMOA – 6 DECEMBER 2019:  Police have arrested the 50 year old man who publicly stated on social media with reference to the current vaccination drive that “I’ll be here to mop up your mess. Enjoy your killing spree.” 

The comment drew angry responses with one saying the man, Edwin Tamasese had a “God complex.” 

A press statement from the Attorney General and Police today confirm that an alleged anti-vaxxer has been charged with incitement against the government vaccination order.  

The Deputy Police Commissioner, Papalii Monalisa Tiai Keti confirmed with Talamua that Edwin Tamasese was arrested by police in Savaii yesterday morning.  

The statement said a formal complaint was received by the AG from a concerned member of the public and duly referred to the police. 

The allegation is that the individual publicly stated with reference to the current vaccination drive “I’ll be here to mop up your mess. Enjoy your killing spree.” 

The AG confirmed that “this person who had previously been warned by the Police, has been charged and his bail is opposed for risk of reoffending. He is therefore in custody until the first available Court date.”  

This week, police confiscated Vitamin A & C supplements from patients at the Poutasi Hospital. There have been reports of parents of young patients brought in for measles treatment, bringing Vitamin tablets into the National Hospital at Moto’otua.  

A young mother whose 5 month old baby is being treated at the Poutasi hospital told Talamua that another patient gave her the tablets.  

Last week, Tamasese posted photos of the supplements he had received from the United States. He is in police custody in Savai’i to await his court appearance.

Thoughts on trolls, bots, and anti-vaxxers

This afternoon I found myself embroiled in a good old 1990s-style flame war on Twitter, in which Jason Kindrachuk and I contended with an anti-vaxxer. Its nostalgia value was limited, and I soon realized that the anti-vaxxer's intent was not to persuade us, or even discredit us, but to waste our time and the time of anyone else following the exchange.

So I pulled out and blocked the anti-vaxxer. Considering the length of time I've been blogging and tweeting about the politics of public health, it's remarkable how rarely I've run into this kind of nuisance. But as Jason observed, the public-health twittersphere is increasingly infested with annoying tweets. Dr. Peter Hotez has been a major target of the anti-vaxxers, but they're attacking plenty of other folks these days.

The attacks put us at an immediate disadvantage, because we were educated to provide evidence for our assertions and actions. But 75 years ago, Jean-Paul Sartre explained in his essay Anti-Semite and Jew that our adversaries are under no such constraint:

Never believe that anti‐Semites are completely unaware of the absurdity of their replies. They know that their remarks are frivolous, open to challenge. But they are amusing themselves, for it is their adversary who is obliged to use words responsibly, since he believes in words. The anti‐Semites have the right to play. They even like to play with discourse for, by giving ridiculous reasons, they discredit the seriousness of their interlocutors. They delight in acting in bad faith, since they seek not to persuade by sound argument but to intimidate and disconcert. If you press them too closely, they will abruptly fall silent, loftily indicating by some phrase that the time for argument is past. It is not that they are afraid of being convinced. They fear only to appear ridiculous or to prejudice by their embarrassment their hope of winning over some third person to their side.

That third person is presumably someone as ignorant and bigoted as themselves, and as resentful of know-it-all experts. If we engage with the trolls and bots and anti-vaxxers in hopes of winning that third person over to our side, we're probably deceiving ourselves and wasting our time.

Better to reach those third persons on our own initiative, with good-news stories about the successes of public health: vaccination, sanitation, good nutrition. If we must deal with bad news (and we must), let it be accounts of murderous half-wits like the Mai-Mai and ADF—not the dime-a-dozen bots running on Russian algorithms. 

If those trolls and bots show up in our timelines, follow the sage advice of my esteemed colleague Harry Turtledove and block them. Don't answer them—you might as well try to debate with a mosquito about whether malaria is a real disease.

But don't forget to take the initiative: get into the hashtags like #SamoaMeasles and #Measles with positive good-news tweets, not counter-attacks on the trolls. When your tweets attract mosquitos, block them and get more good news into the hashtags. Don't forget that a key goal of the trolls and bots is to make people uncertain of the truth, or even whether something like truth exists.

But don't answer the trolls directly. Just block them, block the clones that follow them, and use the time you save to do some good.

Samoa measles: Many still visiting traditional healers

Via RNZ: Measles in Samoa: Many still visiting traditional healers. Excerpt:

As Samoa struggles to deal with the deadly measles epidemic, people are still flocking to a traditional healer in desperation. 

The Prime Minister of Samoa has threatened police will jail people who discourage vaccinations and promise healing by alternative methods. 

But there is a long history of natural healers in Samoa, and not all of them are making wild claims about cures. 

Traditional healer Maria Amituanai told Checkpoint she was trained by her mother 40 years ago. 

"The treatment is passed down through her grandparents," a customer who translated for Ms Amituanai said. 

"A traditional healer doesn't really go to university ... it's usually passed down through generations."  

At Ms Amituanai's property there have been many people with sick children, showing symptoms of measles, including rashes and watery eyes.  

The traditional healer spreads a grainy paste over the children's bodies, derived from crushed plant leaves. She also spoons a liquid into the children's mouths. 

She would not reveal what was in the mixture, as she did not want to give away her family's secret recipes.  

Asenati Falute visited Ms Amituanai, hoping to get treatment for her one-year-old daughter Marion. 

She said her three-year-old son Coxen got better after the traditional healing treatment.  

"Swollen eyes, red swollen eyes and the mouth as well. And he had red spots all over his body. We brought him here and she massaged him first, and applied leaves on him. About a week and he was cured. 

"So I'm hoping the same for this one."

But Ms Falute believes her children do not have measles. She said the traditional healer is not claiming the sickness the children have is not the measles disease. The symptoms however, appear the same. 

While the government has established a nationwide ban on gatherings with children, dozens of people are in close proximity at Ms Amituanai's property, and none are wearing face masks.  

Recently an alternative healer using Kangen Water was shut down by police. 

But Ms Amituanai told Checkpoint she was doing something very different.  

"She is encouraging people to see the doctors as well, take medication the doctors are giving out," a customer said. "She is not discouraging any health sector or doctors from what they're doing, she's just lending out her helping hand in a time of crisis."  

Ms Amituanai said she was not deceiving people.  

Debate over vaccination has raged in Samoa, ever since two children died on Savai'i last year after botched vaccinations. Two of the nurses responsible are in jail.  

But Samoans have practised traditional healing methods for generations. It is a challenge for health authorities as they gear up for two days of an immunisation push. 

The government is fighting against other competing messages online were influential people from overseas are claiming vaccinations are not safe. 

One Australian-Samoan blogger has likened the compulsory vaccination programme to Nazi Germany, while influential former rugby player Eliota Fuimaono Sapolu has claimed the vaccines are dangerous.  

The World Health Organisation has directly linked anti-vaccination messages to the spread of measles worldwide.

Samoa's measles epidemic: Death toll rises to 55

Via Radio New Zealand: Samoa's measles epidemic: Death toll rises to 55. Excerpt:

It's the seventh day the death toll has risen, with children making up almost all of the dead.  

In the past 24 hours, there were another 153 cases of measles recorded, bringing the total to more than 3800. 

And 174 people remain in hospital, including 18 critically ill children. 

Samoa is racing to immunise its entire population and on Thursday and Friday government will shut down so all public sector workers can assist the effort.  

Prime Minister Tuila'epa Sa'ilele Maleilegaoi announced the measure on Monday evening in a nationwide address. He said all branches would close except the water and electricity authorities.  

Tuila'epa reiterated the importance of the mass vaccination campaign and said there were three key facts people needed to understand. 

"First, vaccination is the only cure. Two, if infected cases are presented early for treatment, full recovery should be expected. And thirdly, no traditional healers can cure measles."  

On Monday, Samoa expanded the mandatory vaccination program to those eligible for measles vaccinations, which have been made mandatory under local law. 

They are now available for people aged 6 months to 60 years old. 

Authorities have also been battling influential anti-vaccination groups who have been sending boxes of vitamins and peddling so-called healing water as alternative treatments for measles. 

Police in Samoa said two people had been questioned and issued strong warnings against promoting alternative treatments.  

Samoan businessman Edwin Tamasese said on Facebook on Sunday he visited a police station for questioning after posting a video online that questioned the effectiveness of vaccines.  

Mr Tamasese opposes the use of paracetamol and antibiotics for measles patients, and instead claims to be dispensing vitamins to measles victims.

Vaccine refusals may be driving measles outbreaks in Samoa and the Pacific

Via The New Humanitarian: Vaccine refusals may be driving measles outbreaks in Samoa and the Pacific.

Health officials in Samoa say low immunisation coverage – driven by parents refusing to vaccinate their children – is fuelling a measles outbreak that has killed at least 15 people and forced the Pacific Island nation to declare a state of emergency.  

A global resurgence in vaccine-preventable measles has spread to parts of the Pacific Islands over the last month: Samoa has counted more than 1,000 suspected cases, which include the deaths of 14 children. Tonga and Fiji have also declared outbreaks in recent weeks. 

“The way it is going now and the poor [immunisation] coverage, we are anticipating the worst to come,” Leausa Take Naseri, Samoa’s director general of health, said at a press conference announcing emergency measures. 

Samoa has started mass vaccination campaigns and shuttered schools nationwide, postponing university exams scheduled for this week.  

Measles is highly contagious, but entirely preventable through vaccines. In Samoa, coverage rates last year dropped to 40 percent and 28 percent for the two-dose vaccine, according to UNICEF – far lower than the 95 percent needed to stem measles from spreading. Vaccine scepticism in Samoa worsened last year when two infants died after receiving vaccines that were mistakenly mixed with an anaesthetic.  

The spread of measles in the Pacific Islands may be linked to New Zealand, which has recorded more than 2,000 confirmed cases this year. Health authorities in Tonga say measles cases first emerged among a rugby team that travelled to New Zealand; the country now has at least 251 suspected cases. Fiji reported seven confirmed cases as of 19 November.  

The outbreaks in the Pacific are part of a rapid measles surge across the globe. In August, the World Health Organisation said there were three times as many cases in 2019 compared to last year. 

Major outbreaks have also erupted in countries including the Democratic Republic of Congo, Madagascar, Ukraine, Angola, Cameroon, Chad, Nigeria, and the Philippines. The WHO says misinformation leading to “vaccine hesitancy” is one of several causes, as are poor health services and access interrupted by conflict or disaster. 

In the Philippines, for example, the WHO says public confidence in vaccines “plummeted” after an unrelated vaccine for dengue, a mosquito-borne illness, was shown to increase the disease’s severity among some patients. This year, Philippine health authorities have recorded more than 42,000 measles cases, including more than 560 deaths, according to the UN’s aid coordination arm, OCHA.

Canada: High rate of vaccination refusal at 12 Toronto alternative schools creates measles risk, officials say

Via CBC News: High rate of vaccination refusal at 12 Toronto alternative schools creates measles risk, officials say. Excerpt:

A dozen Toronto alternative schools have enough students who aren't vaccinated due to their parents' personal beliefs to put their schools at risk of a measles outbreak, according to Toronto Public Health.  

CBC News analyzed immunization coverage data which shows that 10 per cent or more of students in 12 Toronto District School Board (TDSB) schools have a religious or conscientious exemption to attend public school despite the fact they're unvaccinated for measles, mumps and rubella. 

Alternative elementary and secondary schools are generally smaller than other public schools and use non-traditional, hands-on approaches to Ontario's education curriculum.  

The Toronto Public Health numbers cover all 806 publicly funded schools in Toronto across both the English and French public and Catholic boards for the 2018-2019 school year.   

"We want that exemption rate to be lower," said Dr. Vinita Dubey, Toronto's associate medical officer of health. "We've seen that in California they had exemption rates of 10 per cent or so and that's what led to large outbreaks of measles in those schools." 

For now those high rates are still the exception in Toronto's publicly funded schools, with a much lower city-wide rate of 1.7 per cent of students with a religious or conscientious exemption. 

But even that Toronto-wide rate is double what it was a dozen years ago, and could lead to large-scale measles outbreaks — like those in the United States this year — if the high rates that are the exception ever become the rule, according to Toronto Public Health.

In a vaccine hesitancy report to Toronto's Board of Health in September, the city's chief medical officer recommended that Ontario's Ministry of Health consider getting rid of non-medical exemptions before "rates reach dangerously high levels" in Toronto. 

Federal, provincial and municipal health authorities agree that vaccines are a safe, effective and one of the most important contributors in preventing the spread of infectious diseases like measles.  

The highly contagious virus causes coughing, rashes and fever and can lead to serious complications. Last month, the World Health Organization said reported cases rose 300 per cent globally in the first three months of this year compared with same period in 2018.

Serious reactions to vaccines can occur in about one out of million to one out of 10 million doses administered, according to Toronto Public Health.  

20% of Canadian parents hesitate to vaccinate 

Despite the position of public health officials, an estimated 20 per cent of Canadian parents are hesitant to vaccinate their kids because they are unsure about the safety and effectiveness of vaccines, according to the city's report. That hesitancy has been attributed to the proliferation of misinformation about vaccines spread online and on social media.  

Across the country, Ontario, New Brunswick and B.C. are the only provinces with legislation mandating certain vaccines for school-aged children — although in all three, parents can get an exemption for their child based on their personal beliefs.  

With increasing non-medical exemption rates, Dubey says, schools can lose the protection of herd immunity, where students who are immune to a disease act as a shield for those who aren't. For measles, 95 per cent of a population needs to be immunized to maintain herd immunity. 

"It protects those children in the school who may not be able to get vaccinated, maybe because they're immune compromised, they're on chemotherapy drugs, and so they actually can't receive the vaccine," Dubey told CBC News.  

Some small alternative schools also share their building with a daycare, where some children might not be vaccinated because of their age. Kids don't receive their measles vaccination until they're one year old, Dubey says.