Wednesday, April 6, 2011

Pertussis Closes Waldorf-Based Private School in Virginia

A whooping cough outbreak hitting more than half (23 of 45) their pupils has led to the closure of that small private school for a week. The local Health Care Director unambiguously stated that lack of vaccinations caused this outbreak and that the children who were affected were unvaccinated (7 adult contacts also got the disease).

This outbreak is demonstrating two things - disease outbreaks happen in "pockets" of unvaccinated children, and, those "pockets" are often found in Waldorf/Steiner oriented institutions (for a comprehensive critical introduction into Anthroposophy, read the three part series on DC's Improbable Science blog). Indeed, the last whooping cough outbreak I personally saw was in the Steiner Kindi in two streets down from where we lived in Germany. The daycare director interpreted the outbreak as "the children seeking disease, because they needed a break" and proposed to close the Kindi for three weeks (a plan curbed by the working moms whose children attending the facility had been vaccinated and were just fine). What a break that was, with several children needing a 3 week residential rehab to learn how to breathe normally again... I'd rather pay money for a break than health, but that may be just me.

Similarly, quite impressive measles outbreaks in (mostly German speaking) countries have started in Steiner schools and Kindergartens and were sometimes specifically centered around Anthroposophical doctors with an anti-vaccine vaccine-critical outlook. Steiner himself deemed rashy diseases, like measles and Scarlet fever, which in his life time each killed a large percentage of the annual birth cohort, important for the development of proper karma and the shedding of bad miasms (don't ask - read link above, it is weirder than you think and weirder than you would expect any contemporary parent to believe and doctor to peddle).

The good news is that school and parents are complying with the suggested quarantine and/or treatment measures to limit transmission. Hopefully, some of them will research the "crunchy, holistic" philosophy behind their school and their vaccine refusal a bit more carefully, too.

15 comments:

  1. How tragic. I hope none of the affected children had infant siblings, who are very much at risk of death from pertussis.

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  2. This isn't tragic: it's entirely preventable. This is faith-based belief in action. And it is not benign. Respecting the rights of others to exercise their ignorance (I don't believe vaccinations are worth the risk to my child) by putting all of us at unnecessary greater risk can (and does) cause irreparable harm to the health and welfare of others for the luxury of some to exercise their own stupidity.

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  3. When Seth Mnookin linked to the Roanoke Times article, I read the whole thing expecting some reference to Blue Mountain as a Waldorf School. In fact, the word "Waldorf" is conspicuous by its absence in the newspaper article. A minute's Googling, however, turns up the connection -- points to you!

    More generally, isn't it revealing that nowadays when you read the words "pertussis" and "school" in close proximity, you can be reasonably sure that "Waldorf" is not far behind?

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  4. Please excuse my telegraphic style. I meant to ssy "Extra bonus points to Just the Vax for correctly calling out the Waldorf schools as vaccine-refusal enablers."

    The first time I heard of this problem, it was through Arthur Allen's excellent article on Boulder's Shining Mountain Waldorf School. I still don't know if the naming is a coincidence, or if "Mountain" names are a Waldorf theme. What I do know is that Boulder still has a high rate of pertussis, and that the Steiner organization refuses to accept any responsibility for its schools serving as foci of infection.

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  5. another reminder: 100 measles cases in Ghent, Belgium are mostly infants too young to be vaccinated and pupils of anthroposophical schools http://bit.ly/hUDjwU

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  6. proud to be crunchy

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  7. I am also crunchy, but I know and respect science. So my family is vaccinated.

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  8. Anon - crunchy is perfectly alright, but I prefer crunchy and healthy to crunchy and coughing your lungs out for 8 weeks (and yes, anthroposophically raised unvaccinated children *will* do that when they catch pertussis). Don't you like your kids healthy?

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  9. Pertussis is no joke. A lot of adults need to get boosters for it, especially now that too many are refusing to immunize their children.

    We had several adults fall ill with pertussis at our neighborhood dharma center. They didnt know they needed boosters. All of them were convalescent for at least 3 months, and said that the symptoms were similar to having a persistant cold.

    By the time they each realized they had been ill for far too long, their lungs were trashed. So even after correct DX and antibiotic treatment, they were still dragging ass long after they'd cleared the germ from their systems.

    And while infected, they could unknowingly have passed the bug on to anyone immune compromised--something none of them would have wanted to do.

    Its a damn tragedy. The anti vaccine people have the luxury of indulging their whims because so few of us remember the horrors of the days when infectious diseases were not preventable.

    Note: I didnt fall ill, only because I recently had had influenza and pneumonia. On my physicians advice, I re-upped all my boosters, including whooping cough. Without that, I could have been another of the adult cases.

    BTW influenza nearly killed me. Am only too happy to get my yearly flu shot.

    Keep blogging.

    And that scientist was right--once you scare people with bad science, its nearly impossible to 'unscare' them.

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  10. PS If you have never had chickenpox in childhood, get a blood test to see if you are varicella antigen positive.

    If not, you need to get immunized against chickenpox. And you need to have the booster reupped after several years.

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  11. I am crunchy. I was also raised in a waldorf school where I got Chickenpox and whooping cough and I now am the healthiest person I know. I also plan to raise my girl in a waldorf school. However I will be vaxing my child for Whooping cough, because that shit is the WORST!

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    1. Thank you. I vaccinated my kids, mostly because I remembered how terrible mumps was.

      What I don't understand is the assumption that I vaccinated my kids that I did not breastfeed (um, yes, including one who refused to be weaned until after her second birthday), fed them junk food (um, no... I even made the baby food) and on and on.

      I see no reason why one cannot be a bit crunchy, and yet stick to the science. At least knowing the science makes organic gardening easier, because you have to outwit the bugs, plus know the chemistry of the fertilizer.

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    2. Anon, As Chris said "crunchy" and vaccinating and healthy are not mutually exclusive. For your anecdote, I can give you several more with a "crunchy" lifestyle but sickly. I hope you also plan on MMR especially considering you have a girl and it would be a shame if she was non-immune to rubella, especially with more of you "crunchy" types not vaccinating and allowing nearly eliminated diseases to come roaring back.

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  12. My children went to Waldorf school and were not vaccinated. They got measles ( in their early teens), chicken pox and pertussis as younger children. Yes, these diseases do happen and require some at home nursing . But no, they are not fatal or dangerous. I believe they build the immune system, neither of my girls was any the worse for the experience. On the contrary both are in very fine health and the older one is now at an Ivy League university.

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    1. "But no, they are not fatal or dangerous."

      Citation needed. Please provide the data that contradicts the death statistics from the CDC Pink Book Appendix G that showed measles killed almost five hundred each year in the USA prior to 1963, and several hundred more for pertussis in the 1950s.

      I am sorry, we cannot go by your data set that consists only of you children. We need more verifiable scientific evidence. Stuff like the following:

      The Clinical Significance of Measles: A Review

      Philosophic Objection to Vaccination as a Risk for Tetanus Among Children Younger Than 15 Years

      Am J Epidemiol. 2008 Dec 15;168(12):1389-96. Epub 2008 Oct 15.
      Geographic clustering of nonmedical exemptions to school immunization requirements and associations with geographic clustering of pertussis.

      Pediatr Infect Dis J. 2006 Sep;25(9):768-73.
      Encephalopathy after whole-cell pertussis or measles vaccination: lack of evidence for a causal association in a retrospective case-control study.

      J Infect Dis. 2005 Nov 15;192(10):1686-93.
      Subacute sclerosing panencephalitis: more cases of this fatal disease are prevented by measles immunization than was previously recognized.

      Arch Pediatr Adolesc Med. 2005;159:1136-1144.
      Economic Evaluation of the 7-Vaccine Routine Childhood Immunization Schedule in the United States, 2001

      J Infect Dis. 2005 Nov 15;192(10):1686-93.
      Subacute sclerosing panencephalitis: more cases of this fatal disease are prevented by measles immunization than was previously recognized.

      J Infect Dis. 2004 May 1;189 Suppl 1:S210-5.
      Measles hospitalizations, United States, 1985-2002.

      Arch Pediatr Adolesc Med. 2005;159:1136-1144.
      Economic Evaluation of the 7-Vaccine Routine Childhood Immunization Schedule in the United States, 2001

      J Infect Dis. 2004 May 1;189 Suppl 1:S131-45.
      An economic analysis of the current universal 2-dose measles-mumps-rubella vaccination program in the United States.

      West J Med. 1996 Jul-Aug;165(1-2):20-5.
      Pediatric hospital admissions for measles. Lessons from the 1990 epidemic.
      West J Med. 1993 Oct;159(4):455-64.
      Measles epidemic from failure to immunize.

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