Why do we care about Rubella (sufficient to require vaccination in all states)? Because pregnant women exposed to Rubella in their first trimester have a substantially increased likelihood of having a child w/birth defects/Congenital Rubella Syndrome (CRS) or fetal demise. 2/8
My mother knew she was pregnant and had heightened concern that was proved justified well after the September birth of my sister. It would not be for some time that my parents knew that 1) my sister was PROFOUNDLY deaf & 2) nothing worse had befallen her. 3/8
We don't have precise numbers for the 1958 Rubella outbreak (which typically happened every 6-9 years, though endemic in between), but we know that the 1964-5 outbreak (the last before introduction of a vaccine) led to 20K KNOWN cases of CRS & >2K newborn deaths. 4/8
My sister retired this year after a nearly 40 yr career, having raised 2 beautiful daughters with her (also deaf) husband of 41 yrs. She is a fantastic lip-reader & benefits from technology (facetime & other video calling services, captioning, etc.) & signing. 5/8
This thread is to remind you that we don't always vaccinate children JUST to protect the child (There is no reason to vaccinate children for Rubella except for the excessive and serious risk to pregnant women). 6/8
Thanks to vaccinations, < 10 people get Rubella each year. Current vaccine is 97% effective.
Why do we vaccinate children, if pregnant women can get vaccine on their own? Because the vaccine is NOT 100% effective & people don't always plan well. 7/8
"Fewer than 1% of patients taking the drug needed to be hospitalized and no one died. In the comparison group, 7% were hospitalized and there were seven deaths."
"At the Kondo graveyard in Dar es Salaam, Tanzania...We used to bury one a week [before the pandemic], but over the past year we have reached 17 a day.”
"Last year, President John Magufuli declared the virus a “satanic myth” propagated by imperialist powers.... ...and labeled those who wore masks unpatriotic.
By this spring, the president was dead, along with 6 other senior politicians..."
Last year, there were few classes held in-person and those that were held, were near empty. This year, full census in classrooms.
Last year, staff (including most/many faculty) & researchers were primarily WFH. This year, they are back to working on-site, albeit with some accommodations/modifications.
We have a "rheostat". It works by dialing up and down *some* de-densification, masking, TESTING, & OBVIOUSLY vaccinations, but also boosters at some point.
We can AND SHOULD dial these up when outbreaks present.
"...91% of Democrats, 85% of independents, and 76% of Republicans, as well as majorities of seniors (84%), who would be most affected by such a provision [favor drug price negotiations by Medicare prior to learning more]"
"...most (84%) of the public, including 3/4 (78%) of Republicans, say the argument in favor – “this is needed because Americans pay higher prices than people in other countries, many can’t afford their prescriptions, & drug company profits are too high” – is convincing."
"...a third (33%) say the argument against – “this would have the government too involved and will lead to fewer new drugs being available in the future” – is convincing. This includes nearly half (45%) of Republicans."