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Omaha Steve

(99,706 posts)
Thu Feb 26, 2015, 01:00 AM Feb 2015

In 2013, measles killed more kids than car accidents or AIDS





http://www.washingtonpost.com/blogs/wonkblog/wp/2015/02/25/in-2013-measles-killed-more-kids-than-car-accidents-or-aids/


By Christopher Ingraham February 25 at 2:17 PM

Measles killed 82,100 children under age 5 in 2013, ranking the disease at No. 7 on the list of the top causes of child death, according to recent statistics from the Global Burden of Disease study published in the Lancet. Lower respiratory infections like pneumonia were the number one killer, followed by malaria, diarrhea, nutritional deficiencies, congenital defects and meningitis. More small children died from measles in 2013 than died from drowning, road injuries or aids.

Here in the United States, we have the luxury of signing up for "personal belief exemptions" from vaccine requirements and indulging vaccine skeptics in their unfounded beliefs about the "dangers" posed by measles vaccines. Currently there are 113 countries that can boast better measles vaccination rates than the United States. The only reason this is possible, of course, is the incredible effectiveness of vaccines at eradicating diseases like measles.

But these numbers serve as a stark reminder that in the developing world, where measles kills roughly 225 children each day, the situation is quite different. Children under 5 make up more than half of the 145,000 deaths attributed to the disease annually. In some particularly impoverished and malnourished areas, the disease has a fatality rate of 10 percent.

According to the World Health Organization, it costs about a dollar to immunize a child against measles. But a single case of the disease here in the United States costs about $11,000 to treat. Not a bad return on investment.


Christopher Ingraham writes about politics, drug policy and all things data. He previously worked at the Brookings Institution and the Pew Research Center.

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In 2013, measles killed more kids than car accidents or AIDS (Original Post) Omaha Steve Feb 2015 OP
Saw an article this month that 500 people in Germany had measles this year already. freshwest Feb 2015 #1
Somewhat misleading DLnyc Feb 2015 #2
It is you who is 'gaming' the data. '56-'60, average 450 deaths per year but this is the next bit: Bluenorthwest Feb 2015 #3
VERY Misleading RobinA Feb 2015 #4
"Measles killed more KIDS than" ... you are counting ALL car deaths as children. eppur_se_muova Feb 2015 #5

DLnyc

(2,479 posts)
2. Somewhat misleading
Thu Feb 26, 2015, 05:33 AM
Feb 2015

I understand the point you are trying to make, but I don't think these numbers really support that point. It's not hard to find numbers that refute the hype the Washington Post is making here:

http://jid.oxfordjournals.org/content/189/Supplement_1/S1.long

By the late 1950s, even before the introduction of measles vaccine, measles-related deaths and case fatality rates in the United States had decreased markedly, presumably as a result of improvement in health care and nutrition. From 1956 to 1960, an average of 450 measles-related deaths were reported each year (?1 death/ 1000 reported cases), compared with an average of 5300 measles-related deaths during 1912–1916 (26 deaths/ 1000 reported cases) [2].


http://en.wikipedia.org/wiki/List_of_motor_vehicle_deaths_in_U.S._by_year
1960 deaths from automobile accidents:
1960 36,399

or about 80 times as many deaths from car accidents in the US in 1960 as from measles in that year (before measles vaccines were introduced).

As far as I understand it, measles kills a lot of people in poor, underdeveloped countries where the lack of good health infrastructure means complications often lead to death. Also, cars are not as common in many of those same countries as they are in the US, so I think comparing measles deaths to automobile deaths worldwide gives a picture not comparable at all to numbers either in the US or in the developing world.

I'm just left wondering if it might not be more productive to focus on dealing with the health care infrastructure in general and respiratory diseases, malaria, diarrhea and nutritional deficiencies in particular in the developing world and, separately, decreasing deaths from automobile accidents in the US.

I'm sure measles vaccines are generally a good idea, but I don't really think this kind of gaming of the numbers is the best way to make that point, with all due respect.
 

Bluenorthwest

(45,319 posts)
3. It is you who is 'gaming' the data. '56-'60, average 450 deaths per year but this is the next bit:
Thu Feb 26, 2015, 09:26 AM
Feb 2015

"Nevertheless, in the late 1950s, serious complications due to measles remained frequent and costly. As a result of measles virus infections, an average of 150,000 patients had respiratory complications and 4000 patients had encephalitis each year; the latter was associated with a high risk of neurological sequelae and death. These complications and others resulted in an estimated 48,000 persons with measles being hospitalized every year."
http://jid.oxfordjournals.org/content/189/Supplement_1/S1.long

So 48,000 hospitalization and 450 deaths. That's what you are minimizing. 1960 had 36,399 auto fatalities with a population of 180 Million and 2013 had 32,719 people died in traffic crashes with 316 Million population. It's almost as if safety precautions in both medicine and automobile design have reduced fatality rates since 1960.

eppur_se_muova

(36,287 posts)
5. "Measles killed more KIDS than" ... you are counting ALL car deaths as children.
Thu Feb 26, 2015, 10:52 AM
Feb 2015

The OP lists KIDS who died in car accidents. Of course the vast majority of traffic deaths are adults.

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