Good morning, and welcome to the
Essential California newsletter. It’s
Tuesday, May 7, and I’m writing from Los Angeles.
The
measles outbreak that changed the course of California history began like
the opening sequence in a disaster movie.
An individual who — presumably unbeknownst to them — was infected with
one of world’s most contagious diseases visited
California’s busiest theme park in the tourist-saturated
week before Christmas in 2014. The original patient (or patients) zero potentially crossed paths with tens of thousands of people at
Disneyland and/or the adjacent California Adventure Park, including international travelers, children with still-developing immune systems and babies too young to have been vaccinated.
“It was basically a public health nightmare,” health reporter Soumya Karlamangla, who has been
covering measles for the Los Angeles Times, told me of
the 2014-2015 Disneyland outbreak.
On Jan. 5, 2015, the California Department of Public Health
first received a call about an unvaccinated 11-year-old child who had been hospitalized with a suspected case of measles. The rash-stricken child’s only recent travel had been to Disneyland. By the middle of that week, there were
nine potential measles cases tied to Disneyland or Disney California Adventure Park, and the theme park connection had been publicly announced by health officials.
In the end,
at least 131 Californians would be infected, along with individuals in
six other states, Mexico and Canada.
The jarring juxtaposition of a visit to The Happiest Place on Earth™ and a dreaded viral epidemic
made a big story even bigger, fixating the nation and
spurring legislative changes that reversed the state’s declining measles vaccination rate.
Four years later, measles is again making headlines, with the largest number of cases reported nationwide in more than 20 years.
Any incidence of a virus that the U.S. declared to have “eliminated” in 2000 is disturbing, and local cases have
generated plenty of attention. But this time around, California has been
faring far better than other parts of the country. (There have been just
42 cases this year in California, compared with more than
670 in New York.)
(See also: “Q&A: Do I need a measles booster shot? How to protect yourself, and more”)So, why haven’t we seen a larger outbreak here in the nation’s most populous state? The answer can be traced back to the Disney theme parks and all that followed.
As
Karlamangla and
data journalist Priya Krishnakumar explained in
a Los Angeles Times story Monday,
that 2014 Disneyland outbreak was fueled by low vaccination rates.
Preventing outbreaks depends on something called
“herd immunity,”which requires a 95% vaccination rate for measles. But by 2014, California’s measles’ vaccination rate had fallen below 94%, making the population
more vulnerable to a potential outbreak.
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