Supreme Court Justice Oliver Wendell Holmes probably wasn't thinking about child vaccines or parental rights when he said "the right to swing my fist ends where the other man's nose begins."
But the intersection of private rights and the public good addressed by Holmes is a subject much on the minds of parents, doctors, and public health experts these days, as a vocal and apparently growing minority of parents and alternative health care practitioners question the need for, or safety of, childhood immunizations.
Rotavirus gets its name from the fact that, under a microscope, the virus resembles a wheel. And you could say, like you might say about a wheel, rotavirus goes round and round. This nasty, potentially lethal bug causes severe acute gastroenteritis with diarrhea and vomiting, primarily in infants and young children. Fortunately, there are two rotavirus vaccines that can protect children from this disease.
"We are seeing in some states an increasing proportion of families who are choosing to delay or not immunize their children, and unfortunately, when this happens, we do see sporadic outbreaks of diseases like measles," says Neal Halsey, MD, a director of the Institute for Vaccine Safety at the Johns Hopkins Bloomberg School of Public Health in Baltimore.
In February, 12 San Diego area children came down with measles. Eight of the children were eligible to be vaccinated against measles but hadn't been, and three were infants too young to be immunized.
In Indiana in 2005, a measles outbreak infected 34 people ranging from 9 months to 49 years of age. Three of the 34 needed to be hospitalized, including one 34-year-old adult who had to be put on a ventilator for six days, and a 6-year-old child and 45-year-old adult who suffered from severe dehydration. Only two of the 34 were known to have been vaccinated against measles: one with one dose, which affords about 95% protection, and the other with the two recommended doses.
The Indiana outbreak was eventually traced to a 17-year-old girl who had not been vaccinated against measles, and had recently returned from volunteer work at an orphanage and hospital in Bucharest, Romania, where a wide-scale measles outbreak was later reported. She had apparently transmitted the infection to a 6-year-old girl while both were attending a church function in northwestern Indiana. The six-year-old was later hospitalized after she became ill while visiting relatives in Cincinnati, according to the CDC.Â
Measles Is Not Child's Play
Some parents and critics of mandatory immunization dismiss measles as a "harmless" disease of childhood, like the common cold or earaches.