Measles cases have hit a record high in Europe. Blame austerity.

Measles cases have hit a record high in Europe. Blame austerity.

“Our analysis suggests that austerity measures adopted in Italy contributed significantly to the resurgence of measles,” the authors of a new <a class="ql-link" href="https://academic.oup.com/eurpub/advance-article/doi/10.1093/eurpub/cky178/5090999" target="_blank"><em>European Journal of Public Health</em></a><em> </em>paper wrote.’ src=”https://cdn.vox-cdn.com/thumbor/uj62Nwh0cxsjbCr4Rrq8gpViinM=/111×0:1994×1412/1310×983/cdn.vox-cdn.com/uploads/chorus_image/image/61476085/GettyImages_957867930.0.jpg”></p>
<p>A new report in Italy found parts of the country that cut their public health budgets most had lower rates of vaccine coverage.</p>
<p id="L69IMo">Europe is in the midst of a massive measles outbreak, with more than <a href="https://www.axios.com/measles-outbreak-reaches-record-levels-europe-7b09bf19-0ee1-4a6e-beea-3163cc11bd9b.html">41,000 cases reported in the first half of this year</a>. The deadly virus has spread to <a href="https://www.ecdc.europa.eu/sites/portal/files/documents/measles-and-rubella-monitoring-report-Sep-2018.pdf">21 out of 30 countries</a> in the region, and the World Health Organization says cases have hit a <a href="https://www.euro.who.int/en/media-centre/sections/press-releases/2018/measles-cases-hit-record-high-in-the-european-region">record high</a>, with more than Europe’s annual total during the past five years. </p>
<p id="i4d93l"><a href="https://www.ecdc.europa.eu/sites/portal/files/documents/measles-and-rubella-monitoring-report-Sep-2018.pdf">Italy has recorded more than 2,000 cases</a> of the deadly infectious disease this year — and it’s one of seven European countries with more than 1,000 cases. (The others are France, Georgia, Greece, Russia, Serbia, and Ukraine.) </p>
<p id="X8dyYA">This week, England’s <a href="https://www.theguardian.com/society/2018/sep/18/take-up-mmr-vaccine-falls-fourth-year-in-a-row-england-measles">National Health Service announced</a> that its ongoing outbreak involves 876 cases — more than three times the 2017 amount. </p>
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And many countries in Europe are under-vaccinated. “Italy, France and Serbia, for example, have lower child-vaccinations rates than Burundi, Rwanda and Senegal,” the Economist recently reported.

To boost vaccination rates, many countries in Europe have been cracking down on vaccine-refusing parents, experimenting with fines and sanctions. And, to be clear, vaccine refusal is a problem. France, for example, has one of the highest rates of vaccine skepticism in the world: According to one study, 41 percent of people there disagreed that vaccines are safe. In Germany, it’s not unusual to go into pharmacies and find homeopathic “cures” for many ailments, or even homeopathic hospitals.

“The vaccine acceptance issues are a bigger piece of the pie than they were historically,” Larson said.

But Europe’s vaccine problems are much larger than anti-vaxxers. And the story of measles may be the canary in the coal mine for an infectious diseases problem that’s even more dire than it appears right now.

Author: Julia Belluz


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