"Back in the 50's the Polio vaccine was developed. Polio was the biggest worry back then and when the vaccine came out, it was a godsend."
Comment to this blog by Peter C.
I am in the generation that thought of vaccinations as good.
It is more complicated now.
I have a dim memory of being five years old in 1955, amid a large gathering of kids a few days before starting first grade. The county health officer, Erin Merkel, M.D., was administering shots to everyone starting school. I have a clear memory of being in a long line in front of Hedrick Junior High a few years later. Families entered the building, approached tables with lines of sugar cubes on them, and we each took and ate one. Now we were safe from polio.
Yesterday's post described two hotspots of vaccine resistance in southern Oregon. Oregon parents can opt out of having their school children vaccinated for measles, chicken pox, mumps, and the other communicable diseases.
Yesterday's post contained an error. I misread the categorization of The Siskiyou School in Ashland as an Ashland public school. It isn't. It is a private Waldorf school, with about 189 students, according to the Oregon Health Authority site that shows schools, their attendance, their status as private, public charter, or public traditional, and their vaccination rates. The Siskiyou School has among the state's lowest vaccination rates, with only 27.7% of students vaccinated for measles.
Private, religious, specialty, and charter schools lead the OCA's list of 3,179 schools, ranked by the percentage of unvaccinated students. But what about traditional neighborhood elementary schools and district high schools? Parents might enroll students there with no particular awareness of the vaccination status of the school.
Ashland High School Mission Statement |
Five public schools stand out in the OCA list, and they are here in southern Oregon.
Applegate Elementary, in rural Applegate Valley west of Medford. Only 68.1% vaccinated for measles; only 70.2% fully vaccinated.
Walker Elementary, Ashland. Only 77.5% vaccinated for measles; only 72.9% fully vaccinated.
Ashland High School, Ashland. Only 78.1% vaccinated for measles; only 74.6% fully vaccinated.
Ruch Elementary, another rural school in the Applegate Valley. Only 78.1% vaccinated for measles; only 75% fully vaccinated.
Bellview Elementary, Ashland. Only 81.0% vaccinated for measles; only 83.5% fully vaccinated.
Grants Pass area elementary and high schools settle into a range with about 90% of students fully vaccinated. Medford schools fall into a slightly higher range, with little difference among the schools even though the catchment areas of elementary schools have very different demographics. Hoover, Howard, Kennedy, Roosevelt, and Griffin Creek, all report about 93% vaccination rates.
The Oregon Health Authority considers a 95% rate to be the minimum safe rate for adequate herd immunity.
Early in 2020 people were asked to wear masks and keep social distance to protect both oneself and others from a new and unknown Covid infection. Masks protected us, we thought, by filtering micro-particles. Masks were both self protection and good citizenship. I remember disapproving of people in stores who refused to wear a mask. I thought them scofflaws at best and dangerous at worst. Vaccinations weren't yet available.
But later, evidence suggested most masks did little to protect oneself and that vaccinations gave oneself good protection against hospitalization and death but did not stop one from getting infected and spreading the disease. There was a general shift in public attitude toward self-protection and away from one's obligation to others.
In Oregon, a Democratic governor, sensitive to the wishes of Oregon teachers, agreed to prioritize their health. It made some sense. Schools might be the worst vectors of Covid spread. Oregon schools went to remote learning early and stuck with it. Education suffered. An idea found traction in Oregon and nationally that public health was primarily about politics, not health. Trump praised vaccines, then backed away from them. Vaccines were for wimps, or part of a conspiracy by Anthony Fauci, Bill Gates, and Nancy Pelosi. Finally, the idea grew in GOP circles that Covid was mostly a minor disease blown up into a vehicle to kill the economy, hurt Trump, and elect Democrats. Infectious diseases are no big deal.
Now, as Americans mentally digest the meaning of Covid and vaccinations, an idea floats in the zeitgeist that vaccinations aren't about protecting the community from something terrible. Vaccinations --or even getting the diseases -- are a personal choice. Parents in Ashland schools who don't vaccinate their children need not consider themselves careless people creating a public health hazard. Being unvaccinated is not the equivalent of littering, or driving drunk, or firing a celebratory gunshot into the air. Ashland High students, even unvaccinated ones, are "responsible citizens," as written in the mission statement. Being unvaccinated is a personal choice, both for you and others. Parents who are worried about their children getting sick from childhood diseases should vaccinate their children.
I grew up the child of the World War II generation. That generation joined together against an outside threat. Children today are growing up the grandchildren of the "Me Generation" and the children of Millennials who saw pensions end in favor of individual retirement accounts. In the economy and as a citizen, we are on our own.
I list the potential hotspot schools not to shame them, even though I think the number of unvaccinated students in them is unfortunate. The schools and politicians are responding to public sentiment, which is what public schools must do. Parents nervous about disease outbreaks in local schools need to vaccinate their children before enrolling them. It's on you. It is a new world, a new generation. I don't like it, but it is the nature of public health in 2024.
Note: The immunity figures for Bellview School in Ashland are taken directly from the Oregon Health Authority report. It does not make sense that there are more. people with full vaccination than are vaccinated for a subset of that whole (measles) but that is how the OHA reported it.)