And as proof of this, they cite the Brady Bunch. Anti-vaxxers are linking to this episode of the Brady Bunch to prove that until recent hysteria, measles was no big deal.
Look at this episode of the Brady Bunch, where the Brady kids, all had the measles and all got over it, that's how it was in those days, everyone got the measles and everyone was okay. Well, if you want to take your medical advice from a four decades old sitcom where a single salary supported six kids, a stay at home wife and a live in maid along with annual trips and plentiful after school activities (I guess they saved a lot of money on clothes, though), and no one ever went to the toilet, then I'm not sure I can convince you of anything in the real world.
But there's also a huge dose of survivor bias. The kids who, back in the old days, did not survive measles - along with the kids who didn't survive riding in the back of Dad's ute, being bullied and flogged at school, playing outside in the hot sun, and whatever else baby boomers like to pontificate about on Facebook, are not here to tell us about it. And just like how hazy memory allows us to think how much better music was in the 90s, whilst forgetting all about the Cotton Eye Joe, 2 Unlimited and Bewitched, so we can forget how horrid measles used to be and the deadly toll it took.
How awful is measles, really? Meet Grand Duchesses Olga, Tatiana, Maria and Anastasia, and their brother the Tsarevich Alexei, the children of the last Tsar of Russia.
|Maria, Tatiana, Anastasia, Olga and Alexei in 1910. Photo from http://www.les-derniers-romanov.com/|
Like many people I was fascinated by the Grand Duchesses when I was young; their regal beauty, their deaths at the hands of the Bolsheviks, and especially what was then the mystery of Anastasia; did the Tsar's youngest daughter survive, per the many claimants who popped up across the twentieth century?
Of course we now know that neither Anastasia nor anyone else survived; the entire Imperial family, along with several of their close family servants, were murdered in 1918 at the height of the Russian revolution and Civil War.
But they nearly didn't make it to the cellar in Ekaterinberg where they were shot. The year before, as the Russian Revolution commenced, they all had the measles. History could otherwise have turned out very differently. But I'm not writing this to play what if; but to show that measles is fucking horrible.
At the time the Romanov children contracted measles in early 1917, Olga was 21, Tatiana 19, Maria 17, Anastasia 15 and Alexei 12. Aside from the stresses and strains of World War One, then raging for three years, and the added burden of the nursing work carried out by the older two sisters, the young women were all in good health, robust, well nourished, and with access to the best medical care available. Alexei famously suffered from severe haemophilia; with few treatment options at the time he had already experienced several medical crises where it was feared death was imminent.
Due to his haemophilia, doctors had forbidden Alexei from vigorous physical activity, a great blow to the boy, who loved anything to do with the army; drilling, marching, exercises. And so one day in February 1917, a group of young cadets from the military academy came to play with Alexei at the palace. One of these young men happened to have a flushed face and a bad cough. And a week later, starting with Alexei and his oldest sister Olga, the Imperial children all came down with measles.
Despite the restrictions of his haemophilia, Alexei was otherwise reasonably well in early 1917, and the daughters especially, young healthy and strong, fit the profile of patients for whom it would be expected measles would be a mild illness with a brief recovery.
Instead what we see is the horror show measles actually is. As their mother, the Tsarina Alexandra, and her retinue devoted themselves to round the clock nursing care, Alexei actually fared the best of all the siblings; three weeks after developing a "great ugly rash" across his body, severe cough, headache, sore eyes and a temperature over 39℃, his temperature began to fall and he was deemed to be recovering.
Olga exhibited the same symptoms of fever, rash and pain as her brother; then as he began recovering, she developed ear abscesses, throat pain so severe she completely lost her voice. She then developed encephalitis, a common side effect of measles; it took her weeks to recover, and she remained weak and exhausted for months.
Tatiana, regarded as the strongest and leader of sisters, shared Olga and Alexei's rash, high fever and ear and throat pain. She also developed ear abscesses that required her head to be bandaged; the otitis left her temporarily deaf for several weeks, and she had problems with hearing in her right ear for some time after.
Maria and Anastasia, in their early teens, fared the worst. They quickly developed temperatures of up to 41℃, with Maria developing pneumonia, drifting in and out of delirium. Anastasia required lancing of her eardrums due to the pressure in her ear canals; she also developed pleurisy, suffered from continuous vomiting and was temporarily deaf. Two weeks after the initial infection, the younger sisters were both in critical condition; their mother the Tsarina, with three years of experience as a Red Cross war nurse, believed the girls were dying, with only the oxygen administered by a doctor who arrived at the palace from Petrograd keeping them alive. Eventually the sisters' fevers broke, but they also remained weak and fatigued in recovery.
Whilst all this was going on, the Russian revolution was underway and Tsar Nicholas abdicated; several plans to evacuate the Imperial family from Russia were proposed, but the children were too ill to be moved; by the time they were all recovered sufficiently to be moved, some two months after the initial illness, it was too late.
But the point here is that measles is a really serious and horrible disease, and even fit healthy young people can develop the most terrible complications, and even die.
To which anti-vaxxers might well say "Yes, but that was 100 years ago! Medicine has improved since then."
The short answer to that is, if you've such faith in modern medicine, why not trust them on the vaccination thing? (I'm sure the Tsarina, after two sleepless months caring for her critically ill children, would have lined them up for a vaccine if it were available).
The slightly longer answer is that medicine still hasn't improved that much when it comes to measles. As with whooping cough, there is no specific treatment for the disease. Symptoms can be alleviated through pain relief, intravenous hydration, oxygen, and bacterial infections that arise can be treated with whatever antibiotics still work after a century of over-use, but basically when it comes to measles, it's a virus, and you're on your own. Your unvaccinated child might develop measles, recover and be fine. Or they might develop encephelitis and brain damage, their hearing may be permanently affected, they could develop viral pneumonia, a high temperature, and die, and modern medicine will be powerless to stop it.
And you just don't know. But you do know, you can't pretend that measles isn't a really fucking serious disease. And modern medicine does offer one thing that works - measles vaccine. So just do it, okay? Get your kids vaccinated, and yourselves too (adults born after 1966 who have not received two doses of a measles containing vaccine need to get the MMR vaccine - if you're not sure get your immunity checked; I did this last year, was a little low, and got a booster. It's not a big deal and took very little time. More info here).
But take measles seriously. Life ain't the Brady Bunch, and trust me, a case of the measles is not A Sunshine Day.