65 dead from 4500 cases? A mortality rate higher than 1 in a 100 seems very high. Ping @GidMK
https://www.theguardian.com/world/2019/dec/07/samoa-measles-crisis-100-new-cases-as-anti-vaccination-activist-charged …
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Replying to @rob_england @theitskeptic
Yep, malnutrition bumps up mortality for measles. In an otherwise healthy population with excellent hospital cover (I.e. recent European outbreaks) the death rate is usually 0.1%
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Replying to @GidMK @theitskeptic
What? You’re not putting this down to malnutrition are you ?? It because too many young people weren’t vaccinated.pic.twitter.com/OYP40MzHA7
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There were 4500 cases of measles and 65 people died. As an amateur 4500 sounds low in such a poorly vaccinated population and 65 sounds high from 4500 cases. Chill, none of this is antivaxx :) We're discussing the consequences not the cause.
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Gid, there could be lots at play here? Poor recording of cases. 4500 out of 200k in 30% vax? Poor infant health. Poor healthcare.
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Yeh probably a lot of things. I'm not that familiar with the specifics of the Samoan healthcare system, I imagine there are quite a few issues that have made the outbreak more deadly That being said no one has died in Tonga, which has a similar system but a high vaccination rate
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Again, this is about consequences (1 in 100) not causes. We know why it got away in Samoa but why is that stat so out of whack?
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I know that deficiencies can make measles more deadly, but apparently I may have been wrong that this is the cause in Samoa I'd guess it's mostly about lack of access to healthcare but hard to know for sure
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And I bet that 4500 is too low too.
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Well they're vaccinating now, so it might not spread much more, but yeh probably going to be more cases before the epidemic dies down 
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