South Carolina is experiencing its most significant measles outbreak in decades, with nearly all cases occurring in unvaccinated individuals, primarily in Spartanburg County. NPR's report explores the reasons behind parental vaccine hesitancy in the region. Some parents, like Tracy Hobbs, initially avoided vaccines due to fears of a link to autism—a claim debunked by extensive research—but later vaccinated their children as the outbreak spread. Others, such as Margarita Deluca, remain unconvinced, citing personal experiences like a child's post-vaccination seizure, despite medical explanations that such events are not typically vaccine-related. Local pediatricians, like Dr. Stuart Simpo, acknowledge parents' fears but warn that delaying vaccinations increases children's risk of serious complications. Meanwhile, vaccine exemptions for school requirements have surged, alarming advocates like Kate Morrow, who co-founded a pro-vaccine group to combat misinformation and support conflicted parents. The story highlights the tension between widespread scientific consensus on vaccine safety and the personal anxieties driving vaccine refusal, underscoring the public health implications of these individual decisions.
This is Weekend Edition from NPR News, I'm Scott Simon. South Carolina is experiencing its largest measles outbreak in decades. 993 cases according to the State Department of Public Health and of that total, 926 patients are unvaccinated. Also, that's statewide total of 993, 936 cases are in just one county, Spartanburg. That's where NPR's Maria Gidoya went to ask people of their deciding whether or not to vaccinate their children. A good place to meet parents during a measles outbreak should be a vaccination clinic. Vaccination is how you stop an outbreak, but at this mobile unit set up in the parking lot of a Baptist church in Inman, South Carolina, we see only one. They just got their measles month's rebella for the first time today. That's Tracy Hobbs. She just emerged from the mobile clinic with her five-year-old twins, Joseph Analus. Joseph, here now, please. The twins should have gotten their first shots around 12 months of age, but Hobbs decided against it at the time. That's because her oldest child, now seven, was diagnosed with autism shortly after he got his first measles shot. Hobbs says she saw conflicting information about whether vaccines were to blame. So we were afraid that if we had gotten the kids, the vaccines that it might actually cause autism. And that's really messed up because what are you supposed to believe? Claims linking the vaccine to autism stem from a 1998 study that has been thoroughly debunked by a large body of research. But this misinformation still circulates widely. Health Secretary Robert F. Kennedy Jr. has long promoted the discredited claim, and he recently directed the CDC to change its website to say the link cannot be rolled out. Hobbs says it's confusing. You have one person saying, "Hey, this could cause the kid to get autism." And then you have somebody saying, "No, you know, if I've gotten conflicting information since the day they were born." But when her twins were also diagnosed with autism, even though they weren't vaccinated, Hobbs changed her mind. With measles spreading around her, she decided to get them the shot. The measles aren't really something to play with. Measles is highly contagious and can be dangerous. It can cause serious complications like pneumonia and brain swelling. And the virus wipes out parts of the immune system for several years after an infection. But as scary as measles is, it's not changing all parents' minds. "Niko, buckle up, okay?" We meet Margarita Deluca as she's strapping her four-year-old son and six-month-old twins into the car. They're headed to daycare. "They're always asleep by the time we get there." Despite living in a region that's experiencing a big measles outbreak, Deluca has not vaccinated her twins against measles. "I'm not worried about it, but even if they did catch it, we'll take care of it. We'll take care of it at home." A big factor in her reluctance to vaccinate comes from personal experience. She got her eldest son, Niko, vaccinated with routine shots for his first couple of years of life. But about a week after he got his two-year-old shots, Niko spiked a fever and experienced a seizure. It just like froze up and then he started convulsing right in my arms, the scariest thing ever. Niko recovered. Her pediatrician told her these seizures can happen when toddlers get high-feevers, and it's unlikely vaccines play the role. But Deluca remains dubious. "He hasn't had any seizures since, but he hasn't had no vaccines either. I'm not saying it's from that, but there is a chance." So like a growing number of parents nationwide, Deluca decided to forego vaccinations for Niko and his two younger siblings. "I'm grateful that I did not vaccinate them right now. Right now, maybe at five years old, their bodies are bigger and they have a higher immune system that can handle things." Local pediatrician Stuart Simpo says he hears this from other parents, and he tries to explain why that's risky. "What I would say is really this is the time where your child is at a higher risk, the younger they are, for complications from many of the things that we've vaccinated against." Simpo says he tries not to judge parents, but to listen to their fears. "The parent who's choosing not to vaccinate their child, they're not trying to make a bad medical decision. They want what's best for their child. And we have to understand where they're coming from." Still, many parents like Margarita Deluca are getting religious exemptions for school vaccine requirements. In Spartanburg County, the use of these exemptions has skyrocketed in recent years. From about 3.5% in 2020 to nearly 10% today, it's a trend that Kate Morrow finds alarming. When you decide not to vaccinate your child, you're not just making a decision for your child, you're making a decision for the community. Morrow moved to the area in 2019 with her husband and eight-year-old twins. She says it's hard to understand why so many parents in her community are turning against vaccines. They're time-tested, they're proven, they work, they've eradicated disease. And I don't really understand why we as a population are really questioning the science, questioning people that are experts in what to school for this. Morrow thinks a big part of the problem is parents are scared and confused. And she says it doesn't help that the CDC recently changed its vaccine schedule, which now goes against recommendations from the American Academy of Pediatrics. There's Facebook groups and there's friends and there's your physician's office and then you see the news and you don't know what to believe. She feels so strongly about this that she's helping a pro-vaccine advocacy group get off the ground. It's called South Carolina Families for Vaccines. I'm reading for the mom in the middle that's feeling lost and scared and doesn't really know what to do. She wants to encourage these parents to trust the science and to speak openly with their pediatrician about their fears. Morrow is especially passionate when it comes to combating misinformation about autism. One of her twins has autism, the other does not. Both are fully vaccinated. Marie Gideaux and PR News.
Podcast Summary
Key Points:
South Carolina is facing its largest measles outbreak in decades, with the majority of cases concentrated in Spartanburg County and involving unvaccinated individuals.
Parental vaccine hesitancy is driven by fears of side effects like autism or seizures, often stemming from personal anecdotes or debunked misinformation, despite scientific evidence affirming vaccine safety.
Health officials and advocates emphasize the dangers of measles and the community-wide risk of low vaccination rates, while striving to address parents' concerns empathetically rather than judgmentally.
The use of religious exemptions for school vaccines has risen sharply in the area, reflecting a broader national trend of growing vaccine skepticism.
Summary:
South Carolina is experiencing its most significant measles outbreak in decades, with nearly all cases occurring in unvaccinated individuals, primarily in Spartanburg County. NPR's report explores the reasons behind parental vaccine hesitancy in the region. Some parents, like Tracy Hobbs, initially avoided vaccines due to fears of a link to autism—a claim debunked by extensive research—but later vaccinated their children as the outbreak spread.
Others, such as Margarita Deluca, remain unconvinced, citing personal experiences like a child's post-vaccination seizure, despite medical explanations that such events are not typically vaccine-related. Local pediatricians, like Dr. Stuart Simpo, acknowledge parents' fears but warn that delaying vaccinations increases children's risk of serious complications.
Meanwhile, vaccine exemptions for school requirements have surged, alarming advocates like Kate Morrow, who co-founded a pro-vaccine group to combat misinformation and support conflicted parents. The story highlights the tension between widespread scientific consensus on vaccine safety and the personal anxieties driving vaccine refusal, underscoring the public health implications of these individual decisions.
FAQs
South Carolina is experiencing its largest measles outbreak in decades, with 993 cases statewide, 926 of which are unvaccinated patients, and 936 cases concentrated in Spartanburg County.
Some parents fear vaccines may cause autism due to debunked misinformation, while others have personal experiences, such as a child having a seizure after vaccination, leading to concerns about safety.
Measles is highly contagious and can cause serious complications like pneumonia and brain swelling, and it weakens the immune system for years after infection, putting unvaccinated children at higher risk.
The claim linking vaccines to autism stems from a 1998 study that has been thoroughly debunked by extensive research, though misinformation continues to circulate widely.
Religious exemptions allow parents to opt out of school vaccine requirements; in Spartanburg County, their use has risen from about 3.5% in 2020 to nearly 10% today, which health advocates find alarming.
Pediatricians encourage parents to discuss their fears openly, emphasizing that vaccines are time-tested and effective, and that younger children are at higher risk for complications from preventable diseases.
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