Diphtheria deaths in Malaysia and Vietnam too

Diphtheria is coming back with vengeance  in parts of Asia where it had been well controlled. Malaysia and Vietnam has reported several cases of Diphtheria in last two months along with Kerala state in south India. There has been 5 deaths in Malaysia, 3 in Vietnam and 2 in Kerala. Both in Kerala and Malaysia, adults some as old as 65, are among suspected cases.

All three areas had similarly good control of Diphtheria for several years now , with only a handful of cases yearly and no deaths. In Malaysia and Kerala, religion based superstitions about vaccinations was found to be a major driving factor for poor vaccination coverage and there by reemergence of the disease. In Vietnam too, the propagation of myths about vaccines has reduced its acceptance.

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Medical students battling anti vaccine attitudes

This week-end saw medical students of Kerala’s medical colleges on a campaign trail. They were at the epicentre of anti vaccine campaign in the state, in the rural areas of Malappuram District.

They were at Tanalur, a place near Tirur. People here are fairly prosperous and well-educated. But they feel vaccines are bad for their kids. Here the percentage of children fully vaccinated was well under fifty percent. The families here used to close their doors at health workers who come to their homes urging them to vaccinate.

Some believe naturopath quacks when they say taking vaccines and preventing “harmless” diseases is anti nature. Others believe their political leaders who say vaccines are an imperialist conspiracy to produce sterility in the third world population. Many believe their religious scholars who tell them that Allah is giving complete protection from the womb itself and humans trying to usurp him is not only absurd but against “god”. There are also other allegations against vaccines like they are produced from pig meat and they result in paralysis and mental retardation. In several families, women who wanted their kids to be protected by vaccines had to face tough resistance from men.

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Lethal mix of pseudoscience, religion and conspiracy theories

Media in the state of Kerala, India, has reported prominently another vaccine preventable death in the state. A 15 year old boy from Malappuram district was the latest victim of the lethal mix of religion, conspiracy theories and pseudoscience. He died yesterday due to diphtheria.

Diphtheria outbreaks and deaths are not a big news in rest of India. India has 10-15 times more Diphtheria cases than any other country in the World. But it is news in Kerala state as it has comparatively much better health care record. Here in Kerala the diphtheria cases and thereby deaths are extremely rare in the last 10-15 years. Average annual incidence of diphtheria was around 10 cases in the whole of the state. But last two years saw a sudden spurt of cases from Malappuram and Kozhikode districts. There were also two deaths last year.

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