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A6   U.S. NEWS
                       Tuesday 21 May 2019
            'Hippie' island off Seattle sees shift in low vaccine rate




            By SALLY HO                                                                                                         gressively  remind  families
            Associated Press                                                                                                    when  they're  due  for  vac-
            VASHON  ISLAND,  Wash.                                                                                              cines  and  counsel  them
            (AP)  —  Sarah  Day  is  a                                                                                          on  their  concerns,  wheth-
            school  nurse  with  "street                                                                                        er  rooted  in  scientific  evi-
            cred" when it comes to the                                                                                          dence or not.
            polarizing issue of vaccines                                                                                        "The message is really get-
            on an idyllic island in Wash-                                                                                       ting through. I feel like the
            ington  state  known  for  its                                                                                      tide is really turning on the
            rural  beauty,  countercul-                                                                                         island," Day said.
            ture lifestyle and low immu-                                                                                        A two-year-old health cen-
            nization rates.                                                                                                     ter  at  the  high  school  has
            Since  she  began  commu-                                                                                           been  especially  success-
            nal living on Vashon Island                                                                                         ful.  It's  partly  funded  by  a
            more  than  20  years  ago,                                                                                         county  grant  that  helps
            the  registered  nurse  has                                                                                         cover free shots and servic-
            advocated for getting kids                                                                                          es  for  low-income  or  unin-
            their  shots  against  a  loud                                                                                      sured  students.  About  half
            contingent of anti-vaccine                                                                                          of the school system's 1,615
            parents  in  the  close-knit                                                                                        students are registered pa-
            community of about 11,000                                                                                           tients and an additional 43
            accessible  only  by  ferry,  a                                                                                     children who are in private
            serene 20-minute ride from                                                                                          school  or  homeschooled
            Seattle.                                                                                                            also use the clinic.
            And  it  may  now  be  work-                                                                                        Manager  Stephanie  Keller
            ing,  thanks  to  a  "perfect                                                                                       said  the  center  has  re-
            storm"  of  changes  being                                                                                          ceived a spike in calls from
            felt on the island, Day said.                                                                                       concerned  parents  amid
            The  Vashon  Island  School                                                                                         a  measles  outbreak  in
            District  has  seen  a  signifi-                                                                                    Washington state that's af-
            cant increase in fully immu-                                                                                        fected  at  least  78  people,
            nized children. The number   In this photo taken Wednesday, May 15, 2019, Dr. Jessica Wesch, MD, family medicine physi-  including  seven  reported
            of  kindergartners  who  re-  cian and the site medical director for Neighborcare Health at Vashon, displays an immunization   near  Vashon.  As  of  May
            ceived  the  required  set  of   schedule that she uses to show parents, on Vashon Island.                          17,  880  people  have  con-
            state-mandated  vaccines                                                                           Associated Press  tracted measles in 24 states
            jumped by 31% in the past                                                                                           this year, according to the
            six years, from 56% to nearly  chemicals  in  their  bod-  health  officials.  They  may  they  did  benefits  human-  Centers for Disease Control.
            74%  in  the  2017-18  school  ies,  whether  in  their  food  select some but not all and  kind.  Yeah,  they  got  their  The  outbreak  prompted
            year, according to the King  or  medical  care.  Kids  run  space them out over a lon-  ice cream for it, but they're  Washington  Gov.  Jay  In-
            County  Public  Health  De-  barefoot through untamed  ger period of time.             also   eradicating   polio,"  slee  to  declare  a  state  of
            partment.                    forests and families still raise  Nicky  Wilks,  who  grew  up  Lanphear said.         emergency and sign a law
            Amid  the  nation's  highest  fruits  and  vegetables  with-  on  Vashon  and  has  three  The  number  of  philosophi-  that eliminates personal or
            number of measles cases in  out  pesticides  to  share  in  young  children,  said  the  cal  exemptions  in  Vashon  philosophical  exemptions
            25  years,  pro-vaccine  ad-  meals in communal houses.   changing  attitude  has  led  has  decreased  dramati-    for  the  measles,  mumps
            vocates  are  cheering  the  It  also  has  its  share  of  city  some  pro-vaccine  parents  cally, but there are still 11.6  and  rubella  vaccine  that's
            apparent  shift  that  chal-  commuters,  tourists  and  to  exclude  from  gather-    percent of students whose  needed  before  attend-
            lenges Vashon's reputation  million-dollar     vacation  ings kids who may not have  families  elect  not  to  vac-  ing  a  day  care  center  or
            as a hotbed of highly edu-   homes with sweeping views  their shots, while teenagers  cinate.  That's  five  times  school.  Parents,  however,
            cated,  anti-establishment  of Mount Rainier, as well as  openly  mock  those  who  higher  than  the  national  can still claim a medical or
            parents  who  choose  not  locals pushing the science  aren't vaccinated.              median rate.                 religious exemption.
            to vaccinate their children  that vaccines are safe.      "That's  the  worst-case  sce-  Still, Vashon's progress can't  Some critics say the Vashon
            from  preventable  and  po-  While  the  gains  are  no-  nario,  when  we  are  creat-  be discounted because it's  school  system's  data  isn't
            tentially  devastating  dis-  table,  the  Vashon  school  ing  physical  barriers  in  our  unusual for immunization to  representative  of  the  pop-
            eases.                       district  still  has  one  of  the  community," Wilks said.  increase so steeply in a few  ulation because the island
            "We've  been  the  poster  lowest vaccine rates in the  He  said  he  isn't  against  all  short  years  when  there  is  is  home  to  many  families
            children  for  the  anti-vac-  U.S.  It  is  far  below  the  95  vaccines but doesn't agree  deep-rooted  anti-vaccine  who live  off the grid. Vac-
            cine  or  vaccine-hesitancy  percent  target  that  a  ma-  that  dozens  of  shots  start-  sentiment in the communi-  cine  advocates  argue  it's
            movement  for  so  long,"  jority  of  U.S.  schools  hover  ing  at  birth  are  necessary  ty,  said  William  John  Moss,  an  important  benchmark
            Day said.                    around  and  is  needed  for  despite  health  officials'  in-  an  epidemiology  professor  because  numbers  from  a
            She  attributes  the  rising  herd  immunity,  which  pro-  sistence.  Wilks  declined  to  at Johns Hopkins University.  previous  islandwide  survey
            numbers to increasingly vis-  tects  those  who  haven't  say if his family is fully immu-  "That's  an  important  in-  aligned  with  public  school
            ible  pro-vaccine  informa-  been vaccinated for medi-    nized.                       crease,  but  they  still  have  data.
            tion,  expanded  access  to  cal  reasons  or  because  Gator  Lanphear  says  he's  a  ways  to  go,"  Moss  said.  And  there  are  other  signs,
            shots and media coverage  they are too young.             "very  judgmental"  about  "That's  a  vaccination  rate  too.  The  top  service  pro-
            of measles outbreaks in the  The majority of Vashon par-  parents  who  don't  vacci-  lower  than  in  many  coun-  vided at the student-based
            Pacific Northwest and New  ents  say  yes  to  some  vac-  nate.  He  said  he  not  only  tries in sub-Saharan Africa."  health  center  is  vaccina-
            York this year.              cines, particularly the teta-  immunizes  his  twin  6-year-  Day, the school nurse, has  tions, Keller said.
            The island town with deep  nus  shot  for  their  kids  who  old  daughters  but  instills  in  worked  closely  with  the  "That   surprised   us,"
            roots in organic farming has  play  outside  on  the  for-  them  the  importance  of  new  Neighborcare  Health  Keller  said.  "You  think  of
            long drawn those who want  ested  island.  But  many  still  getting their shots as a he-  clinics,  the  single  largest  Vashon  as  being  this  hip-
            to  escape  urban  sprawl  buck  the  formal  schedule  roic act.                      medical  provider  on  the  pie  place  where  nobody
            and others wary of putting  of shots recommended by  "They understand that what  island.  Together,  they  ag-      vaccinates."q
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