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Don't know where that 95%+ comes from.  It's 91.6% in the UK for MMR.  
It's also known that there are clusters of lower coverage.


On 08-Aug-18 11:12 AM, Juan Gérvas wrote:
> -the question is about bad science for explaining vaccines herd inmunity
> -but Spain and the *UK* don’t have mandatory vaccination, and vaccine 
> coverage is well over 95%.
> -having not a compulsoy vaccination policy is not anti-science movement
> -what is the EBM for compulsory vaccination except in emergency 
> situations?
> -see:
> Restrictions should only be placed after meeting certain conditions to 
> ensure judicious use of this power.
> https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1592474/
>
> It is a reasonable argument that all children should be vaccinated for 
> the protection of society; however, vaccination policies outside the 
> UK demonstrate that compulsion does not guarantee high rates of 
> immunisation, and that education and engagement can be highly successful.
> http://ojs.lib.ucl.ac.uk/index.php/up/article/view/1383
>
> An educational program should be set up to explain to Vaccination 
> staff  the value and worth of voluntary compared to mandatory 
> vaccination and  why high vaccination rates do not have to depend on 
> compulsion.
> https://bmchealthservres.biomedcentral.com/articles/10.1186/1472-6963-9-100 
>
> -un saludo juan gérvas @JuanGrvas
>
> El mié., 8 ago. 2018 a las 11:54, Iovine Roberto 
> (<[log in to unmask] 
> <mailto:[log in to unmask]>>) escribió:
>
>
>     so we need more compulsory vaccination, well over the 95% of the
>     population.
>     i am afraid the italian government is about to introduce a
>     non-compulsory politic.
>     poor italy, the country of Galileo is going to lead the
>     anti-science movement
>     roberto iovine
>     ------------------------------------------------------------------------
>     *Da: *"Juan Gérvas" <[log in to unmask] <mailto:[log in to unmask]>>
>     *A: *[log in to unmask]
>     <mailto:[log in to unmask]>
>     *Inviato: *Mercoledì, 8 agosto 2018 11:38:35
>     *Oggetto: *herd inmunity, no so simply
>
>     -an example of vaccines oversimplification, bad science
>     -this "explorable" is full of mistakes and errors:
>     /This explorable illustrates the mechanism of herd immunity.  When
>     an infectious disease spreads in a population, an individual can 
>     be protected by a vaccine that delivers immunity. But there's a
>     greater  good. Immunization not only projects the individual
>     directly. The immunized  person will also never transmit the
>     disease to others, effectively  reducing the likelihood that the
>     disease can proliferate in the  population. Because of this, a
>     disease can be eradicated even if not the  entire population is
>     immunized. This population wide effect is known as  herd immunity. /
>     http://www.complexity-explorables.org/explorables/herd/
>     -1/ "The system is initially fully susceptible with a few infected
>     individuals randomly scattered into the population". Usually, many
>     individuals without the vaccination are not susceptible, but
>     immunized because the natural infection.
>     -2/ "An infected individual remains infectious for some time,
>     recover subsequently, and become susceptible again". In many
>     cases, an infected individual recover subsequently, and become
>     protected for the whole life.
>     -3/ "The immunized person will also never transmit the disease to
>     others" In some case yes, in others no. See the diphtheria
>     vaccine. Vaccinated individuals can carrier toxigenic diphtheria
>     germs and transmit the disease to others.
>     -4/ In most cases (except perhaps for the vaccine of yellow fever)
>     "inmunity" is not for ever. Most vaccines simply delaye the
>     "window" for infections (they are time bombs). This is the case of
>     measles vaccine and why in New Zealdand will add a supplementary
>     (3rd shot)
>     https://www.sciencedirect.com/science/article/pii/S0264410X17310034…
>     <https://t.co/516hwI1hh3>
>     -the author could help readers with a "note" as: "This a
>     theoretical situation. In practice the situation of the naive
>     American indians when the Spaniards arrived with measles, for
>     example (a new disease in America). [but at that time we have no
>     measles vaccine] Or, when developing a vaccine against gonorrhea,
>     where a protective immune response is absent (by contrast syphilis
>     infection produces a partially protective immunity)
>     https://www.nature.com/articles/nature03072…
>     <https://t.co/SMSs4lrXq4> "
>     -it is not so simple. Herd immunity. Measles. The 95% coverage
>     mantra. Measles outbreak with more than 97% coverage (Navarra,
>     Spain; Porto, Portugal; Gothenburg, Sweden
>     http://crofsblogs.typepad.com/h5n1/2018/01/sweden-measles-outbreak-also-affects-vaccinated.html…
>     <https://t.co/QnM7n7YG6v> And many vaccines have no heard inmunity
>     at all: tetanus, rabies, diphtheria,...
>     -un saludo juan gérvas @JuanGrvas
>
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