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Jason Beaubien. The country's measles outbreak has been partly driven by distrust of vaccines after a dengue vaccine scandal. The measles outbreak got so bad in Manila, Philippines, that San Lazaro Hospital had to Tumblr girl in hospital bed up tents in the parking lot, the courtyard and even the landing at the top of the stairs outside the pediatric ward to house patients.

Ferdinand de Guzman, the head of family medicine at the hospital. He says that at one point in February, there were three patients per bed in some measles wards at his hospital.

They were being treated for the complications that the disease can bring. At the Corazon Aquino Health Center in the Baseco neighborhood near the port in Manila, mothers register their kids for free childhood immunizations and checkups.

Fifteen years ago, the Philippines had nearly eliminated measles, but the virus has made a strong comeback. Since January, the Philippines has had one of the worst measles outbreaks in the world: more than 33, cases and deaths from the vaccine-preventable disease.

The outbreak has been driven by distrust of vaccines as well as by declining rates of routine childhood immunization in the sprawling island nation. To try to contain the current Tumblr girl in hospital bed, the government launched a massive nationwide measles vaccination campaign. Health workers inoculated 5. The government hopes to immunize another 15 million by the end of September.

The targeted vaccinations slowed Tumblr girl in hospital bed outbreak significantly, but the country Tumblr girl in hospital bed to see hundreds of new cases each week. Standing in a measles ward at San Lazaro Hospital, de Guzman says the hospital is now getting six to 10 new patients every day. Most are children. Ferdinand de Guzman, head of family medicine at San Lazaro Hospital in Manila, says this measles outbreak was so bad Tumblr girl in hospital bed at one point this year there were three patients per bed in some measles wards.

An 8-year-old girl is lying Tumblr girl in hospital bed a hospital bed in a pair of bluejeans shorts and a faded T-shirt.

She's so dehydrated her lips are cracked. The nurses have hooked up an IV drip to her foot but she rolls constantly from her fever, so they've had to secure the line with surgical tape. In high-income countries where measles patients quickly get medical attention, deaths from the disease are rare. But in the Philippines and other less wealthy parts of the world, measles is still potentially fatal. In addition to the hundreds of kids who've died since January in the Philippines, measles has also claimed more than a thousand lives this year in Madagascar.

At the Corazon Aquino Health Center in Manila, a father holds a piece of gauze against his son's arm. The month-old had just been Tumblr girl in hospital bed an injection to immunize him against measles and rubella. De Nude african student boob says the most dangerous complication from measles is a type of pneumonia that if not treated quickly with antibiotics can be fatal.

The 8-year-old patient whom de Guzman Tumblr girl in hospital bed checking lives with her family in Manila North Cemetery, one of the oldest cemeteries in the capital. In Manila, there are poor families living on the streets, in parks and even in cemeteries. Her father says the girl had been vaccinated against measles, but de Guzman is skeptical. He says the Barbara eden i dream of jeannie porn is very effective.

If she'd been vaccinated, she probably wouldn't be here. So they [the mothers] will say their children were given the vaccine, but it turns out they didn't have the vaccine. Measles is a highly contagious airborne virus. It can linger in a room, an airplane or a bus for a couple of hours if an infected person coughs or sneezes. The Philippines has never reached such a high vaccination coverage rate.

Several reasons explain why vaccination rates in the Philippines aren't up to where public health officials say they need to be. It's a lower-middle-income country spanning more than 7, islands with a limited health care budget. So there's the sheer difficulty of getting vaccines to everyone who needs them.

But there's another reason behind the outbreak. The country suffered a major vaccine scandal two years ago that has left many Filipinos distrustful, even fearful of vaccines. Inthe Philippines started a nationwide effort to immunize kids against dengue.

The French pharmaceutical company Sanofi had just won approval for what health officials hoped could be a game-changing weapon against the brutal tropical disease. But after almost a million kids got the new dengue shot, called Dengvaxia, the campaign was suddenly suspended. It had become clear that the vaccine could make some children susceptible to severe, even fatal dengue. The government revoked the Tumblr girl in hospital bed for the vaccine, brought criminal charges against officials responsible for the campaign and filed suit against Sanofi over the deaths of 10 youngsters.

The plan is to run mass vaccination campaigns. Health workers try to reach everyone not yet immunized, particularly young kids, and revaccinate people in areas where there are large numbers of cases. Then there are the issues of fear and mistrust. In some communities, villagers not only refused to be vaccinated, de Guzman says, but Tumblr girl in hospital bed the vaccinators out of town. Amelia Apang, a midwife and community health worker in an indigenous community north of Manila, checks the vaccination records Tumblr girl in hospital bed a local mom.

Amelia Apang is one of those community health workers — a midwife in a remote indigenous community called Nabuklod two hours northwest of Manila. Apang, who Tumblr girl in hospital bed from this community, says no one let loose their dogs on her. But she says that convincing parents to immunize their kids was much harder after the Dengvaxia scandal. She explains that in the local Aeta culture, there's a belief that any harm that comes Tumblr girl in hospital bed your children will also come to you.

She says that before the s, no one in the villages Tumblr girl in hospital bed Nabuklod was immunized for anything. But slowly, things changed. She and other health workers knocked on doors, badgered mothers and brought vaccines directly to kids. Vaccination rates for many diseases in the community had been steadily increasing. Then the dengue vaccine scandal hit. The fear wasn't just about the dengue vaccine.

Tumblr girl in hospital bed were refusing to have their kids get any injections. Even though no one in this village reported any problems from the dengue vaccine, some parents pulled their children out of school, angry at the teachers who'd organized the dengue vaccination campaign. Eventually they will let their children Tumblr girl in hospital bed vaccinated again.

But it will take time to remove those issues from their minds. Anna Ong-Lima practicing physician who's the head of the Pediatric Infectious Disease Society of the Philippines, says mothers Topless milf big boobs mature lots of reasons why they haven't been getting their kids vaccinated.

They're too busy. They're working. They forgot. But one excuse was new this time around. The dengue vaccine scandal undermined trust not just in vaccines, she says, but in the department of health overall. In some villages, people are now even rejecting deworming pills that are part of Tumblr girl in hospital bed annual summer national blitz against parasites.

The worst of the outbreak seems to be over. The number of new measles cases each week is declining. In February and March, the country was recording more than 3, new cases each week. Now it's down to a few hundred per week, which officially is still classified as an epidemic by the health department but is much better than the numbers in February.

So Tumblr girl in hospital bed mass vaccine campaign appears to be working. Ong-Lim says that once this outbreak is over, the next big challenge will be restoring public confidence in the health system. And she says there might be one silver lining to the current measles crisis. But the crisis also drew millions of Filipinos back into the health system, either to get vaccinated against measles or to treat their loved ones who'd come down with the disease.

Over the last three months, health workers in the Philippines have vaccinated 5. The government hopes to inoculate a total of 20 million — one fifth of the population — by the end of September. Accessibility links Skip to main content Keyboard shortcuts for audio player.

Don't Tell Me! NPR Shop. Facebook Twitter Flipboard Email. May 23, AM ET. Heard on Morning Edition. Enlarge this image.

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