Jill got the MUMPS.

[Guest guest]

Mumps outbreak in Christian group raises ethical alarms

http://tinyurl.com/6x7j95

There are far-reaching implications to a Chilliwack Christian group's refusal to have its members immunized against mumps, which has contributed to an outbreak of the viral disease in the Fraser Valley.

The unidentified Christian community's stand against immunizations raises controversial ethical questions about religious freedom and the obligation of an individual or community to both children and the larger society.

A small number of religious groups around the world oppose immunization. That, health officials say, has led led in past decades in North America, Africa and Europe to unusual outbreaks of polio, measles and other infectious diseases.

In a related development in the U.S., a growing number of parents worried about possible health side-effects of immunizations are refusing them by claiming a religious exemption -- including many who later admit their reasons were not religious.

"I don't think this issue is a small matter. It's best to look at it in its complexity," said Alister Browne, director of ethics and law at the University of B.C. medical school.

The ethical importance of a society protecting the health of children and others against infectious disease, Brown said, must be weighed against a person's right to religious freedom and the level of risk involved to others in refusing immunizations.

He said some infectious diseases are much more dangerous than others. Mumps, which for two-thirds of people is no more troublesome than a cold, can in rare cases lead to sterility, is a less serious infectious disease than, for instance, life-threatening polio, said Brown.

However, the medical ethicist said the relatively low health dangers associated with mumps (which many people over age 50 had as children) should not cause parents to ignore that there is some valid moral pressure on them to agree to immunizations.The Canadian pro-vaccination poster, below, shows how serious health officials take the issue as an ethical imperative.

Even though it's theoretically possible for a tight-knit group of strongly religious adults to refuse vaccinations and not endanger anyone but themselves, Brown said "in the real world today" it's almost impossible to contain such an infectious virus.

Health officials have said the Fraser Valley mumps outbreak appeared to originate with two people from Alberta carrying the mumps to an unidentified Christian community near Chilliwack that has a low rate of vaccinations.

According to the Fraser Health Authority, there have been 116 confirmed cases of mumps and another 74 suspected cases since February. On average, the region has only 10 cases a year of the viral disease, which typically spreads through an exchange of saliva.

Cases have been reported as far west as Burnaby. Vancouver has had only four cases this year, a normal number, with no known connection to the valley outbreak.

The Handbook of Religion and Health, edited by Dr. Harold Koenig, reports that in the past several decades there have been outbreaks of infectious diseases, including polio, measles and rubella, among several religious groups that shun immunizations. They have included Christian sects in Nigeria, Old Order Amish and Mennonite communities in the Eastern U.S. and Dutch Reformed churches in the Netherlands.

Despite arguments for religious freedom, Mc, professor in the Maurice Young Centre for Applied Ethics at UBC, believes adults in the Chilliwack community may be ethically required to accept vaccinations to protect their children and members of the larger society.

The health and safety of others, particularly children, is a justified "limit to religious freedom," Mc said Wednesday.

Dr. Brodkin of the Fraser Health Authority said she understands that the Chilliwack religious group, which she would not identify, interprets scripture to believe that agreeing to an immunization shows a lack of faith in God's ability to provide protection.

However, Mc said adults in the Christian group will now have to do some "sober reflecting" as they face the reality that their community has not been spared from mumps.

Anti-vaccination beliefs in both Canada and the U.S. are not restricted to religious groups.