The Daily Courier

Measles still take a deadly toll around the world

- KEITH ROACH

DEAR DR. ROACH: My mother had the measles. She also had mumps and German measles. She stayed home for a few days, used up a box of tissues and went back to school a week later. But some doctors quickly learned that if they didn’t pretend that these viruses were deadly, they wouldn’t make any money.

Anyone fearful of these viruses is a product of brainwashi­ng. How many people in this country have died of measles this year? Zero. But many had measles. So what did we learn? Measles are not deadly.

ANSWER: If you were to think of a deadly disease, you might think of something like Ebola, some outbreaks of which have killed 90 per cent of people who are infected. Some might consider rabies, which is nearly always fatal in someone who isn’t vaccinated before developing symptoms.

Measles doesn’t come to mind for most. Few Americans under the age of 50 have seen a case. Only about one person per thousand dies of measles in North America. (Another one per thousand may develop encephalit­is, a severe inflammati­on of the brain. One in 2,000 or so will develop subacute sclerosing panencepha­litis, a uniformly fatal late complicati­on.) With measles rates having been low in the past few decades, measles deaths in the U.S. are indeed rare.

However, worldwide, it’s another story. Every year, 146,000 people die of measles, dwarfing Ebola or rabies as a far deadlier disease. There are ongoing outbreaks in Europe right now, with multiple deaths.

Doctors push hard for vaccinatio­n, despite the fact that vaccines make doctors little, if any, money.

We do not want the days of rampant measles back again, with hundreds of thousands of sick kids per year and hundreds of deaths. Anyone with a sense of history rightly fears measles.

Fortunatel­y, measles could be completely eliminated from the planet, the same way smallpox was, with appropriat­e vaccinatio­n.

DEAR DR. ROACH: I am nearly 65 years old. I am currently experienci­ng headaches on the left side of my head.

I also have had some memory problems. My MRI report said that I have: “increased signal in the periventri­cular and sub-cortical white matter. These changes are nonspecifi­c and may be related to microvascu­lar ischemia.”

I stopped smoking in 1980 and have not smoked since. I have had high blood pressure since 1997, but I have been under medication treatment, first with atenolol and now with lisinopril, and have a stable blood pressure of 130/80.

I want to stop and reverse whatever is causing this. I want to prevent any further damage to my brain, because I do not want to be a burden to my sons.

Can you please help me reverse this?

ANSWER: The brain consists of grey matter and white matter. Grey matter are mostly the nerve cell bodies, and white matter are mostly the connection­s between different areas of grey matter. Both grey and white matter need to be functionin­g properly for overall brain to do so.

Abnormalit­ies in the white matter of the brain are nonspecifi­c.

Many conditions can cause the kinds of changes seen on your MRI scan; however, the most common causes I see are high blood pressure and smoking. I’m glad you quit smoking and that your blood pressure is under reasonable control.

Some doctors would recommend (and I’m one of them) getting the blood pressure down a bit more: below 120/80, as long as it isn’t causing symptoms, to prevent further damage. I’m afraid there is no way we know of to reverse damage that is already there.

Regular moderate exercise and a healthy diet (with less meat and more vegetables than most eat) can help as well.

Readers may email questions to ToYourGood­Health@ med.cornell.edu

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