美两州麻疹死亡引发争议，儿科专家呼吁加强疫苗接种
Pediatrician says RFK Jr. sowing doubt about measles-associated deaths
N SESSION, FALL IS JUST AROUND THE CORNER, AND THAT MEANS VIRUSES, COLDS AND FLU ARE ON THEIR WAY BACK TOO. TODAY, A COALITION OF LEADING MEDICAL GROUPS ISSUED THEIR OWN VACCINE GUIDANCE, IN RESPONSE IN PART TO CHANGING AND CONFUSING MESSAGING FROM FEDERAL OFFICIALS. GEOFF: THIS ALL COMES ON THE HEELS OF RISING MEASLES CASES IN MULTIPLE STATES THIS YEAR, AND TWO RECENT DEATHS THAT HAVE BECOME THE CENTER OF A HOT DISPUTE.
随着秋季临近，病毒、感冒和流感也将卷土重来。今天，一个由主要医疗团体组成的联盟发布了他们自己的疫苗指南，部分是为了回应联邦官员不断变化的令人困惑的信息。GEOFF：这一切都发生在本年多个州麻疹病例上升以及两起近期死亡事件成为激烈争议焦点的背景下。
WILLIAM BRANGHAM TELLS US MORE. WILLIAM: LAST WEEK, PENNSYLVANIA'S GOVERNOR, DEMOCRAT JOSH SHAPIRO, PUBLICLY ANNOUNCED THAT TWO PEOPLE HAD DIED, BOTH OF WHOM HAD MEASLES. ONE WAS A NEWBORN WHO GOT THE VIRUS FROM HIS MOTHER. THE OTHER PERSON WAS ALSO UNVACCINATED. STATE OFFICIALS CALLED THESE "MEASLES-ASSOCIATED DEATHS," BUT THE CDC TOOK THE UNUSUAL MOVE OF CONTRADICTING STATE OFFICIALS ON THAT CLASSIFICATION. FOR MORE ON THIS MOMENT THAT WE'RE IN, WE'RE JOINED AGAIN BY PEDIATRICIAN DR.
威廉·布兰汉姆为我们带来更多详情。威廉：上周，宾夕法尼亚州州长、民主党人乔什·夏皮罗公开宣布两人死亡，均死于麻疹。其中一名是新生儿，从母亲那里感染了病毒。另一人也未接种疫苗。州政府官员称这些为“与麻疹相关的死亡”，但疾控中心采取了不寻常的做法，反驳了州政府官员的这一分类。关于我们目前所处的这一时刻，我们再次连线儿科医生保罗博士。
PAUL OFFIT - WHERE HE ALSO DIRECTS THE VACCINE EDUCATION CENTER AT CHILDREN'S HOSPITAL OF PHILADELPHIA. WELCOME BACK TO THE PROGRAM. THERE ARE THESE TWO DEATHS IN YOUR STATE. BOTH PEOPLE HAD MEASLES. STATE PUBLIC HEALTH OFFICIALS SAID THESE WERE MEASLES ASSOCIATED DEATHS, BUT THE CDC LATER ARGUED, THERE IS NOT ENOUGH INFORMATION AND WE ARE NOT GOING TO CATEGORIZE THEM THAT WAY.% THIS, AS YOU WELL KNOW, HAS NOW BLOWN UP INTO THIS BIG FIGHT BETWEEN YOUR GOVERNOR SHAPIRO AND HHS SECRETARY ROBERT F KENNEDY, WHO ALLEGED THAT SHAPIRO WAS GIDDY IN ANNOUNCING THESE DEATHS AND HAD POSSIBLY FABRICATED THE CAUSE OF THESE DEATHS.
保罗·奥菲特——他同时担任费城儿童医院疫苗教育中心主任。欢迎回到节目。你们州发生了这两起死亡事件。两人都患有麻疹。州政府公共卫生官员称这些是与麻疹相关的死亡，但疾控中心后来辩称，信息不足，我们不会将其归类为此类。正如你所知，这现在已经演变成你所在的州州长夏皮罗与卫生与公众服务部（HHS）部长小罗伯特·F·肯尼迪之间的一场大争论，后者声称夏皮罗在宣布这些死亡时过于兴奋，并可能捏造了死因。
WHAT DO YOU MAKE OF WHAT HAS GONE DOWN HERE? DR. OFFIT: I THINK THE PENNSYLVANIA DEPARTMENT OF HEALTH COULD HAVE HELPED US OUT MORE HERE. I MEAN, WHEN THOSE TWO LITTLE GIRLS DIED IN WEST TEXAS LAST YEAR, THE SIX YEAR OLD AND EIGHT YEAR OLD UNVACCINATED GIRLS DIED, YOU KNEW THE CAUSE OF DEATH. MEASLES, PNEUMONIA, WHICH IS TYPICALLY THE CAUSE OF DEATH. HERE, THEY DIDN'T REALLY ANNOUNCE SPECIFICALLY WHAT THE AGES WERE OF THESE TWO PEOPLE DIED, WHAT THEIR VACCINATION STATUS WAS, OR WHAT THEIR CAUSE OF DEATH WAS.
你对这里发生的事情怎么看？奥菲特博士：我认为宾夕法尼亚州卫生部本可以在这方面提供更多帮助。我的意思是，当去年德克萨斯州西部两名小女孩——六岁和八岁的未接种女孩——死亡时，你知道死因。麻疹、肺炎，这通常是死因。在这里，他们并没有明确说明这两名死亡者的年龄、疫苗接种状态或死因。
SO THAT COULD HAVE HELPED US OUT. BUT I THINK ROBERT F. KENNEDY, JR. HAS DIVERTED THE CONVERSATION AWAY FROM WHAT WE SHOULD BE HAVING. WHAT WE SHOULD BE HAVING IS WE KNOW THAT OVER THE LAST YEAR AND A HALF, WE'VE HAD 5000 REPORTED CASES OF MEASLES IN THIS COUNTRY. AND WHEN YOU TALK TO PEOPLE ON THE GROUND, BOTH IN TEXAS OR IN SOUTH CAROLINA OR NOW IN PENNSYLVANIA, THEY THINK THAT IS A VAST UNDERESTIMATE. THEY THINK THERE COULD BE 3 TO 4 TIMES THAT NUMBER OF CASES.
这本来能帮上我们的忙。但我认为小罗伯特·F·肯尼迪把话题从我们应该讨论的内容上引开了。我们应该讨论的是，过去一年半里，我国报告了5000例麻疹病例。当你与一线人员交谈时，无论是在德克萨斯州、南卡罗来纳州还是现在的宾夕法尼亚州，他们都认为这是严重的低估。他们认为实际病例数可能是这个数字的3到4倍。
NOW YOU'RE HEADING INTO THE WINTER MONTHS AND CHILDREN ARE GOING BACK TO SCHOOL. MEASLES IS A WINTER-SPRING DISEASE. AND I THINK THE CONVERSATION SHOULD BE, LET'S IDENTIFY THESE HIGH RISK COMMUNITIES LIKE THE LANCASTER COUNTY COMMUNITY IN PENNSYLVANIA, GET CLINICS OUT THERE, AND VACCINATE AS MANY KIDS AS WE CAN SO THAT WHEN WE HEAD INTO WINTER AND SPRING, WE DON'T SUFFER EVEN MORE CHILDREN SUFFERING, MORE CHILDREN BEING HOSPITALIZED AND MORE CHILDREN DYING OF THIS,
现在你即将进入冬季月份，孩子们也要返校了。麻疹是一种冬春季节的疾病。我认为讨论的重点应该是，让我们识别出像宾夕法尼亚州兰开斯特县社区这样的高风险社区，派出诊所，并尽可能多地为儿童接种疫苗，这样当我们进入冬春季时，就不会有更多儿童受苦、更多儿童住院以及更多儿童因这种疾病死亡。
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