霍楚州長向紐約民眾通報應對麻疹措施

【音樂】 Governor Kathy Hochul Good afternoon When I first took office as governor New York was weathering one of the most severe public health crisis in our lifetimes Covid was in every corner of the state Omicron was surging We listened to the scientists, the experts and we put shots in arms And together we conquered the pandemic and saved countless lives Much of that work was done because of the incredible dedicated, underappreciated by many The staff here at Wadsworth And I want to thank them always for being on the frontline during those dark, dark days and the sleepless nights and long, long months of research and making sure we had supply of our vaccinations but also what they're doing now And I want to thank especially Dr. Leonard Peruski, our director And I want to recognize him for leading an incredible team here as well I'm also joined by Dr. McDonald our commissioner of health I'll be introducing him momentarily and Catherine Garcia, head of state operations We're here today at Wadsworth because since the beginning of the year New York has now reported four individual cases of measles Now, this cannot be classified as an outbreak We know how to handle this We do not have another pandemic on our hands But at this early stage I thought it was important to sound the alarm to provide New Yorkers information and share our plan for stopping the spread of this disease any further First, here are the facts As I said, we have four individual cases that we believe are unrelated Three in New York City, one in Suffolk County Now, these numbers themselves are not inherently a cause for concern And for example, in 2024, we had 15 cases But nationwide, we're seeing very concerning trends 350 measles cases around the country 81% right now are part of an outbreak in West Texas And of those sick in West Texas three-quarters are unvaccinated And also of great concern to us as a border state to Canada there are 350 cases reported since last fall in Ontario literally right across the border from our state So the good news is we're alert, we're vigilant, we're watching But also we have the power to stop any outbreak It rests in our hands Now, the measles vaccine is remarkably effective According to the CDC, two doses of the MMR vaccine have a 97% effective rate And this is available to all Now, children get the shots But also, if you're not sure if you had a shot when you're a child, you should see your doctor Make sure that there's no danger in talking to your doctor about possibly getting immunized once again And if you have your vaccination the overwhelming evidence is that you'll be safe It's the only thing to do It's smart, it's responsible For young people, the elderly, the immunocompromised those are especially vulnerable individuals So it's also not just protecting yourself similar to the COVID vaccine It's about protecting your community And this is what the doctor will be speaking about momentarily as well I know vaccinations have for some reason become a very divisive topic in recent years It pains me to think that in the year 2025 that we're still debating whether vaccinations are safe when in fact the scientific evidence is overwhelming I want to speak directly to the leaders of our state our clergy, the activists, the mentors those who are looked up to the pillars of our communities who are really the ones who are the honest brokers the ones who speak truth and people listen I want them to help us take on this threat by helping get more information about vaccinations and literally getting shots in arms Help us encourage everyday New Yorkers who want only the best for their families to get the vaccination Because there are numbers that are still deeply troubling I look at some I look at the numbers of our state Orange County, 64.9% are vaccinated Yates County, only 55.8% are vaccinated Now the majority overall, 81% for the state of New York That's a good number It should be a higher number Because otherwise, again, we are exposed West Texas may seem like a long way off Ontario is just across the border And that is what people need to be aware of why we're being so vigilant at this time But I know a little bit about this Because as a mom, I took my kids to those shots I'd listen to them cry But I knew it was very, very important For their long-term health And that's why we do what we do Looking out for our most precious The most precious individuals in the world to us Who are our children And I want to make sure that people know That when wrong information is being disseminated That the truth tellers stand up and say no That is not accurate Now our concern also lies with the fact that The Health and Human Services Secretary Robert F. Kennedy Jr. Is the nation's leading vaccination skeptic He's been quoted as saying that cod liver oil Has been getting very good results For people who are sick with measles Do you agree with that, Dr. McDonald? No, it's terrible All right, it's terrible You heard it from Dr. McDonald It is terrible That is wrong Cod liver oil will not protect you from measles It's baseless, it's irresponsible And puts lives at risk He also said the decision to vaccinate Is a personal one A personal decision is What are you going to do tonight for dinner? What are your weekend plans? What's for lunch? Those are personal decisions But when it comes to the overall health of our state And the people we love It's much larger than a personal decision Let me end with this We've had measles available since 1963 The vaccination has been determined To have saved 60 million lives Over the last 20 years alone 60 million lives, that's extraordinary We cannot go backwards In this time of fear and disinformation It will only wreak havoc on our state So I'm encouraging everyone Let's go forward together Into an era where we actually respect The doctors and the researchers And scientific advancement So no child ever has to suffer The effects of a 104-degree fever Or the pain of a burning rash We can make our society free Free from this, or at least our state That's what I'm calling on all New Yorkers If you've not been vaccinated Your child's not vaccinated Please step up and get it done Adults, if you're not sure There's no harm in asking again And for anyone looking for more information We ask you to visit our website ny.gov slash measles Now I'd like to invite Commissioner McDonald To speak about his experience as a doctor Thanks, Governor Hochul And welcome everyone to One of our state health labs It's good to have you here at Wadsworth Thanks, Dr. Peruski For making us feel so welcome I just want to talk a little bit about Immunization rates first You know, I want to just put A little bit of specificity About our numbers in New York State So when you look at One of the metrics I look at is What percentage of children Do I have immunized under the age of 2 The number I want to see is over 95% What I have in New York State right now Is 81.4% What we see that was In New York, people are getting Their vaccine eventually So by kindergarten I need you to have two doses And then I get up to over 90% Still not over the 95% number I'm looking for One of the things Governor Hochul Talked about, though, is I have certain regions of the state Where the vaccine reluctance Is more of a concern than others And I say reluctance intentionally You know, I think there's a lot of reasons Why people choose not to get a vaccine But really, I think one of the things To underscore is The measles, mumps, or umbrella vaccine The one we use right now That's been around since 1971 That's 54 years for those of you Who can do the math really quick in your head And the original measles vaccine Has been around since 1963 A very safe vaccine I've been a pediatrician for over 35 years I still haven't had a parent call me After the measles, mumps, or umbrella vaccine With a serious concern And I've personally administered Over tens of thousands of doses of vaccine So I know what the measles, mumps, or umbrella vaccine does It protects children from measles I want to talk a little bit, though, about The clinical presentation of measles It's very likely no one in this room Has ever seen anyone with measles Except for me So I thought I'd just share with you How measles usually presents The first couple days And I just want to keep this in mind You don't show your measles symptoms Until about 7 to 14 days after you're exposed Just keep in mind, by the way If in a room like this If someone had measles And you guys weren't vaccinated Everybody would get measles It's that contagious, right? Not even just everybody in the room But anybody who walked in the room For the next hour and a half I just want to underscore How contagious measles is So the way the clinical presentation starts Is someone starts with a cough Runny nose, runny eyes, and a fever So it starts to look like A common cold at that point Although the fever can get up to 105, 104 So that's a little different Than most colds, right? Then what happens next A couple days later Is you get these little spots Inside your mouth Called Coplex spots And Coplex spots are unique to measles They see them in no other disease And then the telltale rash Of measles appears It's kind of this flat red rash And then red bumps appear It starts on the head Goes down the trunk And over to the extremities So that's what happens with measles Now keep in mind People are most contagious with measles 4 days before they get the rash And 4 days after they've had the rash Couple things about measles It's not a harmless childhood infection That's really not true If you look at the numbers On the U.S. outbreak right now Keep in mind 350 cases in the United States right now That's a lot But you're seeing about 1 in 5 Or 20% end up in the hospital That means they were sick enough To end up in a hospital That's a number that should bother everybody That's a lot of people Ending up in the hospital Keep in mind 75% of the people Who are getting measles in the United States Are under 19 years old So we're talking about children The most common complication of measles Is pneumonia An infection in your lungs Less common but more serious Is encephalitis Encephalitis is an infection around your brain So that's very serious as well One of the things that happens with measles By the way too Which doesn't happen with other diseases This has only been learned In the last decade or so Is something called measles immune amnesia In other words If you get measles For the next couple of weeks Couple of months or a year Depending on who you are In your immune system Your immune system forgets How to fight other infections So you're more susceptible To other infections And so that's just one of the reasons Why I make sure it's really clear Measles is not a harmless childhood infection Measles is a serious disease And it can be prevented So I want to talk a little bit more about What we're doing as New York State Department of Health About this So February 26th We sent out a provider advisory To all the local health departments All the health care providers in New York State And here's what we said Here's what the situation is In the United States with measles We're reminding people What does measles look like Keep in mind Most physicians have never seen A patient with measles They've just learned about it from books And then we also remind people How do you get the specimen To test for measles Because you know as a doctor If you don't do something often You know you should remember How to get the test So how do we get the specimen And where it needs to go to And I think it's important That people understand We interact with local health departments And health care providers a lot Through health advisories a lot We're their expert And we're making sure They're your expert Another thing we did Is we made a one-minute Public service announcement What I did is I spoke directly To individuals It's circulating right now On social media Just explaining to people What measles is Why the vaccine is so important And just an example Of one of the things we do We interact all year long With local health departments And other experts But yesterday for example I was in Saratoga We had this statewide Immunization meeting Where all the local health departments Were convened And we talked not just about measles But all vaccine-preventable diseases Just to get new ideas And new strides About how to really address Vaccine hesitancy But just as importantly To address vaccine confidence And make sure we understand That people can show Our vaccine confidence One of the things I really thought That was great That Governor Hochul said I think it's so important is It's really important For community leaders To be ambassadors for immunizations I've been a pediatrician for 35 years I have the safest Most effective vaccines I've ever seen in my career I want everyone to be prevented From getting these diseases And I want to underscore How effective they are The measles, mumps, and rubella vaccine 97% effective We can achieve herd immunity And one of the things I want to close with is This disease should be Eliminated not just in the United States But across the globe We could actually eradicate measles Across the globe It's not for want of technology It's just for want of people Not just in New York Not just in the United States But across the globe Availing themselves to the vaccine Fortunately in New York State In the United States There's no shortage of vaccine Plenty available Anybody can get it who wants it And with that I'm going to turn it back over to the Governor Thank you very much Thank you, Dr. McDonald Always reminding me why I selected you as my Commissioner of Health You just have a down-to-earth Natural way of communicating That is so relatable That is one of your greatest strengths And you always take it back to your days As a pediatrician Which is so valuable Again, having seen measles cases Unlike many people in the profession Certainly gives us an advantage Here in the state So thank you for all you do And happy to take any On-topic questions Governor, the patients in New York State Who have been diagnosed Did they travel elsewhere Or did others from other places In the country visit them? Do you have the data? Yeah, we have that So that's a great question, right? 'Cause one of the things you're asking is Is it imported, right? And so of the four cases Three were imported In other words, travel-associated cases The other one we don't have a source for But one of the things That's important to understand Is right now We haven't seen any secondary cases From measles And I want to underscore That's not an accident That's because local health departments Do the hard work of doing Informing everyone Finding out who's a contact And one of the things you can do for someone If you've been exposed to measles We can give you post-exposure prophylaxis In other words, immune globulin If you haven't had the vaccine But I need people to really I don't want to keep driving This point home, my friends But it's the main point I have a safe and effective vaccine That's been around since 1971 Best protection available Please don't get lost in this And here's the thing Some of you look like You might have been born before 1957 I won't tell you who But if you've been born before 1957 You're considered measles immune If you've been born after 1957 You need 2 doses So we give now 1 dose When you're 12 to 15 months old And the second dose When you're going to kindergarten, right? But if you're an adult And you haven't had 2 doses Don't get blood titers To see if you're immune Just ask your doctor For the second dose of measles Mumps or umbrella vaccine Thank you Another question If parents suspect That their child might be infected Would it be irresponsible Would it put others at risk To take that child to the ER So if you suspect Your child has measles What you want to do Is call your doctor first Because, you know, what a lot of doctors Just have a way to enter the office So you can be seen here, right? And then you can see it privately When you go to the emergency department What you end up doing is Exposing everyone else In the emergency department Remember how I gave you The illustration of this room If someone had measles We all weren't immunized Everybody would be infected, right? So if you go to the emergency department You're exposing everyone To your case of measles Now when you think of that waiting room In the emergency department You don't know Who's had the measles vaccine And you also don't know More importantly Who's got a compromised immune system There's a reason why They're called emergency departments Everybody goes there, right? So you really don't want to go To the emergency department Unless it's really an emergency And even then You want to call ahead And let them know you're coming 'Cause they usually have a way For you to enter there So I think it's important To be very thoughtful About how you're going to Access health care Raga For the governor Is it You mentioned the misinformation And some of the vaccine skepticism That's been coming from The White House and the cabinet Is it your responsibility And that of other governors To sort of push back on that rhetoric Directly with these folks We're talking RFK Jr. We're talking the president How do you see yourself Starting those conversations And have you had Any of those conversations With the president And with other members Of his cabinet On this public health issue I'm doing what I need to do Which is communicate directly With the people of New York Today and through our other channels And to let them know That they're being lied to I can say that clearly But what's more important Is for trusted individuals In the community The clergy, the community leaders The people that they trust Also to be reinforcing this That don't believe it Just because you saw it on social media It does not make it true Stick with the doctors Stick with the facts So pushing back on Washington To try to convince Secretary Robert Kennedy That he's wrong Is probably a waste of time I mean he's had a lifetime Of spewing these lies I don't think that me telling him He's wrong is going to change it I have to be the truth teller To the people of this state And that's the role I'm playing right now Quick follow up The restriction Or are there any Is there any consideration Of restrictions on the state Texas, I think New Mexico Maybe Canada That you're considering at all To try to limit the import of this We are concerned about the numbers In Ontario right now But I don't know that We've entertained restrictions on that Or Catherine have we No, not at this time There'll be a threshold number That raises the red flag, correct The best thing to do Is just get vaccinated Then we don't have to worry about Travel advisories my friends Get vaccinated Then you don't have to worry about it Go anywhere you want Over here in the back Do we know if these four cases Were on the vaccinated Or unvaccinated individuals I know the answer to that I bet you do That's why you're here They were not vaccinated And there's no epidemiologic link Between the four And we're talking about data for 2025 So all of March right now They're not all happening right now They're all happened Any other on topic questions John I'm curious Is this a situation where The commissioner where you would Recommend masking in public No, what I recommend everybody do Is make sure you have two doses Of the measles, mumps Or umbrella vaccine Folks the technology exists It's proven It's been around a long time I don't want to be ambiguous About this at all The measles, mumps Or umbrella vaccine It's the best protection Anything else you're hearing From anybody else Is just noise Really, really want to make sure That's really clear Thank you As a follow up to that Lawmakers have said that You're pushing some sort of Too far off topic We're talking about measles here today No, there's absolutely I have said before that I support Some variation of restrictions On the use of mask Except for medical and religious reasons Mask use in the commission of a crime Are deeply troubling to me Think about a bank robber Walks in, their face is covered Someone assaults someone on the subway They can get away with it Despite the fact that we have cameras Because they are masked So this is something that As I'm protecting public safety Is very much top of mind So we're having conversations We'll see how it goes Austin To what extent should we expect These cases to go up in 2025 I'm nervous about Ontario Being so close to us To be honest with you I'm from that area It's not a foreign country To people in western New York It is where you go for dinner And shopping back and forth Across the border Sports events, etc. Those are large gatherings So that's my concern right now That that could spike For this early in the year If we keep this We're on track to be higher than last year For sure at this rate But we're not seeing a trend out of Ontario But we're watching it closely, right? Come here The best way to prevent cases From going up in New York Is everybody getting vaccinated, folks And I want to answer that Specifically, like If you import a case into New York State Depends on which county If you look at some of our counties They're much higher risk than others Because if your immunization rates are low Then that county is much higher risk When I look at Erie County It's 87.7% for people under 2 It's not over 95% So, you know Part of what I want to be Really, really clear about is This doesn't have to be a risk at all To see increased cases And I think with Ontario We're talking to them Working with them They're lovely people But it's really getting back to We need herd immunity Herd immunity is a little over 95% And I think that's extremely achievable No shortage of vaccine Very available to everybody Thank you Anything else on topic? Jack? Yeah, Governor I'm just curious, you know Going back to what we were talking about In the beginning Is there any chance of separating this out From being a political issue? As somebody who, you know Millions of New Yorkers associate With their, you know Political aggravations How do you, you know Decouple vaccines from politics At this point? I have one of the most credible people To speak on this with great authority That you could ever find I hope people will separate politics I'm not here to make a political statement I'm here to save people's lives That's my number one job As New York As the Governor of New York Is to protect the people of this state This is one way I'm doing this to protect people of the state To sound the alarm That if you are not vaccinated You and your loved ones Are very exposed To a possibly deadly disease But if people don't want to hear it from me They should listen to Dr. McDonald I've been doing this for 35 years Thanks everybody I appreciate it