User:Miriammaes/sandbox

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This is place to practice clicking the "edit" button and practice adding references (via the citation button). Please see Help:My_sandbox or contact User_talk:JenOttawa with any questions.

Link: Project Homepage and Resources


 * Note: Please use your sandbox to submit assignment # 3 by pasting it below. When uploading your improvements to the article talk page please share your exact proposed edit (not the full assignment 3).


 * Talk Page Template: CARL Medical Editing Initiative/Fall 2019/Talk Page Template

Measles
Recent outbreaks in under vaccinated populations in America -

Goal: The information about how undervaccination causes outbreaks should be expanded to include information on recent outbreaks that have occurred in developed nations.

Search Strategy:

Searched terms: “Measles AND Outbreak AND CDC”, “Measles AND Outbreak AND WHO”

Sources

I searched PubMed using the search terms above. I decided not to filter for review articles and meta-analyses because I am looking to find resources that are not necessarily research based, for instance I would be open to reading articles that are case studies of measles outbreaks in various regions of America or other developed countries. I did, however, filter for articles created in the last 5 years.

Potential Sources Identified and Considered:


 * 1) Patel, M. et al. National Update on Measles Cases and Outbreaks — United States, January 1–October 1, 2019. MMWR. Morb. Mortal. Wkly. Rep. (2019). doi:10.15585/mmwr.mm6840e2
 * 2) Zipprich, J. et al. Measles outbreak — California, december 2014–february 2015. Morb. Mortal. Wkly. Rep. (2015). doi:10.1016/j.annemergmed.2015.04.002
 * 3) O’Connor, P. et al. Measles and rubella elimination in the WHO Region for Europe: progress and challenges. Clinical Microbiology and Infection (2017). doi:10.1016/j.cmi.2017.01.003

Selected Source and Rationale: Source #1

This source provides a detailed overview of the most recent cases of measles outbreaks in America and touches on how undervaccination has contributed to the growing number of outbreaks. Source #2 was very specific to a couple cases originating in California, and source #3 did not focus as much on the outbreaks themselves but more so on the legislation surrounding issues related to measles in Europe.

Reliable Medical Source – Evidence:


 * 1) This was published by the Center for Disease Control (CDC) which is a major scientific authority.
 * 2) This is not a primary research article, it gives a general consensus agreed upon by the scientific community and includes multiple citations by the CDC.
 * 3) This source is very up to date, as it only includes measles cases that have so far occurred in the 2019 calendar year.

Implementation plan:

Since the wikipedia article lacks information on the recent outbreaks in undervaccinated communities, information from this article would supplement the information already present in wikipedia’s measles page so that it is more thorough, relevant, and up to date.

Assignment # 3
1)    Proposed changes: I want to add two sentences under the section titled “society and culture” about the recent outbreaks in America that have resulted from the under-vaccination. These are the following sentences I would like to add:

“Measles outbreaks have been on the rise in America, especially in communities with lower rates of vaccination. It is often introduced to a region by travelers from other countries and it typically spreads to those without who have not received their vaccination. ”

ET- Very clear message and the language is appropriate. I would consider changing "their vaccination" to "measles vaccination". Those populations who may be vaccine hesitant or resistant may argue with the implied duty of vaccination.

2)   Rationale for proposed change: I want to add this content as it makes the topic relevant: measles is currently a ‘hot topic’ in the news and under-vaccination is a topic perpetually discussed by physicians and laypeople alike.

3)   Potential controversy: The potential controversy could be how those who do not believe in vaccinations may perceive these additional sentences. I have intentionally added only facts confirmed by the CDC to reduce the amount of bias, I have also attempted to use a neutral tone.

ET- Good use of neutral tone. Another point of controversy to consider is that other people may argue with the outbreaks occurring in the first place, so it is important to know how the CDC would collect the data in the first place, the importance for reportable diseases and what are typical surveillance systems that are in place.

4)   Critique of Source: I have referenced the CDC, this is a source that is reputable, HONCode certified, and up-to-date. The CDC is funded by the government, which reduces the amount of conflict of interests it has. For all these reasons, I have no issues with this source.

ET-Multiple angles considered which is good. Again, another important point for CDC data is how they obtain it in the first place (clinicians reporting to local/state health departments or directly and the data being aggregated).