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Public health officials and community leaders say that even before federal immigration authorities launched a 

Measles vaccination rates among the state's large Somali community had plummeted, with the myth that the shot causes autism spreading. Not even four measles outbreaks since 2011 made a dent in the trend. But recently, immunization advocates noted small victories, including mobile clinics and a vaccine confidence task force.

Now, with the U.S. on the verge of losing its measles elimination status, those on the front lines of the battle against vaccine misinformation say much progress has been lost. Many residents fear leaving home at all, let alone seeking medical advice or visiting a doctor’s office.

“People are worried about survival,” said nurse practitioner Munira Maalimisaq, CEO of the Inspire Change Clinic, near a Minneapolis neighborhood where many Somalis live. “Vaccines are the last thing on people’s minds. But it is a big issue.”

A discussion group for Somali mothers at Inspire Change has shifted online indefinitely. In community WhatsApp groups and other channels, parents have more pressing priorities: Who will care for kids when they can’t go to school? How can we safely get groceries and prescriptions?

In 2006, 92 percent of Somali 2-year-olds were up-to-date on the measles vaccine, according to the Minnesota Department of Health. Today’s rate is closer to 24 percent, according to state data. A 95 percent rate is needed to prevent outbreaks of measles, an extremely contagious disease.

Community vaccination efforts go through cycles, Maalimisaq said, with initiatives starting and stopping.

Imam Yusuf Abdulle said immigration enforcement has put everything on hold.

“People are stuck in their homes, cannot go to work,” he said. “It is madness. And the last thing to think about is talking about autism, talking about childhood vaccination. Adults cannot get out of the house, forget about kids.”

Fear in Minnesota’s Somali community deepens, hampering progress on measles vaccination

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Now, with the U.S. on the verge of losing its measles elimination status, those on the front lines of the battle against vaccine misinformation say much progress has been lost. Many residents fear leaving home at all, let alone seeking medical advice or visiting a doctor’s office.


Fear in Minnesota’s Somali community deepens, hampering progress on measles vaccination

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