2019 was the American Samoa outbreak which RFK Jr helped create.
In June 2019, American anti-vaccination activist
Robert F. Kennedy Jr. visited Samoa to meet with local anti-vaccination activists including
Taylor Winterstein and Edwin Tamanese, whom he called a "medical freedom hero". Kennedy also discussed vaccines with then-Prime Minister
Tuilaʻepa Saʻilele Malielegaoi,
In August 2019, an infected passenger on one of the more than 8,000 annual flights between New Zealand and Samoa probably brought the disease from
Auckland to
Upolu.<a href="
2019 Samoa measles outbreak - Wikipedia"><span>[</span>8<span>]</span></a> An outbreak began in October 2019 and continued for four months. Before seeking proper medical treatment, some parents first took their children to 'traditional healers' who used machines purchased that claimed to produce "immune-protective" water.<a href="
2019 Samoa measles outbreak - Wikipedia"><span>[</span>9<span>]</span></a>
As of 22 December, there were 79 deaths. This was 0.4 deaths per 1,000 people, based on a population of 200,874,<a href="
2019 Samoa measles outbreak - Wikipedia"><span>[</span>7<span>]</span></a><a href="
2019 Samoa measles outbreak - Wikipedia"><span>[</span>6<span>]</span></a> an
infection fatality rate of 1.43%. There were 5,520 cases, representing 2.75% of the population.<a href="
2019 Samoa measles outbreak - Wikipedia"><span>[</span>2<span>]</span></a><a href="
2019 Samoa measles outbreak - Wikipedia"><span>[</span>7<span>]</span></a><a href="
2019 Samoa measles outbreak - Wikipedia"><span>[</span>6<span>]</span></a> 61 of the first 70 deaths were aged four and under. All but seven of the deaths were from people aged under 15.<a href="
2019 Samoa measles outbreak - Wikipedia"><span>[</span>31<span>]</span></a><a href="
2019 Samoa measles outbreak - Wikipedia"><span>[</span>32<span>]</span></a>
At least 20% of babies aged six to 11 months contracted measles. One in 150 babies died.<a href="
2019 Samoa measles outbreak - Wikipedia"><span>[</span>33<span>]</span></a>
By 20 December 2019, 94% of the population had been vaccinated,<a href="
2019 Samoa measles outbreak - Wikipedia"><span>[</span>33<span>]</span></a><a href="
2019 Samoa measles outbreak - Wikipedia"><span>[</span>34<span>]</span></a> versus the 95% required for
herd immunity.<a href="
2019 Samoa measles outbreak - Wikipedia"><span>[</span>33<span>]</span></a>
After the outbreak started, anti-vaxxers, including Kennedy,<a href="
2019 Samoa measles outbreak - Wikipedia"><span>[</span>35<span>]</span></a> attributed the dozens of measles deaths to poverty and malnutrition or to the vaccine, but cited no evidence for these claims. Clinicians reported that
Vitamin A deficiency or
immunodeficiency did not appear to be a substantial contributing factor to the outbreak.<a href="
2019 Samoa measles outbreak - Wikipedia"><span>[</span>8<span>]</span></a>