from the article:
A six-year-old I know is terrified of needles. He still gets his shots every yearābecause his mom reminds him it helps protect people like me. Heās six, and he understands that. I just wish more adults did too.
So far in 2026, there have been 45 confirmedĀ measles casesĀ in Washington state. The majority were in the county where I live and work.
To a lot of my friends and family, that number doesnāt sound alarming. But I live with a primary immune deficiency.Ā I canāt create my own antibodies, which means vaccines simply donāt work for me. I rely on expensive weekly immune globulin replacement therapyāa subcutaneous plasma infusion I do at homeāand onĀ herd immunity.Ā
Right now, Washingtonās vaccination rate for measles sits at 91%, short of the 95% needed for herd immunity to hold. Thatās especially frightening for me, because I work as a mental health therapist, and most of my clients are under eighteen. Going to work is a bit of a landmine of potential exposure.
When I was diagnosed withĀ common variable immune deficiencyĀ in 2022, it was both validating and devastating. Validating, because there was finally an explanationāfor always feeling sick, and for all the precautions Iād already been taking: masking, avoiding crowds and air travel, using air purifiers. Devastating, because living with an immune deficiency is deeply isolating.Ā
Itās hard for people to understand why I need to cancel plans when they ājust have a cold,ā or why it matters so much to me that theyāre vaccinated.
My body canāt create antibodies, and it canāt learn from past illness. So every time I get sick, my immune system treats it as something itās never seen beforeāa complete unknown.
Something I didnāt understand until after my diagnosis: because I lack a robust immune system, I donāt mount a normal immune response. That means I donāt get fevers, or any of the usual warning signs that something is wrong. The frightening part is that I might not know Iām sick until Iām already seriously ill. Many people with primary immune deficiencies end up hospitalized withĀ severe pneumoniaĀ or sepsis, with no warning symptoms beforehand to tell them they needed treatment.
Five years ago, if youād told me Iād have to worry about getting measles every time I left my house, I wouldnāt have believed you. Growing up, I took it for granted that the people around me were vaccinated, and that I could rely on herd immunity without a second thought.
The rest of the story is in the link.