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hour was unconscious. "Within twelve hours she was dead" he wrote. Dahl explained that neither in 1962 nor in 1986, was there any cure for the disease, but "on the other hand, there is today something parents can do to make sure that this sort of tragedy does not happen to a child of theirs. They can insist that their child is immunised against measles." With reference to the possible serious side-effects of the vaccine, he claimed that they were so unlikely that, in his opinion, there was a far greater chance of dying by choking on a bar of chocolate, and that they were a far lower risk than the disease itself.
225:
develop ear or chest infections. About 20 will die. LET THAT SINK IN. Every year around 20 children will die in
Britain from measles. So what about the risks that your children will run from being immunised? They are almost non-existent. Listen to this. In a district of around 300,000 people, there will be only one child every 250 years who will develop serious side effects from measles immunisation! That is about a million to one chance. I should think there would be more chance of your child choking to death on a chocolate bar than of becoming seriously ill from a measles immunisation. (Dahl 1986)
294:, looked at Dahl's letter and described how informing parents using statistics and evidence-based facts are not always effective for communicating the benefits of vaccination. According to the essay, the power of Dahl's narrative in tackling vaccine refusal reminds readers of the devastation of a disease that has generally been forgotten. Despite consensus that the vaccine is safe and effective, the difficulties doctors face in convincing parents to fully vaccinate their children possibly lie in overemphasising scientific information, at the expense of communicating the benefits through
216:, school nurses and parents of small children. Other district health authorities also received the letter. Dahl put several drafts past Smith, one of which found in the Roald Dahl archives reads "please take this letter home and give it to your parents". Dahl subsequently requested Sandwell to assess the impact of the letter. Vaccination clinics were set up after school to meet the anticipated high demand.
229:
The letter was a direct appeal to children of school age to "beg their parents to arrange for them to have one as soon as possible". Dahl stated that "it really is almost a crime to allow your child to go unimmunized." At the end of the letter, Dahl encouraged the reader to seek his daughter's name
224:
Here in
Britain, because so many parents refuse, either out of obstinacy or ignorance or fear, to allow their children to be immunised, we still have a hundred thousand cases of measles every year. Out of those, more than 10,000 will suffer side effects of one kind or another. At least 10,000 will
219:
In the letter he described his personal experience: "Olivia, my eldest daughter, caught measles when she was seven years old. As the illness took its course, I can remember reading to her often in bed and not feeling particularly alarmed about it." She became disinterested in playing and within an
207:
The letter was issued in 1986, addressed to children and aimed at their parents. Despite his age at near 70 and still recovering from a recent illness, he travelled to the
Midlands Centre for Neurosurgery and Neurology in July to launch the measles vaccine letter. He told the press, radio and
208:
children that "I have great child power. I understand how a child's mind works - that's how I can help and influence". The words were carefully thought out, he told
Solomon. He used "caught" or "got infected by" rather than "contracted", and he calculated the risks of
125:
among parents on the radio in 1985, Dahl composed a letter to encourage parents to get their children vaccinated. It went through several drafts before it was issued in 1986. He addressed it to children and aimed it at their parents. The letter was distributed to
245:
Between
January and June 1986, 589 measles notifications were reported in North East Essex Health District. In response, Dahl's letter was posted out with a questionnaire to over 1,200 children felt to be susceptible to measles across Colchester.
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The measles vaccine was introduced in the US in 1963, and in the UK in 1968. In the year before Dahl's letter, cases of measles in the UK numbered 97,408 with 11 deaths, and numbered 82,054 with 10 deaths in
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Dahl had hoped that the letter might result in saving a life, which would be Olivia's legacy. She had never had the choice of receiving the vaccine; it had been licensed in the year following her death.
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that the figures bothered him and that there was "no need for it. Why do we have so much measles in
Britain, when the Americans have virtually got rid of it?" Dahl wrote his first letter to the
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Two years later, the letter was republished, and it has continued to be quoted after subsequent measles outbreaks. The narrative in his letter reminds of the power of
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Two years later, the letter was republished and it has continued to be quoted after subsequent measles outbreaks. Dahl was later asked to promote the
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called for compulsory measles vaccination for small children, possibly a proposal somewhat influenced by Dahl, according to
Solomon.
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In 1987, family doctors could obtain Dahl's letter from
Sandwell Health Authority in West Bromwich, at a cost of £49 for 1,000.
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130:'s family doctors, health visitors, school nurses, and parents of small children before being issued to other areas in the UK.
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Vesikari, Timo; Usonis, Vytautas (2021). "9. Measles-Mumps-Rubella vaccine". In
Vesikari, Timo; Damme, Pierre Van (eds.).
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Chairman, but a scandal put an end to that aspiration of Dahl. In
December 1985, Dahl had listened to Dr Barry Smith of
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that the figures relating to continued cases of measles in the UK bothered him. After listening to a physician discuss
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576:"It's a Small World After All: Dealing with the Aftermath of the Disneyland Measles Outbreak"
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Measles vaccine in Europe in the 1970s was encouraged to reduce measles complications of
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based on information relayed by Smith. The letter was distributed to Sandwell's GPs,
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programme. Dahl subsequently contacted Smith and offered to write a letter.
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which can both be fatal, in addition to the less serious complications of
742:"How accurate is To Olivia? What's true and false in the Roald Dahl film"
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484:"Measles notifications and deaths in England and Wales: 1940 to 2020"
693:
Rao, M.; Wilkinson, J.; Millar, M.; Richards, G. (September 1988).
695:"Measles vaccination in primary schools--the Colchester project"
978:
974:
1320:
Ah, Sweet Mystery of Life: The Country Stories of Roald Dahl
189:
among parents, and the importance of the measles vaccine on
891:(Second ed.). Switzerland: Springer. pp. 80–89.
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a year in the UK despite the availability of an effective
888:
Pediatric Vaccines and Vaccinations: A European Textbook
344:. The measles vaccine in Europe was later combined with
298:
such as Dahl's. The letter is available to read on the
455:. In Domachowske, Joseph; Suryadevara, Manika (eds.).
106:
at that time despite the introduction of an effective
633:
Cawkwell, Philip B.; Oshinsky, David (1 March 2016).
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Journal of Biosecurity, Biosafety, and Biodefense Law
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Tom and Jerry: Willy Wonka and the Chocolate Factory
915:"Measles: A tale of birth cohorts and herd immunity"
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145:By the late 1980s, there were over 80,000 cases of
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1892:Roald & Beatrix: The Tail of the Curious Mouse
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1598:The Wonderful Story of Henry Sugar and Three More
457:Vaccines: A Clinical Overview and Practical Guide
173:later recalled that there was some interest from
522:Disaster Medicine and Public Health Preparedness
430:. Liverpool University Press. pp. 119–122.
1272:The Wonderful Story of Henry Sugar and Six More
777:British Medical Journal (Clinical Research Ed.)
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459:. Switzerland: Springer. pp. 419–439.
453:"36. Vaccine-preventable disease outbreaks"
276:The letter was redistributed following the
137:in tackling vaccine hesitancy and refusal.
117:died in 1962 from measles, told his doctor
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282:resurgence of measles in the United States
27:
1328:The Collected Short Stories of Roald Dahl
804:
533:
528:(2). Cambridge University Press: 95–97.
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167:Department of Health and Social Security
98:in 1986 in response to ongoing cases of
1657:Willy Wonka & the Chocolate Factory
1625:The Bells of Hell Go Ting-a-ling-a-ling
1454:Willy Wonka & the Chocolate Factory
365:
311:
573:Rozbicki, Melanie (1 September 2016).
300:Oxford Vaccine Group vaccine knowledge
161:in 1962 from measles, told his doctor
18:
1203:Some Time Never: A Fable for Supermen
740:Sturrock, Donald (23 February 2021).
688:
686:
7:
1419:Roald Dahl's Guide to Railway Safety
1061:Charlie and the Great Glass Elevator
828:Kupferschmidt, Kai (28 April 2017).
334:subacute sclerosing panencephalitis
1823:Roald Dahl Museum and Story Centre
1811:Roald Dahl's Book of Ghost Stories
1582:The Wonderful Story of Henry Sugar
1256:Twenty-Nine Kisses from Roald Dahl
14:
1766:Charlie and the Chocolate Factory
1518:Charlie and the Chocolate Factory
1411:Memories with Food at Gipsy House
1344:The Great Automatic Grammatizator
1037:Charlie and the Chocolate Factory
269:, former British health minister
94:written by the children's writer
1462:Danny, the Champion of the World
1117:The Giraffe and the Pelly and Me
1069:Danny, the Champion of the World
428:Roald Dahl's Marvellous Medicine
185:Health Authority, who discussed
912:Lang, Sarah (2 December 2014).
267:measles outbreak in South Wales
230:in the dedication of his books
957:"Measles: a dangerous illness"
516:James, James J. (April 2015).
280:in 2014–15. In 2016, with the
157:, the children's writer whose
22:"Measles: A Dangerous Illness"
16:1986 open letter by Roald Dahl
1:
1828:Roald Dahl Children's Gallery
1360:Roald Dahl: Collected Stories
711:10.1016/s0033-3506(88)80086-6
1403:Measles: A Dangerous Illness
1296:More Tales of the Unexpected
1093:George's Marvellous Medicine
932:10.12968/pnur.2014.25.12.611
856:10.1126/science.356.6336.366
771:Howie, J (31 January 1987).
451:Suryadevara, Manika (2021).
352:, and is safe and effective.
88:Measles: A Dangerous Illness
970:"Vaccine Knowledge Project"
831:"The science of persuasion"
278:Disneyland measles outbreak
79:vaccination against measles
1964:
1805:Short stories bibliography
653:10.1136/medhum-2015-010761
284:, an essay in the journal
1750:James and the Giant Peach
1502:James and the Giant Peach
1141:The Vicar of Nibbleswicke
1029:James and the Giant Peach
265:. In 2013, following the
239:James and the Giant Peach
26:
1726:Roald Dahl's Willy Wonka
789:10.1136/bmj.294.6567.301
159:daughter Olivia had died
1948:Public health education
1684:Tales of the Unexpected
1641:Chitty Chitty Bang Bang
1387:Boy: Tales of Childhood
1379:The Mildenhall Treasure
1336:The Roald Dahl Treasury
1288:Tales of the Unexpected
595:10.1515/jbbbl-2016-0005
424:"10. A shot in the arm"
1534:Roald Dahl's Esio Trot
1352:Skin and Other Stories
1304:The Roald Dahl Omnibus
1280:The Best of Roald Dahl
1077:The Enormous Crocodile
227:
169:in 1985. His daughter
422:Solomon, Tom (2017).
222:
113:Dahl, whose daughter
1907:Revision controversy
1886:Wade-Dahl-Till valve
257:Reception and legacy
55:Commissioned by
1938:Works by Roald Dahl
1633:You Only Live Twice
1574:Matilda the Musical
959:. Roald Dahl (1986)
848:2017Sci...356..366K
535:10.1017/dmp.2015.33
494:on 21 February 2022
330:meningoencephalitis
1702:Musicals and plays
1628:(1966, unfinished)
1013:Children's fiction
752:on 2 February 2022
641:Medical Humanities
518:"The Greater Good"
287:Medical Humanities
179:Conservative Party
33:Roald Dahl in 1988
1915:
1914:
1742:The Golden Ticket
1718:Fantastic Mr. Fox
1668:Television series
1526:Fantastic Mr. Fox
1160:Children's poetry
898:978-3-030-77172-0
842:(6336): 366–369.
466:978-3-030-58416-0
437:978-1-78138-339-1
290:, co-authored by
187:vaccine hesitancy
123:vaccine hesitancy
84:
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1774:Fantastic Mr Fox
1649:The Night Digger
1550:Revolting Rhymes
1438:Film adaptations
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1168:Revolting Rhymes
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1818:Gipsy House
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1734:The Witches
1566:The Witches
1486:The Witches
1371:Non-fiction
1224:collections
1222:Short story
1149:The Minpins
1109:The Witches
498:22 February
163:Tom Solomon
119:Tom Solomon
92:open letter
1922:Categories
1859:(daughter)
1853:(daughter)
1847:(daughter)
1845:Tessa Dahl
1841:(daughter)
1710:The Honeys
1687:(1979–88)
1494:Four Rooms
1395:Going Solo
1312:Two Fables
1184:Rhyme Stew
1006:Roald Dahl
756:2 February
360:References
203:The letter
191:Radio Four
155:Roald Dahl
141:Background
96:Roald Dahl
69:Roald Dahl
1900:To Olivia
1857:Lucy Dahl
1606:The Twits
1248:Kiss Kiss
1133:Esio Trot
1085:The Twits
940:0964-9271
864:1095-9203
797:0267-0623
773:"Letters"
746:The Times
719:0033-3506
661:1468-215X
603:2154-3186
544:1935-7893
338:pneumonia
306:Footnotes
302:website.
110:in 1968.
66:Author(s)
50:July 1986
47:Presented
1793:See also
1691:episodes
1676:'Way Out
1446:36 Hours
872:28450593
677:32611632
669:26438615
611:79450276
560:42539770
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183:Sandwell
128:Sandwell
90:" is an
59:Sandwell
1943:Measles
1758:Matilda
1542:The BFG
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1470:The BFG
1427:My Year
1125:Matilda
1101:The BFG
844:Bibcode
836:Science
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727:3186911
296:stories
233:The BFG
177:, then
171:Ophelia
147:measles
102:in the
100:measles
74:Purpose
39:Created
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319:1986.
196:Today
936:ISSN
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348:and
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