0:00:00.077,0:00:02.637 Recently there has been[br]a lot of talk about measles. 0:00:02.885,0:00:07.040 What does measles actually do,[br]and should you vaccinate against it? 0:00:07.040,0:00:08.838 Or is this just hysteria? 0:00:15.797,0:00:17.556 Measles is a virus: 0:00:17.556,0:00:19.515 a hull of proteins, RNA, 0:00:19.515,0:00:21.660 plus some more proteins for reproduction. 0:00:22.030,0:00:25.719 It cannot reproduce by itself;[br]it needs a host cell to do so. 0:00:26.019,0:00:29.788 To understand measles, we have to[br]understand the immune system. 0:00:30.018,0:00:31.353 You might already have seen 0:00:31.353,0:00:33.427 the visual system we developed[br]to help here. 0:00:33.837,0:00:37.980 Now, let’s focus on the parts of[br]the immune system relevant to measles. 0:00:38.350,0:00:41.904 The measles virus enters humans[br]through the nose, mouth, or eyes. 0:00:42.184,0:00:44.328 The measles infection starts in the lungs. 0:00:44.808,0:00:48.511 Measles is especially good at infecting[br]the body’s first line of defence: 0:00:48.511,0:00:52.833 macrophages, powerful guard cells[br]that protect the lungs from intruders. 0:00:52.972,0:00:54.896 They enter a cell and take it over. 0:00:55.346,0:00:57.255 The virus reprograms the cell and 0:00:57.255,0:01:00.637 transforms it into a dangerous[br]virus production center. 0:01:00.979,0:01:03.134 Once a cell is filled with viruses, 0:01:03.134,0:01:06.843 they leave the crippled cell[br]and begin the cycle over again. 0:01:07.213,0:01:10.930 But the immune system has[br]powerful weapons against virus infections: 0:01:10.930,0:01:12.356 natural killer cells. 0:01:12.696,0:01:17.056 These cells basically patrol the body[br]and check other cells for infections. 0:01:17.326,0:01:21.370 If they find an infected cell,[br]they order it to commit suicide. 0:01:21.730,0:01:24.772 This is so effective that for[br]the first 10 days or so, 0:01:24.772,0:01:27.709 you will not even notice that[br]you’re infected with measles. 0:01:28.079,0:01:31.644 And now, the reason why measles[br]is so powerful. 0:01:31.984,0:01:33.824 After a period of fighting and dying, 0:01:33.824,0:01:36.606 macrophages alert the brain of the[br]immune system: 0:01:36.606,0:01:37.818 the dendritic cells. 0:01:38.068,0:01:41.698 The job of the dendritic cells is[br]to collect samples of intruders, 0:01:41.698,0:01:42.950 travel to the lymph nodes, 0:01:42.950,0:01:44.903 and then activate the heavy weapons 0:01:44.903,0:01:48.084 that eradicate the infection very fast[br]in a team effort. 0:01:48.604,0:01:52.120 But the measles virus uses[br]a dreadful tactic. 0:01:52.410,0:01:54.050 It infects the dendritic cells 0:01:54.050,0:01:57.791 and uses them as a Trojan horse[br]to enter deeper into the body. 0:01:58.161,0:02:00.834 The infected cells travel to the next [br]lymph node 0:02:00.834,0:02:02.479 to alert other immune cells. 0:02:02.719,0:02:03.784 Once it arrives, 0:02:03.784,0:02:07.482 the measles virus spreads around the[br]virgin T and B cells 0:02:07.482,0:02:08.820 and infects them. 0:02:08.960,0:02:12.103 It attacks the very system that[br]evolved to fight it. 0:02:12.403,0:02:14.224 Now, things happen very fast. 0:02:14.354,0:02:16.704 The lymph system spreads the virus[br]everywhere 0:02:16.704,0:02:18.168 and it enters the bloodstream, 0:02:18.168,0:02:19.906 infecting cells while traveling. 0:02:19.906,0:02:21.469 Measles infects organs like 0:02:21.469,0:02:25.043 the spleen, the liver, the intestines,[br]and, most importantly, the lungs. 0:02:25.043,0:02:26.297 The symptoms range from 0:02:26.297,0:02:30.356 a very high fever, headache, sickness,[br]bronchitis, and, of course, a rash. 0:02:30.356,0:02:33.209 In the lungs, the immune system was[br]doing pretty okay. 0:02:33.209,0:02:35.955 But now, millions of viruses[br]attack a second time 0:02:35.955,0:02:39.066 and kill countless cells, wiping out[br]the defense systems. 0:02:39.486,0:02:43.044 In this phase, you start coughing out[br]millions of measles viruses. 0:02:43.634,0:02:45.976 Measles is so contagious at this stage, 0:02:45.976,0:02:48.180 that if you meet someone[br]who isn’t vaccinated, 0:02:48.180,0:02:51.349 there’s about a 90% chance[br]you’ll infect them. 0:02:51.739,0:02:55.426 Without the protective army in the lungs,[br]other bacteria or viruses that 0:02:55.426,0:02:59.198 would usually not stand a chance can[br]now enter the lungs and develop into 0:02:59.198,0:03:02.093 harmful parallel infections that[br]can cause pneumonia, 0:03:02.093,0:03:04.254 the most common way to[br]die from measles. 0:03:04.714,0:03:07.648 Your body’s immune system is now[br]seriously wounded. 0:03:07.648,0:03:10.827 Various protective systems are hurt[br]and disrupted. 0:03:10.827,0:03:14.956 The virus spreads everywhere, infecting[br]the skin all over the body. 0:03:15.346,0:03:18.105 The typical measles rash now[br]becomes visible. 0:03:18.375,0:03:20.845 And in some cases, the measles virus 0:03:20.845,0:03:23.710 reaches the brain and causes[br]a brain infection. 0:03:24.020,0:03:28.004 If it does so, the chances of dying[br]are between 20 to 40 percent, 0:03:28.004,0:03:30.097 and there may be long-term damage. 0:03:30.417,0:03:32.991 But your body is far from giving[br]up at this stage, 0:03:32.991,0:03:34.963 and it fights back agressively. 0:03:35.373,0:03:38.625 Some dendritic cells survive[br]long enough to activate 0:03:38.625,0:03:40.689 the anti-virus forces of the body. 0:03:41.045,0:03:45.148 Plasma cells in the lymph nodes[br]start producing billions of antibodies, 0:03:45.148,0:03:48.586 tiny proteins that mark infected cells[br]for destruction 0:03:48.586,0:03:50.417 or clump the virus together. 0:03:50.653,0:03:54.461 Killer T cells flood the body[br]and kill infected cells left and right. 0:03:54.721,0:03:57.157 After 2 to 3 weeks, the body usually gets 0:03:57.157,0:03:59.609 the upper hand and overwhelms[br]the infection. 0:03:59.609,0:04:01.942 But the immune system is now[br]seriously weakened, 0:04:01.942,0:04:04.432 and may take weeks or months to recover, 0:04:04.432,0:04:07.143 leaving the body vulnerable[br]to other diseases. 0:04:07.543,0:04:10.588 But, if you make it, you are now immune: 0:04:10.588,0:04:13.290 the immune system remembers[br]the virus forever. 0:04:13.892,0:04:15.295 Measles is no joke. 0:04:15.515,0:04:19.435 Although 84% of all humans are[br]vaccinated against measles, 0:04:19.435,0:04:23.959 122,000 people died because[br]of the infection in 2014. 0:04:24.209,0:04:26.047 Some people cannot get vaccinations, 0:04:26.047,0:04:29.844 either because they’re too young,[br]because of chemotherapy or HIV, 0:04:29.844,0:04:31.822 or because they’re allergic[br]to the vaccine. 0:04:32.209,0:04:34.967 They need the rest of us to[br]stop the disease for them. 0:04:35.497,0:04:38.846 The measles vaccination is[br]safe, cheap, and available. 0:04:39.086,0:04:41.488 There are no benifits from having[br]measles at all. 0:04:41.488,0:04:45.303 You don’t strengthen your immune[br]system and it’s not more natural. 0:04:45.593,0:04:48.978 Most people who don’t vaccinate[br]only want the best for their children, 0:04:48.978,0:04:49.970 which is honorable. 0:04:49.970,0:04:51.160 But if you ask yourself, 0:04:51.160,0:04:54.231 “Am I putting the life of my child[br]and other children at risk by 0:04:54.231,0:04:55.930 not vaccinating against measles?” 0:04:56.380,0:04:59.624 The sad answer is yes. Yes, you are. 0:04:59.794,0:05:01.761 Let’s not play the blame game, though. 0:05:01.761,0:05:04.391 Let’s work together and[br]eradicate this virus. 0:05:04.391,0:05:07.173 Together, we can get rid of these[br]dreadful monsters and 0:05:07.173,0:05:10.220 consign them to their rightful place:[br]the history books.