The return of measles: how a once-vanquished disease is spreading again
A year after the Texas outbreak began, new US cases reveal gaps in vaccination and rising risk for children

TL;DR
- Measles outbreaks are escalating across the US, with Texas marking one year since its initial outbreak.
- The number of measles cases has more than doubled in South Carolina in recent weeks, and the virus has spread to North Carolina, Ohio, Washington, Arizona, and Utah.
- The majority of those infected are unvaccinated children, and misinformation surrounding vaccines, promoted by figures like Robert F. Kennedy Jr., is a significant contributing factor.
- Declining vaccination rates in the US are a major concern, with exemptions from school mandates increasing.
- Experts fear that the US could lose its measles elimination status, which would signify an expected wave of preventable diseases.
- Measles is considered a 'canary in the coalmine,' indicating that lower vaccination rates could lead to outbreaks of other diseases like rubella and polio.
- The US Centers for Disease Control and Prevention (CDC) reported 2,242 confirmed cases of measles across 44 states last year, with 171 cases already reported in nine states in 2026.
- The Texas outbreak concluded in August with 762 confirmed cases and two child deaths, but the virus had already spread to other states.
- Vulnerable populations, including children under one or with health conditions, are at higher risk even in highly vaccinated communities.
- Recent changes in vaccine recommendations and increased scrutiny of school mandates are causing further confusion and potential access issues for important childhood vaccines.
- Public health officials are urging vaccination and strengthening community ties to combat the resurgence of preventable illnesses.