Measles cases are rising across the United States, prompting concern over the nation’s ability to maintain its measles elimination status. New cases have been reported in Utah, Arizona, and Kentucky, while a significant outbreak continues in South Carolina.
Rising Cases in Multiple States
Utah and Arizona
Utah has reported six new measles cases this week, bringing the state’s total to 216. A large portion of these cases – 154 – are concentrated in the Southwest Utah health district, which is experiencing a cross-border outbreak with Mohave County, Arizona. Arizona has recorded 12 measles cases in 2026, with eight of those in Mohave County. Additional cases have been identified in Pima, Maricopa, and Pinal counties.
Kentucky
In Kentucky, two residents younger than five years old in Jessamine County have tested positive for measles, marking the first cases of the year. The state reported 13 confirmed cases in 2025.
CDC Official Downplays Elimination Status
Yesterday, Ralph Abraham, MD, the Centers for Disease Control and Prevention’s principal deputy director, stated that losing the nation’s measles elimination status is “the cost of doing business.” He suggested this loss would be due to imported cases from international travel. However, it is important to note that measles elimination status is determined by sustained transmission of the virus within a country for 12 months or more, not solely by imported cases.
Abraham, a former Louisiana surgeon general, indicated he did not believe losing elimination status would be a significant issue. He further stated, “We have these communities that choose to be unvaccinated. That’s their personal freedom.” He added that respecting “religious freedom, health freedom, personal freedom” is important.
The Pan American Health Organization will review the measles status of the United States during a meeting in April.
Frequently Asked Questions
What is measles elimination status?
Measles elimination status means a country has interrupted the continuous transmission of the measles virus for at least 12 months. It does not mean the virus is absent, as imported cases can still occur.
Where are the current measles outbreaks concentrated?
Currently, outbreaks are concentrated in Southwest Utah, Mohave County in Arizona, and South Carolina, which has reported over 600 cases in the last year. Cases have also been reported in Kentucky.
What did Ralph Abraham say about losing measles elimination status?
Ralph Abraham, MD, said losing measles elimination status is “the cost of doing business” and suggested it would be due to imported cases, despite the fact that sustained transmission within the country is the determining factor.
As the Pan American Health Organization prepares to review the United States’ measles status, what role do you believe public health messaging should play in addressing vaccine hesitancy?
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