Measles on the Rise: A Looming Public Health Crisis
The United States is facing a resurgence of measles, a highly contagious viral infection once considered eliminated. In 2025, the nation recorded 2,267 confirmed cases – the highest number in more than three decades. This alarming trend is continuing into 2026, with 588 cases already confirmed in January alone. Experts believe the actual number of cases is likely even higher due to underreporting.
From Elimination to Outbreak: A Shifting Landscape
In 2000, the Pan American Health Organization (PAHO) declared the United States measles-free. However, declining vaccination rates are threatening this achievement. The PAHO is now considering revoking the country’s elimination status, a decision expected in April. Losing this status would signal a significant setback in public health efforts.
The Epicenters of the Current Outbreaks
While outbreaks occurred in west Texas last year, the current epicenter is upstate South Carolina. The state has already surpassed the total number of measles cases reported in Texas in 2025. Additional outbreaks are also occurring on the Arizona-Utah border and in 14 other states across the country.
Why Vaccination Rates are Declining
The primary driver of the measles resurgence is decreasing vaccination coverage. Despite the availability of a safe, affordable, and highly effective vaccine, vaccination rates have been declining since 2019. This decline is linked to the growing influence of anti-vaccine organizations and individuals, some of whom downplay the severity of the disease. Health and Human Services Secretary Robert F. Kennedy, Jr. Has been among those promoting unproven treatments and questioning the necessity of vaccination.
The Serious Consequences of Measles Infection
Measles is not simply a childhood illness. It can lead to severe complications, including pneumonia, dehydration, ear infections, and encephalitis – inflammation of the brain. Encephalitis can result in brain damage, permanent disability, and even death. Between one and three in 1,000 children who develop encephalitis from measles will die, and 25 percent will be left with lasting neurological issues. Measles can also cause blindness and hearing loss. The virus can cause “immune amnesia,” weakening the immune system and increasing susceptibility to other infections.
What Happens if the U.S. Loses Elimination Status?
If the U.S. Loses its measles elimination status, the virus will become endemic, meaning continuous transmission within the country. This will place more people at risk of serious illness and death, and place a financial burden on individuals and public health departments. It would also be a symbolic setback, demonstrating a failure to prioritize public health goals.
The Importance of Evidence-Based Treatment
There is no cure for measles, and treatment focuses on supportive care. Promoting unproven treatments, such as budesonide and clarithromycin, is not only misleading but also dangerous. The American Academy of Pediatrics has stated that these drugs are unproven and potentially risky. Vaccination remains the most effective way to prevent measles and its complications.
Frequently Asked Questions
- Is measles a serious disease? Yes, measles can lead to severe complications, including pneumonia, encephalitis, blindness, and even death.
- Is the measles vaccine safe? Yes, the measles vaccine is safe and highly effective.
- What can I do to protect myself and my family? Secure vaccinated against measles.
- What should I do if I believe I have measles? Contact your healthcare provider immediately.
Pro Tip: Stay informed about measles outbreaks in your area and follow the guidance of public health officials.
The current measles outbreaks serve as a stark reminder of the importance of vaccination. Protecting ourselves and our communities requires a commitment to evidence-based public health practices.
Did you know? Measles is so contagious that if one person has it, 90% of those who are not immune will also become infected.
Learn more about measles prevention and outbreaks from the Centers for Disease Control and Prevention.
