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As Measles Outbreak Nears 600 Cases, Experts Warn of Rapid Spread in Day Cares and Urban Communities

The Texas Department of Health Services confirmed 59 new measles cases in just three days.


A rapidly growing measles outbreak across multiple U.S. states is sparking nationwide concern, with health officials warning of serious risks to unvaccinated children and vulnerable populations in urban centers.

As of this week, Texas has reported 505 cases, New Mexico 56, and Oklahoma 10—including two probable cases. Kansas is also monitoring 24 cases potentially linked to the same outbreak. Most cases remain concentrated in rural Gaines County, Texas, where the outbreak first emerged, but the virus has now reached 21 counties across the state.

Health authorities fear the outbreak may soon escalate, especially in urban areas and day care centers, where close contact and low vaccination coverage could lead to exponential spread.

“I’m worried about exposures in grocery stores, malls, and places with high population density,” said Katherine Wells, Director of Lubbock Public Health. “One case in these settings can expose dozens of people.”

One alarming cluster has already been reported in a Lubbock day care center, where seven cases were confirmed among children under age five—many of whom are not yet eligible for their second dose of the MMR (measles, mumps, rubella) vaccine.

CDC Responds to Surge in Cases

In response, the Centers for Disease Control and Prevention (CDC) updated its measles guidelines, recommending that children in affected areas receive their second MMR dose earlier than usual—as long as it's 28 days after the first dose. Infants aged 6–11 months are also now eligible for an early MMR dose in outbreak regions.

Despite the CDC’s response, local health departments say funding cuts have severely impacted their ability to trace contacts, perform lab tests, and contain the spread.

A Threat to U.S. Measles Elimination Status?

Health experts warn that if the outbreak lasts over 12 months, it could jeopardize the measles elimination status the U.S. achieved in 2000.

“This outbreak could push us past the threshold for elimination,” said Dr. Amesh Adalja of the Johns Hopkins Center for Health Security. He also noted that the true number of infections is likely vastly undercounted, particularly among Mennonite communities with historically low vaccination rates.

So far, three deaths have been linked to the outbreak: two children in Texas and one adult in New Mexico.

RFK Jr. Praises Response—but Experts Disagree

Health Secretary Robert F. Kennedy Jr. has claimed the outbreak response has been effective, stating that “the growth rate has diminished substantially.” However, many public health experts challenge that claim.

“We simply don’t have enough data to say the outbreak is under control,” said Dr. Adalja. “Without accurate case numbers, we can’t evaluate the situation.”

“This outbreak is a wake-up call,” said Dr. Christina Johns, a pediatric emergency physician. “It highlights the dangerous consequences of declining vaccination rates in the U.S. and the spread of anti-science misinformation.”

What Parents Need to Know

  • MMR vaccination remains the best protection against measles.
  • Children should receive two doses: the first at 12–15 months, the second at 4–6 years.
  • In outbreak zones, early vaccination for infants and accelerated second doses are encouraged.
  • Anyone exposed or showing symptoms should isolate and seek medical attention immediately.

As the outbreak evolves, public health officials stress the need for community-wide vaccination and proactive outreach—especially to at-risk populations.

Source: CNN and The Texas Tribune via Reuters

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