The US is witnessing a concerning rise in measles cases, with Texas at the centre of a major outbreak. Since late January, the state has reported 663 confirmed cases, with the majority concentrated in West Texas.
This outbreak is sparking alarm among public health officials, as the disease that was once declared eradicated in the country in 2000 continues to make a troubling return.
Health experts are increasingly worried that the US could be facing a future where measles, a highly contagious disease, becomes endemic once again. The rising number of infections, combined with a decline in vaccination rates, could threaten the nation’s progress in eliminating this preventable disease.
Measles Outbreaks in Texas and Beyond
According to the Texas Department of State Health Services, as of late April 2025, the state has reported 663 measles cases, an increase of 17 since the last update. Texas continues to struggle with the outbreak, primarily centred in Gaines County, where active transmission is ongoing.
In total, 87 people have been hospitalised, and two school-aged children have died. Both children were unvaccinated and had no underlying health conditions. Despite the rising cases, health authorities have confirmed that fewer than 10 people are actively infectious at this time.
The situation is not limited to Texas. Other states, including New Mexico, Arkansas, and Oklahoma, have reported cases connected to the West Texas outbreak.
In Arkansas, the first instance of local spread was reported, marking a concerning development as the virus begins to spread beyond the immediate outbreak area. According to experts, these outbreaks could be a precursor to broader national concerns.
Vaccination Rates and Public Health Challenges
The increase in measles cases highlights a broader issue: declining vaccination rates across the country. Data from the CDC reveals that during the 2023-2024 school year, the percentage of kindergartners vaccinated with the MMR (measles, mumps, rubella) vaccine dropped to 92.7%, a decrease from previous years.
Experts warn that this decline in vaccination coverage leaves communities vulnerable to outbreaks, particularly in areas with lower vaccination rates.
Experts assert that increasing vaccination rates is the key to controlling the spread of measles. The two-dose MMR vaccine is highly effective, providing 97% protection against the virus. Public health officials continue to advocate for higher vaccination rates, particularly in areas experiencing outbreaks.
Despite the challenges, experts remain optimistic that a concerted effort to educate the public and promote vaccination can prevent further spread and protect vulnerable communities.
