Measles Outbreak

• Texas health officials reported 156 measles cases as of April 7, 2026, in a Dallas County outbreak starting March 15, with 12 hospitalizations. • 89% of cases unvaccinated, including 45 children under 5; infection rate 90% among exposed susceptibles. • Declared public health emergency; impacts 2 million residents, straining ERs amid 83% vaccination goal miss.

• Measles cases from Texas federal detention facilities infected at least 4 El Paso residents who worked there, marking a community outbreak. • Infectious disease expert Flor M. stated, 'By definition, when more than 2 measles cases occur in a community where there should be 0 cases, this is an outbreak.' • The incident highlights risks of contagious diseases escaping confined settings into wider US populations amid ongoing vaccination policy debates.

• The US measles outbreak has accelerated in 2026 with cases now reported in more than half of the states, marking a resurgence 20 years after official eradication, driven primarily by declining vaccination rates. • Last year, the US reported over 2,000 measles cases (2,213 confirmed) and three pediatric deaths, with the mortality rate matching historical data of approximately one death per 1,000 infected children. • Oregon has diagnosed 13 measles cases so far in 2026 with hundreds of potential exposures in the past week; health experts note that official case counts likely underestimate true infection rates due to unreported cases and undetected transmission indicated by wastewater data.

• The US measles caseload climbed to 1,671 infections with nearly 100 new cases reported in the past week, according to the CDC's weekly update, with the vast majority occurring in Utah. • Utah recorded 73 new measles cases this week and 142 new cases over the past three weeks, bringing the state's 2026 total to 362 cases compared with 197 for all of 2025. • The outbreak spans 32 states and New York City, with 94% of confirmed cases linked to one of 17 outbreaks; Arizona has 71 total cases, Florida has 129, and Texas has 175 cases.

• Florida reported 143 measles cases as of March 21, 2026, with 73% concentrated in Collier County, marking a decline from 139 cases the previous week. • The state has dropped to the fourth-highest number of measles cases nationally as the spread slows, indicating a shift in outbreak trajectory. • The majority of cases remain geographically concentrated, with nearly three-quarters of infections occurring in a single county, suggesting localized transmission patterns.

• A measles outbreak in Washtenaw County, southeast Michigan, now includes 7 cases under investigation involving unvaccinated children and adults, with potential exposure at Trinity Health Ann Arbor Hospital's ER on March 21. • The latest case concerns a young child treated in Ypsilanti, raising concerns that ER visitors may have been exposed to the highly contagious virus. • All confirmed and suspected cases are among unvaccinated individuals, highlighting ongoing vaccination gaps amid the outbreak's growth reported on March 25.

• State officials are warning that spring break 2026 travel season could facilitate the spread of measles across the United States as travelers move between regions with varying vaccination rates. • Health authorities are concerned about potential measles transmission during the high-travel period, with implications for public health preparedness and disease surveillance. • The warning underscores ongoing challenges in maintaining herd immunity and controlling vaccine-preventable diseases during major travel seasons.