Measles Cases Surge in the U.S.: Understanding the Outbreak

Measles cases in the U.S. have surged recently. Measles is highly contagious with serious complications, though largely preventable via vaccinations like the MMR. Public health officials express concern over these outbreaks.

update March 10, 2025

Measles in the U.S. has climbed to its highest level in 25 years, closing in on 700 cases this year in a resurgence largely attributed to misinformation that is turning parents against vaccines.

“This is alarming,” said Dr. William Schaffner, a Vanderbilt University vaccine expert. Not only is measles dangerous in itself, but its return could mean other vaccine-preventable diseases seemingly consigned to the past may be coming back as well, he said.

APNEWS.COM, APRIL 24, 2019

What is measles?

At one time, measles was one of the “usual childhood diseases” that most people Born before 1957 contracted as children prior to the use of the vaccine. It is caused by a virus in the Paramyxoviridae family and spread by person-to-person contact.

The other childhood diseases were

  • Rubella, or  German measles
  • Chicken pox, or  varicella
  • Roseola
  • Fifth Disease, or erythema infectiosum

These all cause a rash, called an exanthem.

Mumps was also a common childhood disease but does not usually cause a rash.

Symptoms of measles include

  • cough,
  • nasal drainage,
  • reddened, inflamed eyes, and
  • a rash as pictured below.
the rash of measles
image courtesy of the CDC- Centers for Disease Control , U.S. government

Treatment of Measles

Management of measles involves supportive care, meaning controlling fever for comfort, ensuring adequate nutrition and fluids to prevent dehydration.

Vitamin A supplementation is recommended by the World Health Organization and the CDC.

An antiviral drug, ribavirin has been used to treat severe life-threatening cases. It has not been studied in controlled trials, so the FDA has not approved its use.

Most of those infected recover uneventfully but there can be serious complications including pneumonia and encephalitis (inflammation of the brain).

Preventing measles and other exanthems

After the measles vaccine was introduced in 1963 the number of reported cases was reduced by 99%. In 2000 measles was declared no longer endemic (occurring routinely) in the United States. U.S. public health officials consider an outbreak a major setback in the control of infectious disease.

Measles vaccine is usually administered as a “3 in 1” vaccine- the MMR, which has been vilified as a possible cause of autism, although that has been thoroughly discredited.

The other two letters in the mix stand for mumps and rubella (also known as German measles) both of which are also caused by viruses and for which no treatment exists.

No vaccine exists for roseola or Fifth Disease, but we have an effective vaccine for varicella, commonly called chickenpox.

MEASLES OUTBREAK 2025

According to KFF Health News

“Since the outbreak emerged three weeks ago, the Texas health department has confirmed 90 cases with 16 hospitalizations, as of Feb. 21. Most of those infected are under age 18.

Officials suspect that nine additional measles cases reported in New Mexico, across the border from the epicenter of the Texas outbreak in Gaines County, are linked to the Texas outbreak. Ongoing investigations seek to confirm that connection.

Health officials worry they’re missing cases. Undetected infections bode poorly for communities because doctors and health officials can’t contain transmission if they can’t identify who is infected.

“This is the tip of the iceberg,I think this is going to get a lot worse before it gets better.”

Rekha Lakshmanan, chief strategy officer for The Immunization Partnership in Houston, a nonprofit that advocates for vaccine access.

Continue reading this report at

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My family receives vaccines and believe any potential risk is worth the benefit. I urge you to think carefully and talk to a trusted physician before you make vaccination decisions for yourself and your children.

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Remembering D-Day through Art

In 1943, as a 20 year old, Bill joined the Army, deployed to England, and prepared for the invasion. What he thought would be a grand adventure turned into a nightmare which he vividly captured in his book.

In the United States and in Europe, people observe June 6 as D-Day, when in 1944 Allied troops invaded Normandy, liberating France from Nazi occupation and ultimately end World War II. Special observances are planned every year there and in the United States to observe the anniversary of that historic event. 

Remembering D-Day by the Numbers
  • 156,000 troops from Allied nations, including the United States, the United Kingdom, Canada, France, Norway, and others 
  • 5 beaches along 50 miles of Normandy coast 
  • 6000 ships
  • 50,000 vehicles
  • 11,000 planes
  • 12,004 killed, wounded, missing or captured 

(source-The American Legion Magazine) 

How one man remembered D-Day

I learned about D-Day from my late friend Bill Hart, who died in 2014. Bill served in the U.S. Army during World War II , and his unit was part of the force that invaded Normandy.

Bill wrote an illustrated memoir about his military experiences. Through his written and visual account, he left us a first hand account of an experience that changed his life and changed the world. I want to share some of his memories with you here.

D-DAY VET REMEMBERS NORMANDY

Fighting the war in Europe

In 1943, as a 20 year old, Bill  joined the Army, deployed to England, and prepared for the invasion. What he thought would be a grand adventure turned into a nightmare which he vividly captured in his book.

Several days into the fighting on the beaches at Normandy, he was assigned to pick up and transport the bodies of fallen soldiers. Thereafter, as he worked his way across France and Belgium into Germany, he found himself dodging enemy soldiers, liberating concentration camps, dealing with angry and defeated POWs, and famished, humiliated civilians struggling to survive.  Bill described what he saw and felt this way.

2 SOLDIERS AND A JEEP

“At night I would think about the poor GI’s family when they got the news of his death. I tried not to think too much about this “dead guy” job. It seemed to go on forever.

For the next month and a half I was really alone, not attached to any outfit. I found my own food, water, gas for the Jeep and slept alone beside the Jeep in an open field. I shaved with cold water in my helmet and used my Jeep mirror to see.

The Germans were always near. I was scared I would be killed or captured. “Who knows where I am? Who would tell my mother if I died?”

In the beginning it had been exciting being alone with the invasion action all around me. But now I have panic attacks and nightmares of the dead bodies waking me as I sleep in the open field alone.

Most GI’s have other soldiers around them to feel safety in numbers. I had no one. I can’t get their dead faces out of my mind. I wait for the bright morning sun to erase the terrible images.”

Fighting a war at home

After the war, Bill established a career as a commercial artist. Art provided not only a living for him and his family but also an outlet for dealing with the distressful memories of the war.

He created an extensive portfolio of drawings and paintings depicting  images of what he saw and experienced.  By expressing his feelings on canvas, he released some of their distress.

SOLDIER LYING ON THE GROUND

“Later I forced myself to stop thinking about the “dead guys” experience and eventually forgot it.

62 years later, in 2006, when I applied for compensation for war injury during the Battle of the Bulge, the woman who interviewed me kept telling me I was leaving something out, something from my past.

I finally remembered after much writing about my remembered events in the 1944 and 1945 war period and was diagnosed with PTSD.

I believe, the greatest event of the 20th century took place during the June 1944 D-Day Normandy Invasion. I am very proud of being a small part of that great historical event that will always be remembered.”

Quotes and drawings from Bill’s memoir, D-DAY VET REMEMBERS NORMANDY (copyright) used by permission of his wife

Bill was proud to be a World War II veteran and I count it a privilege to know him. He was a kind, gentle man who loved God, his family and friends. He is missed by all of us who love him.

MAN IN A NORMANDY D-DAY HAT
Bill Hart, World War II veteran

 

 

Bill also drew other subjects.  Every year he and his wife sent out a Christmas card which he illustrated.
shepherds raising arms to the sky
one of Bill’s Christmas card drawings

Bill’s artwork and copies of his book are available to purchase from his wife. If you are interested, contact me here and I will put you in touch with her.

 

POST-TRAUMATIC STRESS DISORDER-PTSD

Once known as “shell shock” or “battle fatigue”, post-traumatic stress disorder, PTSD, has become the most common post-military service disorder. Although it also occurs in civilians who experience severe trauma, it has  been defined, studied, and treated among current and former service members.

PTSD develops after exposure to or experiencing significant traumatic events such as interpersonal violence, death or  threat of death, serious accidents, disasters and combat.

There are 4 types of symptoms-

  • Intrusions, such as flashbacks, nightmares
  • Avoidance- isolating oneself from people and/or certain situations
  • Negative mood changes, such as irritability, anger and depression
  • Hypervigilance- being easily startled, always on edge

PTSD can also lead to depression, anxiety, alcohol and substance abuse and suicide.

It is also frequently associated with traumatic brain injury (TBI)  and chronic pain.

The National Center for PTSD (Veterans Administration)  is dedicated to research and education on trauma and PTSD, working to assure that the latest research findings help those exposed to trauma. They offer extensive information and resources at this link

PTSD: National Center for PTSD

exploring the HEART of veterans’ health

Dr. Aletha