Measles Outbreak: Highest Cases in 33 Years Across 39 States

This post highlights a recent news article that caught my attention. The measles outbreak in the U.S. has escalated sharply, with 1,289 cases reported in 39 states, the highest count since 1992. States like South Carolina and Wyoming report new infections, raising concerns about vaccination accessibility and public health.

When I first wrote about the current measles outbreak in the United States, fourteen states had reported cases. According to a recent news report, that number has almost tripled, and the number of documented cases is the highest since the last century.

This information is current as of the date of original publication or update. It may have changed by the time you read this. I invite you to fact-check what you read here.

Please do not use this information for diagnosis or treatment purposes. Before making health decisions, discuss with your physician or other qualified healthcare provider.

The following report is republished here by permission

Measles reaches highest level in 33 years, now in 39 states

by Tim Henderson, Oklahoma Voice
July 14, 2025

Measles cases have surpassed a recent 2019 record to reach the highest level since 1992, with at least 1,289 cases reported in 39 states.

The milestone comes as health officials are increasingly alarmed by vaccine skepticism gaining a voice in the Trump administration under U.S. Department of Health and Human Services Secretary Robert F. Kennedy Jr.

Pediatricians and public health associations filed a federal lawsuit this month challenging a May directive by Kennedy, claiming it “creates barriers” to vaccination for pregnant women and young children.

“Because of his name and profile, Mr. Kennedy has been instrumental in increasing the levels of vaccine hesitancy and skepticism in this country,” the lawsuit states. “The Secretary’s dismantling of the vaccine infrastructure must end.”

Measles is highly contagious and spreads through the air when an infected person coughs or sneezes.

CDC Measles Statistics Report

The federal Centers for Disease Control and Prevention reported Wednesday that there were 1,288 cases in 38 states, surpassing the 2019 level of 1,274. South Carolina later reported its own first case of the year, an unvaccinated international traveler in the northwestern Upstate area of the state.

Wyoming reported its first measles case since 2010 on July 1, an unvaccinated child in Natrona County.

Other states recently joining the list: North Carolina reported its first case of the year June 24, in a child visiting Forsyth and Guilford counties from another country.

And Oregon reported a case the same day for a person identified only as an unvaccinated international traveler sickened in June after returning to the Portland area.

“We’re here to tell you that measles is now in Oregon, and if you’re not vaccinated, you are susceptible,” said Dr. Paul R. Cieslak, medical director for communicable diseases and immunizations at the Oregon Health Authority’s Public Health Division.

Measles is one of the most contagious diseases and can spread rapidly among unvaccinated people.

Utah reported its first case June 20, an unvaccinated person with no recent travel out of state. The state now has nine cases, mostly in Utah County, where Provo is located.

Confirmed cases this year were also reported in these other states: Alaska, Arizona, Arkansas, California, Colorado, Florida, Georgia, Hawaii, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Michigan, Minnesota, Missouri, Montana, Nebraska, New Jersey, New Mexico, New York, North Dakota, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Dakota, Tennessee, Texas, Vermont, Virginia and Washington.

Stateline reporter Tim Henderson can be reached at thenderson@stateline.org.

Oklahoma Voice is part of States Newsroom, a nonprofit news network supported by grants and a coalition of donors as a 501c(3) public charity. Oklahoma Voice maintains editorial independence. Contact Editor Janelle Stecklein for questions: info@oklahomavoice.com.

More on this blog about measles

What you need to know about Measles

Measles, or rubeola, is a viral infection characterized by a spreading rash, cough, and inflamed eyes. While largely controlled since the vaccine’s introduction in 1963, recent outbreaks reflect setbacks in disease management. Serious complications can occur. Vaccination remains crucial for prevention. Consult healthcare professionals before dismissing vaccines.

Keep reading

How to be Aware and Prepared for Measles

My home state Oklahoma confirmed its first two measles cases on March 11, 2025, linked to outbreaks in neighboring Texas and New Mexico. This is added to outbreaks in at least 12 other states. Viruses don’t recognize state lines or international borders, so everyone needs to be aware and prepared for its arrival.

Keep reading
Photo by rawpixel.com on Pexels.com

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7 tips to calm anxiety and worry

In 2025, with new health and economic challenges arising, such as measles outbreaks and trade wars, I revisit advice from the COVID-19 era to manage anxiety. Key strategies include limiting news consumption, naming fears, helping others, seeking support wisely, and prioritizing self-care to maintain mental well-being amidst ongoing concerns.

updated April 21, 2025

I originally wrote this post during the COVID-19 pandemic. Now in 2025 we have new but not necessarily less significant concerns.

Healthwise, measles has made a resurgence in humans. Bird flu, H5N1 flu virus, is rampant throughout animals and threatens to jump into humans.

The world is in an economic crisis due to tariffs and a trade war. And wars in the Middle East, Eastern Europe, and many other places threaten the safety and lives of millions.

So use this advice originally offered to manage pandemic anxiety to manage concerns about the world situation today. Because let’s face it, there will always be something to worry about.

The original 2020 post

Even physicians feel stressed and uneasy about the COVID-19 pandemic, maybe more so than others. We’re supposed to be the ones with the answers to our patients’ questions and have the means to help them.

One of my collagues read an article about dealing with this stress, and to decrease our stress from he shared it in an email, with some edits.

So I am sharing it here. I have added a few of my thoughts and some references, as well as a link to the original article from CNNhealth.

Limit the frequency of your updates, including social media  

With one of my patients, I suggested allowing herself one news check-in for 30 minutes each morning. 

Choose a frequency and a time that works for you.  But why stop there? 

Consider a social media sabbatical.   Give it a week and see how you feel. Taking the apps off your phone or tablet helps keep you accountable. 

diagram of the human brain.
The major parts of the brain, including the pineal gland, cerebellum, spinal cord, brain stem, pituitary gland, and cerebrum are labeled. photo courtesy of Source: National Cancer Institute Creator: Alan Hoofring (Illustrator)

Name your fears

Recognize that we all have a negativity bias hard-wired into our brains.  It’s a leftover evolutionary tool that helped keep our caveman and hunter-gatherer ancestors alive. 

Unfortunately, it overestimates the likelihood that something tragic will befall us, and underestimates our capacity and resources to cope. 

Conversely, if you minimize or ignore the threat of the pandemic, ask yourself if you should take it more seriously. If your reactions don’t match those of others in your community, your fear may have driven you to denial.

diverse people standing arm in arm

Think outside yourself: 

If/when you are feeling overly worried and anxious, and your thinking feels contracted and hopeless, turn your thoughts to how you can help someone else.

This may be a child or other family member, a group of society that is at risk or marginalized at this time, or some of the groups at higher risk due to their occupations, age, or medical conditions. 

When our thoughts turn to serving others, symptoms of worry, anxiety and depression lessen, and we feel better about ourselves. 

And this does not have to be anything big, simply shifting to focus off of ourselves and onto someone else helps.

a smiling woman working on a laptop computer
Physicians and counselors are available virtually, by phone or video visits.

Seek support, but do it wisely 

Don’t hesitate to ask for help if you need it.  And that goes for us caregivers too. 

We are not, and should not think of ourselves, as impervious to the various stressors, the disrupted routines and all of the uncertainty that is prevalent in the world right now.

Ask someone you can trust to be objective and rational, and not feed your worries or concerns. 

Pay attention to your basic needs

Don’t get so wrapped up in thinking about the threats that you forget the essential, healthy practices that keep you physically well. 

  • Getting adequate sleep
  • Keeping up with proper nutrition
  • Getting outside as much as possible
  • Engaging in regular physical activity

Practicing mindfulness, meditation, yoga, and spiritual disciplines will  help center you in routines and awareness, and keep your mind from wandering into the dark and sometimes irrational unknown.

a women with hands clasped in prayer with a Bible

Don’t chastise yourself for worrying. 

Again, this is part of our normal programming.  And to help kids when they are scared, don’t just tell them everything is going to be alright. 

a man reading to two young girls, sitting in a woman's lap

Let them know you hear their concerns and that you understand where they are coming from.  And THEN give them evidence and reasoning for the opposite side of the worry equation.  

Acknowledge their fears, and validate them…  And then do the same for yourself.

This post was adapted from this article on CNNhealth

How to keep coronavirus fears from affecting your mental health

Thanks to my guest writer-Dane Treat, M.D.

Dr. Treat graduated from the University of Oklahoma medical school, although a couple of decades later than I did. He completed residency at Good Samaritan Family Practice in Phoenix, where he lives and practices now. He also completed a Sports Medicine fellowship. He is a student of Mindfulness-based Stress Reduction. He wisely married a Mayo Clinic trained gastroenterologist, and they are the proud parents of a daughter.

near Phoenix, at Scottsdale Arizona, The Boulders Resort; photo by Dr. Aletha

If you are depressed and thinking about or planning suicide, please stop and call this number now-988

988lifeline.org

SUICIDE AND CRISIS LIFELINE. CALL.TEXT.CHAT

Exploring the HEART of Health

I’d love for you to follow this blog. I share information and inspiration to help you transform challenges into opportunities for learning and growth.

Add your name to the subscribe box to be notified of new posts by email. Click the link to read the post and browse other content. It’s that simple. No spam.

I enjoy seeing who is new to Watercress Words. When you subscribe, I will visit your blog or website. Thanks and see you next time.

Dr. Aletha