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.

This information is not intended for diagnosis or treatment. Before making health decisions, discuss with your physician or other qualified healthcare provider to decide what is right for you.

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
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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.

I live in Oklahoma, and depending on where you live you may or may not know where that is.

My state lies in the south-central part of the United States, often called the Plains. You may be familiar with Texas, a large state that shares its southern border with Mexico.

Oklahoma shares its southern border with Texas. We also border five other states-Colorado, Kansas, Missouri, Arkansas, and New Mexico.

With measles cases reported in Texas and New Mexico, it’s not surprising it has crossed over into Oklahoma. Rather, people infected with the measles virus have crossed over.

According to the CDC,

“As of March 6, 2025, a total of 222 measles cases were reported by 12 jurisdictions: Alaska, California, Florida, Georgia, Kentucky, New Jersey, New Mexico, New York City, Pennsylvania, Rhode Island, Texas, and Washington.”

Why should you care? Lots of people will travel over Spring Break, which starts here next week. In two months schools close for the summer and families travel on vacations. When people travel, the viruses they carry go with them.

More states, and maybe countries, may join the list of measles outbreaks. Here is the report from Oklahoma Voice about the infections in my home state.

First measles cases reported in Oklahoma, but public health officials remain mum on details

by Emma Murphy, Oklahoma Voice
March 11, 2025

OKLAHOMA CITY — State health officials on Tuesday ( March 11, 2025) said they’ve confirmed the first two cases of measles in Oklahoma amid an ongoing outbreak in Texas and New Mexico.

But Oklahoma State Health Department officials did not share where in Oklahoma those cases were diagnosed or how old the individuals are.

They said they believe the exposures were associated with the outbreak in Texas and New Mexico, which is confirmed to have killed one child and sickened over 250 people.

Erica Rankin, a spokesperson for the state health department, said Oklahoma’s two cases present “no further risk to public safety.” The agency only releases geographic information about measles cases when there is a “public health risk” and all potential exposures cannot be identified. Three or more related cases is considered an outbreak, she said. 

It was unclear Tuesday afternoon whether the individuals were vaccinated against the measles.

Health officials did say the two cases are unrelated to an erroneous report of measles in Bartlesville on March 4. The two confirmed cases have been reported to the Centers for Disease Control and Prevention and are under investigation.

With outbreaks in neighboring states, the Oklahoma Health Department, or OSDH, has been on “high alert” and monitoring for cases in the state, according to a statement from the department. 

“If a measles case is identified, the OSDH team will work with the individual on next steps and guidance to mitigate the spread and protect others. If there is a risk of spread to the public, the OSDH will notify the public and share any information necessary to protect the health of Oklahomans.”

“These cases highlight the importance of being aware of measles activity as people travel or host visitors. When people know they have exposure risk and do not have immunity to measles, they can exclude themselves from public settings for the recommended duration to eliminate the risk of transmission in their community.”

per Kendra Dougherty, the Health Department’s director of Infectious Disease Prevention and Response

Prevention

Measles can be prevented with an MMR vaccine which is recommended for children at 12 to 15 months of age and again at 4 to 6 years old. Receiving two doses of the vaccine is about 97% effective at preventing measles, and one dose is about 93% effective, the Health Department reported in a statement. 

Almost 92% of Oklahoma kindergartners were up to date on their MMR vaccines, according to the 2023-24 Oklahoma Kindergarten Immunization Survey

The department recommended that individuals with known exposure to measles who are not immune through vaccination or prior infection consult with a health care provider and “exclude themselves from public settings for 21 days unless symptoms develop.” 

To confirm a report of measles, the case must show symptoms and have a test confirming the diagnosis. 

This story is republished under Creative Commons license CC BY-NC-ND 4.0.

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.

Measles elsewhere

Here are links to stories about the ongoing outbreaks of measles in New Mexico and Texas.

CDC Key Points about Measles

  • Measles is very contagious and can be serious.
  • Anyone who is not protected against measles is at risk.
    • Two doses of MMR vaccine provide the best protection against measles.
Measles is highly contagious.

Exploring the HEART of Health

I’d love for you to follow this blog. I share information and inspiration to help you turn health challenges into health opportunities.

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

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