How much worse could America’s measles outbreak get?


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Key Concerns

The current measles outbreak in the US, surpassing 800 cases (with likely underreporting) and resulting in three deaths, marks the worst outbreak in 30 years. The situation is alarming due to several factors.

Underlying Issues

The outbreak's severity is exacerbated by falling vaccination rates and reduced public health services. These factors increase the risk of more frequent and uncontrollable outbreaks in the future, potentially leading to measles becoming endemic again in the US.

Consequences

The rising number of cases and the weakening of public health infrastructure signal a concerning trend for the future of disease control and prevention in the US.

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AMERICA’S MEASLES outbreak is alarming for several reasons. What began as a handful of cases in Texas in January has now surpassed 800 across several states, with many more cases probably going unreported. It is the worst outbreak in 30 years and has already killed three people. Other smaller outbreaks bring the total number of cases recorded in 2025 so far to over 1,000. But above all, public-health experts worry that the situation now is a sign of worse to come. Falling vaccination rates and cuts to public-health services could make such outbreaks more frequent and impossible to curb, eventually making measles endemic in the country again.

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