U.S. reports most measles cases in decades amid vaccination decline

In 2025, the United States is experiencing a concerning outbreak of measles, with confirmed cases hitting 1,288, the highest level seen in over 33 years. This surge follows years of declining vaccination rates across the country, particularly among children. Public health experts have recorded significant drops in measles vaccination rates since the COVID-19 pandemic, with a Johns Hopkins University study showing that 78% of U.S. counties have seen lower vaccination levels. Recently, Texas has emerged as a hotspot for measles infections, with a notable outbreak primarily affecting unvaccinated communities. The Centers for Disease Control and Prevention (CDC) indicates that the rate of measles infections has now surpassed that of 2019, when there were 1,274 cases recorded. In addition to the rising case numbers, the outbreak has resulted in three tragic deaths—two children in Texas and one adult in New Mexico. The CDC has linked these cases to low vaccination rates in specific communities, particularly among congregations such as the Mennonites, where vaccination hesitancy has historically been prevalent. Measles is known for being extremely contagious; a person infected can spread the virus even before showing symptoms. The disease can lead to severe complications, such as pneumonia or encephalitis, requiring hospitalization in about 1 in 5 cases. Health officials are voicing concerns about the outcomes if current trends continue, stressing the importance of vaccination to curb the spread. To attain herd immunity against measles, a vaccination coverage of at least 95% in communities is essential. Public health campaigns are emphasizing that vaccination is the best defense against this disease, yet misconceptions and fears surrounding vaccines have led to significant declines in uptake. As health officials become increasingly alarmed about the ongoing outbreaks, calls for wider vaccination efforts are intensifying, especially as summer camps and communities prepare for gatherings that could further facilitate the spread of measles. Proper public policy initiatives and education may be required to increase vaccination rates and restore public confidence in immunization as a health measure.