As of this week, more than 2,400 cases of measles have been reported in the US.

Measles cases in the US reached a 35-year high in 2026 as vaccination rates dropped.

Measles, eliminated in the US in 2000 but now making a resurgence, is one of the most contagious preventable diseases.

Current US measles outbreak data from the CDC

This data portal from the Centers for Disease Control and Prevention tracks current cases, hospitalizations, and deaths from measles. A 2025 outbreak in Texas and New Mexico drove US cases to their highest levels since the early 1990s.

Measles symptoms range from fever to pneumonia and encephalitis

While less common, most measles-related deaths come from secondary conditions such as pneumonia (one to six cases per 100 patients) and encephalitis (one case per 1,000 patients). Blindness, which is rare, may arise from corneal ulceration.

The measles vaccine has saved an estimated 94 million lives since its introduction.

Secondary complications from measles in children range across the whole body.

A look at the 2025 measles outbreak in West Texas and surrounding areas

A measles outbreak in the summer of 2025 ultimately led to more than 900 cases and the deaths of two young children. The highly contagious virus requires vaccination rates near 95% to achieve herd immunity—the Texas outbreak spread through areas of significant mistrust of vaccines, including the area’s Mennonite community.

A rare complication of measles is that, although a patient may appear to recover, the virus can linger in the body and continue to replicate, leading to a progressive and fatal breakdown of the central nervous system.

Measles was declared eliminated in the US in 2000

Following a decades-long vaccination campaign, health officials declared victory over measles. This formal definition does not mean limited outbreaks no longer occur, but that ongoing endemic transmission for longer than 12 months has been prevented.

A 1954 outbreak at a Boston boarding school allowed scientists to isolate the measles virus

While measles was described as early as the 9th century, humanity lacked the medical technology to fight the disease until the mid-20th century. Vaccine development from the Boston outbreak in the 1960s and 1970s led to one of the most effective inoculation campaigns in history.

Measles infection can cause long-term immune system “amnesia”

The measles virus attacks the body's immune system, including preying on T and B cells in the lymphatic system. These cells hold memories of past infections, which can be degraded as the virus destroys them. This leaves patients susceptible to other infections for a year or longer.

Measles evolved from an ancient cattle disease, branching off as recently as 3,000 years ago.

Measles reached global transmission during the 15th- and 16th-century Columbian exchange

Devastating diseases like smallpox, influenza, measles, and other viruses were largely introduced into the Western Hemisphere beginning with the 1492 arrival of Christopher Columbus and the ensuing age of exploration.

Vitamin A does not cure measles, but it helps reduce the symptoms

Also known as retinol, vitamin A plays a significant role in supporting the body’s immune system. The virus attacks the immune system, and studies have shown a correlation between vitamin deficiency and severity of measles symptoms. Supplemental vitamin A doses are now a part of recommended treatment for pediatric patients.

The CDC’s “Pink Book” chapter on measles

The agency’s “Pink Book” is meant to be a comprehensive guide on various diseases and their treatments. This chapter on measles reviews how it works and common symptoms, and provides information on the MMR and MMRV vaccines.

A technical look at the measles virus and its life cycle

The measles virus is made up of a single strand of RNA, packaged inside an envelope that varies in shape and size. A negative-sense paramyxovirus—the same family as mumps—the virus is encased in proteins that help it attach to immune cells inside the body.

What is the measles, mumps, and rubella vaccine?

Federal guidance currently recommends a two-shot schedule of the MMR vaccine for children in most cases, once at 12 to 15 months and once at 4 to 6 years. (A September 2025 update only called for the elimination of a combined vaccine that included protection against varicella, the MMRV shot.)

The R0 value is how epidemiologists quantify disease contagiousness

The basic reproduction number indicates the average number of people a person with a disease will infect. Measles is the most contagious disease, with an R0 of 12-18, though vaccines have significantly reduced the number of susceptible individuals.

Understanding R0, a measure of how contagious a pathogen is

The R0 value is a basic measure of how many people an infected person will transmit a pathogen to, on average. If R0 is less than 1, transmission dies out; if greater than 1, an outbreak is likely. Measles has one of the highest known R0 values at almost 18, meaning that after four transmission steps, more than 100,000 people could be infected.

Up to 225 cases of leprosy in the US are diagnosed each year

Most cases in the US are imported, meaning someone was infected in a country where it was more common. Since symptoms can sometimes take decades to appear, tracing the origin of the disease can be hard.

CDC does not require docs to report hand, foot, and mouth cases which makes tracking difficult

Mid-Atlantic states saw a surge of hand, foot, and mouth disease in 2025 for as-yet unknown reasons. Virginia, Maryland, and New Jersey, reported elevated outbreak numbers in 2025 as compared to other recent years, but since the US Centers for Disease Control and Prevention does not require mandatory reporting of positive HFMD cases—unlike strictly notifiable diseases like measles—it's hard to truly know the extent of the outbreaks and how significant the caseload is as compared to prior years across the region or country.

A heatmap showing the drop in infectious diseases post-vaccine deployment

The number of infected people, measured over 70-some years and across all 50 states and the District of Columbia, declined significantly after vaccines were introduced.

Lyme disease is the most common vector-borne illness in the US

In the US, ticks account for 90% of all disease transmission from bites, including mosquitoes. And Lyme disease is the most common vector-borne disease in the US overall, with estimates suggesting there are about 475,000 Lyme cases annually across the nation.

More than 20 mosquito-borne and tick-borne diseases are found in the US

Children, older adults, and people with compromised immune systems are at particular risk of poorer health outcomes from these diseases. But dog owners and outdoor enthusiasts are among those at particular risk of contracting these illnesses, which include Lyme disease, Zika, and the condition Alpha-gal Syndrome.

In 2012, a virus that causes HFMD may have killed dozens of kids in Asia

More than 50 young children in Cambodia died in spring 2012 for unknown reasons, but laboratory testing of samples available from a limited number of those children came back positive for Enterovirus 71. That virus, which can cause HFMD, is known to cause severe complications among some people who contract the disease. But health officials concluded that poor baseline health and then incorrect treatment using steroids helped exacerbate their condition, helping lead to the deaths.

Environmental conditions, shifting immunity, and viral strain could help explain 2025 spike

The surge in HFMD in the summer and early fall of 2025 in the mid-Atlantic could be the result of a confluence of factors, including a more virulent strain of disease-causing virus, good environmental conditions for the virus to spread—hot, humd—and a potential immunity gap among kids due to milder HFMD outbreaks the previous year.

10 locally acquired malaria cases were reported in the US in 2023—a surprise

The cases, reported in Florida, Texas, Maryland, and Arkansas, broke a 20-year streak since there had been no reported locally acquired mosquito-transmitted malaria in the country since 2003, when there was a case in Florida.

HFMD was first reported in 1957 in New Zealand

The first clinical report involved eight kids with the characteristic sores in New Zealand, and then in the years that followed there were dozens more cases there and also reports of outbreaks in England and Scotland, among other settings, including the US.

Ebola virus, with an average fatality rate above 50%, has been responsible for more than 250 confirmed deaths during the 2026 outbreak in the Democratic Republic of the Congo and Uganda.

There are more than 200,000 cases of HFMD annually, and there's no cure

The highly contagious disease is caused by several viruses and it primarily affects little kids. It causes red spots in and around the mouth, hands, feet, and even the buttocks. They often become painful water-filled blisters that can burst and cause small ulcers. Eating and drinking is uncomfortable for about a week so patients need to be careful not to become dehydrated.

Rabies is nearly 100% fatal once symptoms appear

Rabies, a viral disease attacking the central nervous system, is nearly always fatal once symptoms appear. It spreads through the infected animal saliva (typically through bites) and causes encephalitis, leading to severe neurological symptoms and death. See how the lyssavirus—the bugs behind rabies—work once inside the body.

See MS prevalence by region in the United States

This map underscores that people in the northeastern United States have more cases of the disease as compared to the south, west, and midwest. On an individual level, these numbers may still differ based on genetic makeup and other factors irrespective of where people live.

Influenza infects up to a billion people worldwide each year

The World Health Organization estimates that seasonal influenza causes about 1B cases annually, including 3 to 5M severe illnesses and between 290,000 to 650,000 deaths.

Diphtheria was once a leading childhood killer before antibiotics and vaccines

In 18th- and 19th-century outbreaks, some New England families lost as many as eight children to diphtheria, and fatality rates in hospitals often topped 60%. The invention of antitoxins, penicillin, and vaccines dramatically reduced deaths.

More than 5 million Americans have more than one autoimmune disease

Overall, about 4.6% of the US population—15 million people—have an autoimmune condition. Some common examples include rheumatoid arthritis, psoriasis, type 1 diabetes, Grave's disease, and autoimmune thyroiditis.