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 that occurs years or decades after initial infection.

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

Measles attacks the body's immune system, leaving it vulnerable to secondary complications.

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.

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

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

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

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

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.

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.

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.

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 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.

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.

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.

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.

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.)

Leprosy affects the skin, eyes, and upper respiratory tract

Untreated, the disease can lead to permanent nerve damage and the loss of sensation in arms, legs, and other extremities. The exact form of transmission remains unclear, but scientists suspect it is spread via respiratory droplets over a prolonged period. (Warning: Graphic content, including photos of deformities.)

Multiple sclerosis means 'many scars'

That's a reference to the scarring or lesions that occur in the brain, spinal cord, and elsewhere whenever the immune system has a flare-up. The immune system attacks the myelin because it incorrectly responds as if it's a threat, damaging the body's ability to transmit electrical signals effectively from areas of the body to the brain.

Paralysis from polio occurs in under 1% of infections

About 1 in 200 cases of infection causes paralysis. For paralysis to occur, the virus travels from the throat, intestines, and gut to infect specific cells within the spinal cord and brain stem that control movements. Within hours of invading the nervous system, paralysis can occur. The virus can be present in bodily secretions and stool for multiple weeks post-infection.

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.

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.

There are multiple types of multiple sclerosis—they differ by attack patterns

When your immune system targets the nervous system, this can cause new or worsening symptoms and the development of scarring or damage within the central nervous system. Relapsing-remitting MS is the most common type of the disease—it includes progressive bouts of attacks that occur months or years apart.

Untreated malaria can lead to blocked blood vessels in the brain, coma, and organ failure.

Long-term memory issues among West Nile survivors may be from immune response, not virus

Rodent research suggests that long-term neurological complications such as fatigue, weakness, difficulty walking, and memory loss, may be due to the immune system systematically destroying parts of neurons in the brain in response to the infection, rather than due to viral infection itself.

There's no cure for West Nile virus—and infection can leave patients with permanent symptoms

This news story features Marie Heilman, a woman who became ill at age 40 from an infected mosquito bite in her yard. She says she was in a coma for 15 days, and though she woke up, she suffers from seizures, fatigue, vision issues, and has had two strokes.

MS can damage the brain up to 7 years before symptoms appear

Recent research scouring blood samples from 134 people with MS, both before and after their diagnosis, found that about seven years before these patients were diagnosed, there was a spike in a protein called myelin oligodendrocyte glycoprotein—indicating disease-associated damage to the protective myelin around nerve fibers.

Improved 19th-century sanitation meant kids encountered polio later, with worse results

Almost all children likely used to contract poliovirus, but scientists suggest that when infants encountered it very early in life—due to poorer conditions and hygiene—they still had some maternal protection from pregnancy or through breastmilk, so the symptoms were more flu-like.

MS disproportionately sickens women, but men tend to have worse outcomes

Though the disease is more common in women, men's symptoms progress more quickly, with men more often diagnosed with progressive MS and men's cases typically resulting in more severe symptoms—perhaps due at least partly to more delayed diagnosis—and more severe disability over time.

The disease no one survives (yet)

Creutzfeldt-Jakob disease is currently incurable and can cause one's death within months of symptoms appearing. It involves misfolded proteins that, for some reason yet unknown to science, aren't cleared by the brain as typical and instead trigger similar proteins to misfold. These malformed major prion proteins—prion being a portmanteau of protein and infection—clump inside nerve cells, blocking signals crucial to processes ranging from speaking to organ function.

Cryptococcus neoformans, a growing threat, causes infections in the brain and lungs

This inhalable, microscopic pathogen is found worldwide. It rarely causes illness, but it can take root in those with compromised immune systems, including people with advanced HIV/AIDS. Symptoms of cryptococcal infection—such as a stiff neck, vomiting, and confusion—can begin weeks or months after breathing in spores, though sometimes symptoms won’t appear for years. There are no known cases of transmission between people or between people and animals.

Post-polio syndrome occurs decades after infection but isn't contagious

Affecting adults who contracted polio as children, this disorder can occur 15 to 40 years later, leading to slow, irreversible muscle weakening. Some research estimates that between 25% and 40% of polio survivors go on to develop this condition.

A vaccine against Epstein-Barr virus, researchers hypothesize, could potentially prevent MS

As many as a quarter of MS patients have antibodies in their blood that bind to both a central protein in Epstein-Barr virus and a protein made in the brain and spinal cord that—when attacked—leads to a breakdown of protective nerve fiber insulation. This suggests the immune system's primed to attack the nervous system after mounting a defense against Epstein-Barr.

Attenuated vaccines introduce a weakened version of the virus into the body

Some vaccines, like those for measles, rely on weakened versions of a virus. These weakened pathogens are introduced into the body, triggering an immune response and helping the immune system learn to protect itself against stronger versions of the virus. (This also explains why some vaccines make you feel under the weather.)