Measles is one of the most contagious infectious diseases known to science. It was responsible for more than 100,000 deaths in 2023. Most of those deaths occurred among unvaccinated children under the age of 5. The virus attacks the immune system, leaving patients vulnerable to secondary complications. The measles virus was described in medical texts as early as the 9th century.
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A measles infection begins in the lungs, where it hijacks cells known as macrophages and begins to replicate itself. It then uses a Trojan horse method to enter the lymph nodes, where it attacks vulnerable T and B cells. Symptoms include fever and rashes.
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 most serious effects of a measles infection, particularly in young children, come from its attack on the immune system. This leaves the whole body vulnerable to follow-on diseases, with some of the most serious including respiratory conditions, encephalitis, and more.
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.
The virus’s ability to persist in the air for up to two hours means an infected person could enter a room, leave, and two hours later infect someone else entering the room. Its location in the body’s upper respiratory tract also makes it easy for viral particles to be sneezed or coughed into the air.
Subacute sclerosing panencephalitis, also known as Dawson disease, is a progressive and fatal neurodegenerative condition caused by a dormant measles infection. Typically, patients recover from measles normally, with the symptoms of SSPE only appearing years or even decades later. The incidence rate in unvaccinated pediatric patients is estimated to be around one in 1,300.
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.
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.
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.
Measles killed an estimated 2.6 million people globally in 1980, after the development of a vaccine but before its widespread dissemination. By 2014, that figure had dropped to an estimated 73,000.
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