Texas Measles Outbreak Spreads: 500+ Cases Reported

Lubbock, TX – A measles outbreak in West Texas has surpassed 500 confirmed cases, marking the state's largest in over 30 years and spreading to neighboring states and Mexico. The outbreak, centered in Gaines County, has resulted in three deaths, all unvaccinated individuals, including two elementary school-aged children. The latest death occurred on Thursday at a Lubbock hospital. Health officials are attributing the surge to low vaccination rates, particularly within a close-knit Mennonite community in Gaines County.
The Texas Department of State Health Services reports that kindergarten immunization rates in the state dropped approximately 2.5% between 2019 and 2023. In Gaines County, only 82% of kindergarteners were vaccinated for measles in the 2023-24 school year, far below the 95% threshold recommended by the World Health Organization for herd immunity. This low vaccination rate is exacerbated by an unknown number of unvaccinated homeschooled children and those attending private schools, not included in the official data. Neighboring Terry County boasts a 96% vaccination rate, while Lubbock County reports 92%.
Lubbock Public Health director Katherine Wells describes the situation as a significant challenge, acknowledging that vaccine uptake has been a struggle. She and her colleagues are employing established strategies: contact tracing, public exposure notifications, and encouraging isolation. However, without a state-declared public health emergency, more aggressive measures, like preemptive quarantining of unvaccinated children, are not currently an option. The Texas Department of State Health Services currently has no plans to declare such an emergency. Further complicating matters are proposed federal funding cuts which will impact immunization programs. The Department of Government Efficiency announced in March plans to terminate hundreds of millions of dollars in grants to the Texas Department of State Health Services.
The outbreak has also highlighted conflicting messaging surrounding vaccination. Health and Human Services Secretary Robert F. Kennedy Jr. has previously downplayed the importance of vaccines and promoted alternative treatments, though he has since publicly stated that vaccines are the most effective defense against measles. This conflicting information, according to Jennifer Nuzzo, director of the Pandemic Center at The Brown University School of Public Health, complicates the efforts of local health officials. The situation is further complicated by a daycare in Lubbock County, Tiny Tots U Learning Academy, reporting multiple measles cases, including children too young to be fully vaccinated. The facility is implementing isolation measures for affected children. The CDC has deployed a team to assist with the outbreak response. Health officials expect the outbreak to continue for at least a year.