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Measles outbreak erupts in one of Texas’ least vaccinated counties

Still, the county-wide number obscures pockets of yet lower vaccination rates. That includes the independent public school district in Loop, in the northeast corner of Gaines, which had a vaccination rate of 46 percent in the 2023–2024 school year.

Holbrooks noted that the county has a large religious community with private religious schools. These may have yet lower vaccination rates. Holbrooks said that, so far, the measles cases being seen and traced in the outbreak are linked to those private schools.

Public health response

To try to prevent disease transmission, Holbrooks and other state and local officials are getting the word out about the outbreak and running vaccination clinics. About 30 children were vaccinated in a mobile vaccination drive yesterday, he reported.

“We’re trying to get out the message about how important vaccination is,” he said.

He’s also emphasizing that, while children with measles symptoms—very high fever, cough, runny nose, red/watery eyes, and of course, the tell-tale rash—should see a health care provider, parents need to call the office in advance so a child potentially infected with measles doesn’t end up sitting in a waiting room among other potentially vulnerable children.

“Measles is highly communicable,” he notes. The viral illness is one of the most highly infectious diseases on the planet, and about 90 percent of unvaccinated people who are exposed to it will end up falling ill. The virus spreads through the air and can linger in the airspace of a room for up to two hours after an infected person has left.

In addition to a generally miserable illness, measles can cause complications: 1 in 5 unvaccinated people with measles in the US end up hospitalized. About 1 in 10 develop ear infections and/or diarrhea, and 1 in 20 develop pneumonia. Between 1 to 3 in 1,000 die of the infection. In rare cases, it can cause a fatal disease of the central nervous system called Subacute sclerosing panencephalitis, which typically develops 7 to 10 years after an infection. Measles can also devastate immune responses to other infections (immune amnesia), making people who recover from the illness vulnerable to other infectious diseases.

Health officials have generally raised concerns about outbreaks of measles and other vaccine-preventable diseases as vaccination rates have slipped nationwide and vaccine exemptions have hit record highs. Anxiety over the risks has only heightened as Robert F. Kennedy Jr. is poised to become the country’s top health official. Kennedy is a prominent anti-vaccine advocate who has spent decades spreading misinformation about vaccines.

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