CDC warns that measles cases are expected to increase in spring and summer

The Centers for Disease Control and Prevention warned this week: More measles cases in the US Crowds are expected in the coming months as the summer travel season approaches.

In guidance sent to state and local health departments on April 27, federal health officials called on public health agencies across the United States to remain vigilant in preparation for an increase in measles cases in the coming months. The CDC noted that the number of travelers will increase sharply in the spring and summer, increasing the risk of further spread of infection.

“Measles transmission continues across North America, and we expect additional measles cases to emerge in the coming months as we anticipate an increase in domestic and international travel and large-scale events throughout the spring and summer.” The CDC states in its guidance:.

The agency reminded state and local health departments to immediately report suspected measles cases (within 24 hours) through CDC and the National Notified Disease Surveillance System. Public health authorities were also advised to ensure hospitals have clear procedures for reporting measles cases to authorities.

The CDC recommended that public health agencies document and report details about each case, including close contacts and places visited while infected. The CDC said active surveillance should be conducted to identify additional suspected cases and quickly transport specimens for laboratory confirmation.

The agency recommended encouraging support for undervaccinated communities and using state-based syndromic surveillance systems to detect changes in health care-seeking behavior for fever, rash illness, or signs of vitamin A toxicity.

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This guidance was issued as measles cases continue to be recorded in the United States. of CDC announced 1,792 confirmed measles cases As of April 23, cases have been reported nationwide.

Measles outbreak: South Carolina declares outbreak over

Number of measles cases in the United States

The CDC announced that of the 1,792 confirmed measles cases, 1,782 were recorded in 36 states. A total of 10 measles cases were reported among international visitors to the United States.

According to CDC data, 22 new outbreaks were reported in 2026, and 93% of confirmed cases were associated with an outbreak, defined as three or more related cases. Approximately 92% of cases occur among people who have not been vaccinated or whose vaccination status is unknown.

In 2025, the total Number of confirmed measles cases: 2,288 The CDC says it has been reported across the United States. Of these cases, 2,263 were recorded in 44 states, and 25 cases were reported among international travelers to the United States.

Of the 2,288 cases, 26% occurred in children under the age of 5, and 44% were reported in children between the ages of 5 and 19, according to the CDC. The agency also reported that 243 patients were hospitalized last year, 106 of whom were under the age of five.

The CDC announced that 93% of measles cases in the country in 2025 will be in patients who have not been vaccinated or whose status is unknown. Three people were confirmed dead. two childrenin West Texas.

Immunization rates for U.S. kindergarteners decreased from 95.2% in the 2019-2020 school year to 92.5% in the 2024-2025 school year. CDC.

Measles was declared eliminated in the United States in 2000. This means the virus is no longer continuously circulating in the country. The circumstances of the exclusion are currently under review, and the Pan American Health Organization has postponed a decision until November.

graphic: There are more than 1,300 measles cases in the United States. We track its spread.

Best prevention against measles

According to the CDC, measles is highly contagious and can spread when an infected person coughs or sneezes. It can also be spread by breathing contaminated air, which can remain infectious for up to two hours, or by touching a contaminated surface and then touching your mouth, eyes, or nose.

According to the CDC, measles symptoms usually appear 7 to 14 days after exposure to the virus and generally include a high fever, cough, runny nose, and watery eyes. The measles rash appears 3 to 5 days after the first symptoms appear.

According to the CDC, complications from measles include ear infections, hearing loss, pneumonia, croup, diarrhea, blindness, and brain swelling. Measles can cause serious illness and death, even in healthy children.

Measles infection in unvaccinated pregnant women can cause premature birth and low birth weight babies.

The CDC estimates that about 1 in 5 unvaccinated people who become infected with measles in the United States will require hospitalization. Health experts emphasize that: the best defense against disease This vaccine may be given alone or as part of the MMR vaccine or measles-mumps-rubella-varicella (MMRV) vaccine.

According to the CDC, two doses of the MMR vaccine provide 97% protection against the virus. Children usually receive their first vaccination when they are 12 to 15 months old and their second vaccination when they are 4 to 6 years old.

According to the National Foundation for Infectious Diseases, adults born before 1957 are likely to have been infected with measles as children and therefore are presumed to have developed immunity.

Contributions: Adrianna Rodriguez, Ken Alltucker, Mary Walrath-Holdridge, USA TODAY. Reuters

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