Health

5 years ago, the WHO declared COVID a pandemic. Here’s a look at the disease by the numbers

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(WASHINGTON) — Tuesday marks five years since the World Health Organization (WHO) declared the global outbreak of COVID-19 to be a pandemic.

Since then, millions of Americans have been hospitalized, and more than 1.2 million people have died.

Additionally, millions of adults and children are still feeling the effects of their illness and have been diagnosed with long COVID.

Here’s a look at the disease in the U.S. by the numbers.

Hospitalizations

In the last 28 days, ending about Feb. 16, 2025, about 3,800 Americans were hospitalized due to COVID-19, according to data from the WHO.

During the week ending Feb. 22, the most recent week for which data is available, data from the Centers for Disease Control and Prevention (CDC) shows that just 1.3% of inpatient beds were occupied by COVID-19 patients as well as 1.3% of intensive care unit beds.

Additionally, during the week ending March 1, the rate of COVID-19-associated hospitalizations was 1.4 per 100,000 people. The peak for the 2024-25 season was 4.2 per 100,000 people during the week ending Jan. 4, which is much lower than the peak of 35.6 per 100,000 people during the 2021-22 season.

Deaths

Since the pandemic began, more than 1.22 million Americans have died from COVID-19 as of March 6, 2025, according to the latest CDC data. The U.S. crossed the 1 million mark on May 12, 2022.

During the week ending March 1, there were 274 deaths recorded from COVID, according to CDC provisional data. This is the lowest number recorded since the pandemic began.

Meanwhile, the age-adjusted death rate currently sits at 0.1 per 100,000 people, which has remained relatively consistent since spring 2024 and is among the lowest rates recorded since the pandemic.

By comparison, during the height of the omicron wave in winter 2021-22, the death rate was 53 times higher at 5.3 per 100,000. The highest-ever death rate was recorded the week ending Jan. 9, 2021, at 6.5 per 100,000.

Studies have suggested COVID-19 vaccines, combined with mitigation measures, helped save hundreds of thousands of lives in the U.S.

Long COVID

Long COVID is a condition that occurs when someone infected with COVID-19 is within three months of the initial diagnosis and lasts at least two months.

As of August 2024, a federal survey found that 17.9% of adults have experienced long COVID — equivalent to about 47.6 million Americans, according to 2024 U.S. Census Bureau estimates.

Meanwhile, 5.3% of adults — equivalent to about 14.1 million Americans — reported they were currently experiencing long COVID symptoms at the time of the survey. Of those currently experiencing long COVID, nearly a quarter said they had significant activity limitations.

Another recent federal study, published in the journal JAMA Pediatrics in February, showed approximately 1.01 million children, or 1.4%, are believed to have ever experienced long COVID as of 2023 and about 293,000, or 0.4%, were experiencing the condition when the survey was being conducted.

Vaccines

In June 2024, the CDC recommended that everyone ages 6 months and older receive an updated 2024-2025 COVID-19 vaccine to protect against severe illness, hospitalization and death.

The updated vaccines target the JN.1 lineage of the virus, an offshoot of the omicron variant. There are formulations from Pfizer-BioNTech and Moderna available for those 6 months old and older and from Novavax available for those aged 12 and older.

The CDC, however, has previously stated vaccination coverage remains low, meaning “many children and adults lack protection from respiratory virus infections provided by vaccines.”

As of Feb. 22, 2025, only 23.2% of adults and 11.9% of children were vaccinated with the updated vaccine, CDC data shows.

Additionally, despite evidence showing the vaccine is safe for pregnant women, the CDC estimates that just 13.8% of pregnant women have received the updated vaccine.

Copyright © 2025, ABC Audio. All rights reserved.

Health

What we still don’t know about COVID 5 years after the WHO declared a pandemic

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(WASHINGTON) — Five years ago, the World Health Organization declared the COVID-19 outbreak to be a pandemic, leading to stay at-home orders and shutdowns across the U.S. and world.

The nation looks much different since then, and scientists and researchers have learned a lot about the virus, including how it infects people, the best forms of treatment and what puts someone at risk for long COVID.

There are still many questions, however. Health care professionals are working to find answers, such as how many people have truly died, how long the virus spread undetected in the U.S. and its origins.

“We know this emerged in China, around the city Wuhan. That’s very clear,” Dr. Cameron Wolfe, an infectious diseases specialist and a professor of medicine at Duke University School of Medicine, told ABC News. “We know when [the] medical community identified it, but we don’t know quite how long it was circulating before then. I think it’s caused some of the consternation.”

How many people have died of COVID-19?

As of March 6, at least 1,222,603 Americans have died of COVID-19, according to data from the Centers for Disease Control and Prevention.

The U.S. currently has the highest number of deaths of any country in the world, according to the WHO.

Experts, however, believe the true death toll is higher.

“More than a million people is a tragedy into itself, let’s start with that obvious fact,” Wolfe said. “I think the numbers are really hard to pin down for one key reason.”

Determining the exact cause of death can be complicated, Wolfe explained. Someone could die of COVID pneumonia — a lung infection caused by the virus — or die from a heart attack after contracting COVID.

Another example is an older adult who contracts COVID-19. They may become dehydrated, break a bone — because dehydration negatively impacts bone health — and suffer fatal complications, Wolfe said.

“How you count those outcomes is really important because, to me, that person wouldn’t have had their heart attack or that person wouldn’t have become dehydrated and fallen over and landed in the hospital if not for COVID triggering that event in the first place,” he said. “So, I actually think it’s really important to count those as COVID-associated mortalities, but they’re hard to count. They’re hard to track.”

Globally, more than 7 million people have died due to COVID-19, WHO data shows, although the agency says the pandemic caused an estimated 14.83 million excess deaths around the world in 2020 and 2021.

What is the mechanism behind long COVID

Scientists are not sure what causes long COVID but have identified certain risk factors such as an underlying health condition. Long-COVID symptoms can last for weeks, months or even years and can include — but are not limited to — fever, fatigue, coughing, chest pain, headaches, difficulty concentrating, sleep problems, stomach pain and joint or muscle pain, according to the CDC.

Research has found that patients with long COVID tend to have lower cortisol levels and lower testosterone levels.

“There are several questions that we still do not have answers for. What is the mechanism of the disease? Why do some people get more sick than others?” Dr. Fernando Carnavali, an internal medicine physician and a member of the team at Mount Sinai’s Center for Post-COVID Care, told ABC News.

Carnavali said scientists are using machine learning to study groups of long COVID patients in an attempt to determine the mechanisms that cause the condition.

“Do we have a single answer? Not as of yet, and most likely, perhaps we’ll have more than one answer,” he said.

Carnavali said the mechanism may not be the same for every long COVID patient. Additionally, people may have different symptoms due to different genetic predispositions.

“Some of the deficits that we have five years ago still remain, but I think that we should all understand and be hopeful that … researchers using machine learning will [provide] us some of the answers that we need as clinicians,” he said.

When did COVID enter the United States?

It’s still not exactly clear when the virus first entered the U.S. The first confirmed case in the country was Jan. 20, 2020, in a man in his 30s in Washington state, who developed symptoms after a trip to Wuhan.

However, studies have suggested the virus may have been circulating undetected for months beforehand.

Although the WHO was first notified on Dec. 31, 2019, about the mysterious pneumonia-like illness that originated in Wuhan, experts say it is likely that in an age of global travel, the virus was in the U.S. before then.

“It’s more likely circulated before Jan. 1 [2020]. It doesn’t seem unreasonable, November, December,” Dr. Lisa Olson-Gugerty, an associate teaching professor for Syracuse University and practicing family nurse practitioner in emergency medicine, told ABC News. “COVID masquerades itself as a flu-like illness, upper respiratory-like illness, like many other viral illnesses. It’s not easy to say, ‘Hey, I think this must be a new thing, and I’m going to tell everyone.'”

She went on, “I think it takes a bit of collective time to recognize a new viral strain, and it doesn’t seem unreasonable [there were] cases that could have been recognized as COVID before the date of release of information.”

Where did the virus come from?

There are two theories about where the virus, known as SARS-CoV-2, originated.

At least four U.S. agencies believe the virus was a result of natural transmission and that the virus jumped from animals to humans at a wet market.

The FBI, the CIA and the Department of Energy – the latter with “low confidence” — believe the COVID-19 pandemic “most likely” was the result of a laboratory leak in China.

Additionally, an April 2023 report from Senate Republicans conceded that “both hypotheses are plausible” but that the evidence points to the virus emerging from an accidental lab leak in Wuhan — and there may even have been multiple leaks.

If the virus did come from an animal, there are questions about which species may have spilled the virus over from animals to humans.

“I’ve seen a lot of conflicting information,” Olson-Gugerty said. “Did it come from a bat? Did it get into raccoon dogs or civet cats? Or was it a lab-created virus in Wuhan, China There does seem to be a jury that’s out.”

Wolfe said we may never know the true origins of SARS-CoV-2, but trying to answer the question helps scientists and public health professionals learn how to mitigate the spread so a pandemic — or even widespread illness — doesn’t happen again.

“This was the same question that happened during the Ebola pandemic, when we had to say, ‘Where did this come from? How can we educate people to minimize this future risk?'” he said. “It was important to examine where COVID-19 came from to try and put things in place that would stop that happening.”

He added, “We certainly, I would say, have better safety mechanisms now in place … so there are some good things that have come out of this.”

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Health

CDC asks researchers to assess how their projects align with Trump administration priorities

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(WASHINGTON) — The Centers for Disease Control and Prevention sent a survey on March 6 asking some federally funded researchers to assess how their work aligns with the priorities of President Donald Trump’s administration, according to documents obtained by ABC News.

CDC-funded researchers were asked whether their research would help combat “Christian persecution,” defend women and children against “gender ideology extremism” or help curb illegal immigration.

They were also surveyed about whether their research included any diversity or climate change initiatives — among other questions that roughly align with recent executive orders.

On Friday, the agency clarified that the survey was only applicable to CDC partners doing work outside the United States.

It’s not clear how many researchers received the email, which was sent by the CDC’s Global Health Center.

“Receiving this survey was deeply unsettling. It’s hard not to see it as an attempt to inject politics into scientific research, forcing us to align with ideological priorities rather than urgent public health needs,” said one researcher who received the survey.

Researchers who received the survey also told ABC News that they were concerned their answers would be used to jeopardize ongoing research or could be used to justify further cuts, especially to research conducted abroad.

“I worry about how these responses might be used to justify funding cuts, especially for critical public health initiatives,” one researcher said.

Earlier this week, a similar survey was sent to foreign aid programs supported by the United States Agency for International Development, according to reporting by The New York Times.

The survey comes amid federal firings, budget cuts and grant cuts to federally funded research, though some of those actions have been blocked in court.

Several hundred people gathered in the nation’s capital on March 7 for the Stand Up for Science rally, and there are similar rallies planned in more than 30 other cities.

In 2023, the federal government funded roughly $60 billion in scientific research, according to the Association of American Universities. Prior government-funded research has led to technologies such as MRIs and GPS.

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Health

40 new cases of measles reported in Texas as outbreak grows to 198: Officials

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(GAINES COUNTY, Texas) — The number of measles cases associated with an outbreak in western Texas has grown to 198, with 40 cases reported over the last three days, according to new data released Friday.

Almost all of the cases are in unvaccinated individuals or in individuals whose vaccination status is unknown, with 80 unvaccinated and 113 of unknown status. At least 23 people have been hospitalized so far, according to the Texas Department of State Health Services (DSHS).

Just five cases have occurred in people vaccinated with one dose of the measles, mumps, rubella (MMR) vaccine.

Children and teenagers between ages 5 and 17 make up the majority of cases, followed by children ages 4 and under.

So far just one death has been reported in an unvaccinated school-aged child, according to DSHS. The child did not have any known underlying conditions, according to the department.

The Texas death was the first measles death recorded in the U.S. in a decade, according to data from the Centers for Disease Control and Prevention.

A possible second measles death was recorded on Thursday after an unvaccinated New Mexico resident tested positive for the virus. The New Mexico Department of Health said the official cause of death is still under investigation.

Gaines County is the epicenter of the outbreak, with 137 cases confirmed among residents, according to DSHS. More than 90% of cases have been identified in just six counties, which account for less than 1% of the state’s total population, the department said.

State health data shows the number of vaccine exemptions in Gaines County have grown dramatically.

Roughly 7.5% of kindergarteners in the county had parents or guardians who filed for an exemption for at least one vaccine in 2013. Ten years later, that number rose to more than 17.5% — one of the highest in all of Texas, according to state health data.

The CDC has separately confirmed 164 cases in nine states so far this year in Alaska, California, Georgia, Kentucky, New Jersey, New Mexico, New York, Rhode Island and Texas.

The total, however, is likely an undercount due to delays in reporting from states to the federal government.

The majority of nationally confirmed cases are in people who are unvaccinated or whose vaccination status is unknown. Of the cases, 3% are among those who received one dose of the MMR shot and 2% are among those who received two doses.

Measles is one of the most contagious diseases known to humans. Just one infected patient can spread measles to up to nine out of 10 susceptible close contacts, according to the CDC.

Health officials have been urging anyone who isn’t vaccinated to receive the MMR vaccine.

The CDC currently recommends that people receive two vaccine doses, the first at ages 12 to 15 months and the second between 4 and 6 years old. One dose is 93% effective, and two doses are 97% effective. Most vaccinated adults don’t need a booster.

Texas health officials are recommending — for those living in the outbreak area — that parents consider an early dose of MMR vaccine for children between ages 6 months and 11 months and that adults receive a second MMR dose if they only received one in the past.

Earlier this week, the CDC said in a post on X that it was on the ground in Texas, partnering with DSHS officials to respond to the measles outbreak.

Measles was declared eliminated from the U.S. in 2000 due to the highly effective vaccination program, according to the CDC. However, CDC data shows vaccination rates have been lagging in recent years.

ABC News’ Youri Benadjaoud contributed to this report.

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Health

Over a dozen new measles cases in Texas outbreak in less than a week: Officials

Photo by RONALDO SCHEMIDT/AFP via Getty Images

(TEXAS) — The number of measles cases associated with an outbreak in Texas has grown to 159 — an increase of 13 cases in the past five days, authorities said on Tuesday.

The Texas Department of State Health Services updated its website with the new numbers Tuesday afternoon and said the majority of the cases are in unvaccinated individuals or those whose vaccination status is unknown, with 80 unvaccinated and 74 of unknown status.

At least 22 people have been hospitalized, two more than the last update on Friday, according to the DSHS.

“Due to the highly contagious nature of this disease, additional cases are likely to occur in the outbreak area and the surrounding communities,” the DSHS said.

Five cases have occurred in people vaccinated with one dose of the measles, mumps, rubella vaccine, a number that did not change from the last DSHS update on Feb. 28.

Youths between ages 5 and 17 make up the majority of cases with 74, followed by 53 cases among children 4 and under, the DSHS said. The virus was found in 27 people who are 18 or older, according to the agency.

The number of fatalities from measles remains at one: an unvaccinated, school-aged child who lived in the outbreak area. The DSHS said Tuesday that the child had no underlying conditions.

The death marks the first time in a decade that someone has died in the United States from the measles, according to data from the Centers for Disease Control and Prevention.

Gaines County in West Texas is the epicenter of the outbreak, with 107 cases, up from 98 on Friday, according to DSHS. Terry County, which neighbors Gaines County, had the second highest number of measles cases with 22.

At least four measles cases were reported in three counties not associated with the West Texas outbreak — Harris, Rockwall and Travis counties.

State health data shows the number of vaccine exemptions in the county has grown dramatically. Roughly 7.5% of kindergarteners in the Gaines county had parents or guardians who filed for an exemption for at least one vaccine in 2013. Ten years later, that number rose to more than 17.5% — one of the highest in all of Texas, according to state health data.

The CDC has separately confirmed 164 measles cases in eight other states this year: Alaska, California, Georgia, New Jersey, New Mexico, New York and Rhode Island. The total, however, is an undercount due to delays in reporting from states to the federal government.

About 95% of nationally confirmed cases are in people who are unvaccinated or whose vaccination status is unknown. Of the cases, 3% are among those who received one dose of the MMR shot.

Measles is one of the most contagious diseases known to humans. Just one infected patient can spread measles to up to 9 out of 10 susceptible close contacts, according to the CDC.

Health officials have been urging anyone who isn’t vaccinated to receive the MMR vaccine.

The CDC currently recommends that people receive two vaccine doses, the first at ages 12 to 15 months and the second between 4 and 6 years old. One dose is 93% effective, and two doses are 97% effective. Most vaccinated adults don’t need a booster.

Measles was declared eliminated from the United States in 2000 due to the highly effective vaccination program, according to the CDC. However, CDC data shows vaccination rates have been lagging in recent years.

In a statement posted on social media earlier Tuesday, the CDC said it has sent a rapid response team from the agency’s Epidemic Intelligence Service to Texas “to tackle urgent public health issues like disease outbreaks.”

“The measles outbreak in Texas is a call to action for all of us to reaffirm our commitment to public health. By working together — parents, healthcare providers, community leaders, and government officials, we can prevent future outbreaks and protect the health of our nation,” Health and Human Services Secretary Robert F. Kennedy Jr. said in a statement on Tuesday. “Under my leadership, HHS is and will always be committed to radical transparency to regain the public’s trust in its health agencies.”

In an interview that aired Tuesday on Fox News, Kennedy said the CDC’s rapid response team had treated 108 patients in the first 48 hours of arriving in Texas. He said patients are being treated with Budesonide, a steroid; Clarithromycin, an antibiotic; vitamin A; and cod liver oil, which has high concentrations of vitamins A and D.

“They’re getting very, very good results,” Kennedy said.

Kennedy has long questioned the effectiveness and safety of MMR and other vaccines, but told Fox News that the federal government has sent 2,000 doses of MMR to Texas to fight the measles outbreak.

“What we’re trying to do is really to restore faith in government and make sure that we are there to help them with their needs and not particularly to dictate what they ought to be doing,” Kennedy said.

ABC News’ Youri Benadjaoud contributed to this report.

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Health

CDC says it is monitoring unknown disease in Congo

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(WASHINGTON) — The U.S. Centers for Disease Control and Prevention is closely monitoring an unknown disease that has killed dozens in the Democratic Republic of Congo, the agency said in a statement on Monday.

“CDC is monitoring the situation closely and engaging with DRC officials on what support the agency can offer,” the agency’s spokesperson said.

At least 1,096 people have been sickened and 60 people have died from the disease, the World Health Organization said Thursday in its most recent update.

This is the third time in the past few months officials have identified increases in illness and deaths in a different area of Congo, triggering “follow-up investigations to confirm the cause and provide needed support,” the WHO said in a statement on Thursday.

For example, there was a separate report of an unknown disease in December of last year in the central African country that was later attributed to illnesses from malaria and respiratory illnesses.

The symptoms for this latest cluster of disease include fever, headache, chills, sweating, stiff neck, muscle aches, multiple joint pain and body aches, a runny or bleeding from the nose, cough, vomiting and diarrhea, the WHO said.

Initial lab tests have been negative for Ebola and Marburg virus disease, the WHO said.

Around half of samples tested have been positive for malaria, which is common in the area, according to the WHO. Tests continue to be carried out for meningitis, and officials said they are also looking into food and water contamination.

The WHO said it has delivered emergency medical supplies, including testing kits and “developed detailed protocols to enhance disease investigation.”

“The WHO is supporting the local health authorities reinforce investigation and response measures, with more than 80 community health workers trained to detect and report cases and death,” the organization said.

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Health

Amid growing Texas outbreak, how contagious is measles?

Measles virus particle, illustration. (Photo by KATERYNA KON/SCIENCE PHOTO LIBRARY/Via Getty)

(NEW YORK) — Measles has been spreading across the U.S. for the last several weeks, sickening people in at least nine states amid a growing outbreak in western Texas.

Several people have been hospitalized and at least one unvaccinated school-aged child in Texas has died, marking the first U.S. measles fatality in a decade.

Some may believe that measles is a harmless childhood illness that causes a fever and a rash, clearing after a few days. However, it can also lead to serious health complications, especially in children younger than 5 years old.

Measles is highly contagious in a totally unprotected group. One infected patient would be able to spread the illness to an average of 18 people.

How contagious is measles?

Measles is one of the most contagious viruses known to humans. Just one infected patient can spread measles to up to nine out of 10 susceptible close contacts, according to the Centers for Disease Control and Disease (CDC).

“So, if you have a bunch of unvaccinated kids in the school or in a daycare, nine out of 10 would likely be infected,” Dr. Peter Hotez, professor of pediatrics and molecular virology at Baylor College of Medicine in Houston, told ABC News. “That’s why you often see measles as your first breakthrough epidemic … once vaccination rates go down below 90% because this virus is so highly infectious and can transmit so easily.”

Another way to describe how contagious measles is its basic reproduction number (R0), a theoretical number that suggests how many people an infected patient may infect in a totally susceptible or unvaccinated population.

The R0 for measles ranges from 12 to 18, meaning if no one had any immunity, an infected person could transmit the virus up to an average of 18 people.

“Contrast that with the seasonal flu, and we’re going through a pretty severe flu season,” Dr. Nicholas Cozzi, EMS and disaster medicine medical director at Rush University Medical Center in Chicago, told ABC News. “One person with the flu can infect up to three people. And so, measles, one of the most infective viruses that we have, can infect almost four times as many people as the flu.”

Why is measles so contagious?

Hotez said that it takes a very small amount of virus, or a few measles virus particles, to infect somebody.

It can be transmitted through direct contact with infectious droplets or through the air when an infected person coughs, sneezes or breathes, according to the CDC.

Measles virus can linger in the air and live on surfaces for up to two hours after an infected person has left a room.

Hotez said this is why there was a recent concern when a person infected with measles visited two colleges campuses in Texas and visited establishments to have lunch and dinner.

“So, each place that individual went, you had to worry that he or she left a trail of virus in the atmosphere,” he said. “So even after that individual left, another unvaccinated individual walking into the restaurant or walking into the same classroom space where this visitor was at could become infected.”

Measles complications

Some people who contract measles may suffer severe complications as a result of infection. Those most at risk include children younger than age 5, pregnant people and those with weakened immune systems.

About in one in five unvaccinated people who contract measles are hospitalized and about one in 20 children with measles develop pneumonia, which is the most common cause of death in young children who get infected.

About one in 10 children infected with measles develop ear infections as well, which can lead to hearing loss, according to Hotez.

Additionally, about one out of every 1,000 children with measles will develop encephalitis — which is the swelling of the brain and can lead to brain damage — and one to three out of every 1,000 children with measles will die from respiratory and neurologic complications, the CDC says.

Vaccine availability drives down cases

In the decade before the measles vaccine became available, nearly all children contracted measles by age 15, according to the CDC.

The federal health agency estimates that 3 to 4 million in the U.S. were sickened by measles every year, about 48,000 were hospitalized and about 400 to 500 people died. About 1,000 people suffered encephalitis.

In 1963, the first measles vaccine became available, followed by an improved vaccine in 1968. CDC data show that cases fell from 385,165 confirmed cases in 1963 to 26,686 cases in 1973.

In 1971, the measles, mumps, rubella (MMR) vaccine became available and, in 1989, the Advisory Committee on Immunization Practices, the American Academy of Pediatrics and the American Academy of Family Physicians recommended children receive a second MMR dose.

By 2000, annual recorded cases had fallen to just 85 and measles was declared eliminated, meaning it was without continuous spread for at least 12 months.

MMR vaccine is like a shield

The CDC currently recommends that children receive two vaccine doses, the first at 12 to 15 months and the second between 4 and 6 years old. One dose is 93% effective, and two doses are 97% effective. Most vaccinated adults don’t need a booster.

Cozzi, from Rush University Medical Center, described the MMR vaccine as a shield and measles as an enemy trying to pierce the shield with arrows.

“So, if you’re protected and you have that vaccine, you have a shield in front of you,” he said. “And if something were to get past that shield, it may infect you, but it’s less severe.”

He noted that people who have the measles vaccine can still be infected.

“However, just like the flu, their symptoms and their duration of illness is much less,” he said.

Cozzi said this is evident in Texas, where an outbreak is occurring. As of Friday, just five of the 146 cases were vaccinated – and with just one dose of the MMR vaccine. The remaining cases are among those who are unvaccinated or with unknown vaccination status.

Rise in vaccine hesitancy, exemptions

Despite the protectiveness of the MMR vaccine, CDC data show vaccination rates have been lagging in recent years and the percentage of exemptions have risen.

An October 2024 CDC report found that vaccination coverage among kindergartners decreased from 95.2% during the 2019–2020 school year to 92.7% in the 2023–2024 school year.

While medical exemptions have held steady for the past decade between 0.2% and 0.3%, non-medical vaccine exemptions rose to 3.1% during the 2023-24 school year, which is the highest figure recorded in at least 13 years.

Cozzi said there has been an increase in vaccine hesitancy after the COVID-19 pandemic, which has seen some kindergartners not receiving the MMR vaccine. The same has been true of the polio and DTaP vaccines, with the latter protecting against diphtheria, tetanus and pertussis.

“The onus is really on us as physicians and health care clinicians to have good, honest conversations with our families and our parents, discussing all of the positive things with vaccines — hearing them, understanding their concern — but still providing that proactive nature to prevent all of the severe infections like measles, especially the very devastating consequences that it can have, specifically for those unvaccinated individuals,” he said.

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Health

Texas measles outbreak grows to 146 cases, children and teens most impacted

Ronaldo Schemidt/AFP via Getty Images

(GAINES COUNTY, Texas) — The number of measles cases associated with an outbreak in western Texas has grown to 146, according to new data released Friday.

Almost all of the cases are in unvaccinated individuals or individuals whose vaccination status is unknown, with 79 unvaccinated and 62 of unknown status. At least 20 people have been hospitalized so far, according to the Texas Department of State Health Services (DSHS).

Just five cases have occurred in people vaccinated with one dose of the measles, mumps, rubella (MMR) vaccine.

Children and teenagers between ages 5 and 17 make up the majority of cases with 70, followed by 46 cases among children ages 4 and under.

So far just one death has been reported in an unvaccinated school-aged child, according to DSHS. It marks the first measles death in the U.S. in a decade, according to data from the Centers for Disease Control and Prevention.

Gaines County is the epicenter of the outbreak, with 98 cases confirmed among residents, according to DSHS. State health data shows the number of vaccine exemptions in the county have grown dramatically.

Roughly 7.5% of kindergarteners in the county had parents or guardians who filed for an exemption for at least one vaccine in 2013. Ten years later, that number rose to more than 17.5% — one of the highest in all of Texas, according to state health data.

The CDC as separately confirmed 93 cases in eight states so far this year in Alaska, California, Georgia, New Jersey, New Mexico, New York, Rhode Island and Texas.

The total, however, is an undercount due to delays in reporting from states to the federal government.

The majority of nationally confirmed cases are in people who are unvaccinated or whose vaccination status is unknown. Of the cases, 4% are among those who received one dose of the measles, mumps, rubella (MMR) shot.

Measles is one of the most contagious diseases known to humans. Just one infected patient can spread measles to up to nine out of 10 susceptible close contacts, according to the CDC.

Health officials have been urging anyone who isn’t vaccinated to receive the MMR vaccine.

The CDC currently recommends that people receive two vaccine doses, the first at ages 12 to 15 months and the second between 4 and 6 years old. One dose is 93% effective, and two doses are 97% effective. Most vaccinated adults don’t need a booster.

Measles was declared eliminated from the U.S. in 2000 due to the highly effective vaccination program, according to the CDC. However, CDC data shows vaccination rates have been lagging in recent years.

ABC News’ Youri Benadjaoud contributed to this report.

Copyright © 2025, ABC Audio. All rights reserved.

Health

Measles cases reported in New Jersey, Kentucky amid ongoing outbreak in Texas

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(NEW YORK) — More measles cases are being confirmed across the United States as health officials work to treat patients in an ongoing outbreak in Texas.

The Kentucky Department for Public Health (KDPH) and the Franklin County Health Department announced on Wednesday a confirmed case of measles in an adult resident, the first in the state in two years.

The departments said the resident recently traveled internationally to an area where measles is spreading.

Meanwhile, in New Jersey, health officials confirmed two new measles cases in Bergen County linked to a patient whose case was confirmed earlier this month.

Officials haven’t found any links between the cases in Kentucky and New Jersey, and there’s no evidence the cases in Kentucky or New Jersey are connected to the outbreak in Texas, which has so far sickened 124 people and led to one death in an unvaccinated school-aged child.

Kentucky health officials are now attempting to contact anyone the infected resident may have come into contact with. The resident attended a Planet Fitness in Frankfort on Feb. 17 while contagious, officials said.

“Measles is one of the most contagious viruses in the world,” KDPH Commissioner Dr. Steven Stack said in a statement. “Fortunately, measles can be prevented with the measles, mumps and rubella (MMR) vaccine, which is safe and effective. Vaccines are an essential tool to keep children and adults safe and healthy.”

An official briefed on the situation told ABC News on Thursday that the new cases in New Jersey are members of the same family and were not vaccinated. Because they are in the same family, public health officials are hopeful public spread will have been limited.

The original case tested positive after traveling internationally. The New Jersey Department of Health said people may have been exposed to measles if they visited Englewood Hospital’s Emergency Department on Feb. 5.

Health officials said people who were exposed could develop symptoms until as late as March 6.

Also on Thursday, health officials in the Seattle area confirmed the first measles case so far this year in an infant in King County. The infant may have been exposed to measles during recent travel abroad, officials said. Last year, there were three measles cases in King County.

Measles is one of the most contagious diseases known to humans. Just one infected patient can spread measles to up to nine out of 10 susceptible close contacts, according to the Centers for Disease Control and Prevention.

Health officials have been urging anyone who isn’t vaccinated to receive the measles, mumps, rubella (MMR) vaccine.

The CDC currently recommends that people receive two vaccine doses, the first at ages 12 to 15 months and the second between 4 and 6 years old. One dose is 93% effective, and two doses are 97% effective. Most vaccinated adults don’t need a booster.

Measles was declared eliminated from the U.S. in 2000 due to the highly effective vaccination program, according to the CDC. However, CDC data shows vaccination rates have been lagging in recent years.

ABC News’ Matt Foster contributed to this report.

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Health

Some experts question RFK Jr. calling measles outbreak ‘not unusual’

Al Drago/Bloomberg via Getty Images

(WASHINGTON) — In his first public comments on the measles outbreak hitting West Texas and New Mexico, Health and Human Services Secretary Robert F. Kennedy Jr., a prominent vaccine skeptic whose first steps in combatting the outbreak will be closely watched, said his department was monitoring the situation daily but called it “not unusual.”

“Incidentally, there have been four measles outbreaks this year in this country. Last year there were 16. So, it’s not unusual, we have measles outbreaks every year,” Kennedy said Wednesday at the White House.

However, some public health experts were quick to point out that the outbreak in Texas has defied America’s recent history with highly contagious disease.

Prior to this outbreak, the U.S. had not seen a death from measles since 2015. And in 2000, years after the U.S. implemented a two-dose vaccine schedule, measles was declared eliminated from the U.S., meaning that the disease had stopped spreading within the country.

Only in recent years have cases and outbreaks been rising, according to data from the Centers for Disease Control and Prevention.

The outbreak in West Texas and New Mexico is already drawing close to the halfway mark of total cases seen nationally last year, when there were at least 285 cases of measles – which were also the highest numbers since 2019, according to the CDC’s latest figures.

And while there were 16 outbreaks last year, that was a four-time increase from the number of outbreaks in 2023, when there were just four outbreaks. The U.S. has nearly hit that 2023 number already, just two months into 2025.

Dr. Paul Offit, director of the Vaccine Education Center and an attending physician in the Division of Infectious Diseases at Children’s Hospital of Philadelphia, called Kennedy’s comments about measles cases happening “every year” an attempt to normalize an outbreak that has been anything but normal.

“First of all, we eliminated measles from this country by the year 2000. The reason measles have come back is because a critical percentage of parents have chosen not to vaccinate their children, because they’ve gotten misinformation and disinformation from people like him and his Children’s Health Defense,” Offit told ABC News.

Children’s Health Defense, a group founded by Kennedy, advocates against the recommended vaccine schedule for children.

“It’s unconscionable enough that he’s done that, but that he sort of glibly says, well, measles outbreaks occur every year — the point is they don’t have to occur at all, because we’ve shown we could eliminate this disease,” Offit said.

ABC News has reached out to HHS about RFK Jr.’s comments.

The increase in cases and outbreaks over the last few years coincides with decreasing vaccination coverage for measles among kindergarteners nationally from 95.2% during the 2019-2020 school year to 92.7% in the 2023-2024 school year – leaving about 280,000 kindergartners at risk, according to the CDC.

Kennedy, prior to taking his role as HHS secretary, said the measles vaccine is effective at preventing measles, but has also suggested that it’s not necessary because people who die from measles are typically malnourished or have other comorbidities.

“The measles vaccine definitely eliminates measles, or, you know, close to eliminates it,” Kennedy said in 2022.

But he went on to question the deadliness of the disease.

“In 1963, it was killing only 400 kids a year. Mainly, they were kids who had malnutrition, or had some other devastating co-morbidity,” Kennedy said. “Those were the kids who were dying.”

Kennedy has also questioned that the deaths of 83 people – mostly young children – in Samoa in 2019 were caused by measles, despite widespread evidence that the deaths were due to an outbreak of the disease caused by under-vaccination in the American territory.

“Nobody died in Samoa from measles. They were dying from a bad vaccine,” Kennedy told an interviewer last year.

20% of kids with measles in the U.S. require hospitalization, said Dr. Peter Hotez, co-director of the Texas Children’s Hospital Center for Vaccine Development and dean of the National School of Tropical Medicine at Baylor College of Medicine, often for measles pneumonia, measles diarrhea, measles encephalitis or deafness from measles otitis, an ear infection — many of which can be life-threatening conditions.

“This is a bad, bad actor. And I’m really concerned that this thing is continuing to accelerate and expand,” Hotez said Wednesday night in an interview on MSNBC.

Doctors in West Texas have described shock and feaver-treating a disease they thought was something of the past.

“This is the first time I’ve had any professional experience with a measles outbreak,” Dr. Lara Johnson, pediatrician and Chief Medical Officer at Covenant Children’s and Covenant Health in Lubbock, who is currently treating measles patients from the outbreak in West Texas, told ABC news.

“I saw one travel-related case when I was in medical school, very briefly, but at that time, back in around 2000, we really thought that we’d eradicated measles from the United States and didn’t have any anticipation of seeing any outbreaks here,” she said.

The outbreak in Texas is a prime example of the risk posed to unvaccinated communities. Vaccine exemptions among children in Gaines County, the epicenter of the outbreak, have grown dramatically in the past few years. Roughly 7.5% of kindergarteners had filed an exemption for at least one vaccine in 2013. 10 years later, that number rose to over 17.5% – one of the highest in all of Texas, state health data shows.

As the response to the outbreak in Texas and New Mexico continues, with cases expected to significantly rise, public health experts like Hotez and Offit say they’re watching Kennedy, as leader of the nation’s health department, to encourage swift surveillance and widespread vaccination.

“I want him to say to the American public that there’s a safe way to prevent these outbreaks from happening so that we don’t have the tragedy like what just happened in West Texas,” Offit said. “There’s so much in medicine you don’t know. There’s so much we can’t do. This we know. This we can do.”

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