A measles outbreak in an area of Texas with abysmal vaccination rates continues to mushroom, with cases doubling since Tuesday and expanding into additional counties.
A week ago, officials reported nine confirmed cases in Gaines County, at the border of New Mexico, which has one of the lowest vaccination rates among kindergartners in the state at just about 82 percent. On Tuesday, the cases climbed to 24, all in Gaines. In Friday’s update, the state health department reports that the case count has now reached 48 and spread to three nearby counties, which also have vaccination rates below the 95 percent threshold that prevent vaccine-preventable diseases from spreading onward.
Gaines now reports 42 cases. There’s one case reported in Lynn County to the northeast, which has a 91 percent vaccination rate. Terry County, with a vaccination rate of 94 percent, reports three cases, and Yoakum County, with a vaccination rate of 92.5 percent, reports two cases. Terry and Yoakum are both directly north of Gaines.
As before, all cases are in unvaccinated people or people with unknown vaccination status. Of the 48 cases, 42 are in children, including 13 between the ages of 0 and 4. Thirteen people (27 percent) have been hospitalized.
Measles is one of the most infectious known diseases. 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. Nine out of 10 unvaccinated people exposed to the virus will fall ill.
Measles is marked by high fevers and a telltale rash. People can spread the infection from four days before the rash develops to four days afterward. In addition to the miserable illness, measles can cause complications, particularly in children younger than 5, pregnant people, adults over the age of 20, and people with compromised immune systems.
In the US, 20 percent of people with measles are typically hospitalized. Five percent develop pneumonia, and up to 3 in 1,000 die of the infection. In rare cases, measles can cause a fatal disease of the central nervous system called Subacute sclerosing panencephalitis, which develops years after infection. Measles also wipes out immune responses to other infections (a phenomenon known as immune amnesia), making people vulnerable to other infectious diseases.