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Measles—once thought to be kicked out of the U.S. for good in 2000—is making an alarming return in 2025. This year alone, over 1,100 cases have been reported across the country, the most seen in nearly 30 years. The outbreak started in West Texas, but it hasn’t stayed there—it’s now spread to at least 17 states, including California, Oklahoma, and New Mexico. So, what’s causing this comeback no one asked for?


Why is Measles back?
Falling vaccination rates
According to the CDC, fewer than 95% of kindergartners were fully vaccinated in the 2022–2023 school year. That 95% mark isn’t just a goal—it’s the magic number needed for herd immunity, the thing that keeps the virus from bouncing around schools and neighborhoods. Right now, about a quarter-million kids each year are unprotected, and that’s a big part of the problem.


More vaccine exemptions is more risk
Several states have relaxed their vaccination rules, allowing exemptions for religious or personal reasons. Places like Mississippi, once a top performer in vaccination coverage, now allow religious exemptions, which has dragged down their rates. More loopholes = more unprotected kids.


Under-vaccinated communities
The biggest hotspot right now? Gaines County in West Texas, especially among Mennonite families, where nearly 14% of kids skipped required vaccines last school year. It’s the epicenter of the outbreak, but other under-vaccinated communities are just as vulnerable.


Global travel bringing it back
Measles doesn’t need a passport. Travelers coming in from countries where measles is still active are unknowingly reintroducing the virus to the U.S. In fact, a bunch of recent cases in Texas and New Mexico have been linked directly to international travel.


The MMR vaccine: Your best defense
Let’s get one thing straight: vaccination works. The MMR shot (that’s measles, mumps, rubella) is a powerhouse—it offers up to 97% protection after two doses. It teaches your immune system to fight off the real virus without actually getting sick.

When enough people are vaccinated, the virus has nowhere to go. That’s herd immunity, and it’s crucial for protecting those who can’t get the shot—like infants, the elderly, or people with certain health conditions.

In Texas, the scare has already led to a 10% rise in vaccination rates in hard-hit areas like Gaines County. But some families are still holding out, turning to alternative remedies that don’t actually prevent measles.


What does measles feel like?
At first, measles feels like a really nasty cold. You’re tired, you’ve got a high fever (101°F or more), a dry cough, and super watery, red eyes that hate bright lights. Throw in a runny nose and sneezing, and it’s easy to mistake it for the flu.

Then come the red flags: tiny white spots inside your mouth (called Koplik spots) that look like grains of salt with a red background. That’s one of the first signs doctors look for.

Next up: the classic measles rash. It usually starts at your hairline or behind your ears and spreads down your body. It’s flat and blotchy, sometimes merging into bigger patches. The rash sticks around for about a week, often while your fever’s still going strong.


When to see a doctor
If you (or your kid) has a rash + fever, especially with those telltale mouth spots or flu-like symptoms, don’t wait. Measles spreads fast—like, really fast—and it can lead to serious complications, especially for kids and people with weak immune systems.


Measles might sound like an old-school disease, but it’s clearly not staying in the past. The best way to keep it that way? Vaccinate. Protect yourself, your family, and your community. The virus doesn’t stand a chance if we all do our part.