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The United States is experiencing a significant resurgence of measles, with cases already exceeding half the total reported for all of 2025 just two months into 2026. As of this week, more than 1,000 cases have been confirmed nationwide, prompting urgent calls from medical experts for increased vaccination efforts. The outbreaks are particularly concentrated in several states, including South Carolina, Arizona and Utah, signaling a worrying trend for public health officials.
The situation is especially critical in South Carolina, where an ongoing outbreak that began in October has already affected nearly 1,000 people. The majority of these cases are occurring among unvaccinated individuals, highlighting the vulnerability of communities with lower vaccination rates. This outbreak is one of the largest seen in the U.S. Since 2000, raising concerns about the potential for wider spread and severe complications.
“We see very concerning to see more than 1,000 cases in the U.S. This early in the year,” said Martha Edwards, MD, president of the South Carolina Chapter of the American Academy of Pediatrics. “Already, we have more than half the number of cases seen in all of 2025, and the number of cases in 2025 was one of the highest annual case counts seen in decades.” Dr. Edwards emphasized the role of misinformation and declining vaccination rates in fueling the resurgence. “As people continue to believe inaccurate information about vaccines, and as non-medical exemption rates continue to rise throughout the country, we can expect case counts to continue to rise, threatening children and immunocompromised individuals with a disease that was nearly eliminated in our country through vaccination.”
South Carolina Outbreak: A Focus on Spartanburg County
The South Carolina outbreak is largely centered in Spartanburg County, a region with a significant population of eastern European immigrant families. According to reporting from the South Carolina Community Health Workers Association, vaccine hesitancy within this community stems from a general distrust of institutions. The virus has spread rapidly through exposures at religious services, grocery stores, schools, and even universities.
Achieving herd immunity – where approximately 95% of a population is vaccinated – is crucial to curbing the spread of measles. While South Carolina currently has a vaccination rate of 92.1% among kindergartners, those remaining 3 percentage points are proving significant. The highly contagious nature of measles means even a small decline in vaccination coverage can lead to outbreaks. As SCAAP notes, the measles vaccine offers 93% effectiveness after one dose and 97% effectiveness after two doses, underscoring the importance of completing the vaccination series.
National Trends and the Role of Vaccine Confidence
The measles outbreak in South Carolina is not an isolated incident. Cases are likewise being reported in Arizona and Utah, contributing to the national surge. Nationwide, over 90% of measles cases occur in unvaccinated or partially vaccinated individuals, according to the Centers for Disease Control and Prevention. This pattern reinforces the critical link between vaccination and protection against the disease.
The current situation is further complicated by concerns surrounding public messaging and vaccine confidence. Some experts suggest that the Department of Health and Human Services has, at times, inadvertently undermined trust in vaccines. While Ralph Abraham, the CDC’s new principal deputy director, recently endorsed the MMR vaccine, he also emphasized that vaccination remains a “personal choice” for families – a sentiment that pediatricians like Dr. Edwards strongly disagree with.
“When it’s up to the parents, you’re making the decision not just for your child, but for the child’s community as well,” Dr. Edwards stated, as reported by the South Carolina Community Health Workers Association. This highlights the collective responsibility inherent in public health and the importance of considering the broader impact of individual choices.
What to Expect Moving Forward
Public health officials are continuing to monitor the situation closely and implement vaccination campaigns to control the outbreaks. While South Carolina has not yet requested on-the-ground support from the CDC, citing sufficient staffing for contact tracing and vaccination efforts, the potential for further spread remains a significant concern. The coming months will be critical in determining whether these outbreaks can be contained and whether the U.S. Will continue to see a rise in measles cases.
This resurgence serves as a stark reminder of the importance of vaccination in protecting both individual and community health. Continued efforts to address vaccine hesitancy, promote accurate information, and ensure equitable access to vaccines will be essential in preventing future outbreaks.
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Disclaimer: This article provides informational content and should not be considered medical advice. Please consult with a qualified healthcare professional for any health concerns or before making any decisions related to your health or treatment.