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Measles Outbreak Texas: Understanding the Crisis and Prevention

"Colorful letter blocks spelling out the word 'measles' arranged in a row on a plain background."

Dr. Matthew Fainman Virtual Care Medical Director at NextCare Urgent Care

Medically reviewed by Dr. Matthew Fainman Virtual Care Medical Director at NextCare.

Dr Fainman is an experienced Internal Medicine specialist, who earned his Bachelor’s, MBA, and Medical Doctorate from the University of Manitoba. He completed his residency at Cleveland Clinic and, with over 20 years in healthcare, is a leader in Telehealth innovation and patient care.

A measles outbreak has been reported in Texas, raising public health concerns. Measles is a highly contagious viral disease that spreads through coughing, sneezing, and close contact with infected individuals. The Texas Department of State Health Services (DSHS) has confirmed multiple cases, with health officials urging residents to take immediate precautions.

As a parent, you might be wondering how this outbreak started and what it means for your community. Let’s dive into the details of this unfolding situation and explore what you need to know to keep yourself and your loved ones safe.

NextCare Urgent Care offers pediatric urgent care services to help families navigate this outbreak and manage symptoms.

As one of the nation’s largest urgent care providers, NextCare has 170+ clinics across Arizona, Colorado, Kansas, Michigan, Missouri, Nebraska, New Mexico, North Carolina, Oklahoma, Texas, Virginia, and Wyoming, ensuring accessible, expert care for children and families.

The Current State of the Measles Outbreak Texas

As of March 7, 2025, the Texas Department of State Health Services reported a staggering 198 confirmed cases of measles in West Texas. This outbreak has primarily affected Gaines County and the surrounding areas. The situation isn’t confined to Texas alone – neighboring New Mexico has reported 30 cases in Lea County, which borders Gaines County.

What’s particularly concerning is that this Measles Outbreak has resulted in the first child death in the United States in over a decade. This tragic loss underscores the severity of the situation and the critical importance of vaccination.

Understanding the Root Causes

The rapid spread of measles in Texas can be attributed to several factors:

1. Low Vaccination Rates

Gaines County, at the epicenter of the outbreak, has one of the highest vaccine exemption rates in Texas. According to state health data, nearly 18% of residents in Gaines County have exemptions from vaccinations. This is significantly higher than the national average of 3%.

2. Religious and Personal Beliefs

The high exemption rate is largely due to a close-knit Mennonite community in the area. Many members of this community choose not to vaccinate their children based on religious or personal beliefs.

3. Misinformation and Vaccine Hesitancy

The spread of misinformation about vaccine safety has contributed to vaccine hesitancy among some parents. This has created pockets of unvaccinated individuals, making communities more vulnerable to outbreaks.

The Impact on Rural Healthcare Systems

The Measles Outbreak in Texas has put significant strain on the already fragile rural healthcare system in West Texas. Here’s a snapshot of the challenges:

This lack of healthcare infrastructure makes it challenging to respond effectively to the Measles Outbreak in Texas, especially in isolated rural areas.

Vaccination: The First Line of Defense

The most effective way to prevent measles and stop the spread of the Measles Outbreak in Texas is through vaccination. The measles-mumps-rubella (MMR) vaccine is safe and highly effective. Here’s what you need to know:

Vaccination Schedule

AgeRecommended Dose
12-15 monthsFirst dose of MMR
4-6 yearsSecond dose of MMR

In light of the current outbreak, health officials have advised that babies between 6 and 12 months in affected areas may receive an early dose of the MMR vaccine. However, these children will still need to follow the regular vaccination schedule as they grow older.

Recognizing Measles Symptoms: What to Watch For

Recognizing early measles symptoms is crucial for preventing further spread. Symptoms typically appear 7–14 days after exposure and may include:

  • High fever (often above 101°F)
  • Cough and runny nose
  • Red, watery eyes (conjunctivitis)
  • Small white spots in the mouth (Koplik spots)
  • A red, blotchy rash that starts on the face and spreads to the rest of the body

If you or your child develop these symptoms, visit a Texas NextCare Urgent Care clinic for an evaluation. Our pediatric urgent care services can help assess symptoms, provide supportive care, and guide you on the next steps.

What to Do If You Think You Have Measles

If you suspect measles exposure or symptoms, take the following steps:

  1. Call ahead before visiting a healthcare provider to prevent exposing others.
  2. Wear a mask and avoid crowded places.
  3. Seek urgent care if symptoms worsen, such as difficulty breathing or dehydration.

NextCare Urgent Care: Supporting Families During the Outbreak

At NextCare Urgent Care, we understand the urgency of protecting your child’s health. Our pediatric urgent care services provide:

  • Measles symptom evaluation and medical guidance
  • Fever and symptom management for children
  • Telemedicine options for initial consultations

Find a NextCare clinic near you to ensure your child receives fast, expert care.

The Role of Public Health Departments

Public health departments play a crucial role in managing the Measles Outbreak Texas. They are responsible for:

  • Conducting contact tracing to identify potentially exposed individuals
  • Organizing vaccination clinics
  • Providing public education about measles prevention
  • Coordinating with healthcare providers to ensure proper treatment and isolation of infected individuals

However, many rural areas in Texas rely on one of 11 public health regions rather than having their local health department. This can sometimes lead to delays in response and resource allocation.

The Economic Impact of the Outbreak

The Measles Outbreak Texas isn’t just a health crisis – it’s also an economic one. Here’s how:

  • Increased healthcare costs for treating measles patients
  • Lost productivity due to sick days and quarantine periods
  • Strain on already limited healthcare resources in rural areas
  • Potential impact on tourism and local businesses in affected areas

Investing in vaccination and public health infrastructure can help prevent these economic losses in the long run.

Addressing Vaccine Hesitancy

To effectively combat the Measles Outbreak in Texas, it’s crucial to address vaccine hesitancy in communities. This involves:

  • Providing accurate, science-based information about vaccine safety and efficacy
  • Engaging with community leaders, including religious leaders in communities with high exemption rates
  • Addressing concerns and fears about vaccination in a compassionate, non-judgmental manner
  • Making vaccination services easily accessible, especially in rural areas

The Cornerstone of Measles Treatment: Supportive Care

For measles treatment, there isn’t a cure-all drug. The approach focuses on providing supportive care to help the body combat the infection and avoid complications. Here’s what this usually includes:

Rest and Hydration

Simple measures like rest and hydration are vital in measles treatment. The body requires energy to counter the virus. Staying hydrated is essential to prevent complications, such as dehydration, which is particularly hazardous for young children.

Getting enough sleep and drinking water helps keep things running. This also helps to keep your energy up.

Fever Management

Managing high fever, a key measles symptom, is crucial. Over-the-counter medications like acetaminophen or ibuprofen can help lower fever, offering comfort. It’s important to follow the correct dosage, particularly for children.

Make sure you keep an eye on your body temperature. Use medications responsibly per the guidelines to manage a fever.

When Complications Arise: Advanced Measles Treatment

Most measles cases improve with supportive care, but complications can arise. These include pneumonia, encephalitis (brain inflammation), and severe dehydration. More intensive treatment may be needed in such scenarios. If complications occur, then seeking an urgent center is important.

Antibiotics for Secondary Infections

Measles can weaken the immune system, increasing susceptibility to bacterial infections. Antibiotics might be prescribed if a secondary bacterial infection, like pneumonia, occurs.

Hospitalization for Severe Cases

Hospitalization might be needed in severe cases, especially for young children or those with compromised immune systems. This enables close monitoring and intensive supportive care. The Centers for Disease Control and Prevention notes that about 2 out of every 5 people with measles are hospitalized.

Managing Neurological Complications

Rarely, measles can cause significant neurological issues. Subacute sclerosing panencephalitis (SSPE), a rare but deadly condition, can occur years after a measles infection. Treatment aims to manage symptoms and slow the disease’s progression, as there is no cure for SSPE.

The Role of Isolation in Measles Treatment

Isolation is a vital, yet frequently disregarded, component of measles treatment. Due to measles’s high contagiousness, separating infected individuals is crucial to stop the virus from spreading. This involves staying home and avoiding contact with others for at least four days after the rash appears.

Stricter isolation is needed in healthcare environments. Measles patients should be in airborne isolation rooms, and healthcare workers should use protective gear, including N95 respirators.

Measles Treatment in Special Populations

Specific groups may need unique considerations in measles treatment:

Pregnant Women

Measles during pregnancy can cause severe issues, like premature birth and low birth weight. Pregnant women with measles may need hospitalization for careful monitoring and supportive care.

Expectant mothers should contact their health care provider if experiencing symptoms. There can be a plan in place.

Immunocompromised Individuals

People with weak immune systems, like those in chemotherapy or with HIV, face a greater risk of severe measles. More intensive medical professional resources and monitoring might be required for them.

Infants

Babies under six months, too young for the measles vaccine, are very susceptible. They might receive immune globulin post-exposure to help prevent or reduce the disease’s severity. If you are a new parent, discuss with your care provider for recommendations for your child’s healthcare.

Below is data for various age groups to understand the chances of getting the measles:

Age GroupSusceptibility to Measles (if exposed and not vaccinated)
Infants (under 6 months)High (due to lack of vaccination)
Children (6 months – 1 year)High (vaccination typically starts at 12 months)
Children (1-4 years)Moderate to Low (depending on vaccination status)
Children (5 years and older)Low to Very Low (High depending on vaccination status)
AdultsLow (most adults are either vaccinated or have had measles)

The Future of Public Health in Texas

The Measles Outbreak Texas has highlighted the need for stronger public health infrastructure in the state. Texas has historically spent less on public health per person than most other states. In 2023, Texas spent just $17 per person on public health, down from $19 a decade earlier. However, there are signs of change. Texas received $35.5 million in grants for public health infrastructure improvements in the fiscal year 2020. An additional $221 million is flowing to Texas through the CDC’s five-year Public Health Infrastructure Grant. These investments could help prevent future outbreaks and improve overall health outcomes in the state.

Texas Measles Outbreak FAQs

Where is the measles outbreak in Texas?

The measles outbreak in Texas is primarily concentrated in West Texas, with confirmed cases in Gaines County and surrounding areas. Health officials are closely monitoring additional cases. Learn more from the Texas DSHS.

Can vaccinated people get measles?

While rare, breakthrough cases can occur in vaccinated individuals. However, the MMR vaccine is 97% effective at preventing measles when both doses are administered.

Is measles becoming more common in the U.S.?

Measles was declared eliminated in the U.S. in 2000, but outbreaks continue due to low vaccination rates and international travel. The Texas outbreak is one of several recent cases linked to unvaccinated individuals.

How can I protect my baby from measles?

Babies under 12 months are too young for the routine MMR vaccine. Protect your baby by:

  • Ensuring family members are vaccinated to create a protective “cocoon”
  • Avoiding crowded public places in outbreak areas
  • Speaking to a doctor about early MMR vaccination for infants aged 6–11 months if traveling to high-risk areas

How long does measles last?

Measles symptoms typically last 7–10 days, with the rash fading after about 6 days. However, complications like pneumonia, brain swelling (encephalitis), and severe dehydration can extend recovery.

What is the best treatment for measles?

There is no specific cure for measles, but supportive care includes:

  • Hydration and rest
  • ⊕ Fever management with acetaminophen (avoid aspirin)
  • Urgent care evaluation if symptoms worsen

Visit NextCare Urgent Care for medical guidance on managing measles symptoms.

Can measles cause serious complications?

Yes. Measles can lead to:

  • Pneumonia (the most common cause of measles-related death)
  • Brain swelling (encephalitis)
  • Severe dehydration
  • Pregnancy complications (miscarriage, premature birth)

Visit NextCare Urgent Care if symptoms become severe.

Does the measles vaccine provide lifelong protection?

Yes. Two doses of the MMR vaccine provide lifelong immunity for most people. However, some adults may need a booster if:

  • They only received one dose
  • They are healthcare workers or international travelers
  • They were born between 1957 and 1989, as some received a less effective version of the vaccine

Can measles be treated at home?

Mild cases can be managed at home with:

  • Plenty of fluids and rest
  • Fever reducers like acetaminophen

However, seek urgent care if symptoms worsen or if dehydration, breathing difficulties, or confusion develop.

How contagious is measles?

Measles is one of the most contagious viruses, spreading through airborne droplets when an infected person coughs or sneezes. The virus can linger in the air for up to 2 hours after an infected person leaves a room.

What should I do if I’ve been exposed to measles?

If you have been in close contact with someone who has measles, follow these steps:

  1. Check your vaccination status – If unsure, speak to a healthcare provider.
  2. Get the MMR vaccine within 72 hours if unvaccinated.
  3. Monitor symptoms for 7–14 days and avoid contact with high-risk individuals.
  4. Visit urgent care if symptoms develop.

Can I get measles from someone before they show symptoms?

Yes. Measles is contagious for 4 days before the rash appears and remains contagious up to 4 days after the rash develops.

What’s the difference between measles and rubella?

Measles and rubella (German measles) both cause rashes, but they are different viruses:

  • Measles has higher fever, cough, and white spots in the mouth.
  • Rubella symptoms are milder, but it poses serious risks to pregnant women.

Both are prevented by the MMR vaccine.

NextCare Urgent Care provides measles evaluations and supportive care. Visit one of our Texas locations: Find a NextCare Urgent Care in Texas.

Conclusion

The Measles Outbreak Texas serves as a stark reminder of the importance of vaccination and robust public health infrastructure. As we navigate this challenging situation, we must come together as a community to protect our most vulnerable members. By staying informed, getting vaccinated, and supporting public health initiatives, we can work toward ending this outbreak and preventing future ones. Remember, measles is preventable – let’s take the necessary steps to keep our communities healthy and safe.

For trusted pediatric urgent care services during this outbreak, NextCare Urgent Care in Texas is here to help. Visit your nearest location for early symptom recognition, and timely medical care can help prevent serious complications.

Disclaimer: Treatment options are tailored to the patient’s current condition and the examples are to be used as possible treatment options. The actual treatment will be determined after an assessment performed by a medical professional. Additionally, procedures are recommended only after a comprehensive evaluation and a thoughtful determination of the most appropriate treatment options.

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