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What Makes Modern Measles Outbreaks Different

Unvaccinated children are becoming unvaccinated adults, who are at risk of dangerous complications.

Updated at 12 p.m. on April 7, 2025
The current U.S. measles outbreak follows, in some ways, a classic pattern: The virus first found a foothold where childhood vaccination is low—among Mennonites in Texas, in this case—before rapidly spreading to other communities and states. It has sickened mostly children and has now killed a second child, whose death was reported this weekend. With cases still ticking up, experts expect the outbreak to persist for a year.

Lookcloselyattheoutbreak’sedges,though,andthepatternsaremoreunusual:It’snotjustchildrengettingmeasles.WhereTexas’soutbreakhasspilledoverintoNewMexico,forexample,halfoftheconfirmedcasesandonepotentialdeathinvolveadults,largelyunvaccinated.Lastyear,too,adultsolderthan20accountedformorethanaquarterofU.S.measlescases.Thisisallinkeepingwithwhatexpertshavewarned:Adultsarenowsusceptibletothischildhooddisease. Doctorstendtobeunfamiliarwithadultmeasles,becauseadultsusedtonotgetit.Intheprevaccineera,theextremely