Texas measles outbreak 2025: Cases climb to 646 since January

State health officials on Friday said the number of measles cases in the state linked to a West Texas outbreak has grown to 646 since January.

Officials said fewer than 10 of the cases identified by the state were estimated to be "actively infectious."

Texas Measles Outbreak update

The Latest:

State health officials reported 22 new cases of measles on Friday, with the highest number of new cases being reported in Gaines County.

Gaines County reported an additional 7 cases on Tuesday, bringing the total number of reported cases to 393. The county accounts for more than 60 percent of the state's cases.

Cochran, Dallam, Dawson, Gaines, Garza, Lynn, Lamar, Lubbock, Terry and Yoakum counties have been designated as "outbreak counties" by DSHS.

There have been 64 patients hospitalized since the outbreak started. That is the same number that the state reported in their previous update on Tuesday. The number of people currently in the hospital for measles has not been released.

Since January, 16 cases have been reported in people who were considered fully vaccinated and 12 cases in people who only had one dose of the vaccine. All the new cases reported on Tuesday were for unvaccinated people or those with unknown vaccine status.

In Texas, two school-aged children have died from complications with the measles. Both were not vaccinated and had no known underlying conditions, state health officials said.

By the numbers:

Here are the total cases by county:

• Gaines County: 393
• Lubbock County: 47
• Lynn County: 2
• Terry County: 59
• Yoakum County: 19
• Dawson County: 25
• Ector County: 10
• Dallam County: 7
• Martin County: 3
• Cochran County : 14
• Lamar County: 14
• Garza County: 2
• Hale County: 5
• Hockley County: 5
• Lamb County: 1
• Andrews County: 3
• Midland County: 3
• Brown County: 1
• Erath County: 1
• Borden County: 1
• Randall County: 1
• El Paso County: 22
• Reeves County: 1
• Parmer County: 4
• Potter County: 1
• Bailey County: 2

Here are the total cases by age:

• 0-4 years: 191 cases
• 5-17 years: 243 cases
• 18+: 187 cases
• Unknown: 25 cases

READ MORE: Measles vaccination rates in Texas: Find your school district.

Here is the vaccination status of the patients:

• Not Vaccinated/unknown status: 618
• Vaccinated with one dose: 12
• Vaccinated with two or more doses: 16

What's next:

The Texas Department of State Health Services releases case updates on Tuesdays and Fridays.

Other measles cases in Texas

There have been other cases reported in Texas, but officials say they were not connected to the outbreak in West Texas.

• Atascosa County: 1
• Brazoria County: 1
• Collin County: 1
• Fort Bend County: 2
• Harris County: 4
• Rockwall County: 2
• Travis County: 1
• Upshur County: 18

State health officials said five of the cases in Upshur County were in residents of the county, and they were working to determine the residency status for the rest of the cases and if any of those cases are connected to the West Texas outbreak.

What is measles?

Why you should care:

Measles is a highly contagious respiratory illness. The virus is transmitted by direct contact with infectious droplets or by airborne spread when an infected person breathes, coughs, or sneezes. 

Measles virus can remain infectious in the air for up to two hours after an infected person leaves an area. 

Illness onset (high fever, cough, runny nose, and red, watery eyes) begins a week or two after someone is exposed. A few days later, the telltale rash breaks out as flat, red spots on the face and then spreads down the neck and trunk to the rest of the body. 

A person is contagious from about four days before the rash appears to four days after. People with measles should stay home from work or school during that period.

Symptoms of Measles

Common symptoms of measles include: 

• High fever (as high as 105°F)
• Cough
• Runny nose
• Red and watery eyes
• Tiny white spots that may appear inside the mouth 2-3 days after symptoms begin
• Rash 3-5 days after other signs of illness. The "measles rash" typically starts at the face and then spreads down to the rest of the body.

How to prevent getting measles

The best way to prevent getting sick is to be immunized with two doses of a vaccine against measles, which is primarily administered as the combination measles-mumps-rubella vaccine. Two doses of the MMR vaccine are highly effective at preventing measles.

Some vaccinated people can occasionally develop measles; however, they generally experience milder symptoms and are less likely to spread the disease to other people.

What to do if you've been exposed to measles

If you think you have measles or have been exposed to someone with measles, isolate yourself from others and call your healthcare provider before arriving to be tested so they can prepare for your arrival without exposing other people to the virus. Measles is extremely contagious and can cause life-threatening illness to anyone who is not protected against the virus. Review your and your child’s vaccination history to see if you are up-to-date on your measles vaccines. Additionally, discuss with your provider your vaccination history and any questions about these vaccines.

Controlling outbreaks in group settings

• People with confirmed or suspected measles should stay home from school, work, and other group settings until after the fourth day of rash onset.
• During an outbreak, people without documented immunity from vaccination or previous measles infection should be isolated from anyone with measles to protect those without immunity and control the outbreak.
• According to the Texas Administrative Code (TAC) Rule §97.7, schools and childcare settings shall exclude unimmunized children for at least 21 days after the last date the unimmunized child was exposed to a measles case.

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