Texas child is first reported US measles death in a decade as outbreak hits more than 130 people

By Rich McKay

(Reuters) - The first person reported to have died from measles in the U.S. in a decade, a "school-aged child" who perished overnight in a children's hospital in West Texas, was announced by health officials on Wednesday, as a Texas outbreak has grown from a handful of cases to more than 130 across two states.

The child was not vaccinated against the disease, the Texas health department said in a statement on Wednesday. Media accounts say the child died at a Lubbock, Texas hospital.

At least 124 people were known to be infected in West Texas since early February, Texas health officials announced, most of them children.

An additional 9 cases were announced on Tuesday, in eastern New Mexico, near the Texas state line where the outbreak has spread to about 10 counties, Texas health officials said.

The U.S. death rate from measles, a highly contagious airborne disease, is 1 to 3 deaths out of every 1,000 reported cases, according to the U.S. Centers for Disease Control and Prevention. The last U.S. measles death was in 2015, according to the CDC.

A spokesperson for the Texas Department of Health Services was not immediately available to Reuters for comment, but the agency said in a release that 18 people were hospitalized with the disease.

The CDC was also not immediately available for comment.

Lara Anton, a Texas health department spokesperson, told a local ABC affiliate that the ongoing outbreak has hit mostly small children and teenagers, and that the cases were originally concentrated in a "close-knit, under-vaccinated" rural Mennonite community in Gaines County, where children are largely home-schooled.

"It's all a personal choice, and you can do whatever you want. It's just that the community doesn't go and get regular healthcare," Anton told ABC.

At this time, it is unclear how the first person was exposed, and there is no indication that any early patients traveled outside the United States, Anton told multiple media.

"This will accelerate for a while," said Dr. Peter Hotez, director of the Center for Vaccine Development at Baylor University, in Waco, Texas, and a frequent target of the anti-vaccine campaign.

"It's a bad illness," he said, noting that about 20 percent of cases are hospitalized. "Unfortunately, Texas is the epicenter of it because of our very aggressive anti-vaccine movement," he said.

Robert F. Kennedy Jr, a vaccine critic, was confirmed as U.S. Secretary of Health and Human Services earlier this month, overcoming resistance from the medical establishment and some members of Congress. Kennedy has pledged to protect existing vaccination programs. The HHS did not respond to a request for comment on the measles death in Texas.

Measles was declared eliminated in the United States in 2000, meaning there was no continuous transmission of the disease for a year.

In recent years, federal health officials have attributed some outbreaks to U.S. parents refusing to vaccinate their children, Reuters previously reported.

In 2024, there were 285 cases of the disease in the U.S. from 16 outbreaks, up from 59 cases from four outbreaks in 2023.

Texas health officials announced on Monday that more people were likely exposed to the virus after a contagious Gaines County resident traveled to several locations in and around San Antonio, nearly 400 miles (644 km) away.

The City of Lubbock was promoting the measles-mumps-rubella vaccine for unvaccinated children on its website and in free clinics, which started on Tuesday.

(Reporting by Rich McKay in Atlanta; additional reporting by Julie Steenhuysen in Chicago; editing by Caroline Humer and Bill Berkrot)