Texas measles outbreak includes multiple cases at Lubbock day care

A day care facility in a Texas county that's part of the measles outbreak has multiple cases, including children too young to be fully vaccinated, public health officials say.

West Texas is in the middle of a still-growing measles outbreak with 481 cases Friday. The state expanded the number of counties in the outbreak area this week to 10. The highly contagious virus began to spread in late January and health officials say it has spread to New Mexico, Oklahoma, Kansas and Mexico.

Three people who were unvaccinated have died from measles-related illnesses this year, including two elementary school-aged children in Texas. The second child died Thursday at a Lubbock hospital, and Health Secretary Robert F. Kennedy Jr. attended the funeral in Seminole, the epicenter of the outbreak.

As of Friday, there were seven cases at a day care where one young child who was infectious gave it to two other children before it spread to other classrooms, Lubbock Public Health director Katherine Wells said.

“Measles is so contagious I won’t be surprised if it enters other facilities,” Wells said.

There are more than 200 children at the day care, Wells said, and most have had least one dose of the measles, mumps and rubella vaccine, which is first recommended between 12 and 15 months old and a second shot between 4 and 6 years old.

“We do have some children that have only received one dose that are now infected,” she said.

The public health department is recommending that any child with only one vaccine get their second dose early, and changed its recommendation for kids in Lubbock County to get the first vaccine dose at 6 months old instead of 1. A child who is unvaccinated and attends the day care must stay home for 21 days since their last exposure, Wells said.

Case count and hospitalization numbers in Texas have climbed steadily since the outbreak began, and spiked by 81 cases from March 28 to April 4, with 16 more people hospitalized in that time.

The U.S. Centers for Disease Control and Prevention met with Texas officials Monday to determine how many people it would send to West Texas to assist with the outbreak response, spokesman Jason McDonald said Monday. He expected a small team to arrive later this week, followed by a bigger group on the ground next week.

The CDC said its first team was in the region from early March to April 1, withdrawing on-the-ground support days before a second child died in the outbreak.

What is measles?

Measles is a respiratory virus that can survive in the air for up to two hours. According to the U.S. Centers for Disease Control and Prevention, up to nine out of 10 people who are susceptible will get the virus if exposed.

Most kids will recover from measles if they get it, but infection can lead to dangerous complications like pneumonia, blindness, brain swelling, and death.

Is the vaccine safe?

Yes, the measles, mumps and rubella (MMR) vaccine is safe and highly effective in preventing measles infection and severe cases of the disease.

The first shot is recommended for children between 12 and 15 months old, and the second for children between 4 and 6 years old. The vaccine series is required for kids before kindergarten in public schools nationwide.

Before the vaccine was introduced in 1963, the U.S. saw some 3 million to 4 million cases per year. Now, there are usually fewer than 200 in a normal year.

There is no link between the vaccine and autism, despite a now-discredited study and health disinformation.

Why do vaccination rates matter?

In communities with high vaccination rates — above 95% — diseases like measles have a harder time spreading through communities. This is called “herd immunity.”

But childhood vaccination rates have declined nationwide since the pandemic and more parents are claiming religious or personal conscience waivers to exempt their kids from required shots.

The U.S. saw a rise in measles cases in 2024, including an outbreak in Chicago that sickened more than 60. Five years earlier, measles cases were the worst in almost three decades in 2019.

Gaines County has one of the highest rates in Texas of school-aged children who opt out of at least one required vaccine, with nearly 14% of K-12 children in the 2023-24 school year. Health officials said that number is likely higher because it doesn’t include many children who are homeschooled and whose data would not be reported.

What are public health officials doing to stop the spread?

Health workers are hosting regular vaccination clinics and screening efforts in Texas, as well as working with schools to educate people about the importance of vaccination and offering shots.

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