Monday, March 17, 2025

Fwd: The Morning: The measles outbreak


Pete

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From: The New York Times <nytdirect@nytimes.com>
Date: March 17, 2025 at 6:40:37 AM EDT
To: peteandtess@gmail.com
Subject: The Morning: The measles outbreak
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The Morning: The measles outbreak
Plus, deportations, the war in Ukraine and a penguin retirement home.
The Morning

March 17, 2025

Good morning. Today you'll hear from our colleague Teddy Rosenbluth, who traveled to the center of a Texas measles outbreak. We're also covering deportations, the war in Ukraine and a penguin retirement home.

A 1-year-old getting an M.M.R. shot while his mother cradles him on her knee.
In Lubbock, Texas. Jan Sonnenmair/Getty Images

An outbreak

Author Headshot

By Teddy Rosenbluth

I write about health.

The United States declared victory over measles 25 years ago. And yet one of the worst outbreaks since then is ravaging Texas and New Mexico.

For now, it isn't a threat to most Americans. But there's a reason this is happening — and why the next measles epidemic could be even worse.

In today's newsletter, I'll explain the virus's possible resurgence in America.

A map shows measles cases by county in 2025 through March 13. Outbreaks have been identified in Texas, New Mexico and New Jersey. Isolated cases have been identified in Washington, California, Oklahoma, Kentucky, Georgia, Pennsylvania, New York, Vermont, Rhode Island, Maryland, Georgia, Florida and Alaska.
Sources: State health departments; C.D.C. | Data is through March 13. | By The New York Times

Beating measles

Derailing this virus was a decades-long project. The United States began administering a vaccine in 1963, soon after its invention. At the time, the disease infected nearly all children before they turned 15.

Why did containment take so long? Because measles is one of the most contagious viruses on the planet.

In a hypothetical community where nobody has immunity, each person with measles can infect up to 18 others. But this graphic by my colleague Jonathan Corum shows what happens when enough people are vaccinated:

A diagram shows how measles can spread across a community. If each case infects 18 unvaccinated people, it would take a 94% vaccination rate to halt the spread.
By Jonathan Corum

Experts generally want a community to have a vaccination rate of around 95 percent. That means, statistically, that the virus will spread to fewer than one person in the group, causing it to fizzle out.

That's exactly what the United States accomplished in the early 2000s. A campaign to encourage inoculation, alongside strict vaccine requirements at public schools, dropped infections from nearly 28,000 in 1990 to just 85 a decade later. The cases that popped up here and there were mainly from international travel.

A chart shows annual measles cases since 1985. In 1990 there were about 27,800 cases, and in 2000 there were just 85. In 2025 so far, there have been more than 300 cases.
Source: C.D.C. | Data is through March 13, 2025, and totals for 2023-2025 are preliminary. | By The New York Times

A reversal

Experts worry we may now revive the disease.

That's because vaccination rates for the measles, mumps and rubella shot, which had been hovering around 95 percent, began to fall during the pandemic. Data from the last school year shows that only 93 percent of kindergartners were inoculated — the danger zone. In some regions of the country, such as West Texas, it's closer to 80 percent.

The country almost lost its elimination status from the World Health Organization thanks to an outbreak in New York six years ago. The fear now is that, as pockets of unvaccinated Americans continue to grow and multiply, measles will be more likely to hop from group to group, traveling farther and infecting more people. The current outbreak, which started in West Texas, has already spread to New Mexico and Oklahoma.

Why has the rate of vaccination fallen so much? Part of the answer lies in the Covid pandemic. Conspiracy theories about Covid-19 vaccines made many question the safety of other routine shots. The vaccine-skepticism movement is growing quickly, driven by declining trust in science and rampant misinformation on social media.

Unpopular pandemic mandates also fueled a revolt against vaccination requirements at public schools. In recent years, many states have weakened those mandates, which are perhaps the best way to keep childhood vaccination rates high. In 43 states, officials will grant an exemption based on religion. In 13 of those states, all you need is a personal objection to opt out of a school vaccine requirement.

Two futures

Some experts believe there is still time to rein in the virus. Perhaps if enough Americans witness the toll of measles, which killed an unvaccinated child in Texas in February, they will recall why vaccines are important.

Others say that is naïve. They fear that distrust in science is so deeply rooted and that misinformation is so ubiquitous that many will choose to stay unvaccinated. And they worry that if vaccination rates don't rise, other preventable diseases like polio will follow.

Vaccine skeptics now walk the corridors of power in Washington. President Trump has questioned the safety of vaccines. So has Robert F. Kennedy Jr., the nation's top health official, who wrote a book about measles in 2021 saying that outbreaks had been fabricated so the government could "inflict unnecessary and risky vaccines on millions." There is no cure for the virus, but Kennedy has also promoted unproven treatments: He said this month that doctors had told him about patients who had an "almost miraculous and instantaneous recovery" after they took cod liver oil, steroids and antibiotics. Health officials in Texas tell me such promises may have caused measles patients to delay medical care.

The outbreak in Texas supports the pessimistic thesis. There, even communities plagued by serious illness and death have still largely rejected the M.M.R. vaccine.

Related: The Times is keeping track of where measles is spreading.

THE LATEST NEWS

Immigration

A line of buses near a prison.
In Tecoluca, El Salvador. El Salvador's Presidency Press Office, via Reuters
  • The Trump administration deported hundreds of Venezuelan migrants to El Salvador, despite a judge's order that the planes reverse course and return to the U.S.
  • It's unclear when exactly the planes landed. Legal analysts are trying to figure how close the administration is to open defiance of the judiciary.
  • The White House denied that it had violated the order, saying that the president had broad powers to deport the migrants under an 18th-century law and that the federal courts had no jurisdiction over his power to expel foreign enemies.
  • In Massachusetts, federal authorities deported a Lebanese professor at Brown University's medical school, even though she had a valid visa and despite a court order that temporarily blocked her expulsion.
  • The Trump administration has revived the detention of undocumented immigrant families. The practice fell out of use during the Biden administration.

Government Overhaul

More on Politics

War in Ukraine

Two soldiers crouch in a brick room. One is smoking.
Ukrainian soldiers.  Finbarr O'Reilly for The New York Times

More International News

Other Big Stories

An aerial photo of homes and trees destroyed by a tornado.
In Mississippi. Edmund D. Fountain for The New York Times

Opinions

Trump has dismantled the systems that monitor weather at a time when climate change makes them more important than ever, Jonathan Mingle writes.

The public has to understand the risk of lab leaks if we want to prevent another pandemic. The way we were misled about Covid makes that harder, Zeynep Tufekci writes.

Here are columns by Margaret Renkl on Native American tradition and M. Gessen on transgender rights.

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MORNING READS

Three penguins standing on a rock in the water, looking around.
In Boston.  Cody O'Loughlin for The New York Times

Retirement island: A Boston aquarium built a home for its geriatric penguins.

Ask Vanessa: "How do I know which jeans are best for me?"

Donor: Brendan Costello's family was bracing for goodbyes. But he had arranged one last interruption.

Metropolitan Diary: Bird-watching is contagious.

Most clicked yesterday: "'Gentle parenting' is spoiling my granddaughter. What should I do?"

Lives Lived: Slick Watts was an undrafted, 6-foot-1 point guard who became seen as the ultimate Seattle SuperSonic. He also had patchy hair, and a headband that made an enduring fashion statement. Watts died at 73.

SPORTS

College basketball: The N.C.A.A. revealed its tournament brackets. See the men's and women's draw.

N.F.L.: The Bengals agreed to contracts with their top two wide receivers, Ja'Marr Chase and Tee Higgins. Chase became the highest paid non-quarterback in league history.

Women's soccer: Mak Whitham, 14, of Gotham F.C. became the youngest player to enter a league game.

ARTS AND IDEAS

A square painting of train tracks running through a rural town leans against another frames in an ornate room.
Van Gogh or faux? Peter Fisher for The New York Times

If you think you've acquired a work by Vincent van Gogh, you'll want to speak to the Van Gogh Museum in Amsterdam: Large auction houses are unlikely to sell your painting without its input. But the museum has become increasingly resistant to authentication requests — because disappointed art collectors can be litigious.

More on culture

A grand staircase with gray, green and white marble steps and brass and black railings, with a glass lamp hanging from the ceiling.
On the Upper East Side. Lila Barth for The New York Times
  • The Frick Collection, a museum based in Henry Clay Frick's Fifth Avenue mansion, will reopen next month after a $220 million renovation and expansion. See inside.
  • A new "Hunger Games" novel, "Sunrise on the Reaping," goes on sale tomorrow. Read what to know.

THE MORNING RECOMMENDS …

A pot of cheese topped spaghetti with wilted kale and burst cherry tomatoes interspersed.
Ryan Liebe for The New York Times

Boil spaghetti, cherry tomatoes and kale in the same pot for a thick, starchy sauce. (This dish was in Meghan, Duchess of Sussex's new show.)

Control your social media habit.

Tame a nest of cables.

Choose a gag gift that's actually useful.

Take our news quiz.

GAMES

Here is today's Spelling Bee. Yesterday's pangrams were outgunned and tongued.

And here are today's Mini Crossword, Wordle, Sudoku, Connections and Strands.

Thanks for spending part of your morning with The Times. See you tomorrow.

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