A Texas child who was not vaccinated has died of measles, a first for the US in a decade

A child who was not vaccinated has died from measles in West Texas
Covenant Children's Hospital is pictured from outside the emergency entrance on Wednesday, Feb. 26, 2025, in Lubbock, Texas. (AP Photo/Mary Conlon)

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Covenant Children's Hospital is pictured from outside the emergency entrance on Wednesday, Feb. 26, 2025, in Lubbock, Texas. (AP Photo/Mary Conlon)

LUBBOCK, Texas (AP) — A child who wasn't vaccinated died in a measles outbreak in rural West Texas, state officials said Wednesday, the first U.S. death from the highly contagious respiratory disease since 2015.

The school-aged child had been hospitalized and died Tuesday night amid the widespread outbreak, Texas' largest in nearly 30 years. Since it began last month, a rash of 124 cases has erupted across nine counties.

The Texas Department of State Health Services and Lubbock health officials confirmed the death to The Associated Press. The Lubbock hospital where the child had been treated — and where most measles patients have been hospitalized during the outbreak — didn’t respond to a request for comment.

Robert F. Kennedy Jr., the nation's top health official and a vaccine critic, said Wednesday that the U.S. Department of Health and Human Services is “watching” cases, though he did not provide specifics on how the federal agency is assisting. He dismissed Texas' outbreak as “not unusual” during a Wednesday meeting of President Donald Trump's Cabinet members.

“We're following the measles epidemic every day,” Kennedy said in response to a reporter's question about the child's death. The health secretary also appeared to misspeak at the meeting, saying two people had died of the disease. A spokesman for the federal agency later clarified that the U.S. Centers for Disease Control and Prevention has identified only one death.

The federal government is providing vaccines as well as technical and laboratory support in West Texas, but the state health department is leading the response, said Andrew Nixon, spokesman for the Department of Health and Human Services.

Texas Gov. Greg Abbott said through a spokesman that his office is in regular communication with the state health department and epidemiologists, and that vaccination teams are in the “affected area.”

“The state will deploy all necessary resources to ensure the safety and health of Texans,” said spokesman Andrew Mahaleris, calling the child's death a tragedy.

The CDC has said it will provide only weekly updates on the measles outbreak, and has not yet updated its public webpage to reflect the child’s death. Texas health department data shows that a majority of the reported measles cases are in children.

The virus has largely spread among rural, oil rig-dotted towns in West Texas, with cases concentrated in a “close-knit, undervaccinated” Mennonite community, health department spokesperson Lara Anton said. Gaines County, which has reported 80 cases so far, has a strong homeschooling and private school community. It is also home to one of the highest rates of school-aged children in Texas who have opted out of at least one required vaccine, with nearly 14% skipping a required dose last school year.

The measles, mumps and rubella vaccine — which is safe and highly effective at preventing infection and severe cases — is recommended for children between 12 and 15 months old for the first shot, with the second coming between 4 and 6 years old.

Vaccination rates have declined nationwide since the COVID-19 pandemic, and most states are below the 95% vaccination threshold for kindergartners — the level needed to protect communities against measles outbreaks.

The vaccine series is required for kids before entering kindergarten in public schools nationwide.

Last week, Secretary Kennedy vowed to investigate the childhood vaccine schedule that prevents measles, polio and other dangerous diseases, despite promises not to change it during his confirmation hearings.

Measles is a respiratory virus that can survive in the air for up to two hours. Up to 9 out of 10 people who are susceptible will get the virus if exposed, according to the U.S. Centers for Disease Control and Prevention. Most kids will recover from the measles if they get it, but infection can lead to dangerous complications like pneumonia, blindness, brain swelling and death.

The U.S. had considered measles eliminated in 2000, which meant there had been a halt in continuous spread of the disease for at least a year. Measles cases rose in 2024, including a Chicago outbreak that sickened more than 60.

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AP writers Jim Vertuno and JoNel Aleccia contributed to this report.

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The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Science and Educational Media Group and the Robert Wood Johnson Foundation. The AP is solely responsible for all content.

A sign is seen outside a clinic with the South Plains Public Health District Sunday, Feb. 23, 2025, in Brownfield, Texas. (AP Photo/Julio Cortez)

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Covenant Children's Hospital is pictured from outside the emergency entrance on Wednesday, Feb. 26, 2025, in Lubbock, Texas. (AP Photo/Mary Conlon)

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Covenant Children's Hospital is pictured from outside the emergency entrance on Wednesday, Feb. 26, 2025, in Lubbock, Texas. (AP Photo/Mary Conlon)

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A vehicle drives past a sign outside of Seminole Hospital District offering measles testing Friday, Feb. 21, 2025, in Seminole, Texas. (AP Photo/Julio Cortez)

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Covenant Children's Hospital is pictured from outside the emergency entrance on Wednesday, Feb. 26, 2025, in Lubbock, Texas. (AP Photo/Mary Conlon)

Credit: AP

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