The current measles outbreak has gripped US states like Texas and New Mexico leaving people worried whether it would become a new pandemic. According to the Texas Department of State Health Services as of February 21, 90 cases were diagnosed in the last month in the South Plains area, with at least 77 of them were reported in children and teens under 17.

Measles is highly contagious and can be deadly. The outbreak, which started spreading in late January, has resulted in multiple hospitalizations, with at least nine confirmed cases and three probable cases as of early February. Health officials caution that at least one in five infected individuals will have to be hospitalized, highlighting the severity of the situation.

Misinformation surrounding vaccines and with the new Trump administration anti-vaccine campaigs, has causing parents to hesitate or refuse vaccination.

Furthermore, the country down under Australia is also witnessing a surge in measles cases as health officials in Sydney have issued an urgent alert, urging residents to watch for measles symptoms after an infected individual visited several places in Sydney over the last seven days.

Authorities report that the traveller had returned from South East Asia where there are ongoing outbreaks of measles.

What Are The Symptoms Measles?

Key symptoms of measles include fever, a runny nose, sore eyes, and a cough. Typically, a red, blotchy rash appears three to four days later, spreading from the head down to the body. Symptoms can manifest between 7 and 18 days after exposure.

Anyone who experiences these symptoms after potential exposure should immediately contact their doctor or emergency department. It is crucial to call ahead before visiting to avoid potentially exposing others in the waiting room. Dr. Selvey also highlighted that ongoing measles outbreaks are occurring in various parts of the world, making awareness and prompt action essential.

Why It Is Important To Get Vaccinated?

According to CDC everyone should get the MMR vaccine. It protects you from measles, mumps, and rubella. Getting vaccinated helps stop these diseases from spreading. There are two safe MMR vaccines available. They work the same way, so it doesn't matter which one you get. Kids can also get a shot that protects against chickenpox too, but this is only for children.

Who Should Get Vaccinated?

Kids Need Two Shots

All children should get two MMR shots. The first shot should be given when they are between 12 and 15 months old. The second shot should be given when they are between 4 and 6 years old. If needed, the second shot can be given earlier, but it must be at least 28 days after the first shot.

College Students Need to Be Protected

Students going to college or other schools after high school, need two shots if they are not already immune. The shots must be at least 28 days apart.

Adults Need at Least One Shot

Most adults need at least one MMR shot. Some adults need two shots, especially those who work in healthcare, travel a lot, or go to college. These people should get two shots, with 28 days between them.

Travelers Need to Be Extra Careful

Anyone traveling to other countries should make sure they are protected. Babies 6 to 11 months old should get one shot before traveling. Kids 12 months and older, teens, and adults need two shots, with 28 days between them.

Healthcare Workers Must Be Immune

People who work in healthcare should have proof that they are immune to measles, mumps, and rubella. If they are not immune, they need two MMR shots, spaced 28 days apart.

Women Thinking About Having Babies

Women who might get pregnant should talk to their doctor about the MMR vaccine. It's safe to get the shot while breastfeeding.

Pennsylvania has reported its sixth measles-related death of 2026, involving a 39-year-old woman in Franklin County. State health officials are reviewing the case as the outbreak continues to spread across the state.

The Franklin County Coroner’s Office said it investigated the woman’s death on October 10. In a statement released on October 12, the office said the case met Pennsylvania’s definition of a measles-associated death. The woman’s identity and further medical details have not been disclosed to protect her family’s privacy.

According to NBC News, a spokesperson for the coroner’s office said the woman was unvaccinated and that the “primary cause of death was a probable acute cardiac event due to possible complications of the measles.” The Pennsylvania Department of Health has launched a review of the reported death.

Pennsylvania Reports Sixth Measles-Related Death

The latest death comes as Pennsylvania continues to grapple with a substantial measles outbreak. State health department figures updated on October 9 recorded 1,136 cases across the state in 2026, among which 219 people required hospitalisation.

The first two deaths announced in the state in late August were infants, which were both in Lancaster County, which majority of cases are concentrated. A pregnant woman with measles went into labor a month early. The baby died shortly after birth. The other was a 6-week-old who had a rare genetic condition.

A 40-year-old woman with asthma and severe lung disease died in Jefferson County. An 18-year-old Mifflin County resident died “due to complications of measles,” specifically a rare and severe neurological condition that causes inflammation in the brain.

The Philadelphia Inquirer reported in early October that the fifth death occurred in a 20-year-old woman with a compromised immune system because of leukemia.

The vast majority of people diagnosed with measles are unvaccinated. According to the Pennsylvania Department of Health, less than 1% of cases there occurred in people who were fully vaccinated.

Also read: US Health Secretary Wants To Expand Vaccine Injury Reporting: Benefits And Risks Explained

Pennsylvania And The CDC Report Different Death Counts

Pennsylvania has classified six deaths as measles-associated this year, while the US Centers for Disease Control and Prevention has reported two measles-associated deaths.

The difference reflects the need for consistent definitions and review procedures. Pennsylvania defines a measles-associated death as one occurring within 30 days of symptom onset in a person with clinical evidence of measles and a positive laboratory test, provided the death is not due to an unrelated cause.

Additional information, including exposure history and medical records, may also be considered. The CDC and the Council of State and Territorial Epidemiologists have been working on standardised definition for classifying measles-related deaths.

Also read: Nearly 4,000 Measles Cases In US: CDC Director Says MMR Vaccine Is ‘Absolutely Safe’

Measles Death Prevention

Measles is a highly contagious viral infection that spreads through the air when an infected person coughs or sneezes. The virus can remain infectious in the air for up to two hours after the person has left.

Symptoms generally begin seven to 14 days after exposure, although they can take up to 21 days to appear. Early signs include high fever, cough, runny nose and red, watery eyes, followed by a characteristic rash.

Although many people recover, measles can cause serious complications, including pneumonia and encephalitis, or inflammation of the brain. Babies, young children and people with weak immune systems are vulnerable to severe measles complications.

Vaccination remains the most effective way to prevent measles and its complications. Two doses of the measles, mumps and rubella (MMR) vaccine are approximately 97% effective against measles.

Pennsylvania health authorities have been expanding vaccination clinics and outreach in affected communities. More than 53,000 MMR doses were administered across the state in September, according to the health department.

The Franklin County Coroner’s Office urged residents and healthcare professionals to follow public health guidance.

“We strongly encourage our medical community, first responders and the public to follow the precautions set forth by the PA Department of Health and Center for Disease Control,” the office said. “Caution and vigilance are key to our success in the treatment of this disease and its after affects.”

The deaths of two University of Mississippi students whose toxicology reports reportedly detected synthetic kratom-related substances have renewed concerns about the gas-station supplement and calls for a nationwide ban.

Kratom is banned in at least eight US states: Alabama, Arkansas, Connecticut, Indiana, Louisiana, Tennessee, Vermont and Wisconsin. Several others, including Iowa and Idaho, are considering restrictions.

What Happened In Mississippi?

Aidan Hamilton, 18, and Robert Strang, 20, died in separate incidents on September 21. Investigators found packaging associated with kratom-related products, including SMAX Pseudo-DHM, at both locations, according to court documents.

A defense attorney for one of two men accused of selling narcotics connected to at least one death told a Mississippi federal court that one student died from the combined effects of multiple substances, including cough syrup, while the other died from inhalation asphyxiation, Action News 5 reported.

Court records reportedly showed that both students had mitragynine pseudoindoxyl, MGM-15 and 7-hydroxymitragynine (7-OH) in their systems. However, the presence of these substances alone does not establish that they caused the deaths.

Kratom Use And Related Health Concerns Are Growing

Kratom comes from the leaves of the Mitragyna speciosa tree, native to Southeast Asia. Traditionally used for its stimulant and pain-relieving effects, it is now sold in the US as powders, capsules, teas and extracts.

US poison centers recorded 3,434 kratom exposure reports in 2025, up from 258 in 2015, according to CDC data.

Legislative efforts to restrict kratom have also intensified. An analysis by The Washington Post found that, among roughly 400 related bills considered across states, 108 proposed bans on kratom or related synthetic chemicals, while 258 focused on measures such as age limits, licensing and potency restrictions.

Can Kratom Be Addictive?

Kratom contains alkaloids, primarily mitragynine. At lower doses, it can increase alertness and energy; at higher doses, it can produce sedative and opioid-like effects by interacting with opioid receptors in the brain.

Regular use can lead to physical dependence. Withdrawal symptoms may include irritability, restlessness, muscle aches, fatigue and sweating.

The US Food and Drug Administration (FDA) says evidence suggests that some people develop substance use disorder after using kratom, although its potential for abuse has not been fully characterized in well-designed human studies.

Why Are Concentrated 7-OH Products Concerning?

7-hydroxymitragynine, or 7-OH, occurs naturally in trace amounts in kratom leaf. Some commercial products contain concentrated levels and are sold as tablets, gummies and drink shots.

The FDA has warned that these products have not been demonstrated to be safe or effective for any medical use. The American College of Medical Toxicology has highlighted concerns about opioid-like intoxication, respiratory depression, dependence and withdrawal.

Kratom-Related Hospitalizations Are Rising

According to a University of Virginia study, hospitalizations linked solely to kratom rose from 43 in 2015 to 538 in 2025.

Poison centers recorded 901 exposures involving 7-OH between January and June 2026, compared with 593 during all of 2025.

Although these figures highlight growing concerns, they do not establish that concentrated 7-OH products caused the increase in kratom-related hospitalizations.

Kratom is not an FDA-approved treatment for pain, opioid withdrawal or any other medical condition. Its long-term health effects remain incompletely understood.

China has issued a plague-risk alert following the suspected plague-related death of a 28-year-old researcher at a laboratory in Irkutsk, Siberia. However, Russia maintains that no plague outbreak has occurred.

According to state-run newspaper Global Times, the Hulunbuir Center for Disease Control and Prevention (CDC) in China's Inner Mongolia Autonomous Region issued a plague-prevention notice on Sunday. Hulunbuir shares a border with Russia.

The advisory cited international attention surrounding the Russian case and the region's history of natural plague activity, while noting that the cause of the researcher's death has not been officially confirmed.

The Hulunbuir CDC said the city last recorded human plague cases in 1927. Routine surveillance in recent years has also detected no plague outbreaks among local rodent populations. Based on its risk assessment, the likelihood of a local outbreak remains low.

What Did Hulunbuir CDC Advise?

Also read: The Black Death Bacterium Still Exists: From Medieval Europe To Modern-Day Outbreaks

The authority advised people arriving from plague-endemic areas in Russia's Far East to monitor their health and seek prompt medical attention if they develop suspected symptoms. Travelers should disclose their travel history to facilitate diagnosis and treatment.

Residents were also urged to follow preventive measures, including routine health monitoring, environmental disinfection and prompt reporting of suspected symptoms.

Earlier, Hunan province, which does not border Russia, also released recommendations on plague symptoms and prevention.

What Happened In Russia?

Darya Shipilova, a 28-year-old researcher at the Anti-Plague Research Institute in Irkutsk, was hospitalized with severe pneumonia on September 29 and died on October 2, according to media reports.

Reports raised concerns about possible pneumonic plague, caused by Yersinia pestis. However, Russian authorities have said that tests did not detect plague or other dangerous pathogens.

On October 8, regional governor Igor Kobzev said quarantine measures and medical monitoring of contacts had been completed. Nearly 5,000 laboratory tests had found no dangerous pathogenic microorganisms, according to reports.

What Has The WHO Said?

Read More: Russia Plague Scare: WHO Reiterates Biosafety Rules Despite No Confirmed Lab Accident

The World Health Organization (WHO) said in a Disease Outbreak News update published on October 10 that the overall public health risk remained low, based on the information available.

The agency found no evidence of ongoing transmission of pneumonic plague linked to the incident. However, the cause of the researcher's fatal pneumonia remains unexplained.

The WHO noted that the absence of a confirmed diagnosis remained a key uncertainty. Given the researcher's employment at an institution handling high-risk pathogens, the agency said a laboratory-associated exposure could not be fully excluded.

Which Other Countries Are Taking Precautions?

Several countries have reportedly strengthened border surveillance and public-health precautions following the Russian case.

Kazakhstan, Kyrgyzstan, Tajikistan and Uzbekistan have announced measures to prevent the potential introduction of highly dangerous infectious diseases, according to regional reports and official statements.

Kyrgyzstan's Health Ministry said border checkpoints had been placed on heightened alert. Sanitary and epidemiological surveillance covers people, vehicles and cargo crossing the country's borders to prevent the entry and spread of infectious diseases.

Uzbekistan's Sanitary-Epidemiological Committee also announced enhanced preparedness among relevant services to prevent the entry and spread of highly dangerous infectious diseases.

READ: Russia Plague Scare: Could It Trigger A New Pandemic? Experts Explain

European Union And United States

The European Centre for Disease Prevention and Control (ECDC) is monitoring the situation. According to its assessment, the limited information available indicates no reported secondary cases and no evidence of sustained human-to-human transmission that could drive further spread.

US officials are also monitoring the case. CDC Director Erica Schwartz said the agency was prepared to monitor and screen travelers.

Secretary of State Marco Rubio said Washington was watching reports of possible plague but that the situation was not a “cause for alarm.”

“We're watching and monitoring it closely. I don't think it's cause for alarm – but it is cause for focus and a cause to just keep an eye on it. And we're doing that,” Rubio said.