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Measles Outbreak – March 25, 2025

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News Updates
March 25, 2025

The Texas Department of State Health Services is reporting an outbreak of measles in the South Plains and Panhandle regions of Texas. At this time, 327 cases have been identified since late January. Forty of the patients have been hospitalized. 

There has been one fatality in a school-aged child who lived in the outbreak area. The child was not vaccinated and had no known underlying conditions.

Due to the highly contagious nature of this disease, additional cases are likely to occur in the outbreak area and the surrounding communities. DSHS is working with local health departments to investigate the outbreak.

We will post updates on Tuesdays and Fridays.

Texas Outbreak Case Count by County
County Cases
Cochran 7
Dallam 6
Dawson 13
Ector 2
Gaines 226
Garza 1
Hale 1
Hockley 1
Lamar 5
Lamb 1
Lubbock 10
Lynn 1
Martin 3
Terry 37
Yoakum 13
Total 327

All data is provisional and subject to change.

Age Ranges of Outbreak Measles Cases
0 - 4 years 5 - 17 years 18+ years Pending
105 140 63 19
Vaccination Status of Confirmed Cases in the Outbreak
Unvaccinated/Unknown 325
Vaccinated: 1 dose 0
Vaccinated: 2+ doses 2
  • Note: The unvaccinated/unknown category includes people with no documented doses of measles vaccine more than 14 days before symptom onset.

After additional investigation into the details of individual measles cases, DSHS has determined that three cases previously classified as vaccinated were not vaccinated cases. Two of those cases got their vaccine doses one to two days before their symptoms started, after they had been exposed to the virus. It takes the body about 14 days after vaccination to develop immunity to measles, so people aren’t considered vaccinated until that 14-day period has passed.

DSHS has determined that the third case was a Lubbock County resident who had a vaccine reaction rather than a measles infection based on the results of MeVA testing, which detected the vaccine strain. This case has been removed from the case count entirely. The measles vaccine can occasionally cause a reaction with a rash and fever that mimic measles, but it is not a measles infection and cannot spread to other people.

Measles Prevention

The best way to prevent getting sick is to be immunized with two doses of a vaccine against measles, which is primarily administered as the combination measles-mumps-rubella vaccine. Two doses of the MMR vaccine are highly effective at preventing measles.

To get vaccinated, people can go to their health care provider or a pharmacy. Vaccines are also available through the Texas Vaccines for Children and Adult Safety Net Providers. Use the maps located on the measles outbreak page to locate a TVFC or ASN provider. Pharmacies can vaccinate people 14 and older without a prescription. Children under 14 need a prescription to get the MMR vaccine at a pharmacy.

Additional information for the public and health care providers is available at the links below:

Measles Outbreak page

Measles FAQ page

DSHS News Release – Jan. 30 Announcing Cases in Gaines County

DSHS News Release – Feb. 25 Outbreak Update

DSHS News Release – Feb. 26 Announcing First Fatality in Outbreak

DSHS Health Alert – Feb. 5 Gaines County Outbreak

DSHS Health Alert – Feb. 24 Measles Exposures in South & Central Texas

DSHS Health Alert – March 6 Measles Outbreak Case Definition

 

Data

School Coverage

Conscientious Exemptions

Measles (Rubeola) Data | Texas DSHS


 Other 2025 Texas Measles Cases


2025 Texas Measles Cases Not Associated with the Outbreak in West Texas
County Cases
Harris 3*
Lamar 2
Midland 1
Rockwall 1
Travis 1
Total 8

* One of these cases had symptom onset in 2024

  • Most of these cases are associated with international travel to a country where measles regularly spreads.