Measles Surging Worldwide, Thanks to Vaccine Hesitancy
/Failure to vaccinate children against measles has led to a skyrocketing number of cases around the world this year. In the U.S., the number of confirmed cases had reached 2,318 by July 30, a 35-year high surpassing the 2,289 total cases recorded during 2025. Even higher numbers have been reported in other countries such as Bangladesh, Guatemala and Yemen.
The figure below compares the annual number of confirmed U.S. measles cases since 2000. The surge in 2025 is obvious, while the present partial number for 2026 will undoubtedly increase further.
The next figure depicts the current 2026 number of cases in most countries of the Americas. You can see that the incidence of measles is even higher in Canada, Mexico, Guatemala and Peru than it is in the U.S.
The primary reason for all these outbreaks is that more and more parents are choosing not to vaccinate their children. In 2019, the WHO (World Health Organization), for the first time, listed vaccine hesitancy as one of the top 10 global threats of 2019.
Highly contagious, measles is not a malady to be taken lightly. One in 1,000 people who catch it die of the disease; most of the victims are children under five. Even those who survive are at high risk of falling prey to encephalitis, an often-debilitating infection of the brain that can lead to seizures and mental retardation. Other serious complications of measles include blindness and pneumonia.
While some parents oppose immunization on religious or philosophical grounds, by far the most objections come from those who insist that all vaccines cause disabling side effects or other diseases – even though the available scientific data doesn’t support such claims. As discussed in a previous post, there’s absolutely no scientific evidence for the once widely held belief that vaccination with the MMR (measles-mumps-rubella) vaccine results in autism, for example.
Anti-vaccinationists, when accused of exposing their children to unnecessary risk by refusing immunization because of unjustified fears about vaccine safety, rationalize their stance by appealing to herd immunity. Herd immunity is the mass protection from an infectious disease that results when enough members of the community become immune to the disease through vaccination, just as sheer numbers protect a herd of animals from predators. Once a sufficiently large number of people have been vaccinated, viruses and bacteria can no longer spread in that community.
For measles, herd immunity requires up to 95% of the populace to be immunized. That the threshold is lower than 100%, however, enables anti-vaccinationists to hide their children in the herd. By not vaccinating their offspring but choosing to live among the vaccinated, anti-vaxxers avoid the one in one million risk of their children experiencing serious side effects from the vaccine, while simultaneously not exposing them to infection – at least not in their own community.
But hiding in the herd takes advantage of others and is morally indefensible. Certain vulnerable groups can’t be vaccinated at all, including those with weakened immune systems such as children undergoing chemotherapy for cancer or the elderly on immunosuppressive therapy for rheumatic diseases. If too many people choose not to vaccinate, the percentage vaccinated will fall below the threshold, herd immunity will break down and those whose protection depends on those around them being vaccinated will suffer.
The figure below shows MMR vaccination rates for U.S. kindergarteners for the 2024-25 school year, the latest period for which data is available. It can be seen that only 10 states (including DC) met the 95% threshold for herd immunity, a drop from just 21 states during the 2019-20 pre-pandemic school year. (Montana and West Virginia didn’t report data for the 2024-25 school year).
MMR coverage rates among kindergarteners for the latest school year varied widely from state to state: from a low of 78.5% in Idaho to a high of 98.2% in Connecticut. In 2024-25 alone, over half the states experienced declines in vaccination rates for all state-required vaccines, including MMR, DTP (diphtheria-tetanus-pertussis), polio, and chicken pox.
A meeting of international health officials is scheduled in November to decide whether the U.S. and Mexico should lose their measles-free status. The analysis period is one year from the onset of recently reported outbreaks: January 20, 2025 in the United States and February 1, 2025 in Mexico. In 2000, the U.S. achieved elimination of local measles transmission by maintaining vaccination rates above 95%, but coverage has clearly declined since then.
It’s true that serious adverse reactions to a vaccine shot do occur occasionally – typically about once in every million vaccinations. But this is a minuscule risk compared with the risk of contracting the disease itself in an unvaccinated community during an epidemic.
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