Texas measles outbreak 2025: Dozens of new cases confirmed in West Texas

Nearly 200 cases of measles have been confirmed in West Texas in a little over a month, according to the Texas Department of State Health Services.

39 additional cases since the previous official DSHS update on Tuesday.

Almost all of the new cases are in Gaines County, about 80 miles southwest of Lubbock.

The update comes as New Mexico health officials say that a person who had the measles near the Texas border has died.

Texas measles outbreak

The Latest Update:

198 cases of measles have been confirmed in connection to the department since late January, according to the Texas Department of State Health Services.

30 of the 39 new cases are from Gaines County, the center of the outbreak.

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All of the new cases are in counties that have previously reported confirmed cases.

One school-aged child died from complications with the measles and 23 patients have been hospitalized.

READ MORE: Measles vaccination rates in Texas: Find your school district

There was only one additional hospitalization in the latest update.

By the numbers:

The Texas Department of State Health Services released more information about the 198 cases in the state in connection to outbreak centered in Gaines County..

Measles cases have also been detected in Austin and Rockwall County, but both of those cases involved people who had traveled abroad. The cases are not included in the update from DSHS.

It is the biggest measles outbreak in Texas in the last 30 years.

Here are the total cases by county:

• Gaines County: 137
• Lubbock County: 3
• Lynn County: 2
• Terry County: 29
• Yoakum County: 8
• Dawson County: 9
• Ector County: 2
• Dallam County: 5
• Martin County: 3

Here are the total cases by age:

• 0-4 years: 64 cases
• 5-17 years: 89 cases
• 18+: 34 cases
• Unknown: 11 cases

Here is the vaccination status of the patients:

• Not Vaccinated: 80
• Unknown Status: 113
• Vaccinated with at least one dose: 5

What's next:

The Texas Department of State Health Services releases case updates on Tuesdays and Fridays.

New Mexico measles death

Dig deeper:

An adult who was infected with measles died in New Mexico, according to state officials. The virus was not confirmed as the cause of death.

The person was from Lea County, just across the state line from Texas. The person was unvaccinated and did not seek medical care. Other details about the person were not released.

New Mexico health officials did not link the outbreak there to the Texas cases.

So far, 10 measles cases have been confirmed in Lea County.

What is measles?

Why you should care:

Measles is a highly contagious respiratory illness. The virus is transmitted by direct contact with infectious droplets or by airborne spread when an infected person breathes, coughs, or sneezes. 

Measles virus can remain infectious in the air for up to two hours after an infected person leaves an area. 

Illness onset (high fever, cough, runny nose, and red, watery eyes) begins a week or two after someone is exposed. A few days later, the telltale rash breaks out as flat, red spots on the face and then spreads down the neck and trunk to the rest of the body. 

A person is contagious about four days before the rash appears to four days after. People with measles should stay home from work or school during that period.

Symptoms of Measles

Common symptoms for measles include: 

• High fever (as high as 105°F)
• Cough
• Runny nose
• Red and watery eyes
• Tiny white spots that may appear inside the mouth 2-3 days after symptoms begin
• Rash 3-5 days after other signs of illness. The "measles rash" typically starts at the face and then spreads down to the rest of the body.

How to prevent getting measles

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.

Some vaccinated people can occasionally develop measles; however, they generally experience milder symptoms and are less likely to spread the disease to other people.

What to do if you've been exposed to measles

If you think you have measles or have been exposed to someone with measles, isolate yourself from others and call your healthcare provider before arriving to be tested so they can prepare for your arrival without exposing other people to the virus. Measles is extremely contagious and can cause life-threatening illness to anyone who is not protected against the virus. Review your and your child’s vaccination history to see if you are up-to-date on your measles vaccines. Additionally, discuss with your provider your vaccination history and any questions about these vaccines.

Controlling outbreaks in group settings

• People with confirmed or suspected measles should stay home from school, work, and other group settings until after the fourth day of rash onset.
• During an outbreak, people without documented immunity from vaccination or previous measles infection should be isolated from anyone with measles to protect those without immunity and control the outbreak.
• According to the Texas Administrative Code (TAC) Rule §97.7, schools and childcare settings shall exclude unimmunized children for at least 21 days after the last date the unimmunized child was exposed to a measles case.

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