DALLAS, TEXAS — The number of people with measles in Texas increased to 146 in an outbreak that led this week to the death of an unvaccinated school-aged child, health officials said Friday. 

The number of cases — Texas’ largest in nearly 30 years — increased by 22 since Tuesday. The Texas Department of State Health Services said cases span over nine counties in Texas and 20 patients have been hospitalized. 

The child who died Tuesday night in the outbreak is the first U.S. death from the highly contagious but preventable respiratory disease since 2015, the U.S. Centers for Disease Control and Prevention said. 

Robert F. Kennedy Jr., the nation’s top health official and a vaccine critic, said Wednesday that the U.S. Department of the Health and Human Services was watching cases but dismissed the outbreak as “not unusual.” 

But on Friday afternoon, Kennedy said in a post on X that his heart went out to families impacted by the outbreak, and he recognized “the serious impact of this outbreak on families, children, and healthcare workers.” 

Kennedy also said his agency will continue to fund Texas’ immunization program and that ending the outbreak is a “top priority” for him and his team. 

The virus has largely spread through rural, oil rig-dotted West Texas, with cases concentrated in a “close-knit, undervaccinated” Mennonite community, state health department spokesperson Lara Anton has said. 

Gaines County 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. 

Texas law allows children to get an exemption from school vaccines for reasons of conscience, including religious beliefs. Anton has said the number of unvaccinated kids in Gaines County is likely significantly higher because homeschooled children’s data would not be reported. 

The measles, mumps and rubella (MMR) vaccine is safe and highly effective at preventing infection and severe cases. The first shot is recommended for children ages 12 to 15 months, and the second for ages 4 to 6 years. Most kids will recover from measles, but infection can lead to dangerous complications such as pneumonia, blindness, brain swelling and death. 

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 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. 

Eastern New Mexico has nine cases of measles, but the state health department said there is no connection to the outbreak in West Texas. 

At a news conference Friday in Austin, officials urged people to get vaccinated if they are not already. 

“We’re here to say quite simply: Measles can kill, ignorance can kill and vaccine denial definitely kills,” said U.S. Rep. Lloyd Doggett, a Democrat. 
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BASANKUSU, Democratic Republic of Congo — Authorities investigating the deaths of at least 60 people in northwestern Democratic Republic of Congo suspect the water source in one of the areas may have been contaminated, the World Health Organization said Friday. But the agency said it’s too early for a definitive conclusion.

Doctors are investigating more than 1,000 illnesses that have emerged since late January in five villages in Congo’s Equateur province, where high rates of malaria have complicated efforts to diagnose the cases and where officials have said they’ve been unable so far to confirm the main cause.

WHO emergencies chief Dr. Michael Ryan said during an online briefing Friday that for one of the villages there is “a very strong level of suspicion … related to the poisoning of a water source.”

Ryan did not clarify whether he was referring to contamination by accident, negligence or deliberate action. He also did not identify the village where the poisoning was suspected.

“We will not stop investigating until we are sure that the true cause or the absolute cause of what is occurring here is fully investigated,” Ryan said.

Illnesses were first detected in late January in the village of Boloko after three children ate a bat and died within 48 hours.

Twelve cases and eight deaths in total have been recorded in Boloko, with no new cases recorded since January, officials say, adding that nearly half of deaths there occurred within hours of the onset of symptoms.

The village of Bomate in Basankusu health zone, around 200 kilometers from Boloko, has been hit the most: 98% of the cases and 86% of deaths have been recorded there, health officials say.

WHO said on Thursday that hundreds of the patients have tested positive for malaria, which is common in the region. In addition to common malaria symptoms such as fever and body aches, patients have also shown symptoms such as chills, sweating, stiff neck, runny or bleeding nose, cough, vomiting and diarrhea.

The health crisis has caused fear among residents, some of whom have said they fled the villages to avoid falling sick.

Experts say that access to the sick has been hindered by the remote locations of the affected villages and that several people died before medical teams were able to reach them.
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