Published on January 15, 2026

Measles Cases Surge in South Carolina and Southwest, as Vaccination Rates Fall in 2026

Measles outbreaks are once again making headlines in the United States, raising serious public health concerns among medical professionals and government officials. In January 2026, health authorities confirmed two rapidly growing measles outbreaks in South Carolina and along the Arizona-Utah border. These outbreaks come after a year that marked the highest number of measles cases in the country in more than three decades.

Once declared eliminated in the United States, measles is now re-emerging due to declining vaccination rates, increased travel, and community-level immunity gaps. The situation highlights the ongoing importance of vaccination and early outbreak response to prevent severe illness and deaths.

Growing Measles Outbreak in South Carolina

South Carolina is currently facing one of the largest measles outbreaks in the nation. Health officials confirmed 124 new cases in just a few days, bringing the state total to 434 confirmed cases as of mid-January 2026. The outbreak is centered in Spartanburg County, where schools and community settings have become key points of exposure.

Hundreds of children in the area have been quarantined after being exposed at school, with some students facing multiple quarantines due to repeated exposures. Officials also confirmed that an individual infected with measles visited the South Carolina State Museum in Columbia, potentially exposing visitors and staff.

Public health experts warn that the outbreak could soon rival last year’s outbreak in Texas, which resulted in 762 reported cases and the deaths of two unvaccinated children. Health officials believe the true number of cases may have been higher due to underreporting.

Measles Spreads Across Arizona and Utah Border Communities

At the same time, a separate measles outbreak continues to spread in border communities between Arizona and Utah. Since August, 418 people have been infected in an area known as Short Creek, which includes Hildale, Utah, and Colorado City, Arizona.

Mohave County, Arizona, has reported 217 cases, while Utah has confirmed 201 cases. Health officials from both states caution that the actual number of infections could be higher, as not all cases are identified or reported.

According to the Arizona Department of Health Services, cases slowed briefly before the holiday season, then increased again following holiday travel and gatherings. Officials remain hopeful the outbreak will end soon but continue to see a steady number of new infections each week.

Why Measles Is So Dangerous

Measles is one of the most contagious viruses known. It spreads through the air when an infected person breathes, coughs, or sneezes. The virus can linger in the air for hours after an infected person leaves a room, making it extremely easy to transmit.

Early symptoms include fever, cough, runny nose, and red or watery eyes. A few days later, a distinctive rash appears, typically starting on the face and spreading downward across the body.

While many children recover, measles can cause serious and sometimes fatal complications. These include pneumonia, brain swelling known as encephalitis, blindness, and death. Young children, pregnant individuals, and people with weakened immune systems are at the highest risk for severe outcomes.

Record-Breaking Measles Cases in 2025

The year 2025 marked the worst year for measles in the United States since 1991, according to the Centers for Disease Control and Prevention. A total of 2,242 measles cases were reported across 45 states.

Tragically, three people died from measles complications. All were unvaccinated. These deaths underscore the serious risks associated with measles infection and the importance of prevention through vaccination.

Although the CDC declared measles eliminated in the United States in 2000, elimination does not mean eradication. The virus can return when vaccination coverage drops or when infected individuals travel from areas where measles remains common.

Declining Vaccination Rates Fuel Outbreaks

Health officials point to falling childhood vaccination rates as a major driver of the current outbreaks. Since the COVID-19 pandemic, routine childhood immunizations have declined nationwide. More families are also requesting exemptions from school vaccine requirements, often for non-medical reasons.

Measles spreads most easily when community vaccination rates fall below 95 percent. This threshold is critical to maintaining herd immunity, which protects people who cannot be vaccinated due to age or medical conditions.

When vaccination rates drop, measles can spread rapidly through schools, childcare centers, and communities, even if only a small number of people are initially infected.

MMR Vaccine Remains the Best Protection

Health experts strongly emphasize that the measles, mumps, and rubella vaccine remains the most effective protection against measles infection. The CDC recommends that children receive the first dose between 12 and 15 months of age and a second dose between 4 and 6 years old.

After two doses, the MMR vaccine is about 97 percent effective and provides long-lasting protection. Widespread use of the vaccine was the key reason measles was eliminated in the United States more than two decades ago.

Public health officials urge parents to ensure their children are up to date on all recommended vaccines, especially during ongoing outbreaks.

What Communities Can Do Now

Containing measles outbreaks requires coordinated action from public health agencies, schools, healthcare providers, and families. Early case identification, isolation, contact tracing, and quarantine measures are essential to limit spread.

Officials also stress the importance of public awareness. People who develop symptoms after potential exposure should seek medical advice promptly and avoid public places to prevent further transmission.

Vaccination remains the most powerful tool available to stop measles outbreaks and protect vulnerable populations.

Conclusion

The current measles outbreaks in South Carolina, Arizona, and Utah serve as a warning that vaccine-preventable diseases can return when community protection weakens. With thousands of cases reported nationwide in 2025 and new outbreaks continuing into 2026, public health officials are urging renewed attention to vaccination and prevention efforts.

Measles is not a harmless childhood illness. It is a serious and highly contagious disease that can cause life-threatening complications. Maintaining high vaccination rates is essential to protecting individuals, families, and communities across the United States.

Sources

  • Associated Press, January 13, 2026
  • U.S. Centers for Disease Control and Prevention (CDC)

Disclaimer

This article is for informational and educational purposes only and does not constitute medical advice, diagnosis, or treatment. Statistical data reflects general trends and may not apply to individual situations. Always consult a qualified healthcare professional for personalized medical advice or health-related decisions.

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