Houston at Risk as Texas’ Worst Measles Outbreak in Decades Spreads

With 146 cases and one child’s death, Texas is experiencing its worst measles outbreak in decades. As the highly contagious virus spreads, Houston’s public health officials are urging vaccinations to prevent further infections in one of the state's most vulnerable populations.

Ashley Livingston

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Ashley Livingston

Published 

Mar 1, 2025

Houston at Risk as Texas’ Worst Measles Outbreak in Decades Spreads

Houston is currently on high alert as Texas faces its most severe measles outbreak in decades, with cases escalating from two to 146 within a single month. The outbreak has tragically resulted in the death of a child, led to the hospitalization of more than 20 individuals, and heightened worries about potential further transmission—particularly in urban areas such as Houston, where vaccine hesitancy has increased in recent years.

Public health officials are cautioning that Houston, one of the state's largest and most diverse cities, faces significant vulnerability. The decrease in vaccination rates in specific communities, combined with the city's dense population and international travel hubs, positions it as a likely hotspot for additional outbreaks.

Dr. Catherine Troisi, an infectious disease epidemiologist at UTHealth Houston, voiced her worries about insufficient political urgency. “Texas is a self-reliant state, and individuals prefer not to be dictated to.” “However, with measles, personal decisions affect community health,” she stated.

In light of the outbreak's severity, state leaders, including Gov. Greg Abbott, have mostly refrained from making public statements. In contrast to other states that have implemented emergency measures, Texas has refrained from enforcing mandatory quarantines or school exclusions for unvaccinated individuals unless there has been direct exposure.

Houston's Health officials advise residents to ensure their vaccinations are current. “Given Houston's size and population density, a single case can rapidly escalate into an outbreak,” stated Dr. Umair Shah, executive director of Harris County Public Health. The measles vaccine boasts a 97% effectiveness rate, and specialists assert that boosting immunization rates is the most effective strategy to curb further transmission.

The Texas Department of State Health Services has refrained from declaring a public health emergency, noting that over 90% of Texans are vaccinated. Nonetheless, public health experts caution that even minor groups of unvaccinated individuals can result in significant outbreaks, especially in urban areas such as Houston.

Health officials are establishing more vaccine clinics, urging Houston residents to get immunized as the outbreak progresses.

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