Measles cases surge in South Carolina as U.S. risks losing elimination status

South Carolina is currently facing a measles outbreak that shows no signs of slowing down. With an additional 88 cases reported on Tuesday, bringing the total to 646 cases since October, the state is in the midst of a concerning public health crisis. The outbreak, primarily centered around Spartanburg County, has led to public exposure locations including schools, supermarkets, and museums.

Measles, known for being one of the most contagious infectious diseases, can have severe consequences, including hospitalization and death in some cases. The ongoing spread of the disease in the United States has raised fears of losing the country’s measles elimination status. According to the World Health Organization, a country is considered to have eliminated measles if there are no locally transmitted infections or outbreaks lasting 12 months or longer.

Vaccination rates for measles have declined in recent years, falling below the herd immunity threshold required to prevent the disease from circulating. In 2025, the U.S. experienced over 2,240 cases of measles, the highest in 30 years, with many cases connected to an outbreak in West Texas. As of Jan. 13, 2026, the CDC has reported 171 measles cases nationwide, with concerns raised about the country’s ability to handle the disease effectively.

Dr. Demetre Daskalakis, an infectious disease physician, expressed skepticism about the U.S. maintaining its elimination status in 2026, which could result in further outbreaks of previously eliminated or rare diseases. The Pan American Health Organization will review measles elimination status for the United States and Mexico in April, following Canada’s loss of elimination status in November after 27 years.

To prevent contracting measles, vaccination is crucial. The MMR vaccine, given in childhood as a two-dose series, is highly effective and safe. Additionally, following recommendations from public health officials, staying home when feeling unwell, and avoiding contact with infected individuals can help prevent the spread of the disease.

Early signs of measles include a cough, fever, and runny nose, so seeking medical attention if experiencing symptoms is essential. By staying informed, getting vaccinated, and following guidelines from healthcare professionals, individuals can protect themselves and others from the ongoing measles outbreak.