Measles Cases Surge in South Carolina as U.S. Risks Elimination Status
Outbreak Overview
South Carolina is experiencing a significant outbreak of measles, with state officials reporting an additional 88 cases on Tuesday. Since October, a total of 646 cases have been identified, primarily concentrated in Spartanburg County. Public exposure sites include several schools, a Publix supermarket, and the South Carolina State Museum.
The outbreak has led to renewed concerns regarding the U.S.’s measles elimination status. According to the World Health Organization (WHO), a country is considered to have eliminated measles when there are no locally transmitted cases or outbreaks lasting 12 months or more.
Public Health Concerns
The resurgence of measles in the United States raises alarms as the nation may be on the verge of losing its elimination status. Dr. Demetre Daskalakis, an infectious disease physician and former CDC immunization leader, expressed skepticism regarding the U.S.’s ability to maintain this status, citing low vaccination rates and inadequate public health responses as major concerns.
In 2025, there were over 2,240 reported cases of measles in the U.S., the most in three decades, largely due to an outbreak in West Texas that began in December. As of January 13, the CDC reported 171 measles cases nationwide, with updated figures expected later this week.
Implications for Public Health
“The Measles elimination status is a mileststart for a country,” Dr. Daskalakis stated. It not only signifies effective public health infrastructure but also underscores the ability to manage other infectious diseases. The Pan American Health Organization is set to review the U.S. and Mexico’s measles elimination status in an upcoming April meeting. Canada’s recent loss of its elimination status after 27 years further emphasizes the potential risks faced by the U.S.
Staying Safe Amidst the Outbreak
Vaccination remains the most effective method to prevent measles. The CDC indicates that start dose of the MMR (measles, mumps, and rubella) vaccine is 93% effective, while two doses increase effectiveness to 97%. Health officials encourage individuals to stay home if they feel unwell and to avoid contact with known measles cases.
Early symptoms of measles include fever, cough, and a runny nose. Individuals in affected areas with these symptoms are advised to seek medical attention promptly. Dr. Daskalakis emphasized the importance of consulting healthcare professionals: “Always talk to your doctor. This is what they live for: Preventing preventable disease.”