DALLAS – Health officials report a concerning rise in measles cases in West Texas, with 159 confirmed cases across nine counties. The Dallas County health department is actively working to prevent a similar outbreak from impacting the region.

Vaccination Initiatives in Dallas County

During a briefing to the Dallas County Commissioners, Dr. Philip Huang, the county’s health director, emphasized the critical nature of vaccination in countering the outbreak. Of the 159 cases recorded in West Texas, 154 involve individuals who are unvaccinated or whose vaccination status remains undetermined.

Only five cases are reported among vaccinated individuals. Dr. Huang highlighted pockets within the Dallas area where the rate of vaccine opt-out is notably high, often due to factors like vaccine skepticism or religious beliefs.

Efforts to Improve Vaccination Rates

To address these concerns, Dallas County officials have reached out to local schools and superintendents, expressing their willingness to organize vaccination events to enhance immunization rates.

“We’ve reached out to schools. There are some school districts and particular schools that have higher rates of parents opting out of vaccinations for their children,” said Dr. Huang. “We’ve targeted some of those schools to help them increase their vaccination rates.”

Current Status of the Measles Outbreak

According to the Texas Department of State Health Services, the measles outbreak, which has been active since late January, is the state’s largest in 30 years. The total number of confirmed cases has increased by 13 since the last update on Friday.

Tragically, the outbreak has resulted in the death of one school-aged child due to complications related to measles and has led to hospitalization for 22 patients.

Measles Overview

Understanding Measles

Measles is an extremely infectious respiratory disease caused by a virus transmitted through direct contact with infectious droplets or airborne particles. It can remain viable in the air for up to two hours after an infected person leaves the area.

The initial symptoms typically emerge one to two weeks post-exposure, including high fever, cough, runny nose, and red, watery eyes. Subsequently, a characteristic rash appears as flat, red spots starting from the face and spreading throughout the body.

Symptoms of Measles

• High fever (as high as 105°F)
• Cough
• Runny nose
• Red and watery eyes
• Tiny white spots inside the mouth (Koplik spots)
• A rash that develops 3-5 days post initial signs, spreading from the face

Prevention and Actions to Take

The most effective way to prevent measles is through vaccination with the measles-mumps-rubella (MMR) vaccine, which requires two doses for optimal immunity. While some vaccinated individuals may still contract measles, their symptoms are generally milder, and they are less likely to transmit the virus.

If exposure to measles is suspected, individuals should isolate themselves and consult a healthcare provider for advice before arrival to ensure appropriate measures are taken to avoid further spread.

Controlling Outbreaks in Community Settings

• Individuals with confirmed or suspected measles must refrain from attending school, work, or gatherings until at least four days after the rash begins.
• During an outbreak, those without documented immunity should be isolated from infected individuals to prevent further transmission.
• Schools must exclude unimmunized children for a minimum of 21 days following any potential exposure to measles, as stipulated by Texas state regulations.