South Carolina Declares Public Health Emergency Amid Measles Outbreak
Locales: South Carolina, UNITED STATES

Columbia, SC - January 31st, 2026 - South Carolina Governor Henry McMaster today declared a public health emergency as the state grapples with a rapidly escalating measles outbreak. As of Friday, officials confirmed 14 cases - the highest number recorded in South Carolina in nearly three decades, sparking widespread concern and prompting urgent calls for vaccination. The declaration aims to provide greater flexibility in resource allocation and accelerate response efforts to contain the highly contagious virus.
The current outbreak is predominantly linked to travelers returning from international destinations, particularly regions experiencing significant measles resurgences. While 14 confirmed cases may seem relatively low, health officials are deeply concerned about the potential for widespread community transmission, given measles' extremely high contagiousness - an R0 value estimated between 12-18, meaning each infected person can spread the virus to 12 to 18 others who are not immune.
"This isn't just about the 14 cases we've identified," explained Dr. Linda Bell, Director of the South Carolina Department of Health and Environmental Control (DHEC), during a press conference this morning. "It's about the potential for exponential growth. Measles can linger in the air for hours, and even brief exposure can lead to infection. We are seeing a concerning trend of declining vaccination rates nationally and globally, which is creating pockets of vulnerability, and South Carolina is unfortunately now experiencing the consequences."
The CDC is actively assisting DHEC in the response, providing expertise in contact tracing, vaccination strategies, and risk communication. Federal officials emphasize that the situation in South Carolina mirrors a worrying pattern observed in other parts of the United States and across the globe. The World Health Organization (WHO) has repeatedly warned of a global resurgence of measles, fuelled by vaccine hesitancy, conflict disrupting immunization programs, and decreasing immunity in previously vaccinated populations due to waning protection. Recent outbreaks have been reported in Europe, Asia, and Africa, creating a heightened risk of imported cases like those currently driving the South Carolina outbreak.
Measles presents with a characteristic rash, typically starting on the face and spreading downwards. Other symptoms include high fever, cough, runny nose, and conjunctivitis. However, the virus can lead to serious complications, particularly in young children, pregnant women, and individuals with compromised immune systems. These complications can include pneumonia, encephalitis (inflammation of the brain), and even death. Prior to widespread vaccination, measles was a leading cause of childhood mortality.
The public health emergency declaration allows DHEC to bypass certain administrative hurdles, enabling faster deployment of resources such as additional vaccination clinics, increased public awareness campaigns, and expedited testing of suspected cases. The state is prioritizing vaccination efforts targeting vulnerable populations, including school-aged children, healthcare workers, and individuals planning international travel. DHEC is also collaborating with local healthcare providers to ensure adequate vaccine supplies are available.
Beyond immediate vaccination efforts, public health experts are calling for a renewed focus on addressing the root causes of vaccine hesitancy. Misinformation and distrust in scientific institutions continue to fuel resistance to vaccination, despite overwhelming evidence of its safety and efficacy. Dr. James Harrison, an epidemiologist at the University of South Carolina, noted, "We need to actively combat the spread of false information and build trust in vaccines through transparent communication and community engagement. Simply telling people to get vaccinated isn't enough; we need to understand their concerns and address them with empathy and factual information."
The situation remains fluid, and health officials are closely monitoring the spread of the virus. Residents are urged to check their vaccination records and ensure they are up-to-date on measles, mumps, and rubella (MMR) vaccine. Those traveling internationally are strongly advised to get vaccinated at least two weeks before departure. Anyone experiencing measles-like symptoms is instructed to immediately contact their healthcare provider and avoid contact with others to prevent further transmission.
This outbreak serves as a stark reminder of the importance of vaccination in protecting public health and the ongoing threat posed by preventable diseases in an increasingly interconnected world.
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