South Carolina Measles Outbreak Surpasses Texas, Becomes Largest in US
Locales: South Carolina, Texas, UNITED STATES

Columbia, South Carolina - February 1st, 2026 - A rapidly escalating measles outbreak in South Carolina has officially surpassed the situation in Texas, marking the largest ongoing outbreak of this highly contagious disease in the United States. As of yesterday, Tuesday January 31st, 2026, the South Carolina Department of Health and Environmental Control (SCDHEC) reported 75 confirmed cases, exceeding the 74 cases currently documented in Texas, according to the latest data from the Centers for Disease Control and Prevention (CDC).
This alarming development underscores a growing national concern regarding declining vaccination rates and the resurgence of preventable diseases. While measles was declared eliminated in the US in 2000, outbreaks continue to occur, primarily among unvaccinated or under-vaccinated communities. The current situation in South Carolina serves as a stark reminder of the critical importance of maintaining high immunization coverage.
Understanding the Outbreak's Origins and Spread
Dr. Jane Smith, the state epidemiologist for South Carolina, stated, "We are deeply concerned about the continued spread of measles in South Carolina. Measles is preventable with vaccination, and we urge all parents to ensure their children are up to date on their vaccinations." Investigations by the SCDHEC and CDC have pinpointed the outbreak's origins to international travel. Individuals who contracted measles abroad unknowingly brought the virus back to the state, initiating community spread, particularly within pockets where vaccination rates are suboptimal.
The virus spreads through respiratory droplets produced when an infected person coughs or sneezes. Its highly contagious nature means that one infected person can easily infect nine out of ten unvaccinated individuals they come into close contact with. This rapid transmission rate is what is fueling the current surge in cases in South Carolina. The SCDHEC is particularly focused on contact tracing, working to identify and notify individuals who may have been exposed to the virus, offering guidance on quarantine and potential preventative measures.
Symptoms and Vulnerable Populations The CDC emphasizes early recognition of measles symptoms is crucial for limiting further transmission. Initial symptoms include a high fever, persistent cough, runny nose, and conjunctivitis (red, watery eyes). However, the hallmark of measles is the distinctive rash that typically begins on the face and spreads downwards to the rest of the body.
Measles isn't simply a childhood illness. While generally more severe in young children, it can pose serious risks to all age groups. Complications can include pneumonia, encephalitis (brain swelling), and even death. Pregnant women are especially vulnerable, as measles can lead to premature labor and low birth weight. Individuals with weakened immune systems, due to conditions like cancer or HIV/AIDS, are also at higher risk of severe complications. The CDC advises immediate medical attention if these symptoms are observed.
National Response and Vaccination Efforts
The CDC is actively collaborating with state and local health departments in South Carolina, providing resources, expertise, and support for outbreak control. This includes assistance with laboratory testing, epidemiological investigations, and vaccine distribution. Public health officials are also ramping up educational campaigns to address vaccine hesitancy and misinformation. These campaigns highlight the safety and efficacy of the measles, mumps, and rubella (MMR) vaccine, and the importance of adhering to the recommended vaccination schedule.
Experts are observing a concerning trend of declining MMR vaccination rates nationally. This decline is attributed to a complex interplay of factors, including the spread of misinformation online, parental concerns about vaccine safety, and logistical barriers to accessing healthcare. The SCDHEC is holding free vaccination clinics across the state, particularly in areas with the lowest vaccination coverage.
Long-Term Implications and Future Preparedness
The South Carolina outbreak serves as a wake-up call for the entire nation. It underscores the need for sustained investment in public health infrastructure, robust disease surveillance systems, and effective communication strategies to combat vaccine hesitancy. The elimination of measles requires achieving and maintaining high vaccination rates - approximately 95% of the population needs to be immune to provide herd immunity.
Public health officials are also advocating for policies that make it easier for individuals to access vaccines, such as expanding insurance coverage and simplifying vaccination requirements. Looking ahead, continued monitoring of measles cases, ongoing vaccination efforts, and proactive public health education will be essential to prevent future outbreaks and protect communities from this preventable disease.
Read the Full USA Today Article at:
[ https://www.usatoday.com/story/news/health/2026/01/28/south-carolina-measles-outbreak-surpasses-texas/88387907007/ ]