South Carolina Surpasses Texas in Measles Cases
Locales: South Carolina, Texas, UNITED STATES

Greenville, S.C. - February 20, 2026 - A growing measles outbreak in South Carolina has officially exceeded the number of confirmed cases in Texas, marking a concerning shift in the national landscape of this highly contagious disease. As of today, the South Carolina Department of Health and Environmental Control (SCDHEC) reports 21 confirmed cases, surpassing Texas's 19, according to the latest data released by the Centers for Disease Control and Prevention (CDC). This development is raising alarms among public health officials and prompting renewed calls for vaccination.
Measles, a resurgent threat in recent years, is a viral illness characterized by fever, rash, cough, runny nose, and conjunctivitis. While often considered a childhood disease, measles can lead to severe complications, particularly in infants and young children, including pneumonia, encephalitis (brain swelling), and even death. The virus spreads remarkably easily through respiratory droplets released when an infected individual coughs or sneezes - making it one of the most contagious pathogens known to science.
"The increase in cases we're seeing isn't just a statistical anomaly; it reflects a real and present danger to public health," explained Dr. Linda Bell, State Epidemiologist for SCDHEC, in a recent statement. "Measles is incredibly contagious, and even a small decline in vaccination rates can create conditions for widespread outbreaks. The best - and most effective - defense against measles remains vaccination."
The CDC recommends a two-dose MMR (Measles, Mumps, and Rubella) vaccine schedule for children, typically administered at 12-15 months and 4-6 years. Adults born after 1957 who haven't had measles or been vaccinated may also need boosters, particularly those with specific risk factors like international travel or exposure to vulnerable populations.
National Trend of Rising Cases
The situation in South Carolina and Texas is part of a worrying national trend. Measles cases have been steadily increasing in the United States over the past several years. Experts attribute this rise to a complex interplay of factors, most notably declining vaccination rates. Public health officials have observed a concerning erosion of public trust in vaccines, fueled by misinformation and anti-vaccination campaigns spreading online and within communities.
Another contributing factor is the increase in international travel. Measles remains endemic in many parts of the world, and travelers can unknowingly bring the virus back to the United States, where it can then spread among unvaccinated individuals. The CDC actively monitors travel-associated cases and issues advisories to help prevent the introduction and transmission of measles.
Impact and Response
The current outbreak is placing a strain on healthcare resources in South Carolina, with hospitals and clinics seeing an increase in patients presenting with measles-like symptoms. SCDHEC is actively working to identify and isolate cases, trace contacts, and provide guidance to healthcare providers. They are urging anyone who suspects they may have been exposed to measles to contact their healthcare provider immediately for testing and potential treatment.
Beyond immediate outbreak response, public health officials are emphasizing the need for long-term strategies to address the root causes of declining vaccination rates. These include targeted educational campaigns to counter misinformation, improved access to vaccination services, and policies that support vaccine uptake. Some states are also considering legislation to eliminate non-medical exemptions to vaccination requirements for school attendance, a move that has proven effective in increasing vaccination coverage in other countries.
What You Can Do
- Check Your Vaccination Status: Ensure you and your family are up-to-date on MMR vaccinations. Contact your healthcare provider or local health department to verify your records.
- Stay Home if Sick: If you experience symptoms of measles, such as fever, rash, cough, or runny nose, stay home and contact your healthcare provider before seeking medical attention.
- Report Suspected Cases: Healthcare providers are required to report suspected cases of measles to their local health department.
- Be Aware of Travel Risks: If you are traveling internationally, ensure you are vaccinated against measles and other preventable diseases.
The resurgence of measles serves as a stark reminder of the importance of vaccination in protecting public health. While a highly effective vaccine exists, its benefits can only be realized if enough people choose to get vaccinated. The situation in South Carolina and across the nation demands immediate action and a renewed commitment to preventing the spread of this dangerous disease.
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