Texas measles outbreak tops 500 cases, including multiple at a day care in Lubbock

Three people who were unvaccinated have died from measles-related illnesses this year, including two elementary school-aged children in Texas. The second child died Thursday at a Lubbock hospital, and Health Secretary Robert F. Kennedy Jr. attended the funeral in Seminole, the epicenter of the outbreak.

As of Friday, there were seven cases at a day care where one young child who was infectious gave it to two other children before it spread to other classrooms, Lubbock Public Health director Katherine Wells said.

"Measles is so contagious I won't be surprised if it enters other facilities," Wells said.

The measles, mumps and rubella vaccine is first recommended between 12 and 15 months old and a second shot between 4 and 6 years old.

Maegan Messick, co-owner of Tiny Tots U Learning Academy, where the outbreak is occurring, recently told KLBK-TV in Lubbock that they're taking precautions like putting kids who are too young to get the vaccines together in isolation.

"We have tried to be extremely transparent," she told the TV station.

There are more than 200 children at the day care, Wells said. Most have had least one dose of the vaccine, though she added, "we do have some children that have only received one dose that are now infected."

The public health department is recommending that any child with only one vaccine get their second dose early, and changed its recommendation for kids in Lubbock County to get the first vaccine dose at 6 months old instead of 1. A child who is unvaccinated and attends the day care must stay home for 21 days since their last exposure, Wells said.

Case count and hospitalization numbers in Texas have climbed steadily since the outbreak began, and spiked by 81 cases from March 28 to April 4.

On Tuesday, the state added another 24 cases to its count and two additional counties, Borden and Randall. One more person was hospitalized since Friday, with 57 total.

Gaines County, where the virus has been spreading through a close-knit Mennonite community, has the majority of cases, with 328 on Tuesday. Neighboring Terry County is second with 46, followed by Lubbock County with 36.

The Texas Department of State Health Services tracks vaccinations rate for kindergartners, though the data doesn't include homeschooled children or some kids who attend private school. Gaines County's rate is 82%, which is far below the 95% level needed to prevent community spread — and health officials have said it's likely lower in the small religious schools and homeschooling groups where the early cases were identified.

In Terry County, the vaccination rate for kindergartners is at 96%, while Lubbock County is at 92%.

The U.S. Centers for Disease Control and Prevention met with Texas officials Monday to determine how many people it would send to West Texas to assist with the outbreak response, spokesman Jason McDonald said Monday. He expected a small team to arrive later this week, followed by a bigger group on the ground next week.

The CDC said its first team was in the region from early March to April 1, withdrawing on-the-ground support days before a second child died in the outbreak.

A spokesperson for Texas Gov. Greg Abbott said late Sunday that the governor and first lady were extending their "deepest prayers" to the family and community, and that the state health department had sent epidemiologists, immunization teams and specimen collection units to the area.