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U.S. measles elimination status in doubt after record 2026 cases
CDC listed 5,412 U.S. measles cases as of Nov. 12; some outlets, citing the Wall Street Journal, said PAHO ended elimination status, while ABC and CIDRAP said a public PAHO determination had not been issued.
- Our desk updated its story
- Alaska Beacon, Arkansas Advocate and 11 more are now reporting this
- New headline Was: “U.S. measles elimination status lost as 2026 cases top 5,400”
- Our desk updated its story
- Still developing
- The Philadelphia Inquirer is now reporting this
- New headline Was: “U.S. measles cases reach 5,412; states report 10 deaths, CDC six”
- Our desk updated its story
10 earlier updates
- CBS News is now reporting this
- Pennsylvania Department of Health and DW are now reporting this
- ABC News and CIDRAP are now reporting this
- New headline Was: “PAHO panel reviews U.S. measles elimination as CDC counts 5,412 cases”
- Our desk updated its story
- Stateline, CDC and Al Jazeera are now reporting this
- New headline Was: “U.S. measles cases top 4,500 in 2026, more than double 2025 total”
- Our desk updated its story
- New headline Was: “U.S. measles cases more than double what they were last year as outbreak spreads”
- Our desk filed its story
The United States recorded 5,412 confirmed measles cases as of Nov. 12, more than double the 2,289 cases reported for all of 2025, according to CDC figures cited by States Newsroom outlets and posted on CDC’s measles page1,18. A Pan American Health Organization expert panel was reviewing whether the country still met measles-elimination criteria it has held since 20001,19.
WSVN, carrying CNN, reported that a source close to the process said the independent commission that reports to PAHO’s director determined the United States no longer qualified, and said The Wall Street Journal first reported that finding4. DW likewise attributed a PAHO revocation after 26 years to the Journal, citing people familiar with the matter16. The Philadelphia Inquirer, also citing the Journal, said PAHO no longer considers measles eliminated in the United States and that a PAHO spokesperson planned a briefing Tuesday15. CBS News headlined that the country has lost the status14.
ABC News, citing CDC data, said PAHO had not announced a determination as of Saturday and that the Department of Health and Human Services said Friday it would not prejudge the independent review17. CIDRAP said a PAHO decision was expected Nov. 1719. States Newsroom sites, including Michigan Advance posts after the WSVN item, still described the United States as poised to lose the status rather than as having lost it1,9.
Elimination means interrupting measles transmission for 12 months or more1,4. WSVN said the commission treats infection as endemic if the same viral strain is passed person to person for at least a year, based on genetic sequencing4. It cited a Utah public-health laboratory preprint describing one strain circulating more than a year and more than 600 cases between June 2025 and June 20264. CIDRAP quoted Noel T. Brewer, chair of the U.S. committee reporting to PAHO, as saying genomic change between Utah cases suggests many infections are unrecorded19.
CDC listed 5,412 confirmed 2026 cases in 47 jurisdictions plus 18 among international visitors, 43 new outbreaks, and 96 percent of cases as outbreak-associated18. Stateline’s CDC tally put 58 percent of 2026 cases among people younger than 19, 96 percent among unvaccinated people, and 591 hospitalizations1. CDC listed six 2026 measles-related deaths, subject to change, and said it is working with the Council of State and Territorial Epidemiologists on a standardized death definition18. WSVN, ABC and CIDRAP put measles-associated deaths in state reports at 104,17,19.
Pennsylvania’s health department on Nov. 13 confirmed a seventh measles-associated death, an unvaccinated Montour County resident, and 1,542 cases in 46 counties, with 37 cases since Nov. 9 and 305 hospitalizations20. The Inquirer said the state was investigating an eighth death and that New York and Wisconsin had reported three deaths between them15. ABC assigned the 10 state-reported deaths as seven in Pennsylvania, one in New York and two in Wisconsin17. CIDRAP said Wisconsin reported a second death, of a child in Grant County19.
Stateline said 39 states have MMR vaccination rates below the 95 percent level associated with herd immunity1. CDC said kindergarten MMR coverage fell from 95.2 percent in 2019–20 to 92.4 percent in 2025–2618. ABC put 2026 kindergarten coverage at 92 percent versus 95 percent in 201917. WSVN said two MMR doses reduce the chance of illness after exposure by 97 percent compared with no vaccination4.
Dr. Susan Kansagra of the Association of State and Territorial Health Officials told Stateline, “It’s pretty clear we’re hitting one grim milestone after the other”1. WSVN quoted former CDC immunization-center director Dr. Demetre Daskalakis as saying measles elimination is a vital sign for the public-health system4.
PAHO had not posted a public commission communique in the coverage reviewed here1,17,19. What’s next is whether PAHO issues a formal finding, including the Tuesday briefing the Inquirer said a spokesperson planned, and how U.S. vaccination coverage and outbreak control change case counts15,17,19.
Sources
- Alaska BeaconUS poised to lose its 'measles elimination status' after more than 25 years
- Arkansas AdvocateUS poised to lose its 'measles elimination status' after more than 25 years
- Arizona MirrorUS poised to lose its 'measles elimination status' after more than 25 years
- WSVN 7After 26 years, the US has lost its measles elimination status
- Idaho Capital SunUS poised to lose its 'measles elimination status' after more than 25 years
Kansas ReflectorLouisiana IlluminatorMaine Morning Star+12 moreHide
- Kansas ReflectorUS poised to lose its ‘measles elimination status’ after more than 25 years
- Louisiana IlluminatorUS poised to lose its ‘measles elimination status’ after more than 25 years
- Maine Morning StarUS poised to lose its 'measles elimination status' after more than 25 years
- Michigan AdvanceUS poised to lose its 'measles elimination status' after more than 25 years
- Nebraska ExaminerUS poised to lose its 'measles elimination status' after more than 25 years
- Source NMUS poised to lose its 'measles elimination status' after more than 25 years
- South Dakota SearchlightUS poised to lose its ‘measles elimination status’ after more than 25 years
- Wisconsin ExaminerUS poised to lose its ‘measles elimination status’ after more than 25 years
- CBS NewsThe U.S. has lost measles elimination status. Here's what that means and who is most at risk.
- The Philadelphia InquirerU.S. loses measles elimination status after nearly 30 years
- DWUS loses measles-elimination status after 26 years, WSJ reports
- ABC NewsMeasles cases nationwide top 5,400 as deaths rise to 10
- CDCMeasles Cases and Outbreaks
- CIDRAP2 more people die of measles complications as US cases top 5,400
- Pennsylvania Department of HealthPennsylvania Department of Health Confirms Seventh Measles-Associated Death
How it’s being reported
18 sourcesFirst reported by
CDC
Show all
US poised to lose its 'measles elimination status' after more than 25 years
Case totals, PAHO review, vaccination rates and state outbreaks, especially Pennsylvania.
Carries the Stateline report that CDC counted 5,412 U.S. measles cases as of Nov. 12 and that a PAHO panel was reviewing elimination status Friday.
Leaves out Does not report a final PAHO determination that elimination status has been lost.
After 26 years, the US has lost its measles elimination status
That elimination status has already been lost, plus genomic evidence of year-long transmission.
Carries a CNN report that a source close to the PAHO process said the commission determined the U.S. no longer qualified; WSJ first reported the news.
Leaves out Does not use the Stateline “poised to lose” framing or the 5,412-as-of-Nov. 12 CDC table as its lead.
The U.S. has lost measles elimination status. Here's what that means and who is most at risk.
Gives this outlet’s account of the story.
Headline said the U.S. has lost measles elimination status; the readable excerpt recapped 2025 CDC totals of 2,242 cases, 48 outbreaks, 245 hospitalizations and three deaths.
Leaves out The excerpt did not include a PAHO communique or 2026 case table.
U.S. loses measles elimination status after nearly 30 years
Pennsylvania’s outbreak alongside a reported PAHO status change.
Citing the Wall Street Journal, said PAHO no longer considers measles eliminated in the U.S.; a PAHO spokesperson planned a Tuesday briefing.
Leaves out A posted PAHO commission communique.
US loses measles-elimination status after 26 years, WSJ reports
The WSJ account of a PAHO revocation.
Said the Wall Street Journal reported PAHO stripped U.S. measles-elimination status after 26 years, citing people familiar with the matter.
Leaves out Independent confirmation from PAHO’s public site.
Measles cases nationwide top 5,400 as deaths rise to 10
Rising deaths and that PAHO had not yet announced a finding.
Citing CDC data, reported 5,412 cases and 10 deaths tallied by states, and said PAHO had not announced a determination as of Saturday.
Leaves out A completed PAHO public ruling.
Where they agree
- 2026 U.S. measles cases exceed 5,400 and are far above 2025.
- The United States has held measles-elimination status since 2000, defined around interrupting transmission for 12 months.
- Most 2026 cases are in unvaccinated people; hospitalizations number in the hundreds.
- Pennsylvania has the largest 2026 state outbreak in the cited coverage, with more than 1,500 cases.
Where they differ
Whether PAHO has already determined that the United States lost measles-elimination status
Measles-associated deaths in 2026