CAIRO — Nearly 100 people died of cholera in two weeks since the waterborne disease outbreak began in Sudan’s White Nile State, an international aid group said.

Doctors Without Borders — also known as Medecins Sans Frontieres, or MSF — said Thursday that 2,700 people have contracted the disease since Feb. 20, including 92 people who died.

Of the cholera patients who died, 18 were children, including five no older than 5 and five others no older than 9, Marta Cazorla, MSF emergency coordinator for Sudan, told The Associated Press.

Sudan plunged into war nearly two years ago when tensions simmered between the Sudanese army and its rival paramilitary Rapid Support Forces group, or RSF, with battles in Khartoum and elsewhere across the country.

RSF launched intense attacks last month in the White Nile State, killing hundreds of civilians, including infants. The Sudanese military announced at the time that it made advances there, cutting crucial supply routes to RSF.

During the RSF attacks in the state on Feb. 16, the group fired a projectile that hit the Rabak power plant, causing a mass power outage and triggering the latest wave of cholera, according to MSF. Subsequently, people in the area had to rely mainly on water obtained from donkey carts because water pumps were no longer operational.

“Attacks on critical infrastructure have long-term detrimental effects on the health of vulnerable communities,” Cazorla said.

The cholera outbreak in the state peaked between Feb. 20 and 24, when patients and their families rushed to Kosti Teaching Hospital, overwhelming the facility beyond its capacity, according to MSF. Most patients were severely dehydrated. MSF provided 25 tons of logistical items such as beds and tents to Kosti to help absorb more cholera patients.

Cazorla said that numbers in the cholera treatment center had been declining and were at low levels until this latest outbreak.

The White Nile State Health Ministry responded to the outbreak by providing the community access to clean water and banning the use of donkey carts to transport water. Health officials also administered a vaccination campaign when the outbreak began.

Sudan’s health ministry said Tuesday that there were 57,135 cholera cases, including 1,506 deaths, across 12 of the 18 states in Sudan. The cholera outbreak was officially declared on Aug. 12 by the health ministry after a new wave of cases was reported starting July 22.

The war in Sudan has killed at least 20,000 people, though the number is likely far higher. The war has driven more than 14 million people from their homes, pushed parts of the country into famine and caused disease outbreaks.
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Nearly two months after an explosion sent flaming debris raining down on the Turks and Caicos, SpaceX launched another mammoth Starship rocket on Thursday, but lost contact minutes into the test flight as the spacecraft came tumbling down and broke apart.

This time, wreckage from the explosion was seen streaming from the skies over Florida. It was not immediately known whether the spacecraft’s self-destruct system had kicked in to blow it up.

The 123-meter rocket blasted off from Texas. SpaceX caught the first-stage booster back at the pad with giant mechanical arms, but engines on the spacecraft on top started shutting down as it streaked eastward for what was supposed to be a controlled entry over the Indian Ocean, half a world away. Contact was lost as the spacecraft went into an out-of-control spin.

Starship reached nearly 150 kilometers in altitude before trouble struck and before four mock satellites could be deployed. It was not immediately clear where it came down, but images of flaming debris were captured from Florida, including near Cape Canaveral, and posted online.

“Unfortunately, this happened last time too, so we have some practice at this now,” SpaceX flight commentator Dan Huot said from the launch site.

SpaceX later confirmed that the spacecraft experienced “a rapid unscheduled disassembly” during the ascent engine firing. “Our team immediately began coordination with safety officials to implement pre-planned contingency responses,” the company said in a statement posted online.

Starship didn’t make it quite as high or as far as last time.

NASA has booked Starship to land its astronauts on the moon later this decade. SpaceX’s Elon Musk is aiming for Mars with Starship, the world’s biggest and most powerful rocket.

Like last time, Starship had mock satellites to release once the craft reached space on this eighth test flight as a practice for future missions. They resembled SpaceX’s Starlink internet satellites, thousands of which orbit Earth, and were meant to fall back down following their brief taste of space.

During the last demo, SpaceX captured the booster at the launch pad, but the spacecraft blew up several minutes later over the Atlantic. No injuries or major damage were reported.

According to an investigation that remains ongoing, leaking fuel triggered a series of fires that shut down the spacecraft’s engines. The on-board self-destruct system kicked in as planned.

SpaceX said it made several improvements to the spacecraft following the accident, and the Federal Aviation Administration recently cleared Starship once more for launch.
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PARIS — An Ariane 6 rocket roared skyward with a French military reconnaissance satellite aboard Thursday in the first commercial flight for the European heavy-lift launcher.

The rocket took off smoothly from the European spaceport in Kourou, French Guiana, quickly disappearing into thick clouds. Video images beamed back from the rocket showed the Earth’s beautiful colors and curvature.

The rocket’s mission was to deliver the CSO-3 military observation satellite into orbit at an altitude of around 800 kilometers.

It was the first commercial mission for Ariane 6 after its maiden flight in July 2024.
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Collisions with boats are the cause of at least 20% of manatee deaths in Florida every year. But as Valdya Baraputri reports, that’s not the only threat faced by these gentle giants of the sea. Camera: Laurentius Wahyudi and Nabila Ganinda
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WASHINGTON — A drill to search for ice. A 4G network test. Three rovers and a first-of-its-kind hopping drone.

After becoming the first private firm to land on the moon last year, Intuitive Machines is aiming for its second lunar touchdown on Thursday, carrying cutting-edge payloads to support future human missions.

The Houston-based company is targeting no earlier than 12:32 p.m. ET (1732 GMT) at Mons Mouton, a plateau near the lunar south pole — farther south than any robot has ventured.

NASA will livestream the landing an hour before touchdown as Athena, the 4.8-meter hexagonal lander — about the height of a giraffe — begins its descent.

“It kind of feels like this mission is straight out of one of our favorite sci-fi movies,” said Nicky Fox, NASA’s associate administrator for science.

Intuitive Machines’ first landing in February 2024 was a landmark achievement but ended with its lander tipping onto its side, an outcome the company is determined to avoid this time.

The pressure is on after Texas rival Firefly Aerospace successfully landed its Blue Ghost lander on Sunday, becoming the second private company to reach the moon.

Both missions are part of NASA’s $2.6 billion Commercial Lunar Payload Services (CLPS) program, which partners with private industry to cut costs and support Artemis, the initiative to return astronauts to the moon and eventually reach Mars.

A hopper named Grace

Athena is targeting highland terrain about 160 kilometers from the moon’s south pole, where it will deploy three rovers and a unique hopping drone named Grace, after late computer science pioneer Grace Hopper.

One of Grace’s boldest objectives is a hop into a permanently shadowed crater, a place where sunlight has never shone — a first for humanity.

While NASA’s Ingenuity helicopter proved flight is possible on Mars, the moon’s lack of atmosphere makes traditional flying impossible, positioning hoppers like Grace as a key technology for future exploration.

MAPP, the largest of Athena’s rovers and roughly the size of a beagle, will assist in testing a Nokia Bell Labs 4G cellular network linking the lander, itself, and Grace — technology designed to one day integrate into astronaut spacesuits.

Yaoki, a more compact rover from Japanese company Dymon, is designed to survive drops in any orientation, making it highly adaptable.

Meanwhile, the tiny AstroAnt rover, equipped with magnetic wheels, will cling to MAPP and use its sensors to measure temperature variations on the larger robot.

Also aboard Athena is PRIME-1, a NASA instrument carrying a drill to search for ice and other chemicals beneath the lunar surface, paired with a spectrometer to analyze its findings.

Sticking the landing

Before any experiments can begin, Intuitive Machines must stick the landing — a challenge made harder by the moon’s lack of atmosphere, which rules out parachutes and forces spacecraft to rely on precise thrusts and navigation over hazardous terrain.

Until Intuitive Machines’ first mission, only national space agencies had achieved the feat, with NASA’s last landing dating back to Apollo 17 in 1972.

The company’s first lander, Odysseus, came in too fast, caught a foot on the surface and toppled over, cutting the mission short when its solar panels could not generate enough power.

This time, the company has made critical upgrades, including better cabling for the laser altimeter, which provides altitude and velocity readings to ensure a safe touchdown.

Athena launched last Wednesday aboard a SpaceX Falcon 9 rocket, which also carried NASA’s Lunar Trailblazer probe — but not everything has gone smoothly. Ground controllers are struggling to re-establish contact with the small satellite, designed to map the moon’s water distribution.

These missions come at a delicate time for NASA, amid speculation that the agency may scale back or even cancel the crewed moon missions in favor of prioritizing Mars — a goal championed by U.S. President Donald Trump and his adviser Elon Musk. 
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NEW DELHI — The U.S. government will stop sharing air quality data gathered from its embassies and consulates, worrying local scientists and experts who say the effort was vital to monitor global air quality and improve public health.

In response to an inquiry from The Associated Press, the State Department said Wednesday that its air quality monitoring program would no longer transmit air pollution data from embassies and consulates to the Environmental Protection Agency’s AirNow app and other platforms, which allowed locals in various countries, along with scientists around the world, to see and analyze air quality.

The change was “due to funding constraints that have caused the Department to turn off the underlying network” the department said in a statement. However, it added, embassies and consulates were directed to keep their monitors running and the sharing of data could resume if funded is restored. The funding cut, first reported by The New York Times, is one of many under President Donald Trump.

The U.S. air quality monitors measured dangerous fine particulate matter, known as PM2.5, which can penetrate deep into the lungs and lead to respiratory diseases, heart conditions, and premature death. The World Health Organization estimates that air pollution kills around 7 million people each year.

Reaction was immediate from scientists who said the data were reliable, allowed for air quality monitoring around the world and helped prompt governments to clean up the air.

Bhargav Krishna, an air pollution expert at New Delhi-based Sustainable Futures Collaborative, called the loss of data “a big blow” to air quality research.

“They were part of a handful of sensors in many developing countries and served as a reference for understanding what air quality was like,” Krishna said. “They were also seen to be a well-calibrated and unbiased source of data to cross-check local data if there were concerns about quality,” he added.

“It’s a real shame,” said Alejandro Piracoca Mayorga, a Bogota-based freelance air quality consultant. U.S. embassies and consulates in Lima, Sao Paulo and Bogota had the air monitoring. “It was a source of access to air quality information independent of local monitoring networks. They provided another source of information for comparison.”

Khalid Khan, an environmental expert and advocate based in Pakistan, agreed, saying the shutdown of air quality monitoring will “have significant consequences.”

Khan noted that the monitors in the city of Peshawar in Pakistan, one of the most polluted cities in the world, “provided crucial real-time data” which helped policymakers, researchers and the public to make decisions on their health.

“Their removal means a critical gap in environmental monitoring, leaving residents without accurate information on hazardous air conditions,” Khan said. He said vulnerable people in Pakistan and around the world are particularly at risk because they are the least likely to have access to other reliable data.

In Africa, the program provided air quality data for over a dozen countries including Senegal, Nigeria, Chad and Madagascar. Some of those countries depend almost entirely on the U.S. monitoring systems for their air quality data.

The WHO’s air quality database will also be affected by the closing of U.S. program. Many poor countries don’t track air quality because stations are too expensive and complex to maintain, meaning they are entirely reliant on U.S. embassy monitoring data.

In some places, however, the U.S. air quality monitors propelled nations to start their own air quality research and raised awareness, Krishna said.

In China, for example, data from the U.S. Embassy in Beijing famously contradicted official government reports, showing worse pollution levels than authorities acknowledged. It led to China improving air quality. 
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Ukrainians in Czechia raised nearly 19,000 dollars to help a Ukrainian war veteran and dancer get back on the floor. Yevhen Skripnichuk lost his leg while fighting the Russians. Omelyan Oshchudlyak has the story. Camera:  Yuriy Dankevych     
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MELBOURNE, Australia — James Harrison, whose blood plasma donations are credited with An Australian man credited with saving 2.4 million babies through his record-breaking blood plasma donations over six decades, has died at 88, his family said Tuesday.

James Harrison, a retired state railway department clerk, died in a nursing home on the central coast of New South Wales state on Feb. 17, according to his grandson, Jarrod Mellowship.

Harrison had been surprised to be recognized by Guinness World Records in 2005 as the person who had donated the most blood plasma in the world, Mellowship said.

Despite an aversion to needles, he made 1,173 donations after he turned 18 in 1954 until he was forced to retire in 2018 at age 81.

“He did it for the right reasons. As humble as he was, he did like the attention. But he would never do it for the attention,” Mellowship said.

The record was beaten in 2022 by American Brett Cooper from Walker, Michigan.

Australian Red Cross Blood Service pays tribute to donor

The Australian Red Cross Blood Service said Harrison was renowned as the “Man with the Golden Arm.”

He was credited with saving the lives of 2.4 million babies through his plasma donations, the national agency responsible for collecting and distributing blood products, also known as Lifeblood, said in a statement.

Harrison’s plasma contained a rare antibody known as anti-D. The antibody is used to make injections that protect unborn babies from hemolytic disease of the newborn, in which a pregnant woman’s immune system attacks her fetus’ red blood cells. The disease is most common when a woman has an Rh negative blood type and her baby’s is Rh positive.

Australia has only 200 anti-D donors who help 45,000 mothers and their babies annually.

Lifeblood chief executive Stephen Cornelissen said Harrison had hoped that someone in Australia would one day beat his donation record.

“James was a remarkable, stoically kind and generous person, who was committed to a lifetime of giving, and he captured the hearts of many people around the world,” Cornelissen said in a statement.

“It was James’ belief that his donations were no more important than any other donors’ and that everyone can be special in the same way that he was,” Cornelissen added.

Antibody helps donor’s family

Mellowship said his mother, Tracey Mellowship, Harrison’s daughter, needed the treatment when he and his brother Scott were born.

Jarrod Mellowship said his own wife, Rebecca Mellowship, also needed the treatment when three of their four children were born.

There is speculation that Harrison developed a high concentrations of anti-D as a result of his own blood transfusions during major lung surgery when he was 14 years old.

“After the surgery, his dad Reg told grandad, you’re only really alive because people donated blood,” Jarrod Mellowship said. “The day he turned 18, he started donating.”

The application of anti-D in fighting hemolytic disease of the newborn was not discovered until the 1960s.

Harrison was born in Junee in New South Wales. He is survived by his sister Margaret Thrift, his daughter, two grandsons and four great grandchildren.
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CAPE CANAVERAL, FLORIDA — A private lunar lander carrying a drill, vacuum and other experiments for NASA touched down on the moon Sunday, the latest in a string of companies looking to kickstart business on Earth’s celestial neighbor ahead of astronaut missions.

Firefly Aerospace’s Blue Ghost lander descended from lunar orbit on autopilot, aiming for the slopes of an ancient volcanic dome in an impact basin on the moon’s northeastern edge of the near side.

Confirmation of successful touchdown came from the company’s Mission Control outside Austin, Texas, following the action some 360,000 kilometers away.

“You all stuck the landing. We’re on the moon,” Firefly’s Will Coogan, chief engineer for the lander, reported.

An upright and stable landing makes Firefly — a startup founded a decade ago — the first private outfit to put a spacecraft on the moon without crashing or falling over. Even countries have faltered, with only five claiming success: Russia, the U.S., China, India and Japan.

A half hour after landing, Blue Ghost started to send back pictures from the surface, the first one a selfie somewhat obscured by the sun’s glare.

Two other companies’ landers are hot on Blue Ghost’s heels, with the next one expected to join it on the moon later this week.

Blue Ghost — named after a rare U.S. species of fireflies — had its size and shape going for it. The squat four-legged lander stands 2 meters tall and 3.5 meters wide, providing extra stability, according to the company.

Launched in mid-January from Florida, the lander carried 10 experiments to the moon for NASA. The space agency paid $101 million for the delivery, plus $44 million for the science and tech on board. It’s the third mission under NASA’s commercial lunar delivery program, intended to ignite a lunar economy of competing private businesses while scouting around before astronauts show up later this decade.

Firefly’s Ray Allensworth said the lander skipped over hazards including boulders to land safely. Allensworth said the team continued to analyze the data to figure out the lander’s exact position, but all indications suggest it landed within the 100-meter target zone in Mare Crisium.

The demos should get two weeks of run time, before lunar daytime ends and the lander shuts down.

It carried a vacuum to suck up moon dirt for analysis and a drill to measure temperature as deep as 3 meters below the surface. Also on board: a device for eliminating abrasive lunar dust — a scourge for NASA’s long-ago Apollo moonwalkers, who got it caked all over their spacesuits and equipment.

On its way to the moon, Blue Ghost beamed back exquisite pictures of the home planet. The lander continued to stun once in orbit around the moon, with detailed shots of the moon’s gray pockmarked surface. At the same time, an on-board receiver tracked and acquired signals from the U.S. GPS and European Galileo constellations, an encouraging step forward in navigation for future explorers.

The landing set the stage for a fresh crush of visitors angling for a piece of lunar business.

Another lander — a tall and skinny 15-footer built and operated by Houston-based Intuitive Machines — is due to land on the moon Thursday. It’s aiming for the bottom of the moon, just 160 kilometers from the south pole. That’s closer to the pole than the company got last year with its first lander, which broke a leg and tipped over.

Despite the tumble, Intuitive Machines’ lander put the U.S. back on the moon for the first time since NASA astronauts closed out the Apollo program in 1972.

A third lander from the Japanese company ispace is still three months from landing. It shared a rocket ride with Blue Ghost from Cape Canaveral on January 15, taking a longer, windier route. Like Intuitive Machines, ispace is also attempting to land on the moon for the second time. Its first lander crashed in 2023.

The moon is littered with wreckage not only from ispace, but dozens of other failed attempts over the decades.

NASA wants to keep up a pace of two private lunar landers a year, realizing some missions will fail, said the space agency’s top science officer Nicky Fox.

“It really does open up a whole new way for us to get more science to space and to the moon,” Fox said.

Unlike NASA’s successful Apollo moon landings that had billions of dollars behind them and ace astronauts at the helm, private companies operate on a limited budget with robotic craft that must land on their own, said Firefly CEO Jason Kim.

Kim said everything went like clockwork.

“We got some moon dust on our boots,” Kim said.
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SEATTLE — President Donald Trump’s plan to pull federal funding from institutions that provide gender-affirming care for transgender youth will remain blocked on a long-term basis under a federal judge’s ruling in Seattle late Friday. 

U.S. District Court Judge Lauren King previously granted a two-week restraining order after the Democratic attorneys general of Washington, Oregon and Minnesota sued the Trump administration — Colorado has since joined the case. 

King’s temporary order expired Friday, and she held arguments that day before issuing a preliminary injunction blocking most of Trump’s plan pending a final decision on the merits of the case. 

The judge found the states lacked standing on one point: the order’s protections against female genital mutilation. Female genital mutilation is already illegal in the four states that are part of the lawsuit, and the judge said the record “is bereft of any evidence” that the plaintiffs plan to perform such procedures. 

Washington Attorney General Nick Brown praised the ruling. An email message was sent to the White House seeking comment. 

Two of Trump’s executive orders are at issue in the case. 

One, “Defending Women from Gender Ideology Extremism,” calls for stripping federal money from programs that “promote gender ideology.” 

The other, “Protecting Children from Chemical and Surgical Mutilation,” calls for the federal government to cut off research and educational grants for institutions, including medical schools and hospitals, that provide gender-affirming care to people under age 19. Several hospitals around the country ceased providing care, including puberty blockers and hormone treatments, following the order. 

Medicaid programs in some states cover gender-affirming care, and Trump’s “Protecting Children” order suggests that practice could end. It also raises the prospect that medical professionals could be criminally charged for providing gender-affirming care under a law that bans medically unnecessary genital mutilation of underage females — a notion that the states suing Trump call repugnant and legally unsupportable. 

Young people who persistently identify as a gender that differs from their sex assigned at birth — a condition called gender dysphoria — are far more likely to suffer from severe depression and to kill themselves if they do not receive treatment, which can include evaluation by a team of medical professionals; a social transition, such as changing a hairstyle or pronouns; and eventually puberty blockers or hormones. Surgery is extremely rare for minors. 

In her ruling Friday, the judge said the order was not limited to children or to irreversible treatments and that it doesn’t target medical interventions performed on cisgender children. 

“In fact, its inadequate ‘means-end fit’ would prevent federally funded medical providers from providing necessary medical treatments to transgender youth that are completely unrelated to gender identity,” she wrote. “For example, a cisgender teen could obtain puberty blockers from such a provider as a component of cancer treatment, but a transgender teen with the same cancer care plan could not.” 

In his arguments Friday, Washington Assistant Attorney General William McGinty stressed the urgency of the issue. 

“There are going to be young people who are going to take their lives if they can no longer receive this care,” he said. 

King, the judge in Seattle, grilled Justice Department attorney Vinita Andrapalliyal in court about the meaning and effect of Trump’s executive orders. 

The judge continued to press, saying she was “looking for a legitimate government interest” that would justify Trump’s orders. 

The four Democratic attorneys general suing in Seattle argued that the orders violate equal rights protections, the separation of powers and the states’ right to regulate issues not delegated to the federal government. 

The Trump administration disputed those claims in court filings. “The President’s authority to direct subordinate agencies to implement his agenda, subject to those agencies’ own statutory authorities, is well established,” Justice Department attorneys wrote. 
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Measles is rarely seen in the United States, but Americans are growing more concerned about the preventable virus as cases continue to rise in rural West Texas.  

This week, an unvaccinated child died in the West Texas outbreak, which involves more than 120 cases. The U.S. Centers for Disease Control and Prevention said the last confirmed measles death in the United States occurred in 2015.  

There are also nine measles cases in eastern New Mexico, but the state health department said there was no direct connection to the outbreak in Texas. Here’s what to know about the measles and how to protect yourself.  

What is measles?

It’s a respiratory disease caused by one of the world’s most contagious viruses. The virus is airborne and spreads easily when an infected person breathes, sneezes or coughs. It most commonly affects kids.  

“On average, one infected person may infect about 15 other people,” said Scott Weaver, a center of excellence director for the Global Virus Network, an international coalition. “There’s only a few viruses that even come close to that.”  

Measles first infects the respiratory tract, then spreads throughout the body, causing a high fever, runny nose, cough, red, watery eyes and a rash. The rash generally appears three to five days after the first symptoms, beginning as flat red spots on the face and then spreading downward to the neck, trunk, arms, legs and feet. When the rash appears, the fever may spike over 104 degrees Fahrenheit, according to the CDC. 

There’s no specific treatment for measles, so doctors generally try to alleviate symptoms, prevent complications and keep patients comfortable. People who have had measles once can’t get it again, health officials say.  

Can measles be fatal?

It usually doesn’t kill people, but it can. Common complications include ear infections and diarrhea. But about 20 percent of unvaccinated Americans who get measles are hospitalized, the CDC said. Pregnant women who haven’t gotten the vaccine may give birth prematurely or have a low-birthweight baby.  

Among children with measles, about 1 in every 20 develops pneumonia, the CDC said, and about one in every 1,000 suffers swelling of the brain called encephalitis — which can lead to convulsions, deafness or intellectual disability.  

It’s deadly “in a little less than 1% of cases, mainly in children,” said Weaver, who works at the University of Texas Medical Branch in Galveston. “Children develop the most severe illness. The cause of death in these kinds of cases is usually pneumonia and complications from pneumonia.”  

How can you prevent measles?

The best way to avoid measles is to get the measles, mumps and rubella (MMR) vaccine. The first shot is recommended for children between 12 and 15 months old and the second between 4 and 6 years old.  

“Before a vaccine was developed in the 1960s, everybody got” measles, Weaver said. “But then when the vaccine came along, that was a complete game-changer and one of the most successful vaccines in the history of medicine.”  

There is “great data” on the safety and effectiveness of the vaccine, he said, because it’s been around for decades. “Any of these outbreaks we’re seeing can easily be prevented by increasing the rate of vaccination in the community,” he said. “If we can maintain 95% of people vaccinated, we’re not going to see this happening in the future. And we’ve slipped well below that level in many parts of the country.”  

Vaccination rates have declined nationwide since the COVID-19 pandemic, and most states are below the 95% vaccination threshold for kindergartners — the level needed to protect communities against measles outbreaks.  

Do you need a booster if you got the MMR vaccine a while ago?

Health care professionals are sometimes tested for antibodies to measles and given boosters if necessary, Weaver said — even if they’ve already had the standard two doses as a child. He said people at high risk for infection who got the shots many years ago may also want to consider getting a booster if they live in an area with an outbreak.  

Those may include family members living with someone who has measles or those especially vulnerable to respiratory diseases because of underlying medical conditions.  

“But I don’t think everyone needs to go and run out to their doctor right now if they did receive two doses as a child,” he said. “If people would just get the standard vaccination, none of this would be happening.”
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DALLAS, TEXAS — The number of people with measles in Texas increased to 146 in an outbreak that led this week to the death of an unvaccinated school-aged child, health officials said Friday. 

The number of cases — Texas’ largest in nearly 30 years — increased by 22 since Tuesday. The Texas Department of State Health Services said cases span over nine counties in Texas and 20 patients have been hospitalized. 

The child who died Tuesday night in the outbreak is the first U.S. death from the highly contagious but preventable respiratory disease since 2015, the U.S. Centers for Disease Control and Prevention said. 

Robert F. Kennedy Jr., the nation’s top health official and a vaccine critic, said Wednesday that the U.S. Department of the Health and Human Services was watching cases but dismissed the outbreak as “not unusual.” 

But on Friday afternoon, Kennedy said in a post on X that his heart went out to families impacted by the outbreak, and he recognized “the serious impact of this outbreak on families, children, and healthcare workers.” 

Kennedy also said his agency will continue to fund Texas’ immunization program and that ending the outbreak is a “top priority” for him and his team. 

The virus has largely spread through rural, oil rig-dotted West Texas, with cases concentrated in a “close-knit, undervaccinated” Mennonite community, state health department spokesperson Lara Anton has said. 

Gaines County has a strong homeschooling and private school community. It is also home to one of the highest rates of school-aged children in Texas who have opted out of at least one required vaccine, with nearly 14% skipping a required dose last school year. 

Texas law allows children to get an exemption from school vaccines for reasons of conscience, including religious beliefs. Anton has said the number of unvaccinated kids in Gaines County is likely significantly higher because homeschooled children’s data would not be reported. 

The measles, mumps and rubella (MMR) vaccine is safe and highly effective at preventing infection and severe cases. The first shot is recommended for children ages 12 to 15 months, and the second for ages 4 to 6 years. Most kids will recover from measles, but infection can lead to dangerous complications such as pneumonia, blindness, brain swelling and death. 

Vaccination rates have declined nationwide since the COVID-19 pandemic, and most states are below the 95% vaccination threshold for kindergartners — the level needed to protect communities against measles outbreaks. 

The U.S. had considered measles eliminated in 2000, which meant there had been a halt in continuous spread of the disease for at least a year. Measles cases rose in 2024, including a Chicago outbreak that sickened more than 60. 

Eastern New Mexico has nine cases of measles, but the state health department said there is no connection to the outbreak in West Texas. 

At a news conference Friday in Austin, officials urged people to get vaccinated if they are not already. 

“We’re here to say quite simply: Measles can kill, ignorance can kill and vaccine denial definitely kills,” said U.S. Rep. Lloyd Doggett, a Democrat. 
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