Pennsylvania's explosive measles outbreak is now the largest the US has seen since the highly infectious virus was declared eliminated in 2000. With well over 1,000 cases, it's the largest on record since 1991.

Pennsylvania's health officials reported 1,078 measles cases in all of 2026 as of this afternoon. That includes 12 cases in January and March, with the remaining 1,066 cases since April, when the current outbreak began. The tally includes 145 cases recorded in the last seven days and 74 identified since the previous update on Monday. Health officials noted that 40 of the 74 cases added today were from more than two weeks ago and are just now being recorded.

Among the cases, there have been 207 hospitalizations and five deaths—a newborn, a 6-week-old, an 18-year-old, a 20-year-old, and a 40-year-old. All of the deaths occurred during the current outbreak in people who were unvaccinated; the two infants were too young to have been vaccinated.

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A fifth, unvaccinated person has died of measles in Pennsylvania, the state's health department announced Wednesday.

The department identified the deceased as a resident of Lancaster County, which is the epicenter of a raging outbreak that began in late April. The updated case count as of Wednesday is 943 across 39 counties, including 119 cases reported in just the last seven days. At least 176 people have been hospitalized.

Lancaster County has reported 381 cases and three of the five deaths in the outbreak. The previous two deaths were both in infants too young to be vaccinated. That includes a newborn boy and a 6-week-old baby girl. So far, no other information has been released about the county's third death announced today.

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