The U.S. Centers for Disease Control and Prevention reported 4,588 measles cases as of October 22, 2026, more than double 2025's total. Pennsylvania remains the epicenter with over 1,330 cases and five deaths, heavily impacting low-vaccination Amish communities in Lancaster and Mifflin counties. Nationally, 96% of cases occurred among unvaccinated or status-unknown individuals. In response, New York declared a disaster emergency while Pennsylvania surged vaccination efforts.
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