Vaccine hesitancy fed by misinformation is causing new surges of measles and whooping cough, while COVID-19 hotspots persist in some states and a new threat looms from an Ebola outbreak in central Africa.  

Nationally there have been 1,983 measles cases this year, nearly the 2,288 total for all of 2025, which in itself was the worst year since 1991, the federal Centers for Disease Control and Prevention reported Friday.  

Halfway through the year, 12 states and the District of Columbia already have more measles cases than they did for a full year in 2025. That’s true for South Carolina and Utah, where cases are already more than double last year, and also for states such as Florida, which has 139 cases so far compared with eight in 2025, and Virginia, which already has 63 compared with six in all of 2025.  

South Carolina, the state with the highest number of cases this year at 669, declared an end in April to an outbreak that was the nation’s largest in 35 years. The outbreak in the northwestern part of the state was centered in Spartanburg County, where religious exemptions to vaccination have spiked.  

The Utah outbreak, which began in the Short Creek area on the Utah/Arizona border, where vaccination rates are low, has generated 484 cases this year and is now slowing, said Dr. Andrew Pavia, a pediatrician and professor at the University of Utah, speaking at a May 26 briefing for the Infectious Diseases Society of America. 

Dozens of measles patients have been hospitalized with serious symptoms such as brain inflammation or pneumonia, he said, and one baby developed life-threatening congenital measles during pregnancy but survived, he said.

The national increases signal that the U.S. will certainly lose the measles elimination status it gained in 2000, Pavia said, in a determination due this fall. 

“Most state public health departments are stretched very, very thin, limiting their ability to contain measles. Anti-vaccine rhetoric has made this all the more difficult,” Pavia said. He referred to $11 billion in federal funding cuts to local public health last year that were delayed by a restraining order when states sued. The case is in settlement negotiations, according to court records. 

The Trump administration cited a “non-existent pandemic that Americans moved on from years ago” in the funding cuts, but COVID-19 is still causing more than 1,000 deaths a month and wastewater surveillance still shows hotspots in the Appalachian region and some other states, including Michigan.

Whooping cough is also on the rise with Ohio and Florida most affected. Deaths last year were at the highest level, 22, since 2010, according to the latest CDC WONDER provisional statistics.  

“The rising number of deaths from whooping cough, including among infants, is a reminder of the vital importance of vaccination,” said Dr. Joshua Sharfstein, a pediatrician and professor at Johns Hopkins Bloomberg School of Public Health in Baltimore who follows whooping cough trends. 

“Families who follow public health guidance on vaccination and other precautions can avoid a needless tragedy,” Sharfstein said. 

Louisiana was accused of unusual delays in reporting a whooping cough outbreak last year that claimed at least two lives. Shortly after the deaths were reported, the state ended promotion of vaccines and vaccination events. At least three babies died in Kentucky last year along with at least one in Oregon. 

Unvaccinated people are like fuel for the wildfire of disease outbreaks, said Pavia, of the University of Utah, in his remarks. 

“Until we can restore faith in vaccines and restore funding for our public health agencies and increase measles vaccine coverage, we have to anticipate that there will be many more outbreaks, and some of these may blow up into very large conflagrations,” Pavia said.

Meanwhile the Trump administration announced a new quarantine center in Kenya opening Friday, May 29, for Americans exposed to the Ebola virus in the Democratic Republic of the Congo. The move was criticized by the Infectious Diseases Society of America in a statement, saying the decision to send exposed Americans to Kenya “raises serious questions about resources, timing and the level of care Americans sent there will receive.”

On Ebola, a May 22 CDC directive prohibited United States entry of non-citizens who had been in the Democratic Republic of the Congo, or nearby Uganda or South Sudan, in the previous 21 days. The disease has killed 224 people in that region, and there are more than 900 suspected cases. 

Stateline reporter Tim Henderson can be reached at thenderson@stateline.org.

Health officials from the U.S. cities hosting the 2026 FIFA World Cup say they are preparing to deal with infectious diseases, heat-related illness, and an array of other health threats when millions of fans, many of them from overseas, come to watch the games.

The World Cup is expected to draw between 5 million and 7 million soccer fans to the 11 U.S. host cities, which are Atlanta, Boston, Dallas, Houston, Kansas City, Los Angeles, Miami, New York City (in partnership with East Rutherford, New Jersey), Philadelphia, the San Francisco Bay Area and Seattle.

The newly formed Big Cities Health Coalition, a consortium of health officials from 36 of the nation’s largest health departments, says it has been formulating a strategy to mitigate any negative health impacts from such a large influx of people entering the country at once.

At a news briefing on Wednesday, health officials from Atlanta, Dallas, New York City, Philadelphia, and San Jose said they are preparing for disease monitoring and contact tracing during the weeks of soccer matches, which begin on June 11.

The officials said they aren’t concerned about the hantavirus, which is very rare. However, they are worried about the spread of measles after recent outbreaks around the country.

“Somebody might be here for a game in Atlanta and be exposed to something — let’s say measles, since that’s been so prevalent lately,” said Marcus Plescia, district health director at the Fulton County Board of Health, which includes the Atlanta region, “But by the time we realize that and start to look at who might be at risk, that fan might have traveled to Dallas to see their team playing there.”

“Something that happens here may actually have its impact somewhere else, and we’re going to have to think about how we handle that and hand off information.”

Alister Martin, commissioner of New York City’s health and mental hygiene department, said health officials also are concerned about extreme heat, alcohol and drug use, and sexually transmitted diseases.

“Relevant teams from disease control to mental health have been preparing to work in new capacities for months, and most recently, we tested our emergency capacity at our healthcare facilities,” Martin said.

At the briefing, the health officials said they are strapped for resources as a result of the expiration of COVID-19-era public health funding, and that host cities have gotten federal dollars for security and infrastructure needs but not for public health.

“In Atlanta, at least, there’s been some significant investment in infrastructure improvements, and those are very important things,” Plescia said. “We’ve not received a lot of direct funding for specific public health services.”

Stateline reporter Shalina Chatlani can be reached at schatlani@stateline.org.