(WASHINGTON) — In his first public comments on the measles outbreak hitting West Texas and New Mexico, Health and Human Services Secretary Robert F. Kennedy Jr., a prominent vaccine skeptic whose first steps in combatting the outbreak will be closely watched, said his department was monitoring the situation daily but called it “not unusual.”
“Incidentally, there have been four measles outbreaks this year in this country. Last year there were 16. So, it’s not unusual, we have measles outbreaks every year,” Kennedy said Wednesday at the White House.
However, some public health experts were quick to point out that the outbreak in Texas has defied America’s recent history with highly contagious disease.
Prior to this outbreak, the U.S. had not seen a death from measles since 2015. And in 2000, years after the U.S. implemented a two-dose vaccine schedule, measles was declared eliminated from the U.S., meaning that the disease had stopped spreading within the country.
Only in recent years have cases and outbreaks been rising, according to data from the Centers for Disease Control and Prevention.
The outbreak in West Texas and New Mexico is already drawing close to the halfway mark of total cases seen nationally last year, when there were at least 285 cases of measles – which were also the highest numbers since 2019, according to the CDC’s latest figures.
And while there were 16 outbreaks last year, that was a four-time increase from the number of outbreaks in 2023, when there were just four outbreaks. The U.S. has nearly hit that 2023 number already, just two months into 2025.
Dr. Paul Offit, director of the Vaccine Education Center and an attending physician in the Division of Infectious Diseases at Children’s Hospital of Philadelphia, called Kennedy’s comments about measles cases happening “every year” an attempt to normalize an outbreak that has been anything but normal.
“First of all, we eliminated measles from this country by the year 2000. The reason measles have come back is because a critical percentage of parents have chosen not to vaccinate their children, because they’ve gotten misinformation and disinformation from people like him and his Children’s Health Defense,” Offit told ABC News.
Children’s Health Defense, a group founded by Kennedy, advocates against the recommended vaccine schedule for children.
“It’s unconscionable enough that he’s done that, but that he sort of glibly says, well, measles outbreaks occur every year — the point is they don’t have to occur at all, because we’ve shown we could eliminate this disease,” Offit said.
ABC News has reached out to HHS about RFK Jr.’s comments.
The increase in cases and outbreaks over the last few years coincides with decreasing vaccination coverage for measles among kindergarteners nationally from 95.2% during the 2019-2020 school year to 92.7% in the 2023-2024 school year – leaving about 280,000 kindergartners at risk, according to the CDC.
Kennedy, prior to taking his role as HHS secretary, said the measles vaccine is effective at preventing measles, but has also suggested that it’s not necessary because people who die from measles are typically malnourished or have other comorbidities.
“The measles vaccine definitely eliminates measles, or, you know, close to eliminates it,” Kennedy said in 2022.
But he went on to question the deadliness of the disease.
“In 1963, it was killing only 400 kids a year. Mainly, they were kids who had malnutrition, or had some other devastating co-morbidity,” Kennedy said. “Those were the kids who were dying.”
Kennedy has also questioned that the deaths of 83 people – mostly young children – in Samoa in 2019 were caused by measles, despite widespread evidence that the deaths were due to an outbreak of the disease caused by under-vaccination in the American territory.
“Nobody died in Samoa from measles. They were dying from a bad vaccine,” Kennedy told an interviewer last year.
20% of kids with measles in the U.S. require hospitalization, said Dr. Peter Hotez, co-director of the Texas Children’s Hospital Center for Vaccine Development and dean of the National School of Tropical Medicine at Baylor College of Medicine, often for measles pneumonia, measles diarrhea, measles encephalitis or deafness from measles otitis, an ear infection — many of which can be life-threatening conditions.
“This is a bad, bad actor. And I’m really concerned that this thing is continuing to accelerate and expand,” Hotez said Wednesday night in an interview on MSNBC.
Doctors in West Texas have described shock and feaver-treating a disease they thought was something of the past.
“This is the first time I’ve had any professional experience with a measles outbreak,” Dr. Lara Johnson, pediatrician and Chief Medical Officer at Covenant Children’s and Covenant Health in Lubbock, who is currently treating measles patients from the outbreak in West Texas, told ABC news.
“I saw one travel-related case when I was in medical school, very briefly, but at that time, back in around 2000, we really thought that we’d eradicated measles from the United States and didn’t have any anticipation of seeing any outbreaks here,” she said.
The outbreak in Texas is a prime example of the risk posed to unvaccinated communities. Vaccine exemptions among children in Gaines County, the epicenter of the outbreak, have grown dramatically in the past few years. Roughly 7.5% of kindergarteners had filed an exemption for at least one vaccine in 2013. 10 years later, that number rose to over 17.5% – one of the highest in all of Texas, state health data shows.
As the response to the outbreak in Texas and New Mexico continues, with cases expected to significantly rise, public health experts like Hotez and Offit say they’re watching Kennedy, as leader of the nation’s health department, to encourage swift surveillance and widespread vaccination.
“I want him to say to the American public that there’s a safe way to prevent these outbreaks from happening so that we don’t have the tragedy like what just happened in West Texas,” Offit said. “There’s so much in medicine you don’t know. There’s so much we can’t do. This we know. This we can do.”
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