Measles: What the US Data Actually Shows

A highly contagious virus that spreads through the air and causes fever and a distinctive rash; it can lead to serious complications such as pneumonia and brain swelling, and is preventable by vaccine.

Figures current as of 2026-08-06 · Surveillance confidence: high · 4 of 5 US funnel metrics have a publishable figure

Mainly Imported into US Eliminated in the US in 2000, but imported cases now drive outbreaks — 2,288 US cases in 2025.

Evolving situation: Largest US measles resurgence since 1992 (2,288 confirmed cases, full-year 2025); 2026 already at 2,134 confirmed cases as of June 25, 2026.

The published figures

Every number below is reproduced from a primary source and carries that source beside it. Where a figure is absent it is shown as unavailable rather than estimated — the reasoning for each gap is set out further down this page.

MetricUnited StatesSourceAs of
Annual Exposure / Cases 2,289 CDC — Measles Cases and Outbreaks primary source 2026-08-06
Severe Outcome Rate Data not available CDC — Measles Cases and Outbreaks primary source 2026-08-06
Hospitalization Rate 11% CDC — Measles Cases and Outbreaks primary source 2026-08-06
Case Fatality Rate 0.13% CDC — Measles Cases and Outbreaks (deaths ÷ cases, both full-year 2025 US) primary source 2026-08-06
Annual Deaths 3 CDC — Measles Cases and Outbreaks primary source 2026-08-06

annual_exposure_or_cases_estimate and annual_deaths_estimate are full-year 2025 confirmed totals. hospitalization_rate_pct (11%) is from the CDC MMWR Jan-Apr 2025 update, the most specific percentage CDC published. case_fatality_rate_pct is a same-record derivation (deaths ÷ cases, both CDC full-year 2025 US totals) per the tiered-sourcing/derivation policy (SITE-PLAYBOOK.md §12a) — previously left UNAVAILABLE when derivation from raw CDC figures wasn't yet permitted. As of August 6, 2026, 2,465 measles cases had already been reported in 2026 — already exceeding the full 2025 total and on pace for the worst year since elimination. 2026 is an incomplete year and is not yet shown in the trend.

How these figures were calculated

One figure above is arithmetic rather than a number lifted straight from an agency page. Both inputs are given below with their own source, geography, and reporting period, so the calculation can be checked rather than taken on trust. A derived figure is never rated more reliable than its weakest input.

Case Fatality Rate

3 deaths ÷ 2,289 cases × 100 = 0.13%

InputValueGeographyPeriodSource
Numerator — Full-year 2025 US measles deaths 3 United States calendar year 2025 CDC — Measles Cases and Outbreaks primary source
Denominator — Full-year 2025 US confirmed measles cases 2,289 United States calendar year 2025 CDC — Measles Cases and Outbreaks primary source

Of reported US measles cases (2025: 3 deaths per 2,289 cases).

What this data cannot tell you

1 of the five funnel metrics has no publishable US figure for Measles. That is a deliberate result, not an oversight. Where no primary source publishes a comparable figure, this site leaves the cell empty rather than filling it with an estimate, a number borrowed from a different population, or a single-study result presented as a general rate.

  • Severe Outcome Rate — no comparable figure published by the record's primary source as of 2026-08-06.

This matters when comparing viruses. A blank cell is not a low number: it means the measurement does not exist, and treating it as zero would make Measles look safer than the evidence supports. The comparison table on the Virus Risk Perspective page applies the same rule — unavailable figures are excluded from ranking rather than sorted to the bottom.

How Measles compares

Ranked only against viruses in this collection that publish the same metric. Viruses without a published figure are excluded from each comparison rather than counted as zero, so the denominator differs from metric to metric.

Read the case comparison carefully. Records in this collection do not all measure exposure the same way. Some report confirmed cases counted by a surveillance system (measles, West Nile), others a modelled estimate of total annual illness including cases that are never reported (norovirus, seasonal influenza). A modelled burden figure will always dwarf a confirmed-case count, so a gap on this metric can reflect how a disease is counted as much as how often it occurs. The per-figure sources above state which basis each number uses.

Annual Exposure / Cases

At 2,289, 6 of the 10 other viruses reporting this metric are higher and 4 are lower. Higher: Seasonal influenza, Norovirus, COVID-19. Lower: West Nile virus, Dengue, Avian influenza A.

Hospitalization Rate

At 11%, 3 of the 4 other viruses reporting this metric are higher and 1 are lower. Higher: Powassan virus, West Nile virus, Dengue. Lower: Mpox.

Case Fatality Rate

At 0.13%, 7 of the 9 other viruses reporting this metric are higher and 2 are lower. Higher: Rabies, Hantavirus, Powassan virus. Lower: Seasonal influenza, Mpox.

Annual Deaths

At 3, 7 of the 9 other viruses reporting this metric are higher and 2 are lower. Higher: Seasonal influenza, COVID-19, Respiratory syncytial virus. Lower: Avian influenza A, Mpox.

How the figures have moved

Each observation below is a figure as it stood on a given date, with the source that published it. Points are not interpolated: where an agency published a figure once, one point is shown rather than a line drawn through invented values.

Hospitalization Rate

As ofValueSource
2026-06-25 11% CDC — Measles Cases and Outbreaks

Case Fatality Rate

As ofValueSource
2026-06-25 0.13% CDC — Measles Cases and Outbreaks (deaths ÷ cases, both full-year 2025 US)

Annual Deaths

As ofValueSource
2026-06-25 3 CDC — Measles Cases and Outbreaks

Global picture

MetricGlobal (WHO)
Annual Exposure / Cases Data not available
Severe Outcome Rate Data not available
Hospitalization Rate Data not available
Case Fatality Rate Data not available
Annual Deaths 95,000

WHO estimates 95,000 measles deaths globally in 2024 (down from 780,000 in 2000). WHO's fact sheet states no global annual case total, so global cases and rates are left UNAVAILABLE. Fact sheet re-read 2026-09-15: re-dated 15 July 2026 but 2024 (95,000 deaths) is still the latest year estimated — WHO's 2025 estimate is expected with the next annual measles report — so the 2024 figure and its date stand.

Source: WHO — Measles fact sheet · Data as of 2024-12-31 · Surveillance confidence: moderate

Sources

Sourcing tiers, and the rule that a derived figure inherits its weakest input's tier, are set out on the Our Sources page. The process behind every figure is described in How We Answer Questions.

Written and researched by Andy Wilcox, an independent researcher not a physician — his work is the product of disciplined primary-source research drawing on 30+ years as a consultant, operating executive, and investor. Nothing here is medical advice.

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