Pennsylvania has reported a third measles-related death amid an expanding outbreak that has infected hundreds of people across the state. The latest casualty involved a 40-year-old woman.The woman, a resident of Jefferson County, died on Saturday from complications associated with measles, according to the county coroner. The case is now being reviewed by the Pennsylvania Department of Health.The death comes as Pennsylvania's measles outbreak continues to expand. As of September 11, the state had recorded 676 confirmed cases across 37 counties, including 124 hospitalisations.Measles Is Not Just A Childhood IllnessMeasles is often perceived as primarily a childhood infection. The latest fatality of the 40-year-old reminds us that measles is not just a childhood disease. “Many people associate measles with a childhood illness, but it can lead to severe complications in individuals of any age,” Jason Stiver, Jefferson County's chief deputy coroner and public relations officer, told WTAE.He added, “Measles is highly contagious and can result in serious respiratory illness, hospitalization, and in rare cases like this, death. We encourage residents to stay informed, follow guidance from public health officials, and take appropriate steps to protect themselves and their families.”The two earlier Pennsylvania deaths occurred in August and involved infants in Lancaster County. One infant died from measles infection, while the other died from a ruptured spleen, with measles listed as a significant contributing condition.Neither infant was old enough to receive the routine measles vaccine, which is generally first given around 12 months of age.Also read: AI Analysed 400,000 Reddit Posts About Ozempic And Mounjaro And Found 2 Unusual Side-Effects Worth NotingThe Outbreak Is Still SpreadingMeasles is among the world's most contagious infectious diseases. It spreads through respiratory droplets and airborne particles when an infected person coughs, sneezes or breathes.The Pennsylvania Department of Health says two doses of the measles, mumps and rubella (MMR) vaccine are 97% effective at preventing measles. The state has identified four breakthrough infections among appropriately vaccinated people during the current outbreak.The outbreak has been particularly concentrated in Lancaster and Mifflin counties, although infections have now been reported across more than half of Pennsylvania's counties.The health department previously warned that nearly 20% of people who contract measles may require hospitalisation, while measles-related death occurs in roughly one to three people per 1,000 cases. Complications include pneumonia and inflammation of the brain.Also read: World Leaders Call For Obesity & NCD Prevention At BRICS 2026 Summit: Why Focus Is Growing?Pennsylvania And CDC Counts DifferThere is also an ongoing dispute over how measles-related deaths are being counted nationally. Pennsylvania health officials have counted three deaths as measles-associated in 2026. However, the CDC's national data currently does not include these deaths, and as of September 10 it reported 3,294 confirmed measles cases in the US without listing a measles death in 2026.Pennsylvania officials are reviewing the latest death using the state's epidemiological definition for a measles-associated death, which has also been shared with the CDC and the Council of State and Territorial Epidemiologists.Measles was eliminated from the US in 2000. But the growing outbreak is a reminder that elimination does not mean the virus can never return. Sustained high vaccination coverage remains critical to preventing further infections.