Ishita Roy

These 10 US States Have The Highest STI Cases

Sexually Transmitted Infections in the US

<span>Sexually transmitted infections</span> (STIs) are a global public health challenge. This can lead to many health risks, including serious reproductive, physical, and mental health issues. Furthermore, STIs can also amplify the risk of transmitting HIV. As per a 2019 study by Rowley et al., the rates at which people have contacted STIs are increasing globally, with more than 1 million STIs daily.

New data however indicates that the spread of <span>STI</span> may be slowing down, as the rate of total cases for three major infections fell by 2% in 2023 as compared to the previous year, reveals the <span>Centers for Disease Control and Prevention</span> (CDC).

<h4>Top 10 US States With The Most Number of STIs</h4>

As per the data, more than 2.4 million people were diagnosed with <span>syphilis</span>, <span><a href="https://www.healthandme.com/health/gonorrhoea">gonorrhoea</a></span>, and <span><a href="https://www.healthandme.com/health/chlamydia">chlamydia</a></span> last year, which marked a 2% decrease from 2022 and a 4% drop from the year 2019. The data also reveals 10 states in the US with the most number of STIs, despite the drop in the overall cases. The top 10 states, starting with the state on number 10th are:

<h5>10. New York: It has a total STI rate of 857.3 cases per 100,000 people</h5>

9. Arkansas: 869.5 cases per 100,000 people

8. South Carolina: 882.8 cases per 100,000 people

7. North Carolina: 911.5 cases per 100,000 people

6. Alabama: 952.3 cases per 100,000 people

5. Georgia: 996.5 cases per 100,000 people

4. South Dakota: 1,013.9 cases per 100,000 people

3. Alaska: 1,063.4 cases per 100,000 people

2. Mississippi: 1,067.7 cases per 100,000 people1. Louisiana: 1,181.5 cases per 100,000 people

As per a 2021 study, published in the book Sexually Transmitted Infections: Adopting a Sexual Health Paradigm, also published in the online portal of the <span>National Center for Biotechnology Information</span>, 2.6 million infections were found to be prevalent in the United States in 2018. 6.9 million infections common to people between the ages of 15 and 59. Another 2021 study states that women are 6 times more likely than men to have a prevalent infection.

The most common STIs as per CDC data are syphilis, chlamydia and gonorrhoea. The latest data shows that the cases were recorded at 734 per 100,000 people.

More than 209,000 cases of syphilis were reported in the US in 2023. While this was the highest number reported since 1950, it was just 1% increase from 2022, with an overall decrease in the total cases of STIs being reported.

As per the <span>World Health Organization</span> (WHO), this is a preventable and curable bacterial STI. However, many people do not get to know about it as it does not have any symptoms. It can be transmitted during oral, vaginal, and anal sex, in pregnancy and through blood transfusion.

Round, painless and hard sore near genitals, anus

White or grey lesions in moist areas could be anus or labia

Between 2022 and 2023, the cases of chlamydia were steady and decreased by less than 1%. It is one of the most common STIs caused by Chlamydia trachomatis. It does not cause any symptoms, which is why people would not know if they have it. However, it is curable. You can have chlamydia if you have unprotected sex, or can be passed down in pregnancy.

The cases of gonorrhoea also fell in 2023 and dropped by 8%. It is also one of the most common STIs, with 1 in 10 men being infected and 5 in 10 women infected by the same. It is caused by Neisseria gonorrhoeae by vaginal intercourse, oral sex, and anal sex, and can be passed to a child in pregnancy. However, it is curable.

Unusual discharge in men from the tip of the penis

Pain or burning sensation while passing the urine

Bleeding between periods, heavier periods and bleeding after sex in women

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Top 10 US States with STDs

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Sexually transmitted infections (STIs) are a global public health challenge. This can lead to many health risks, including serious reproductive, physical, and mental health issues. Furthermore, STIs can also amplify the risk of transmitting HIV. As per a 2019 study by Rowley et al., the rates at which people have contacted STIs are increasing globally, with more than 1 million STIs daily.New data however indicates that the spread of STI may be slowing down, as the rate of total cases for three major infections fell by 2% in 2023 as compared to the previous year, reveals the Centers for Disease Control and Prevention (CDC).Top 10 US States With The Most Number of STIsAs per the data, more than 2.4 million people were diagnosed with syphilis, gonorrhoea, and chlamydia last year, which marked a 2% decrease from 2022 and a 4% drop from the year 2019. The data also reveals 10 states in the US with the most number of STIs, despite the drop in the overall cases. The top 10 states, starting with the state on number 10th are:10. New York: It has a total STI rate of 857.3 cases per 100,000 people9. Arkansas: 869.5 cases per 100,000 people8. South Carolina: 882.8 cases per 100,000 people7. North Carolina: 911.5 cases per 100,000 people6. Alabama: 952.3 cases per 100,000 people5. Georgia: 996.5 cases per 100,000 people4. South Dakota: 1,013.9 cases per 100,000 people3. Alaska: 1,063.4 cases per 100,000 people2. Mississippi: 1,067.7 cases per 100,000 people1. Louisiana: 1,181.5 cases per 100,000 peopleHow prevalent is STI in the US?As per a 2021 study, published in the book Sexually Transmitted Infections: Adopting a Sexual Health Paradigm, also published in the online portal of the National Center for Biotechnology Information, 2.6 million infections were found to be prevalent in the United States in 2018. 6.9 million infections common to people between the ages of 15 and 59. Another 2021 study states that women are 6 times more likely than men to have a prevalent infection.Most Common STIs in the USThe most common STIs as per CDC data are syphilis, chlamydia and gonorrhoea. The latest data shows that the cases were recorded at 734 per 100,000 people.SyphilisMore than 209,000 cases of syphilis were reported in the US in 2023. While this was the highest number reported since 1950, it was just 1% increase from 2022, with an overall decrease in the total cases of STIs being reported.As per the World Health Organization (WHO), this is a preventable and curable bacterial STI. However, many people do not get to know about it as it does not have any symptoms. It can be transmitted during oral, vaginal, and anal sex, in pregnancy and through blood transfusion.SymptomsRound, painless and hard sore near genitals, anusNon-itchy rashes on palms and feetWhite or grey lesions in moist areas could be anus or labiaChlamydiaBetween 2022 and 2023, the cases of chlamydia were steady and decreased by less than 1%. It is one of the most common STIs caused by Chlamydia trachomatis. It does not cause any symptoms, which is why people would not know if they have it. However, it is curable. You can have chlamydia if you have unprotected sex, or can be passed down in pregnancy.GonorrheaThe cases of gonorrhoea also fell in 2023 and dropped by 8%. It is also one of the most common STIs, with 1 in 10 men being infected and 5 in 10 women infected by the same. It is caused by Neisseria gonorrhoeae by vaginal intercourse, oral sex, and anal sex, and can be passed to a child in pregnancy. However, it is curable.The common symptoms include:Unusual vaginal discharge in womenUnusual discharge in men from the tip of the penisPain or burning sensation while passing the urineInflammation of the foreskin in menBleeding between periods, heavier periods and bleeding after sex in women 

these 10 us states have the highest sti cases

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Shocking to many, expected for more, the US Health Secretary <span>Robert F</span> Kennedy Jr on Monday removed every member of a scientific committee that advises the Centers for Disease Control and Prevention (<span>CDC</span>) on how to use vaccines. He has also pledged to replace them with his own picks. 

This is the Advisory Committee on Immunization Practices (ACIP), from where 17 members have been removed. This step has been criticized by many physicians and public health groups. 

It may come as a shock to many, but in all fairness, it was known that Kennedy was among the nation's leading anti-vaccine activists before he became the nation's top health official. While he has revealed that the members will be his own pick, he has not said who would he appoint. However, as per reports, this should convene in two week in Atlanta. It is also important to note that the entire roster of committee members were in fact, Biden appointees. 

In an opinion piece published in the <em>Wall Street Journal</em>, Kennedy wrote: “Without removing the current members, the current Trump administration would not have been able to appoint a majority of new members until 2028. A clean sweep s needed to re-establish public confidence in vaccine science."

The reports say that the former panel members received an email on a late Monday afternoon that said that their services had been terminated without any reason. Many of whom had not served a full term. 

While his steps are being criticized, they must not be seen as a shock as Kennedy had already taken the unusual step of changing COVID-19 recommendations without first consulting the committee. 

As per Kennedy, the committee members had too many conflict of interests. However, as the <em>US News</em> reports, Dr Tom Frieden, who is the president and CEO of Resolve to Save Lives and former director of CDC said that Kennedy's actions were based on false conflict of interest claims and that they set a "dangerous and unprecedented action that makes our families less safe". As this step can significantly reduce vaccine access to many people. 

“Make no mistake: Politicizing the ACIP as Secretary Kennedy is doing will undermine public trust under the guise of improving it,” he said in a statement. “We’ll look back at this as a grave mistake that sacrificed decades of scientific rigor, undermined public trust, and opened the door for fringe theories rather than facts.”

<strong>ALSO READ: <a href="https://www.healthandme.com/health-news/what-are-the-key-takeaways-from-rfk-jr-s-cdc-press-conference-on-autism-report-article-151439583" data-type="tilCustomLink">What Are The Key Takeaways From RFK Jr.'s CDC Press Conference On Autism Report?</a></strong>

<h4><span rel="noindex">RFK Jr</span>.'s Past Remarks On Vaccines</h4>

In a podcast <a href="https://www.healthandme.com/health-news/who-is-robert-f-kennedy-jr-the-controversial-nominee-for-u-s-health-secretary-article-151075267" data-type="tilCustomLink">interview</a>, he said, "There is no vaccine that is safe and effective" and told FOX News that he still believes in the now long-debunked idea that vaccines can cause autism. In another 2021 podcast, he urged people to "resist" CDC guidelines on getting their kids vaccinated. "I see somebody on a hiking trail carrying a little baby and I say to him, better not get them vaccinated," he said.

His non-profit also led an anti-vax campaign sticker and he appeared next on the screen to a sticker that read: "If you are not an anti-vaxxer you are not paying attention," reports AP. He told the FOX News that "autism comes from vaccine". However, vaccination has indeed saved more lives. 

After taking the charge of the office, Dr Peter Marks, one of the top US Food and Drug Administration (FDA)'s leaders and<a href="https://www.healthandme.com/health-news/top-vaccine-scientist-dr-peter-marks-ousted-from-fda-will-this-shake-up-put-vaccine-safety-at-risk-article-151313244" data-type="tilCustomLink"> scientist in vaccine regulation had also been ousted</a>. Several sources have also reported that his resignation was not voluntary, in fact he was reportedly told to 'resign or get fired'.

<strong>Stay Updated On CDC and RFK Jr. <a href="https://www.healthandme.com/search-result/RFK" data-type="tilCustomLink">Here</a></strong> 

RFK Fires Vaccine Advisors at CDC

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Robert F

RFK Jr

Anti vaxxer RFK

RFK is anti vaccine

US health news

Shocking to many, expected for more, the US Health Secretary Robert F Kennedy Jr on Monday removed every member of a scientific committee that advises the Centers for Disease Control and Prevention (CDC) on how to use vaccines. He has also pledged to replace them with his own picks. This is the Advisory Committee on Immunization Practices (ACIP), from where 17 members have been removed. This step has been criticized by many physicians and public health groups. It may come as a shock to many, but in all fairness, it was known that Kennedy was among the nation's leading anti-vaccine activists before he became the nation's top health official. While he has revealed that the members will be his own pick, he has not said who would he appoint. However, as per reports, this should convene in two week in Atlanta. It is also important to note that the entire roster of committee members were in fact, Biden appointees. In an opinion piece published in the Wall Street Journal, Kennedy wrote: “Without removing the current members, the current Trump administration would not have been able to appoint a majority of new members until 2028. A clean sweep s needed to re-establish public confidence in vaccine science."The reports say that the former panel members received an email on a late Monday afternoon that said that their services had been terminated without any reason. Many of whom had not served a full term. While his steps are being criticized, they must not be seen as a shock as Kennedy had already taken the unusual step of changing COVID-19 recommendations without first consulting the committee. As per Kennedy, the committee members had too many conflict of interests. However, as the US News reports, Dr Tom Frieden, who is the president and CEO of Resolve to Save Lives and former director of CDC said that Kennedy's actions were based on false conflict of interest claims and that they set a "dangerous and unprecedented action that makes our families less safe". As this step can significantly reduce vaccine access to many people. “Make no mistake: Politicizing the ACIP as Secretary Kennedy is doing will undermine public trust under the guise of improving it,” he said in a statement. “We’ll look back at this as a grave mistake that sacrificed decades of scientific rigor, undermined public trust, and opened the door for fringe theories rather than facts.”ALSO READ: What Are The Key Takeaways From RFK Jr.'s CDC Press Conference On Autism Report?RFK Jr.'s Past Remarks On VaccinesIn a podcast interview, he said, "There is no vaccine that is safe and effective" and told FOX News that he still believes in the now long-debunked idea that vaccines can cause autism. In another 2021 podcast, he urged people to "resist" CDC guidelines on getting their kids vaccinated. "I see somebody on a hiking trail carrying a little baby and I say to him, better not get them vaccinated," he said.His non-profit also led an anti-vax campaign sticker and he appeared next on the screen to a sticker that read: "If you are not an anti-vaxxer you are not paying attention," reports AP. He told the FOX News that "autism comes from vaccine". However, vaccination has indeed saved more lives. After taking the charge of the office, Dr Peter Marks, one of the top US Food and Drug Administration (FDA)'s leaders and scientist in vaccine regulation had also been ousted. Several sources have also reported that his resignation was not voluntary, in fact he was reportedly told to 'resign or get fired'.Stay Updated On CDC and RFK Jr. Here 

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US Measles Outbreak Update

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The Unites States reported 122 new cases of <span>measles</span> last week, which has brought the national total to 1,168 in 2025. This data is released by the Centers for Disease Control and Prevention (CDC). While the outbreaks in Pennsylvania and Michigan have officially ended, others across North America continue to unfold, including in parts of Texas, New Mexico, and Canada. 

<h4>Resurgence of a Vaccine-preventable Disease</h4>

Measles is caused by a highly contagious airborne virus that spreads through coughing, sneezing, or even breathing near an infected person. It had been declared eliminated from the U.S. in 2000 thanks to widespread vaccination efforts. However, recent declines in vaccination rates and increased international travel have led to a resurgence. The disease can lead to severe complications such as pneumonia, encephalitis (brain swelling), and death, especially in unvaccinated individuals.

The best defense against measles remains the MMR (measles, mumps, rubella) vaccine, typically administered in two doses during early childhood. Yet, the U.S. has seen a growing number of vaccine exemptions, which health experts say undermine community immunity.

Texas experienced the country’s largest outbreak this year, with 742 cases reported across 35 counties. Most were concentrated in Gaines County, where a close-knit, undervaccinated Mennonite community accounted for more than half of the state’s total cases. Two unvaccinated children — aged six and eight — died in separate incidents earlier this year.

As of this week, fewer than 10 individuals in Texas are estimated to still be infectious. State health officials will now provide updates weekly instead of daily, suggesting the worst of the outbreak may be over.

<h4>Active Outbreaks In Other States</h4>

As per CDC if a state reports three or more related cases, it would be defined as an outbreak:

<ul><li>New Mexico has reported 81 total cases and one death. Most are in Lea County.</li><li>Oklahoma has 15 confirmed and three probable cases, though locations remain undisclosed.</li><li>Colorado has logged 12 cases, including a seven-case outbreak tied to a Turkish Airlines flight in May.</li><li>Illinois reports eight cases in its southern region and two in Cook County.</li><li>Kansas has 71 cases, mostly in Gray County.</li><li>Montana, facing its first outbreak in 35 years, has 17 cases.</li><li>North Dakota now has 34 cases, all among unvaccinated individuals.</li><li>Ohio has reported 34 cases in two separate outbreaks.</li><li>Canada and Mexico See Major Outbreaks Too</li></ul>

Canada’s Ontario province has seen the longest outbreak in North America, with 2,009 cases and one death in a baby with congenital measles. Alberta has 761 cases. In Mexico, the state of Chihuahua reported 1,940 cases and four deaths.

Measles symptoms start with high fever, cough, runny nose, and red eyes, followed by a spreading rash. Complications can be severe, especially for young children and immunocompromised individuals. There is no specific antiviral treatment; care typically focuses on symptom management and avoiding further spread.

measles outbreak texas

measles

measles outbreak

The Unites States reported 122 new cases of measles last week, which has brought the national total to 1,168 in 2025. This data is released by the Centers for Disease Control and Prevention (CDC). While the outbreaks in Pennsylvania and Michigan have officially ended, others across North America continue to unfold, including in parts of Texas, New Mexico, and Canada. Resurgence of a Vaccine-preventable DiseaseMeasles is caused by a highly contagious airborne virus that spreads through coughing, sneezing, or even breathing near an infected person. It had been declared eliminated from the U.S. in 2000 thanks to widespread vaccination efforts. However, recent declines in vaccination rates and increased international travel have led to a resurgence. The disease can lead to severe complications such as pneumonia, encephalitis (brain swelling), and death, especially in unvaccinated individuals.The best defense against measles remains the MMR (measles, mumps, rubella) vaccine, typically administered in two doses during early childhood. Yet, the U.S. has seen a growing number of vaccine exemptions, which health experts say undermine community immunity.Texas UpdateTexas experienced the country’s largest outbreak this year, with 742 cases reported across 35 counties. Most were concentrated in Gaines County, where a close-knit, undervaccinated Mennonite community accounted for more than half of the state’s total cases. Two unvaccinated children — aged six and eight — died in separate incidents earlier this year.As of this week, fewer than 10 individuals in Texas are estimated to still be infectious. State health officials will now provide updates weekly instead of daily, suggesting the worst of the outbreak may be over.Active Outbreaks In Other StatesAs per CDC if a state reports three or more related cases, it would be defined as an outbreak:New Mexico has reported 81 total cases and one death. Most are in Lea County.Oklahoma has 15 confirmed and three probable cases, though locations remain undisclosed.Colorado has logged 12 cases, including a seven-case outbreak tied to a Turkish Airlines flight in May.Illinois reports eight cases in its southern region and two in Cook County.Kansas has 71 cases, mostly in Gray County.Montana, facing its first outbreak in 35 years, has 17 cases.North Dakota now has 34 cases, all among unvaccinated individuals.Ohio has reported 34 cases in two separate outbreaks.Canada and Mexico See Major Outbreaks TooCanada’s Ontario province has seen the longest outbreak in North America, with 2,009 cases and one death in a baby with congenital measles. Alberta has 761 cases. In Mexico, the state of Chihuahua reported 1,940 cases and four deaths.Symptoms and TreatmentMeasles symptoms start with high fever, cough, runny nose, and red eyes, followed by a spreading rash. Complications can be severe, especially for young children and immunocompromised individuals. There is no specific antiviral treatment; care typically focuses on symptom management and avoiding further spread.

Tanya Dutt

As the summer travel season peaks, the Centers for Disease Control and Prevention (CDC) has issued an important advisory to travelers about the re-emergence of measles in the US, specifically highlighting the risk of contracting the highly contagious disease at airports and other crowded transit points. Once being declared eradicated from the United States in 2000, measles has has made a unsettling comeback, fueled primarily by declining vaccination rates and global travel. With more than 1,100 reported cases across the country this year alone, the CDC's warning is a harsh reminder that this preventable illness is a very real and present danger—particularly in areas thick with travelers.

For generations, measles was a thing of the past in the U.S. due to widespread vaccination campaigns. The disease was almost eradicated over the last two decades, with only sporadic imported cases and small outbreaks occurring. Recent trends, though, have turned this tide of progress around. This year's figure of 1,157 cases already exceeds numbers from earlier years, indicating a public health problem not witnessed since 2019, when a large-scale outbreak rocked communities.

Much of this increase stems from a multistate outbreak concentrated in West Texas, but the risk is far from localized. The CDC highlights that the virus is highly contagious and can spread rapidly in places like airports, train stations, planes, crowded events, and tourist attractions—anywhere large numbers of people converge, particularly if some are unvaccinated or susceptible.

<h2>Why Airports and Travel Hubs Are High-Risk Zones?</h2>

Airports stand out for their ability to transmit disease. They are gateways to and from around the world with tightly packed crowds, frequently crowded waiting rooms, and intimate mingling among travelers from all parts of the globe—some from nations where measles remains endemic. The CDC travel notice emphasizes that travelers can catch measles while in these locations, then return home with the virus and spread it further.

The extreme infectiousness of measles makes it so that casual exposure to an infected individual or contact with contaminated surfaces can result in infection. Fever, cough, rash, and serious complications such as seizures and blindness are all symptoms that make it a dangerous virus, particularly for infants, pregnant women, and the immunocompromised.

The resurgence is largely due to vaccine hesitancy and disinformation that have caused some parents to skip or postpone childhood vaccinations. The implications are evident: areas of under-immunized communities are fertile breeding grounds for measles outbreaks. Anti-vaccine attitudes, in some cases spurred on by misinformation and suspicion of medical institutions, have been a prime force behind the current resurgence.

Adding to this problem is the amount of travel anticipated this summer. As millions of American travelers flood airports, trains, and vacation spots, the risk of transmission increases, particularly in areas with lower vaccination levels.

<h2>Vaccine Guidance and Precautions for Travelers</h2>

The CDC advises all international travelers to make sure they are up to date with their <span>measles vaccination</span>, including two doses of the measles-mumps-rubella (MMR) vaccine at least 28 days apart. Infants 6 to 11 months old traveling internationally should also receive an additional dose of MMR vaccine prior to travel.

Those born prior to 1957 are presumed to have had natural immunity from childhood exposure and thus are not recommended to be vaccinated by the CDC or Texas public health officials except in the case of healthcare personnel who work in outbreak areas, for whom two doses should be administered regardless of year of birth.

Some individuals, like pregnant women, infants younger than six months, and individuals with severely compromised immune systems, are not eligible for the vaccine. These persons should speak with their physicians regarding their individual risk and possible preventive action, like immunoglobulin therapy, that will provide temporary protection once exposed.

<h2>How to Stay Safe While Traveling?</h2>

Experts recommend that travelers take a proactive role by getting their immunity status checked sufficiently in advance of their travel—ideally six weeks or more ahead. This can include checking vaccination history, laboratory tests, or evidence of previous infection. Suspected exposure to measles calls for immediate medical consultation, since early administration of MMR vaccine or immunoglobulin can cut down on disease severity.

Along with vaccination, routine preventive precautions are important: frequent washing of hands, avoidance of contact with the sick, remaining in well-ventilated places, and use of masks when required, particularly for those with high risks of developing complications.

Travelers need to prepare as well by bringing along medications that are necessary and learning about healthcare facilities in the destinations. Checking the CDC's travel health notices may offer current information on risks and vaccine requirements for countries.

The recent <span>measles outbreak</span> is a cautionary example of the vulnerability of disease elimination efforts. Even as vaccination campaigns have long kept measles at bay, recent slippages risk undoing decades of gains. The warnings from the CDC occur at a time when wider concerns exist regarding vaccine misinformation and waning public trust in immunizations.

The consequences are dire. Measles is not a harmless childhood disease; it can result in severe complications, hospitalization, and even death. Already this year, at least two children and one adult have died from measles-related complications in the United States, and these figures may increase as travel continues and outbreaks multiply.

Travelers need to understand that immunity is the best defense against measles. Howsoever healthy your living style, germs do not distinguish between people—germs infect the unimmunized, the weak, and those who come in close proximity to carriers equally.

cdc travel warning

measles vaccination

airport measles risk

mmr vaccine travel

measles prevention tips

contagious diseases travel

As the summer travel season peaks, the Centers for Disease Control and Prevention (CDC) has issued an important advisory to travelers about the re-emergence of measles in the US, specifically highlighting the risk of contracting the highly contagious disease at airports and other crowded transit points. Once being declared eradicated from the United States in 2000, measles has has made a unsettling comeback, fueled primarily by declining vaccination rates and global travel. With more than 1,100 reported cases across the country this year alone, the CDC's warning is a harsh reminder that this preventable illness is a very real and present danger—particularly in areas thick with travelers.For generations, measles was a thing of the past in the U.S. due to widespread vaccination campaigns. The disease was almost eradicated over the last two decades, with only sporadic imported cases and small outbreaks occurring. Recent trends, though, have turned this tide of progress around. This year's figure of 1,157 cases already exceeds numbers from earlier years, indicating a public health problem not witnessed since 2019, when a large-scale outbreak rocked communities.Much of this increase stems from a multistate outbreak concentrated in West Texas, but the risk is far from localized. The CDC highlights that the virus is highly contagious and can spread rapidly in places like airports, train stations, planes, crowded events, and tourist attractions—anywhere large numbers of people converge, particularly if some are unvaccinated or susceptible.Why Airports and Travel Hubs Are High-Risk Zones?Airports stand out for their ability to transmit disease. They are gateways to and from around the world with tightly packed crowds, frequently crowded waiting rooms, and intimate mingling among travelers from all parts of the globe—some from nations where measles remains endemic. The CDC travel notice emphasizes that travelers can catch measles while in these locations, then return home with the virus and spread it further.The extreme infectiousness of measles makes it so that casual exposure to an infected individual or contact with contaminated surfaces can result in infection. Fever, cough, rash, and serious complications such as seizures and blindness are all symptoms that make it a dangerous virus, particularly for infants, pregnant women, and the immunocompromised.Why Is Measles Surging?The resurgence is largely due to vaccine hesitancy and disinformation that have caused some parents to skip or postpone childhood vaccinations. The implications are evident: areas of under-immunized communities are fertile breeding grounds for measles outbreaks. Anti-vaccine attitudes, in some cases spurred on by misinformation and suspicion of medical institutions, have been a prime force behind the current resurgence.Adding to this problem is the amount of travel anticipated this summer. As millions of American travelers flood airports, trains, and vacation spots, the risk of transmission increases, particularly in areas with lower vaccination levels.Vaccine Guidance and Precautions for TravelersThe CDC advises all international travelers to make sure they are up to date with their measles vaccination, including two doses of the measles-mumps-rubella (MMR) vaccine at least 28 days apart. Infants 6 to 11 months old traveling internationally should also receive an additional dose of MMR vaccine prior to travel.Those born prior to 1957 are presumed to have had natural immunity from childhood exposure and thus are not recommended to be vaccinated by the CDC or Texas public health officials except in the case of healthcare personnel who work in outbreak areas, for whom two doses should be administered regardless of year of birth.Some individuals, like pregnant women, infants younger than six months, and individuals with severely compromised immune systems, are not eligible for the vaccine. These persons should speak with their physicians regarding their individual risk and possible preventive action, like immunoglobulin therapy, that will provide temporary protection once exposed.How to Stay Safe While Traveling?Experts recommend that travelers take a proactive role by getting their immunity status checked sufficiently in advance of their travel—ideally six weeks or more ahead. This can include checking vaccination history, laboratory tests, or evidence of previous infection. Suspected exposure to measles calls for immediate medical consultation, since early administration of MMR vaccine or immunoglobulin can cut down on disease severity.Along with vaccination, routine preventive precautions are important: frequent washing of hands, avoidance of contact with the sick, remaining in well-ventilated places, and use of masks when required, particularly for those with high risks of developing complications.Travelers need to prepare as well by bringing along medications that are necessary and learning about healthcare facilities in the destinations. Checking the CDC's travel health notices may offer current information on risks and vaccine requirements for countries.The recent measles outbreak is a cautionary example of the vulnerability of disease elimination efforts. Even as vaccination campaigns have long kept measles at bay, recent slippages risk undoing decades of gains. The warnings from the CDC occur at a time when wider concerns exist regarding vaccine misinformation and waning public trust in immunizations.The consequences are dire. Measles is not a harmless childhood disease; it can result in severe complications, hospitalization, and even death. Already this year, at least two children and one adult have died from measles-related complications in the United States, and these figures may increase as travel continues and outbreaks multiply.Travelers need to understand that immunity is the best defense against measles. Howsoever healthy your living style, germs do not distinguish between people—germs infect the unimmunized, the weak, and those who come in close proximity to carriers equally.

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