There have been more than 160 reported measles so far cases in 2025. I say “reported” because who knows how many infected people haven’t sought medical treatment. The disease, which the US declared eradicated in 2000, has been spreading quickly throughout the South Plains region of Texas and into New Mexico. As of Tuesday afternoon, Texas’ infected rate is 159 and counting. It’s alarming, but not a surprise, considering Texas only has an 80% measles vaccination rate. According to the CDC, 95% of the 164 total measles cases in the US this year came from unvaccinated or unknown vaccine status individuals. (Note: The CDC updates everything Thursday, so those numbers are from February 27.)
Last week, we talked about who should get a measles booster. Healthcare professionals recommended that anyone who got their measles shot pre-1967 or who is unsure of the vaccination status get another MMR. I think the next question on everyone’s mind is whether or not you can get the measles even if you are vaccinated. According to infectious disease doctors, the answer is yes, you can, but it’s rare.
Can you still get measles after vaccination? Technically, yes, you can still get measles after vaccination. “However, this is generally quite rare,” says Prathit Kulkarni, M.D., assistant professor of infectious diseases at Baylor College of Medicine. While the vaccine is considered effective, it’s not perfect. “This is not 100%,” says Peter A. Zimmerman, Ph.D., professor of international health with the Case Western University Center for Global Health & Diseases.
Make sure you’ve gotten both MMR doses: Something else to consider: The MMR vaccine is given in two doses. “If you just have one dose, it’s less effective than having both doses,” says John Sellick, D.O., an infectious disease expert and professor of medicine at the University at Buffalo.
What are the odds of getting measles if vaccinated? Every person’s immune response to the MMR vaccine is different, Dr. Sellick points out. “There is always going to be someone who falls through,” he says. “Why isn’t entirely clear.” But overall, one dose of the MMR vaccine is 93% effective against measles, while the recommended two doses are 97% effective at preventing the disease, per the CDC.
Even if you get the measles, it should be milder: “If someone does get measles after vaccination, the disease is typically milder than if someone who is unvaccinated acquires the infection,” Dr. Kulkarni says. If you’re uncertain of your immune status, there is a blood test you can take. But Dr. Sellick points out that most people just rely on their vaccination history, given that it’s easier and faster.
Can adults catch measles from kids? Unfortunately, yes, adults can catch measles from kids. The measles virus can survive in the air and infected surfaces for up to two hours, making it easy to catch if you’re unvaccinated or don’t have immunity to the virus, Dr. Sellick says. Zimmerman agrees. “The virus does not distinguish between adults and children,” he says. “So, if an unvaccinated adult is exposed to a child with measles, they will likely get infected.”
About natural immunity: But adults don’t necessarily need to have been vaccinated to be immune to measles. Adults who were born before 1957 are presumed to be immune to the virus because nearly everyone was infected with measles during childhood before the MMR vaccine was available, Dr. Sellick explains. However, the CDC recommends that healthcare workers born before 1957 who don’t have laboratory evidence of immunity should consider getting two doses of the MMR vaccine. If you’ve been fully vaccinated against measles or know that you had it as a child, Dr. Sellick says you will likely be fine. “I know I’m immune,” he says. “I would have no problem taking care of a patient with measles.”
Who needs a measles booster? There are a few people who should consider a measles booster. People born between 1963 and 1967 may have received a less effective form of the measles vaccine, Zimmerman says. That’s why the Advisory Committee on Immunization Practices (ACIP) recommends getting re-vaccinated if this describes you. “People who are uncertain about their vaccination status should get vaccinated,” Zimmerman says. But because the MMR vaccine is a live virus vaccine, people who are severely immunocompromised and those who are currently pregnant should not get it, Zimmerman says.
This is all really great information to have. There are a seemingly infinite amount of things to be concerned about lately, so being reassured about the MMR vaccine’s efficiency is a huge relief and small comfort. And of course, those of us who can get vaccinated also do so to help protect people who aren’t able to. MMR protecting 97% from getting measles also explains why past outbreaks were able to be contained outside of communities with lower vaccination rates. It truly boggles the mind that some people would rather take their chances with cod liver oil, vitamins A and D, or even measles parties for “natural immunity” than simply get a two-part shot that’s been proven to be safe and effective. I truly hope common sense prevails and we can get those vaccination rates back up to prevent these outbreaks from spreading in the future.
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Of course we can get any disease even if we’re vaccinated. Vaccines are for our immune system to “practice fighting” the nasty invaders,
If you’re vaccinated will give you a bigger chance to fight the infection and to not have so many symptons …
I was spooked enough that I checked my MMR and Varicella titers last week. I recognize that I’m fortunate to be able to pay out of pocket for it because my insurance didn’t cover it but my peace of mind was worth it.
I’m in that pocket of “your old vaccine may have been a dud” so I just got a booster yesterday. I thought about doing the titer but my insurance won’t cover that while covering the actual vaccine. I’m in Houston and I felt it was urgent because the Houston Livestock Show and Rodeo just began — and hundreds of FFA kids come from allllllll around the state, and it’s those rural counties that have low vaccination rates. Epidemic bonus: Texas has the same spring break statewide and it starts Friday. Watch out Colorado and Florida—Texas spring-breakers are incoming!
Colorado gal here, and yes, I got an MMR booster last week with the idea that half of Texas seems to be using our state as their dumping ground AND I’m in that weird 1963-67 zone. Even with crazy sensitivities to vaccines, it had zero side effects – highly recommend! Be part of the solution, not the problem.
I’m in Texas, my friends that are going to Colorado kids are vaccinated, and the parents both got boosters just to be safe. We can’t trust the rest of the herd any more.
My parents had measles and it was either that or scarlet Fever that seriously altered my dad’s vision. My mom’s cousin had polio that was mild, but bad enough that her mobility has been severely affected her whole life, she’s always had a cane. I can’t believe these folks have had such a soft life they think these things can’t happen.
@goldenmom, Canadian here. What do you mean the state is being used as a dumping ground?
Old&Tired, I just ran through the same thing. I live in Austin, but have college aged vaccinated sons in College Station and Lubbock. My husband has MS so before they come home for spring break, I wanted to get them the titer test to make sure the vaccines were still working (husband can’t get this vaccine because its considered a live virus which is deadly). Ran into so many roadblocks with insurance it was easier to just send them for a another vaccine than have to find local doctors who would order the test that *might* be considered a medical necessity. I am especially worried about the West Texas based kiddo.
As an Australian, this just makes me so angry on your behalf that this is something that you have to PAY for. I know that the US health system is pay-to-play, but it just feels so wrong. I’m sorry.
On the news this morning, it reported that they’ve found the first confirmed case in Miami. It’s a high school student so you know chances are, he probably had contact with a lot of the other students. It’s definitely spreading.
In addition to measles, Texas is now also reporting cases of rubella; they’re bringing back the old killers
OMG, German measles is what people were really afraid of when I was a little kid, given its potential and even deadly effects on unborn fetuses.
I had rubella as a baby in 1984, before I was old enough to get the MMR. My parents thankfully had me get the MMR anyway.
I had to get a second dose because n my early twenties because I’m a healthcare worker. I’d only had one dose as a child.
Andrew Wakefield has a lot to answer for.
Vaccines don’t offer total protection, because everyone’s genetic make-up is different.
But getting vaccines is preferable to not getting vaccines, especially when the disease can result in disability or death.
And then there’s a very small possibility of getting a breakthrough infection even when one is fully vaccinated, e.g. when the body is already dealing with an issue like HIV or chemotherapy. That’s why it’s important to get re-vaccinated after completing chemo, as soon as possible.
But why mention chemo and vaccines — when sunlight and water will do just fine.
I had many covid shots when I was doing chemo and right after again and yearly since. I made an appointment for this Saturday for my MMR. I had them as child twice but I will feel better getting it updated,
Another thing to bear in mind is that the chances of getting something you’ve been vaccinated against increases with increased exposure. Bejamin Slyngstad did a great cartoon illustrating this in 2021
I got Shingles after I got the Shingles vax (auto immune system was weak AF😱)…but it was localized to one upper arm & relatively mild considering…I don’t even WANNA imagine how it would have been if I weren’t vaxxed and got it all over like my Mama did who wasn’t vaxxed…especially my trunk area!
I’m scheduled to get my MMR on the 19th!
My husband and I both had the measles as children in the 70s. It was terrifying in both cases for our parents who were young and dealing with very sick toddlers (although as a child I was proud of a small scar it left me). It’s unimaginable to me that anyone would deliberately impose that suffering on their children rather than get a simple vaccine.
I’ve now had the MMR multiple times due to working with vulnerable populations.
A few years ago — pre-pandemic — there was an article circulating saying anyone born before 1977 should get their titres checked for MMR. I’m 1974 and when I checked I needed a booster. Super glad I did it.
I was born in 1973 and six yrs ago I had to get another MMR because my rubella antibodies were undetectable. Pre-1967 is arbitrary and inadequate. If you are over 40, get your antibody levels checked.
I asked my doctor last fall about whether or not I should get revaxinated because (1) I am diabetic, (2) the uptick in people refusing to get themselves or their children vaccinated, and (3) while I would have been vaccinated sometime between 1969-1973, I never had measles or mumps. He suggested my bloodwork be checked to see if I still have immunity.
As it turned out, I still had immunity from mumps, but not for measles. I was promptly vaccinated for measles.
Always better to be safe than sorry as we get older or if we have any medical conditions which could compromise immunity.
That first photo….Is not right. Blegh.
This guy is pretending to know something about health while looking like a man who is going to die of skin cancer at any minute. He does not look healthy (or sane).
That photo is horrifying.
He looks demonic!
That header photo needs to come with a trigger warning. In fact, no more photos of Kennedy would be great. Why not use a place holder (à la Pajiba who bless us with Lee Pace’s beauty in place of fElon Muskrat)?
Born in early 70s and getting my MMR again tomorrow because I work in peds at a med school and have a kid in college plus littles in my family circle. I’m up to date on all of my other vaccinations, including shingles. My doctor said there’s no harm in getting another MMR but there’s a whole lot of harm in getting measles, so I’m not playing.
We really are living in a overly long and badly written episode of Veep. I hate it.
I had applied for graduate school in 2020, right when Covid started. When I was accepted, it was still uncertain if we would be back onsite full time in August, so the MMR proof requirement was still required for acceptance. My parents couldn’t find my vaccine records. I had a choice, get the tither test for $150 or the MMR for $100. They said it didn’t hurt if you just got the vaccine again, so that’s what I chose to do. While I was there I got my Tdap as well. I am so glad I did.