Genomic study finds South Carolina measles outbreak seeded Washington state 5 times
Washington state health officials published a study in NEJM Evidence showing that a measles outbreak in South Carolina, which began in October 2025 and ended in April 2026 with 997 cases, spread to Washington through five separate importation events within a two-week span in January. Those introductions led to 26 cases among Washington residents before health authorities contained the spread, with whole genome sequencing confirming the virus arrived independently multiple times rather than spreading from a single source.
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The findings suggest domestic travel, not just international visitors, is becoming a major vector for measles spread as US vaccination rates decline, according to the study's authors. The reliance on whole genome sequencing to distinguish separate importations from local transmission could become a more standard tool for health departments trying to track and contain outbreaks amid rising case counts nationwide.
- South Carolina's outbreak caused 997 cases and was briefly the largest since US measles elimination in 2000, before Pennsylvania's outbreak surpassed it.
- Washington state recorded five distinct importations of the virus from South Carolina within two weeks, resulting in 26 local cases.
- Whole genome sequencing was essential to distinguishing separate importation events from ongoing local transmission, a method researchers say could aid future outbreak responses.
Source: arstechnica.com, 2026-10-27
Published there as: “South Carolina's measles outbreak jumped to Washington state 5 times in 2 weeks”
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