The Texas Department of State Health Services (TDSHS) today reported 10 more measles cases in an outbreak centered in a pocket of western rural counties, raising the outbreak total to 58 since early February.

Three more infections were confirmed in Gaines County, which has been the epicenter and now has 45 cases. Six more measles cases were reported in neighboring Terry County. And Lubbock County has its first case. Cases have now been detected in five Texas counties, all in the same region in west-central Texas near the border with New Mexico.

The number of patients hospitalized remained at 13. Four patients were vaccinated, and the remaining patients were unvaccinated or their status is unknown. Roughly half of the cases involve school-age children.

"Due to the highly contagious nature of this disease, additional cases are likely to occur in Gaines County and the surrounding communities," the TDSHS said.

Probe continues in neighboring New Mexico county

Earlier this week, the New Mexico Department of Health declared a measles outbreak in Lea County, which borders Gaines County. Officials said ties to the Texas outbreak are suspected but haven't been confirmed.

Health department in other states are closely monitoring developments in Texas and have urged parents to ensure that their children are up to date with measles vaccine doses. In a press release today, the Alabama Department of Public Health (ADPH) warned of an uptick in cases in several states, including Texas and Georgia, and noted how contagious the virus is: Infected people can spread measles for as long as 3 weeks.

Karen Landers, MD, ADPH chief medical officer, said, "One of the main messages we want to emphasize is that measles follows a pattern in which the child first develops fever, cough, runny nose, and watery/red eyes, then a rash develops. Persons can start spreading the virus up to four days before symptoms appear, and those with weak immune systems can spread the measles virus longer."

China has reported two more human infections involving H9N2 avian flu, and, unlike most earlier patients, the latest are adults, according to a weekly avian flu update from the Hong Kong Centre for Health Protection.

The developments follow two H9N2 reports from China last week, involving a child and a teen who were from Hunan province.

Both patients from Guangdong province

The newest patients include a 72-year-old woman from Guangdong province whose symptoms began on December 26, 2024. The second patient is a 56-year-old woman from the same province who became ill on January 20, marking the second case of the new year.

The report didn't say how the patients were exposed, but H9N2 is known to circulate in parts of Asia, including China, and many earlier patients had contact with poultry or poultry environments.

Illnesses in children are typically mild, but more severe illnesses and deaths have been reported in the past. 

In an encouraging development in Uganda's Ebola Sudan outbreak, all eight patients who were hospitalized for treatment have been released from medical care after testing negative for the virus twice in tests conducted 72 hours apart, the World Health Organization (WHO) regional office for Africa said today.

The patients were receiving treatment in the capital city Kampala and in Mbale. Contact monitoring is still under way for 216 people who are at quarantine facilities located throughout the country.

Kasonde Mwinga, MD, the WHO's representative in Uganda, said the discharge of patients are an important milestone in efforts to control the virus. "While we welcome this positive step, we remain steadfastly on course, working with our partners to support the government to halt this virus and end the outbreak."

The outbreak began in late January and marked Uganda's first since 2022 and the world's ninth involving Ebola Sudan. Five of the earlier outbreaks had been in Uganda, which is known for its skill in battling the virus. 

Death rate much lower than in earlier outbreaks

So far, the outbreak total stands at nine cases and one death, which involved the index patient, a 32-year-old male nurse who had worked at a referral hospital in Kampala. The case-fatality rate (CFR) stands at 11.1%, which is much lower than the CFR of 41% to 100% seen in earlier outbreaks involving Ebola Sudan.

Uganda's latest outbreak triggered a swift response from health partners, including the WHO, which deployed 47 experts, delivered 7 tons of emergency medical supplies, and took several other steps to support the country's response. The outbreak also saw a quick launch of a trial of a candidate Ebola Sudan vaccine, which is from the International AIDS Vaccine Initiative, a nonprofit vaccine research organization based in New York City.