Science
In Texas Measles Outbreak, Signs of a Riskier Future for Children
Every day, as Dr. Wendell Parkey enters his clinic in Seminole, a small city on the rural western edge of Texas, he announces his arrival to the staff with an anthem pumping loudly through speakers.
As the song reaches a climax, he throws up an arm and strikes a pose in cowboy boots. “Y’all ready to stomp out disease?” he asks.
Recently, the question has taken on a dark urgency. Seminole Memorial Hospital, where Dr. Parkey has practiced for nearly three decades, has found itself at the center of the largest measles outbreak in the United States since 2019.
Since last month, more than 140 Texas residents, most of whom live in the surrounding Gaines County, have been diagnosed and 20 have been hospitalized. Nine people in a bordering county in New Mexico have also fallen ill.
On Wednesday, local health officials announced that one child had died, the first measles death in the United States in a decade.
It may not be the last. Large swaths of the Mennonite community, an insular Christian group that settled in the area in the 1970s, are unvaccinated and vulnerable to the virus.
The outbreak has struck at a remarkable juncture. Vaccine hesitancy has been rising in the United States for years and accelerated during the coronavirus pandemic. Now the nation’s most prominent vaccine skeptic, Robert F. Kennedy Jr., has been named its top health official, the secretary of health and human services.
Mr. Kennedy has been particularly doubtful of measles as a public health problem, once writing that outbreaks were mostly “fabricated” to send health officials into a panic and fatten the profits of vaccine makers.
At a cabinet meeting on Wednesday, Mr. Kennedy minimized the crisis in West Texas, saying that there had been four outbreaks so far this year (there have been three, according to federal health officials) and 16 last year.
Following widespread criticism, Mr. Kennedy posted a social media message on Friday saying he did “recognize the serious impact of this outbreak on families, children, and healthcare workers.”
Vaccine fears have run deep in these parts for years, and some public health experts worry that the current outbreak is a glimpse at where much of America is headed. Researchers think of measles as the proverbial canary in a coal mine. It is among the most contagious infectious diseases, and often the first sign that other pathogens may be close behind.
“I’m concerned this is a harbinger of something bigger,” said Dr. Tony Moody, a pediatric infectious disease expert at the Duke University School of Medicine. “Is this simply going to be the first of many stories of vaccine-preventable disease making a resurgence in the United States?”
On the front lines of the outbreak, simple answers aren’t easy to come by.
Measles was officially declared eliminated in the United States in 2000. Not long ago, it had become so rare that many American doctors never saw a case.
But as the outbreak spread, Dr. Parkey learned to spot the signs of infection in the examination room even before he saw the telltale rashes.
School-age children often zipped around the room or pestered their mothers or asked him for lollipops. The children stricken with measles sat still, vacant looks in their eyes.
On Monday, Dr. Parkey walked into a hospital room where an unvaccinated 8-year-old boy sat with that distant stare. His mother had scheduled an appointment after she noticed his barking cough the night before.
By the time they arrived at the clinic, the boy’s eyes were red and crusted. He had a low-grade fever and a blotchy pink rash covering his chest and back.
Dr. Parkey tried the usual banter: “Do you have a girlfriend?” The boy looked past him, glassy eyes trained on the wall.
“Which of your uncles is your favorite?” Dr. Parkey asked. The boy let out a dry cough and slumped further into his seat. He spoke only once, to request a cup of water.
Over the next 24 hours, if the boy’s illness followed the typical progression, he was likely to get sicker. His fever would spike, and the rash would fan out over his torso and thighs.
If he was lucky, the worst would pass within a few days. If he was not, the virus might find its way into his lungs and cause pneumonia, potentially making it difficult to breathe without an oxygen mask.
Measles might even invade his brain, causing swelling and possible convulsions, blindness or deafness.
Doctors have few options to alter its course once the virus infects someone. There is no treatment that will stop it, only medicines to make the patient more comfortable.
Dr. Parkey wrote prescriptions for cough syrup and antibiotics for the boy. A nurse swabbed the back of his throat for a sample to be shipped to the state health department in a box of dry ice, adding to the county’s growing case count.
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For decades, the doctors at Seminole Memorial Hospital had been having conversations with patients about the importance of childhood vaccines.
Even on busy days with back-to-back appointments, staff members sat down with parents to discuss fears about side effects and to recount the horrors of many preventable diseases.
Go to an old cemetery, Dr. Parkey often told his patients — look at how many children died before vaccines arrived. In many families, though, minds were made up, and the conversations rarely broke through.
The largest school district in Gaines County reported that just 82 percent of kindergartners received the measles, mumps and rubella (M.M.R.) vaccine in 2023. One of the smaller school districts reported that less than half of the students had received the shot.
For a virus as contagious as measles — which spreads through microscopic droplets that can linger in the air for two hours — experts say that at least 95 percent of a community must be vaccinated in order to stave off an outbreak.
Gaines County, a dusty expanse the size of Rhode Island dotted with cotton fields and whirring pump jacks, had not hit that mark in many years.
Although there is no religious doctrine that bans vaccination, the county’s tightknit Mennonites often avoid interacting with the medical system and hold to a long tradition of natural remedies, said Tina Siemens, a Seminole historian who has written several books about the community in West Texas.
In recent years, concerns about childhood vaccines appeared to rise even in the broader Seminole community, especially after Covid-19, several doctors said. An outbreak began to feel inevitable.
“I’d never seen measles, but I knew it was coming,” Dr. Parkey said.
In this respect, Gaines County is not so different from much the country.
Before the pandemic, 95 percent of kindergartners in the United States had received the M.M.R. vaccine, according to federal tallies. The figure sank below 93 percent last year. Immunization rates against polio, whooping cough and chickenpox fell in similar proportions.
When the cases in Texas first surfaced, local doctors and health officials hoped that the outbreak would make the M.M.R. vaccines an easier sell. If parents saw what measles did to children, the thinking went, they would understand what the vaccine was designed to protect them from.
But there has been no stampede to vaccination. In Seminole, a city of about 7,200 people, almost 200 residents have received shots at pop-up clinics.
“Hopefully, at least the next generation will change their minds about vaccines,” Dr. Parkey said. “Just maybe not this one.”
One mother told Dr. Leila Myrick, a family medicine physician at Seminole Memorial, that the measles outbreak had helped solidify her decision not to vaccinate her children. She’d heard from a friend that the virus was similar to a bad flu.
Even some parents who recognized the dangers that measles posed to their children still felt that vaccines were riskier.
Ansley Klassen, 25, lives in Seminole with her husband and four young children, three of whom are fully unvaccinated. She considered bringing her children to a vaccine clinic when measles cases first started popping up.
Mrs. Klassen, who is about five months pregnant, knew she didn’t want to risk getting measles. She had been scrubbing counters with Lysol wipes and keeping her children away from others as much as possible.
But on social media, she had seen a deluge of frightening posts about the side effects of vaccines: stories of children developing autism after a shot or dying from metal toxicity. (Both claims have been debunked by scientists.)
“There are stories that you can read about people multiple hours after they got the vaccine having effects, and that’s scary to me,” she said. “So I’m like, is it worth the risk? And right now I can’t figure that out.”
These anecdotes — regardless of whether they are factual — are part of what has made vaccine hesitancy such an intractable problem in the age of social media, said Mary Politi, a professor at the Washington University School of Medicine who studies health decision-making.
Stories about children who don’t have serious side effects from vaccines and never contract vaccine-preventible illnesses don’t go viral on TikTok, she noted.
“It’s not that they’re trying to make a bad choice or do something against evidence,” she said. “People are trying to do the best thing they can for their families, and they don’t know who to trust.”
Mrs. Klassen didn’t consider herself staunchly anti-vaccine. Her oldest daughter, now 6, had received all of her vaccines up to a year.
But she didn’t trust everything doctors were telling her, either. She thought the Covid-19 vaccine had been developed too quickly and pushed too forcefully, making her skeptical that the authorities were telling the truth about the measles shot.
She prayed about it and ultimately decided to forgo the vaccine. “The trust I have in the medical system is not there,” she said.
It’s not just unvaccinated people who are at risk during the current outbreak.
Measles increases the likelihood of stillbirths and serious complications in pregnant women, yet they cannot receive the vaccine or booster.
Andrea Ochoa, a nurse’s assistant at Seminole Memorial who is six months into her first pregnancy, said she thought about taking time off from her job but ultimately decided to stay so she could keep her health insurance.
She wore an N95 mask during her entire shift, which sometimes made her so lightheaded that she sat in her car for a break. She showered as soon as she was home.
“I hope it doesn’t get worse,” Ms. Ochoa said of the outbreak. “I don’t know what choice I would make.”
Five vaccinated residents also have contracted measles, state health officials said. At the clinic, Dr. Parkey recently cared for a teacher who was vaccinated but immunocompromised.
A serious measles infection kept the teacher curled in a fetal position on the couch for a week, her eyes so swollen that she opened them only for brief runs to the bathroom, she recalled in an interview. She asked not be named to protect her privacy.
The West Texas measles outbreak is far from the largest in the United States in recent years. In 2019, outbreaks in at least two dozen states sickened more than 1,250 people.
A vast majority of those infections occurred in “underimmunized, close-knit communities,” the C.D.C. noted. More than 930 patients were infected in Orthodox Jewish communities in New York.
Federal, state and local officials swung into action with vaccination campaigns that led to more than 60,000 M.M.R. immunizations in the affected communities. They reached out to religious leaders, local doctors and advocacy groups.
And in areas like Williamsburg, Brooklyn, officials went further, issuing mandates requiring vaccination.
The campaign in West Texas has been less forceful. Management of outbreaks like this one falls to state health officials, and they ask for help from the C.D.C. and other federal resources as necessary.
The C.D.C. is providing some technical assistance, but Texas health officials said they did not need more help from the agency. They have not declared a public health emergency, as officials did in parts of New York State, nor have they moved to mandate vaccination.
“We can’t force anybody to take a drug — that’s assault,” said Dr. Ron Cook, a health official in nearby Lubbock, at a news conference on Friday.
Zachary Holbrooks, the local public health official for four Texas counties, including Gaines, said that type of mandate would be deeply unpopular in the state, where individual freedom is a strongly held value.
Texas public schools require children to have received certain vaccines, including the M.M.R. shot. But in this state, as in many others, parents can apply for an exemption for “reasons of conscience,” including religious beliefs.
In January, as the first cases of measles began spreading in Gaines County, state legislators introduced several bills designed to weaken school vaccination requirements.
“I don’t want to see a baby’s lips turn blue because they can’t breathe,” Mr. Holbrooks said. “I don’t want anybody to suffer from long-lasting disability because they got measles.”
“But if you choose to live in Texas,” he added, “you can exercise that option.”
Science
Diablo Canyon clears last California permit hurdle to keep running
Central Coast Water authorities approved waste discharge permits for Diablo Canyon nuclear plant Thursday, making it nearly certain it will remain running through 2030, and potentially through 2045.
The Pacific Gas & Electric-owned plant was originally supposed to shut down in 2025, but lawmakers extended that deadline by five years in 2022, fearing power shortages if a plant that provides about 9 percent the state’s electricity were to shut off.
In December, Diablo Canyon received a key permit from the California Coastal Commission through an agreement that involved PG&E giving up about 12,000 acres of nearby land for conservation in exchange for the loss of marine life caused by the plant’s operations.
Today’s 6-0 vote by the Central Coast Regional Water Board approved PG&E’s plans to limit discharges of pollutants into the water and continue to run its “once-through cooling system.” The cooling technology flushes ocean water through the plant to absorb heat and discharges it, killing what the Coastal Commission estimated to be two billion fish each year.
The board also granted the plant a certification under the Clean Water Act, the last state regulatory hurdle the facility needed to clear before the federal Nuclear Regulatory Commission (NRC) is allowed to renew its permit through 2045.
The new regional water board permit made several changes since the last one was issued in 1990. One was a first-time limit on the chemical tributyltin-10, a toxic, internationally-banned compound added to paint to prevent organisms from growing on ship hulls.
Additional changes stemmed from a 2025 Supreme Court ruling that said if pollutant permits like this one impose specific water quality requirements, they must also specify how to meet them.
The plant’s biggest water quality impact is the heated water it discharges into the ocean, and that part of the permit remains unchanged. Radioactive waste from the plant is regulated not by the state but by the NRC.
California state law only allows the plant to remain open to 2030, but some lawmakers and regulators have already expressed interest in another extension given growing electricity demand and the plant’s role in providing carbon-free power to the grid.
Some board members raised concerns about granting a certification that would allow the NRC to reauthorize the plant’s permits through 2045.
“There’s every reason to think the California entities responsible for making the decision about continuing operation, namely the California [Independent System Operator] and the Energy Commission, all of them are sort of leaning toward continuing to operate this facility,” said boardmember Dominic Roques. “I’d like us to be consistent with state law at least, and imply that we are consistent with ending operation at five years.”
Other board members noted that regulators could revisit the permits in five years or sooner if state and federal laws changes, and the board ultimately approved the permit.
Science
Deadly bird flu found in California elephant seals for the first time
The H5N1 bird flu virus that devastated South American elephant seal populations has been confirmed in seals at California’s Año Nuevo State Park, researchers from UC Davis and UC Santa Cruz announced Wednesday.
The virus has ravaged wild, commercial and domestic animals across the globe and was found last week in seven weaned pups. The confirmation came from the U.S. Department of Agriculture’s National Veterinary Services Laboratory in Ames, Iowa.
“This is exceptionally rapid detection of an outbreak in free-ranging marine mammals,” said Professor Christine Johnson, director of the Institute for Pandemic Insights at UC Davis’ Weill School of Veterinary Medicine. “We have most likely identified the very first cases here because of coordinated teams that have been on high alert with active surveillance for this disease for some time.”
Since last week, when researchers began noticing neurological and respoiratory signs of the disease in some animals, 30 seals have died, said Roxanne Beltran, a professor of ecology and evolutionary biology at UC Santa Cruz. Twenty-nine were weaned pups and the other was an adult male. The team has so far confirmed the virus in only seven of the dead pups.
Infected animals often have tremors convulsions, seizures and muscle weakness, Johnson said.
Beltran said teams from UC Santa Cruz, UC Davis and California State Parks monitor the animals 260 days of the year, “including every day from December 15 to March 1” when the animals typically come ashore to breed, give birth and nurse.
The concerning behavior and deaths were first noticed Feb. 19.
“This is one of the most well-studied elephant seal colonies on the planet,” she said. “We know the seals so well that it’s very obvious to us when something is abnormal. And so my team was out that morning and we observed abnormal behaviors in seals and increased mortality that we had not seen the day before in those exact same locations. So we were very confident that we caught the beginning of this outbreak.”
In late 2022, the virus decimated southern elephant seal populations in South America and several sub-Antarctic Islands. At some colonies in Argentina, 97% of pups died, while on South Georgia Island, researchers reported a 47% decline in breeding females between 2022 and 2024. Researchers believe tens of thousands of animals died.
More than 30,000 sea lions in Peru and Chile died between 2022 and 2024. In Argentina, roughly 1,300 sea lions and fur seals perished.
At the time, researchers were not sure why northern Pacific populations were not infected, but suspected previous or milder strains of the virus conferred some immunity.
The virus is better known in the U.S. for sweeping through the nation’s dairy herds, where it infected dozens of dairy workers, millions of cows and thousands of wild, feral and domestic mammals. It’s also been found in wild birds and killed millions of commercial chickens, geese and ducks.
Two Americans have died from the virus since 2024, and 71 have been infected. The vast majority were dairy or commercial poultry workers. One death was that of a Louisiana man who had underlying conditions and was believed to have been exposed via backyard poultry or wild birds.
Scientists at UC Santa Cruz and UC Davis increased their surveillance of the elephant seals in Año Nuevo in recent years. The catastrophic effect of the disease prompted worry that it would spread to California elephant seals, said Beltran, whose lab leads UC Santa Cruz’s northern elephant seal research program at Año Nuevo.
Johnson, the UC Davis researcher, said the team has been working with stranding networks across the Pacific region for several years — sampling the tissue of birds, elephant seals and other marine mammals. They have not seen the virus in other California marine mammals. Two previous outbreaks of bird flu in U.S. marine mammals occurred in Maine in 2022 and Washington in 2023, affecting gray and harbor seals.
The virus in the animals has not yet been fully sequenced, so it’s unclear how the animals were exposed.
“We think the transmission is actually from dead and dying sea birds” living among the sea lions, Johnson said. “But we’ll certainly be investigating if there’s any mammal-to-mammal transmission.”
Genetic sequencing from southern elephant seal populations in Argentina suggested that version of the virus had acquired mutations that allowed it to pass between mammals.
The H5N1 virus was first detected in geese in China in 1996. Since then it has spread across the globe, reaching North America in 2021. The only continent where it has not been detected is Oceania.
Año Nuevo State Park, just north of Santa Cruz, is home to a colony of some 5,000 elephant seals during the winter breeding season. About 1,350 seals were on the beach when the outbreak began. Other large California colonies are located at Piedras Blancas and Point Reyes National Sea Shore. Most of those animals — roughly 900 — are weaned pups.
It’s “important to keep this in context. So far, avian influenza has affected only a small proportion of the weaned at this time, and there are still thousands of apparently healthy animals in the population,” Beltran said in a press conference.
Public access to the park has been closed and guided elephant seal tours canceled.
Health and wildlife officials urge beachgoers to keep a safe distance from wildlife and keep dogs leashed because the virus is contagious.
Science
When slowing down can save a life: Training L.A. law enforcement to understand autism
Kate Movius moved among a roomful of Los Angeles County sheriff’s deputies, passing out a pop trivia quiz and paper prism glasses.
She told them to put on the vision-distorting glasses, and to write with their nondominant hand. As they filled out the tests, Movius moved about the City of Industry classroom pounding abruptly on tables. Then came the cowbell. An aide flashed the overhead lights on and off at random. The goal was to help the deputies understand the feeling of sensory overwhelm, which many autistic people experience when incoming stimulation exceeds their capacity to process.
“So what can you do to assist somebody, or de-escalate somebody, or get information from someone who suffers from a sensory disorder?” Movius asked the rattled crowd afterward. “We can minimize sensory input. … That might be the difference between them being able to stay calm and them taking off.”
Movius, founder of the consultancy Autism Interaction Solutions, is one of a growing number of people around the U.S. working to teach law enforcement agencies to recognize autistic behaviors and ensure that encounters between neurodevelopmentally disabled people and law enforcement end safely.
She and City of Industry Mayor Cory Moss later passed out bags filled with tools donated by the city to aid interactions: a pair of noise-damping headphones to decrease auditory input, a whiteboard, a set of communication cards with words and images to point to, fidget toys to calm and distract.
“The thing about autistic behavior when it comes to law enforcement is a lot of it may look suspicious, and a lot of it may feel very disrespectful,” said Movius, who is also the parent of an autistic 25-year-old man. Responding officers, she said, “are not coming in thinking, ‘Could this be a developmentally disabled person?’ I would love for them to have that in the back of their minds.”
A sheriff’s deputy reads a pamphlet on autism during the training program.
(Genaro Molina / Los Angeles Times)
Autism spectrum disorder is a developmental condition that manifests differently in nearly every person who has it. Symptoms cluster around difficulties in communication, social interaction and sensory processing.
An autistic person stopped by police might hold the officer’s gaze intensely or not look at them at all. They may repeat a phrase from a movie, repeat the officer’s question or temporarily lose their ability to speak. They might flee.
All are common involuntary responses for an autistic person in a stressful situation, which a sudden encounter with law enforcement almost invariably is. To someone unfamiliar with the condition, all could be mistaken for intoxication, defiance or guilt.
Autism rates in the U.S. have increased nearly fivefold since the Centers for Disease Control began tracking diagnoses in 2000, a rise experts attribute to broadening diagnostic criteria and better efforts to identify children who have the condition.
The CDC now estimates that 1 in 31 U.S. 8-year-olds is autistic. In California, the rate is closer to 1 in 22 children.
As diverse as the autistic population is, people across the spectrum are more likely to be stopped by law enforcement than neurotypical peers.
About 15% of all people in the U.S. ages 18 to 24 have been stopped by police at some point in their lives, according to federal data. While the government doesn’t track encounters for disabled people specifically, a separate study found that 20% of autistic people ages 21 to 25 have been stopped, often after a report or officer observation of a person behaving unusually.
Some of these encounters have ended in tragedy.
In 2021, Los Angeles County sheriff’s deputies shot and permanently paralyzed a deaf autistic man after family members called 911 for help getting him to a hospital.
Isaias Cervantes, 25, had become distressed about a shopping trip and started pushing his mother, his family’s attorney said at the time. He resisted as two deputies attempted to handcuff him and one of the deputies shot him, according to a county report.
In 2024, Ryan Gainer’s family called 911 for support when the 15-year-old became agitated. Responding San Bernardino County sheriff‘s deputies shot and killed him outside his Apple Valley home.
Last year, police in Pocatello, Idaho, shot Victor Perez, 17, through a chain-link fence after the nonspeaking teenager did not heed their shouted commands. He died from his injuries in April.
Sheriff’s deputies take a trivia quiz using their non-writing hands, while wearing vision-distorting glasses, as Kate Movius, standing left, and Industry Mayor Cory Moss, right, ring cowbells. The idea was to help them understand the sensory overwhelm some autistic people experience.
(Genaro Molina / Los Angeles Times)
As early as 2001, the FBI published a bulletin on police officers’ need to adjust their approach when interacting with autistic people.
“Officers should not interpret an autistic individual’s failure to respond to orders or questions as a lack of cooperation or as a reason for increased force,” the bulletin stated. “They also need to recognize that individuals with autism often confess to crimes that they did not commit or may respond to the last choice in a sequence presented in a question.”
But a review of multiple studies last year by Chapman University researchers found that while up to 60% of officers have been on a call involving an autistic person, only 5% to 40% had received any training on autism.
In response, universities, nonprofits and private consultants across the U.S. have developed curricula for law enforcement on how to recognize autistic behaviors and adapt accordingly.
The primary goal, Movius told deputies at November’s training session, is to slow interactions down to the greatest extent possible. Many autistic people require additional time to process auditory input and verbal responses, particularly in unfamiliar circumstances.
If at all possible, Movius said, wait 20 seconds for a response after asking a question. It may feel unnaturally long, she acknowledged. But every additional question or instruction fired in that time — what’s your name? Did you hear me? Look at me. What’s your name? — just decreases the likelihood that a person struggling to process will be able to respond at all.
Moss’ son, Brayden, then 17, was one of several teenagers and young adults with autism who spoke or wrote statements to be read to the deputies. The diversity of their speech patterns and physical mannerisms showed the breadth of the spectrum. Some were fluently verbal, while others communicated through signs and notes.
“This population is so diverse. It is so complicated. But if there’s anything that we can show [deputies] in here that will make them stop and think, ‘Hey, what if this is autism?’ … it is saving lives,” Moss said.
Mayor Cory Moss, left, and Kate Movius hug at the end of the training program last November. Movius started Autism Interaction Solutions after her son was born with profound autism.
(Genaro Molina / Los Angeles Times)
Some disability advocates cautioned that it takes more than isolated training sessions to ensure encounters end safely.
Judy Mark, co-founder and president of the nonprofit Disability Voices United, says she trained thousands of officers on safe autism interactions but stopped after Cervantes’ shooting. She now urges families concerned about an autistic child’s safety to call an ambulance rather than law enforcement.
“I have significant concern about these training sessions,” Mark said. “People get comfort from it, and the Sheriff’s Department can check the box.”
While not a panacea, supporters argue that a brief course is better than no preparation at all. Some years ago, Movius received a letter from a man whose profoundly autistic son slipped away as the family loaded their car at the beach. He opened the unlocked door of a police vehicle, climbed into the back and began to flail in distress.
Though surprised, the officer seated at the wheel de-escalated the situation and helped the young man find his family, the father wrote to Movius. He had just been to her training.
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