In 2025, Louisiana, Missouri, and Virginia reported their first measles cases linked to international travel, with a Virginia child and an unvaccinated adult in Louisiana being confirmed cases. Virginia health officials are tracing contacts after identifying potential exposure at two medical centers, while Missouri’s case involves a child who has recently traveled, though details on vaccination status remain unclear. This outbreak marks the largest in the U.S. in six years, with Texas reporting 481 confirmed cases, raising public health concerns despite limited CDC communication since 2019.