Pennsylvania health officials brace themselves as measles outbreak expected to spread
Most counties don’t have their own health agencies, and some specific population groups have low vaccination rates

TL;DR
- Pennsylvania is facing a growing measles outbreak with 943 confirmed cases and five associated deaths reported.
- Many of Pennsylvania's 67 counties lack their own health departments, complicating outbreak response efforts.
- Lancaster County, without its own health department, has the highest number of cases, largely believed to be among the Amish community with historically low MMR vaccination rates.
- Health officials are concerned about the spread to non-Amish communities and are working to dispel misinformation about vaccines.
- Counties with established health departments, like Chester and Montgomery, view their existing infrastructure as a key advantage in managing the outbreak.
- Challenges include the collapse of major healthcare systems and the requirement for referendums to establish new county health departments in Pennsylvania.
- Public health efforts focus on immunization as the primary preventative measure, with initiatives to ensure vaccine accessibility regardless of insurance status.