Connect with us

Mississippi Today

The 19th Explains: What parents need to know about the measles vaccine

Published

on

mississippitoday.org – Barbara Rodriguez, The 19th – 2025-03-06 15:00:00

The 19th Explains: What parents need to know about the measles vaccine

This story was originally reported by Barbara Rodriguez of The 19th. Meet Barbara and read more of their reporting on gender, politics and policy.

A measles outbreak involving more than 150 infected people in Texas has put a spotlight on the role of vaccines in treating preventable diseases — especially as childhood vaccination rates have declined for several years. A school-aged child who was not vaccinated and had no known underlying conditions died from the outbreak, according to Texas health officials.

Parents and caregivers, in particular mothers, make important health decisions for their families.  Though it can impact people of different ages, measles is considered a childhood disease and unvaccinated children under 5 years old are among those who are most at risk for severe illness. Here’s what parents need to know about measles and vaccines.

What is measles? How serious is it?

Measles is a highly contagious airborne disease that spreads when an infected person breathes, coughs or sneezes. If you do not have immune protection from measles and you come into contact with a person who has been infected — or even if you enter a room where an infected person was in the previous two hours — it is highly likely you will get infected.

According to the American Academy of Pediatrics, symptoms for measles include:

  • fever
  • cough
  • runny nose
  • red, watery eyes
  • a skin rash

Measles can make people very sick: 1 in 20 people get pneumonia; 1 to 3 in 1,000 people get brain swelling (encephalitis); and 1 in 1,000 people die. Children who are infected with measles typically stay home from school. And since symptoms can emerge over several weeks, parents could be out of work for a prolonged period of time to care for their child and keep them in isolation.

The recent death of a child who was infected with measles in Texas is the first measles death in the United States in a decade and the first measles death involving a child since 2003.

Boxes and vials of the Measles, Mumps, Rubella Virus Vaccine at a vaccine clinic put on by Lubbock Public Health Department.
Routine childhood vaccination provides 97 percent protection from measles through the measles, mumps and rubella (MMR) vaccine.
(Jan Sonnenmair/Getty Images)

How do you prevent measles?

Vaccination is the key to measles prevention. Routine childhood vaccination provides 97 percent protection from measles through the measles, mumps and rubella (MMR) vaccine. Following the childhood vaccination schedule, which is reviewed by multiple medical organizations, helps prevent hospitalization, long-term injuries and death.

Because the disease is so contagious, community protection from measles requires at least 95 percent immunity to prevent outbreaks.

How often do measles outbreaks happen in the United States?

The widespread use of vaccines has meant that measles has not been common in the United States — so much so that it was declared eliminated from the country in 2000.

That has changed as parents increasingly decline to vaccinate their children, with emerging instances of measles outbreaks, which involve three or more cases. In 2019, there was an uptick in measles cases, with a major outbreak reported in New York. In 2023, there were four outbreaks. In 2024, there were 16 outbreaks. Three months into 2025, there have been three outbreaks reported.

Measles still regularly occurs in many parts of the world, said Dr. Lori Handy, associate director of the Vaccine Education Center at Children’s Hospital of Philadelphia. There has always been a risk that an unvaccinated child in the United States could be infected with measles from an international traveler who enters the United States. But the risk is greater now amid lower vaccination rates in kindergarten-age children.

“As a parent, it’s important to update that framework — that this is no longer the rare, ‘international traveler brings measles back home to a highly vaccinated country.’ This is now people within our own country have measles, and we have an under-vaccinated population, and so we are likely to see more spread in more regions,” she said.

I am vaccinating my child according to the childhood vaccination schedule. How worried should I be about outbreaks?

It depends on the age of your child and whether they are old enough to get the MMR vaccine. The first dose is administered between 12 and 15 months old and is 93 percent effective against measles. The second dose, which is administered between 4 and 6 years old, can add an additional 4 percent of immunity.

If you and your family are fully vaccinated, you can go about your routine activities, according to Handy. If you are vaccinated but you have a young child who is not old enough to receive an MMR shot, you should make sure that the people around the child are vaccinated. People transmit measles to other people only when they are showing symptoms of the viral infection.

“A fully vaccinated parent has a very, very low risk of getting infected with the measles

virus, and therefore should not be a risk to their infant,” Dr. John Swartzberg, clinical professor emeritus at the UC Berkeley School of Public Health, said in an email.

It is important to be aware of outbreaks in your region. Handy said if you live in an outbreak area, be very cautious about bringing a young child who is not yet vaccinated to crowds — or avoid it if at all possible. If you find out your child has been exposed, immediately call their pediatrician to learn about post-exposure care that can be taken to prevent infection.

At a community level, ensure your friends and family are aware of outbreaks and the importance of vaccination to protect themselves, their children and their community.

A parent reads a book about immunizations with their child at a vaccine clinic.
A parent reads a book about immunizations with their child at a vaccine clinic hosted by the Lubbock Public Health Department in Lubbock, Texas.
(Jan Sonnenmair/Getty Images)

Can my child receive an MMR shot early?

Some children who are traveling abroad can get an MMR shot as early as six months old, but it could still require two doses later. Parents should consult their pediatrician.

Handy added that there can be unusual circumstances; she gave the example of a parent with an 11-month-old traveling into a state or region with an outbreak for a social event like a wedding. That child is on the cusp of being old enough to receive the first dose of the MMR vaccine and may be able to get the shot early even though they’re not traveling abroad.

“That’s kind of the one-on-one conversation families will have to have with their care provider,” she said.

Swartzberg said that the most important thing a parent can do is make sure everyone who lives in or visits their home is vaccinated against measles.

“If someone is ill with a respiratory infection in the household, they should wear an N95

mask and stay away from the infant,” he added.

Children who have received their first MMR shot can receive the second as early as 28 days after the first dose, which may be the best option for people who live in or travel to outbreak areas or are traveling internationally. Handy said a second MMR dose helps individuals who may not have responded to the first dose. About 7 out of 100 people do not become immune after one dose; the second dose brings this down to 3 out of 100.

Handy again recommends that parents talk to their pediatricians about the best course of action. 

“Related to the immunization schedule, I think the most practical information that people should have is that the way it’s designed right now is to give your child the best protection at the earliest time we can safely give vaccines. And with that in mind, deviation from that should be the exception,” she said.

I’m an adult but I’m not sure about my vaccination status. How can I check if I’ve had the measles vaccine?

If you were born before 1957, you have immunity due to the natural spread occurring then. If you were born after 1957 and have access to your records, check these. Most individuals vaccinated after that time will be protected except for a group of people who received a certain type of vaccine prior to 1968. If you do not have access to your records, you can ask your doctor to check your immunity through bloodwork to see if you need a dose of the vaccine.

The MMR vaccine gives long-lasting protection. No booster is needed, including for parents of young children, said Dr. William Schaffner of Vanderbilt University.

“The vaccine is extraordinarily effective,” he said.

I’m pregnant. What should I know about measles? 

To date, most adults have received the MMR vaccine. A person who did not get the vaccine during childhood should make a plan to get it before they become pregnant by at least a month. If they do not, they should wait until after their pregnancy because the MMR vaccine is a live virus vaccine.

A tray of the MMR vaccine is seen at a vaccine clinic.
Children get the first MMR dose at 12-15 months (93% effective) and the second at 4-6 years, boosting immunity to 97%.
(Jan Sonnenmair/Getty Images)

Amid the declining rates of childhood vaccination and the measles outbreak, how should I discuss this topic with my family, friends and community if I’m not sure about their vaccination status?

Handy said that while she hopes parents and others make decisions about vaccination based on the science and one-on-one conversations with their health care providers, she knows people can be convinced to get vaccines because of their social groups. She encourages parents to have honest conversations with fellow parents.

“Help people realize, ‘This is important to me. This is what I do,’” she said. “A lot of people have a lot of questions, and they kind of want to understand what’s socially normal here.”

Handy said parents can also direct fellow parents to medical professionals.

“Recommend they talk with their health care provider to figure out, ‘Where’d you get that information? And how is that helping or potentially harming your child?’” she said. “Because your health care provider is keeping up on all of the science behind vaccines and kind of can help with myths or questions.”

Schaffner also encouraged open conversations between parents, particularly those having play dates. His biggest concern is in outbreak regions for now.

“You’re entitled to ask those other moms or dads, for that matter: ‘If your Susie wants to play with my Johnny, is your Susie vaccinated?’” he said.

Department of Health and Human Services Secretary Robert F. Kennedy Jr. has a history of anti-vaccine activism that came up during his Senate confirmation hearings What has he said about the outbreak?

Kennedy’s political ascension as a one-time presidential candidate and now as the head of the federal health department comes from a platform of promising to “Make America Healthy Again” through policy that purports to address children’s health issues. The messaging has resonated with some parents, while others are skeptical given Kennedy’s lack of formal medical and science training and years of anti-vaccine activism.

During his first public remarks on the Texas outbreak, Kennedy said measles outbreaks are “not unusual” — a description that drew criticism from some health experts because the number of cases related to this outbreak is particularly high. Kennedy also did not mention vaccination.

A few days later, Kennedy posted an op-ed where he more clearly acknowledged the severity of the outbreak and the need for vaccination.

“Parents play a pivotal role in safeguarding their children’s health. All parents should consult with their healthcare providers to understand their options to get the MMR vaccine. The decision to vaccinate is a personal one. Vaccines not only protect individual children from measles, but also contribute to community immunity, protecting those who are unable to be vaccinated due to medical reasons.”

There is a lot of information being shared online about vaccines. Where can I get factual information?

Handy recommended that parents review information available on the Vaccine Education Center at Children’s Hospital of Philadelphia, which provides information on vaccine science, including its safety. She also noted the American Academy of Pediatrics has guides on vaccination, as does the American Academy of Family Physicians.
“Parents can look to those sites and see, where are those organizations potentially diverging from some other messaging in MAHA?” she said. “We really should be looking to those who have spent decades, if not centuries, protecting children and rely on that information.”

This article first appeared on Mississippi Today and is republished here under a Creative Commons license.

Mississippi Today

Senate and House pass revised plans to eliminate income tax, increase gasoline tax

Published

on

mississippitoday.org – Michael Goldberg and Taylor Vance – 2025-03-18 18:17:00

The GOP-controlled House and Senate passed competing “compromise” plans on Tuesday to eliminate the state income tax and raise gasoline taxes — but the Senate only narrowly passed its plan with the help of four Democrats. 

The proposals advanced by each chamber continue a debate over the potential risks and rewards of drastically altering the tax structure in the poorest state in the country as federal spending cuts loom. 

Tuesday’s Senate vote raises the question of whether that chamber could pass a more aggressive income tax elimination proposal even if the Republican Senate leadership reaches and agreement with House leaders.

The legislative dynamics 

The state Constitution requires a three-fifths majority of lawmakers to approve tax bills, so if Democrats Sarita Simmons of Cleveland, Juan Barnett of Heidelberg, Gary Brumfield of Magnolia and Angela Turner Ford of West Point had not joined the Republican majority to support the measure, it would have failed. 

“You know what they call a medical school student who finished last in his class? A doctor,” Senate Finance Chairman Josh Harkins told reporters after the close vote. 

Only a couple of votes could have derailed the bill in the Senate because four Republican senators voted against the measure, and four Republicans voted “present.”

Harkins said the razor-thin margin shows how fragile the coalition of support is in the 51-member chamber and how there isn’t an enormous appetite to accelerate the income tax elimination rapidly as the House proposes. 

Some Democratic senators, including Minority Leader Derrick Simmons, appeared frustrated that four of their colleagues broke from them to ensure the measure’s passage.

“Time and time again, I’ve seen where (Democrats) have had the ability to exert our power, yet we have fallen short by not voting in solidarity with the working people of Mississippi,” Simmons told Mississippi Today. 

Ahead of a Tuesday evening deadline, the House also passed an updated version of its original tax reform package in a 91-27 vote, with 11 Democrats crossing party lines in the Republican-controlled chamber to support the bill. Unlike the Senate, every Republican in the House chamber has voted to eliminate the income tax. 

Debate centers on slashing state budget as federal cuts loom

Republican House Ways and Means Trey Lamar said the House proposal slashes state revenues to give working people tax cuts. 

“This bill is the most substantial tax cut for Mississippians that this state has ever known or seen,” Lamar said.  

House Democratic Leader Robert Johnson called the bill “grossly irresponsible” and “dangerous,” arguing it would hollow out the state’s budget at a time when the federal government is considering vast spending cuts to programs Mississippi relies on. 

“We are the poorest state in the union, the lowest per capita income in the country … They are getting ready to put you in a situation where it doesn’t matter how much money they put back in your pockets,” Johnson said. “Be cognizant of the fact that you elected people to come in here and gut your public services, gut your public education, gut your public safety and gut your public health.” 

Experts have told Mississippi Today that deep federal spending cuts, along with the elimination of the state income tax, could reduce Mississippi’s ability to fund services. Some also warn the shift to a more regressive form of taxation would hit poor and low-income Mississippians hardest.

Mississippi is perennially among the most federally dependent states, receiving nearly a 3-1 return for every dollar in federal taxes it pays. Both Republican and Democratic lawmakers have expressed fear of the economic impact of federal cuts.

The focus of future negotiations 

Now that the two chambers have passed alternative tax cut plans, six lawmakers will likely try to work out a final agreement in a conference committee. 

Going forward, the Senate is unlikely to accept a deal that increases the state sales tax and does not change the structure of the Public Employees Retirement System. The Senate is pushing a “hybrid” retirement plan to shore up the system financially by cutting benefits for future employees.

House Speaker Jason White said he plans to press the Senate to move off its “hard condition” of overhauling PERS. His caucus wants a dedicated stream of revenue for the retirement system. The House has proposed diverting most of the state’s lottery proceeds to PERS, or he suggested for the first time Tuesday that revenue from legalizing online sports betting could also help the system.

“The spot we’ve identified for additional revenue is mobile sports betting, where we’re losing to illegal gambling now,” White said. If (the Senate) wants to keep the amount of either gas tax or sales that has to be raised to offset this income tax (cut), then we should look at that as a valid place to look.” 

Legalizing mobile sports betting has been another wedge between the chambers. The House has passed legislation this session to legalize the practice but the measure faces opposition in the Senate.

A look at the latest tax proposals  

The new House Plan would:

  • Fully eliminate the state income tax by 2037. The elimination would begin phasing in after the state next year finishes implementing another income tax cut it approved in 2022. The phase-in period would take a decade, beginning with a reduction from 4% to 3.5% and then lowering further from there.
  • Cut about $2.2 billion from the state’s current $7 billion general fund. The state would also raise about $750 million through tax increases. But much of collected through tax increases would go to the general fund.
  • Increase the state’s net sales tax from 7% to 8%. The revenue from this tax increase would provide $48 million annually to pay for infrastructure improvements via the State Aid Road Fund. The remaining money would go into the state’s general fund.
  • Add a new 15-cents-a-gallon excise tax on gasoline. The tax increase would be phased in at 5 cents a year over three years. This would be added to the current 18.4-cents-a-gallon excise Mississippi motorists currently pay.
  • Cut the sales tax on groceries from 7% to 5%.
  • Increase the state’s “use yax,” which is imposed on goods purchased outside the state or online, from 7% to 8%.
  • Create a new fund that gives those over the age of 65 property tax credits of $200 a year. The fund would be paid for by revenue from the use tax increase referenced above.
  • Transfer $100 million per year from the state lottery system into the public employee retirement system. 

The new Senate plan would: 

  • Decrease the 4% income tax rate by .25% each year from 2027 to 2030 and leave it at 3% in 2030.
  • After it reaches 3%, the income tax would be reduced with “growth triggers” or at a proportional rate depending on the difference between the state’s revenue and spending plans that year. 
  • Reduce the sales tax on groceries from 7% to 5%.
  • Increase the 18.4-cents-a-gallon gasoline tax by 9 cents over three years, for a total of 27.4 cents, then this would increase automatically based on the cost of road construction.
  • Change benefits for government employees hired after March 2026 to a “hybrid” retirement that includes part-defined benefit and part-defined contribution.

This article first appeared on Mississippi Today and is republished here under a Creative Commons license.

Continue Reading

Mississippi Today

Doctors, advocates rally at Capitol: ‘Defend and expand Medicaid’

Published

on

mississippitoday.org – Sophia Paffenroth – 2025-03-18 15:16:00

Dozens of advocates, doctors and spiritual leaders gathered outside the Capitol Tuesday to call for the “defense and expansion of Medicaid.” 

“Medicaid is not just an insurance program – it is a lifeline for 707,000 Mississippians,” said Sonya Williams Barnes, the state policy director for Southern Poverty Law Center. “Medicaid ensures that 315,000 children receive the health care they need … Make no mistakes: A cut to Medicaid directly harms our most vulnerable.”

Despite having some of the strictest eligibility requirements for the program, Mississippi has one of the largest Medicaid populations in the country as a result of the state’s poverty. 

With federal changes threatening already-existing health care programs, defending Medicaid for vulnerable groups such as those who are pregnant, elderly or disabled has become the new goal  for Mississippi advocates. Expanding Medicaid – arguably the biggest issue of the historic 2024 legislative session – has taken a backseat. 

But some urge it’s as important as ever. 

“In this moment we cannot shift gears, after all these years, and only beg our elected officials to save Medicaid,” the Rev. Jason Coker said. “We can’t give up that ground at a moment when we need to be gaining ground. We’ve got to keep pushing for Medicaid expansion, while we demand and pray for Medicaid to continue uncut.” 

Key lawmakers have said expanding Medicaid in Mississippi is all but dead this year – though a vehicle for expansion is still alive in the Legislature. 

“In a most practical sense, I’d say we probably won’t be doing anything this year,” Senate Medicaid Chairman Kevin Blackwell told Mississippi Today.

Mississippi is one of 10 states not to expand Medicaid, which would give health insurance to hundreds of thousands of low-income working Mississippians who can’t afford private health insurance and don’t qualify for subsidies that make marketplace insurance affordable.

“What kind of society are we to compound suffering with catastrophic costs to those in our congregations and so many across our state who fall within that coverage gap?” Coker asked. 

Dr. Randy Easterling, former president of the Mississippi State Medical Association, recounted a story of an uninsured patient who was diagnosed with multiple myeloma, a kind of cancer, around the same time that Easterling’s insured relative was also diagnosed with the disease. The uninsured patient, Jimmy, died, while Easterling’s relative is now in remission. 

“Is this what we boil down to?” Easterling asked. “If you have insurance, you live, if you don’t, you die? Let me tell you something, folks: That’s not what I signed up for when I went to medical school.”

This article first appeared on Mississippi Today and is republished here under a Creative Commons license.

Continue Reading

Mississippi Today

Mayor Simmons: Greenville aims to be city of hope and opportunity

Published

on

mississippitoday.org – Errick Simmons – 2025-03-18 13:49:00

Mayor Simmons: Greenville aims to be city of hope and opportunity

Editor’s note: Errick Simmons is the third-term mayor of Greenville. This article is part of an ongoing Mississippi Today Ideas series showcasing perspectives of mayors across the state.


As mayor of Greenville, it’s my honor to share our city’s journey of growth and transformation. Greenville isn’t just a point on a map — it’s a vibrant community with a rich history, culture and shared vision for the future.

With billions of dollars in investments flowing into Greenville, including the recent $1.2 billion Entergy project, we’re witnessing the dawn of a new era. These milestones are creating opportunities across education, healthcare, infrastructure and economic development, fueling a Greenville that’s resilient, inclusive and built to last.

Historic investments reshaping Greenville

Greenville is seeing an unprecedented wave of investment that touches every corner of our community. In addition to a new federal courthouse positioning Greenville as a judicial hub, we’ve launched the Greenville Kearns Aerospace Maintenance (GKAM) program. In partnership with Mississippi Delta Community College, this initiative provides local students with hands-on aviation training, opening pathways to high-paying, skilled careers right here at home.

Through Mississippi’s first formalized college network — the Greenville College Access and Attainment Network (GCAAN) — we’re helping students move from high school to college with the support, resources and mentorship they need.

Greenville Mayor Errick Simmons

This past fall, we celebrated the groundbreaking $1.2 billion Entergy investment, which will transform Greenville, Washington County and the greater Delta region. Entergy’s new combined-cycle combustion turbine facility will use dual-fuel technology, primarily natural gas with hydrogen blending capability, enhancing energy reliability while moving toward cleaner power. Scheduled for completion in 2028, this plant will be Entergy’s first newly built natural gas station in 50 years and is expected to bring valuable jobs to our residents.

To add another billion-dollar icing on the cake, the Kinder Morgan Mississippi Crossing Project, a $1.4 billion natural gas project, is designed to transport 1.5 billion cubic feet of natural gas per day from Greenville to Butler, Alabama, with a planned operation date of November 2028. This project will create 700 temporary construction jobs.

Health and food access for a thriving community

Beyond economic development, we’re prioritizing health and food security, recognizing that wellness is foundational to a thriving community. Through partnerships with Mars Food, Molina Healthcare and Kroger, we’re expanding access to nutritious foods, addressing food deserts, and ensuring every Greenville resident has healthy options.

In healthcare, Delta Health System’s Mississippi Delta Family Residency Program and Delta Health Center’s new clinic are not only providing much-needed medical services but also training future medical providers who are passionate about serving right here in the Delta. This work is about more than access; it’s about building equity in the health of our community.

A resilient infrastructure for Greenville’s future

Our infrastructure investments are reshaping Greenville. With $260 million invested in the Greenville Freight Corridor, we’re creating new efficiencies for local businesses and industries. We’ve committed $92 million for essential road, bridge and wastewater repairs, and an additional $50 million in funding is supporting flood recovery and building resilience against future disasters. These projects go beyond routine repairs; they’re about Greenville’s long-term sustainability and strength.

Delta culture shines in the “City of Festivals”

Greenville’s heritage is a source of pride, celebrated through an array of festivals that showcase the best of Delta culture. Newly dubbed the “City of Festivals,” Greenville is home to the Delta Hot Tamale Festival, (2024 USA Today No. 1 Specialty Food Festival); the Mississippi Delta Blues & Heritage Festival (world’s longest running blues festival), and a host of newer festivals and events. These gatherings draw thousands of national and international visitors and embody the unique community spirit that makes Greenville special. Our partnership with Viking River Cruises is another significant achievement, bringing tourists annually to experience our history, music and culinary traditions.

Business boom and community recognition

Our city’s economic resurgence extends to our business community. Greenville has seen record-breaking business openings, including national brands like NuFarm, Hobby Lobby, Chick-fil-A and Tru by Hilton, along with a boom in small, women-owned and minority-owned businesses. This growth reflects Greenville’s welcoming climate for entrepreneurs and business leaders who are breathing new life into our local economy.

Greenville’s commitment to creating a livable, family-friendly city has gained national recognition. We were honored with the City Livability Achievement Award from the U.S. Conference of Mayors for our “Worship on the Water” initiative, which fosters community connections, and the National Child Well-Being Champion Award from FoodCorps, highlighting our commitment to food education in schools. As chair of the Southern Municipal Conference, I am privileged to help lead conversations around solutions to shared challenges across Southern cities, driving positive change for the Delta and beyond.

Greenville’s global advocacy for the Mississippi River

As mayor of Greenville, I have the privilege of placing our city on the global stage, advocating for the Mississippi River’s significance to global food security, trade and climate resilience. Recently, I delivered a “TED Talk” style presentation at the U.S. Chamber of Commerce during the Building Resilience Conference in Washington, D.C. I addressed executives from Fortune 500 companies and federal agency representatives about the resilience-at-scale work cities are undertaking along the Mississippi River.

Together with 104 bipartisan mayors, we are collaborating with Ducks Unlimited to deploy 100,000 acres of nature-based infrastructure. This advocacy continues at international forums, such as COP26 in Glasgow, COP27 in Egypt and COP28 in Dubai, where I represented Greenville alongside mayors from around the globe, urging global investment in the Mississippi River Basin, which spans 10 states.

This collaborative work with local and international partners is essential for both food security and water quality. By highlighting the importance of the Mississippi River, we are not only advocating for our community but also positioning Greenville as a key player in the global conversation around sustainable development and climate resilience.

Greenville: A community that moves forward together

I invite you to see the progress happening in Greenville — a city bridging its rich past with a promising future. From our investments in cleaner energy and resilient infrastructure to the growth of new businesses and cultural festivals, Greenville embodies the spirit that is our Delta heritage. This is a community where opportunity meets ambition, and where every project, partnership and celebration is part of a larger story — a story of a Delta city with a legacy as rich as its future is bright.

Our journey is ongoing, but every day, I see Greenville becoming a place of hope and opportunity. We’re not just building for today; we’re building for generations to come, with Greenville as a model of what a city can achieve with vision, determination and the strength of its people.

This article first appeared on Mississippi Today and is republished here under a Creative Commons license.

Continue Reading

Trending