Measles has been reported in nearly all Midwestern states. What's the risk in Wisconsin?
With nearly all of Wisconsin's neighboring states now reporting cases of measles, threat of an outbreak in the state is growing, public health officials say.
So far, Wisconsin has not reported any measles cases in 2025. Last year, the state's only recorded case was in a Dane County adult, who has believed to have contracted the disease after traveling to another state. The state's last major outbreak was between 1989 and 1990, totaling more than 1,600 cases.
However, as summer travel ramps up, an outbreak may not be far behind in Wisconsin, according to Stephanie Schauer, immunization program coordinator for the Wisconsin Department of Health Services. As of May 8, the U.S. has logged more more than 1,000 measles cases across 31 states — compared to 285 cases in all of 2024, per the Centers for Disease Control and Prevention.
Due to the highly contagious nature of the virus, it sometimes only takes one travel-related case to cause an outbreak across an entire community, Schauer said.
'Just staying six feet away from someone won't really do it," she added. "Measles can stay suspended up in the air for up to two hours, so you can come into a space where there was a case of measles, and the person could have left an hour ago, but you could still contract the disease.'
As cases continue rising nationally, here's how to best protect yourself from measles in Wisconsin.
A surge in summer travel, rising cases in the Midwest and low vaccination rates for the measles, mumps and rubella, or MMR, vaccine statewide could all make for a major measles outbreak in Wisconsin, Schauer said.
As of May 14, Minnesota, Michigan and Illinois had all reported between one and nine cases of measles in 2025, according to the CDC. In late April, Illinois officials confirmed a case in an adult who had traveled through Chicago O'Hare International Airport, a major connecting airport for Wisconsinites traveling outside the region.
Though Wisconsinites traveling domestically to places with outbreaks — such as Texas, which has seen 600 cases alone — should still get up-to-date on vaccines, Schauer said international travel is the greatest risk factor for measles.
"Many of the recent cases are linked to international travel," she said. "We see an increased risk anytime folks are traveling, especially with measles circulating in several areas of the world, including Canada, Mexico, Europe."
If a traveler does bring measles back to Wisconsin, Schauer said there are "pockets throughout the whole state" that are under-vaccinated and vulnerable to the disease. About 90% of unvaccinated people who are exposed to measles end up contracting it, and one in five unvaccinated people who get measles end up needing hospitalization, according to the CDC
'For cases to not turn into more of an outbreak, you need about 95% of people in a given community protected," Schauer said. "That's pretty high, and we certainly have communities where it's much lower."
In the 2023-24 school year, only about 84.8% of Wisconsin kindergartners were up-to-date on the MMR vaccine, one of the lowest vaccination rates nationwide, according to CDC data. Young children are at much higher risk of developing severe symptoms or even dying from measles.
As of 2024, DHS reported that 81.4% of 24-month-olds in Wisconsin have received at least one dose of the MMR vaccine — compared to more than 90% nationally. The western region of the state had the lowest MMR vaccination rates, particularly Clark (49.8% vaccination), Vernon (44.3%) and Crawford (61%) counties.
In Milwaukee, MMR vaccination rates for 24-month-olds were slightly below the state level at 83.5%. That's an improvement from lagging vaccination rates during the pandemic, but still a downtick from 87.7% in 2016.
'The MMR vaccination rate for children has been declining over the last ten years," Schauer said. "We're not nearly as high as we need to be.'
In general, health officials say the following people should get the MMR vaccine:
Adults and older children without proof of immunity should get at least one dose, or if they wish, two doses at least 28 days apart. Adults born in the U.S. before 1957 are considered immune.
Infants between 12 and 15 months should get one dose.
Children between 4 and 6 years should get a second dose. Two doses of the vaccine are 97% effective in preventing measles.
For people traveling internationally, the recommendations are slightly different, due to increased risk of contracting the disease.
Anyone without proof of immunity should get fully vaccinated with two doses, separated by at least 28 days. That includes adults, children and adolescents.
Infants between 6 and 11 months can get their first MMR dose early if traveling internationally. They should then still get two doses after their first birthday (typically one dose at 12 months and a second at 4 to 6 years).
If traveling internationally, Schauer said people should try to get fully vaccinated at least two weeks before travel, so the body has time to build up immunity. If you've been exposed to measles, you should try to get vaccinated within 72 hours of exposure to reduce risk of infection.
Schauer added that MMR vaccine has been continually monitored for safety and efficacy since it was first administered more than 50 years ago. To date, more than 575 million doses of the vaccine has been administered globally.
"We want parents to feel reassured that this is a vaccine that can provide protection," she said. "Your grandparents may have received this, then your parents, and now it's time to make sure that your children are protected or that you are protected.'
The MMR vaccine is available at area doctor's offices or clinics, local health departments, and some local pharmacies. Locate vaccine providers near you using vaccines.gov.
If you do not have health insurance, or your insurance may not cover vaccines, the state's Vaccines for Children and Vaccines for Adults provides free vaccines.
If you are unsure of your vaccine history, you can check it on the Wisconsin Immunization Registry.
This article originally appeared on Milwaukee Journal Sentinel: What's the risk of measles in Wisconsin in 2025?
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