Why Should I Trust You?

Measles in America: Who Actually Are the Unvaccinated? A Conversation w Health Workers from Spartanburg, SC and West Texas

Mar 12, 2026
Dr. Catherine Wells, Lubbock public health director who led West Texas response; Dr. Robin LaCroix, pediatric infectious disease expert from Prisma Health; Dr. Stuart Simko, frontline pediatrician in Greer. They discuss who is unvaccinated, community profiles behind hesitancy, clinical care and severe measles cases, outreach strategies with trusted local workers, and tensions between public health tactics and compassionate communication.
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INSIGHT

Clustered Low Vaccination Created A Perfect Storm

  • Spartanburg's outbreak centered in one county with multiple low-vax pockets, letting measles jump between schools and public places.
  • A Slavic/refugee community plus rising religious exemptions (≈10% in county) created gaps below 95% herd immunity.
INSIGHT

Measles Harms Are Substantial And Quantified

  • Measles carries serious risks: high hospitalization rates, pneumonia, encephalitis, death, and long-term immune amnesia.
  • For unvaccinated people one in five hospitalized, one in 20 get pneumonia, and 1–3 per 1,000 children may die.
ANECDOTE

Severe Illness Opened The Door To Vaccination

  • Dr Robin LaCroix described converting a hesitant mother after her child had severe pneumococcal pneumonia and required ventilator and chest tubes.
  • That clinical crisis let LaCroix explain vaccine prevention and the mother went on to vaccinate her children.
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