A major measles outbreak is testing public health systems, community trust, and the power of vaccination. In this episode, Dr. Brannon Traxler, ASTHO member and Deputy Director of Health Promotion and Services & Chief Medical Officer, South Carolina Department of Public Health, shares the latest update on the state’s response, with nearly 1,000 confirmed cases since October 2025. She explains why vaccination remains the cornerstone of outbreak control, how rapid case identification and contact tracing are helping to slow transmission, and what health officials are learning about spread within large, close-knit households. Then, Heather Tomlinson, Senior Analyst of Environmental Health at the Association of State and Territorial Health Officials, breaks down the growing presence of kratom in U.S. markets. She explains its traditional use in Southeast Asia, how modern products differ from natural leaf preparations, and why highly concentrated or synthetic compounds are raising new health concerns. With federal guidance still evolving, states are developing a patchwork of policies—offering lessons for how public health can respond to emerging psychoactive substances.

1076: Measles, Misinformation, and Modern Supplements: Public Health on the Front Lines