Recent reports from Pennsylvania highlight two measles-related deaths, sparking a debate over additional contributing factors. The Pennsylvania Department of Health (DOH) confirmed these ‘measles-associated’ fatalities, noting both individuals were unvaccinated. This marks the state’s first such deaths in 35 years.
One reported case involved a newborn from Lancaster County. The county coroner, Dr. Stephen Diamantoni, stated that the infant died post-birth from a lacerated spleen, also testing positive for congenital measles.
The DOH explained that the term ‘measles-associated’ indicates laboratory or epidemiologic evidence of measles, regardless of its identification as the immediate cause of death by medical examiners.
Measles can cause spleen enlargement and, in rare instances, rupture. Dr. Marc Siegel emphasized that pregnant women and infants are at high risk for serious complications.
Questions arose courtesy of HHS Secretary Robert F. Kennedy Jr., who doubted the sufficiency of information shared by Pennsylvania officials about these deaths. Kennedy suggested that there were inconsistencies in the reports, claiming the deaths could be fabricated.
“The announcement appears to have been premature,” Kennedy wrote, disputing the reports and accusing Gov. Josh Shapiro’s office of using these reports for misinformation.
At a recent press conference, Gov. Shapiro underscored the ‘real-life consequences’ of misinformation about measles vaccination. The CDC responded by indicating plans to investigate discrepancies in the reports.
Pennsylvania Health Secretary Dr. Debra Bogen countered CDC claims, affirming the death reports were forwarded to the agency’s response team. She confirmed that both victims tested positive for measles after investigations by state epidemiologists.
Lancaster County Commissioner Josh Parsons expressed doubts about the evidence attributing the deaths to measles, citing county coroner feedback.
Dr. Siegel explains ‘measles-associated’ deaths as those where the virus compromises the immune system and increases pneumonia risks. Specialists assess whether measles or a secondary infection was the death’s contributing factor.
Currently, Lancaster County is central to Pennsylvania’s measles outbreak, with 424 confirmed cases and 73 hospitalizations reported.

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