Domestic Measles Outbreak
As of April 2, CDC reports 1,671 confirmed measles cases in the first quarter of 2026. In comparison, throughout 2025, 2,286 measles cases were reported in the United States. So far, 32 states reported measles cases in 2026. Virginia has reported twenty cases of measles in 2026, eleven of which are among children 0-4 years of age. Here is a link to Virginia specific measles resources: Virginia Department of Health - Measles
Vaccination Coverage - MMWR March 26, 2026
CDC published Vaccination Coverage by Age 24 Months Among Children Born in 2021 and 2022—National Immunization Survey-Child, United States, 2022–2024 on March 26 in MMWR. Key points from the abstract appear below.
- Declines in coverage of 1–2 percentage points were observed for childhood vaccination with Hib, the birth dose of HepB, ≥4 doses of pneumococcal conjugate vaccine, and rotavirus vaccine
- Coverage with at least two doses of influenza vaccine by age 24 months decreased substantially from 61.0% among children born during 2019–20 to 53.5% among those born during 2021–22, and varied widely by jurisdiction
- Coverage was substantially lower among VFC program–eligible children than among those who were not VFC-eligible and varied widely by jurisdiction
- Compared with non-Hispanic White children, coverage with many vaccines was lower among non-Hispanic Black or African American and Hispanic or Latino children; coverage was highest among non-Hispanic Asian children
- Coverage was lower among children living in poverty and those living in more rural areas
Virginia’s vaccination coverage for children aged 24 months remains high overall, but modest declines are observed across most vaccines when comparing 2019–2020 to 2021–2022 birth cohorts.
Work is needed to improve coverage to address these declines and disparities in early childhood vaccination. Improving coverage among groups and in areas in which rates declined will more effectively protect children from vaccine-preventable morbidity and mortality.
Access the MMWR article in HTML or PDF
Respiratory Season
Nationally, the amount of acute respiratory illness causing people to seek health care is very low.
RSV activity started later than expected in most regions of the United States, though illness is not more severe compared with recent seasons. Emergency department visits in Virginia for RSV are low and decreasing. Community viral activity in Virginia for RSV is very low (measured through wastewater testing).
COVID-19 activity is low in most areas of the country.
Influenza activity continues to decrease. Influenza A activity is low across all regions and influenza B activity continues to trend downward.
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