Measles resurges, and hospitals confront a learning curve after years without cases

Hospitals across the U.S. are re-encountering measles, with Mission Hospital in Asheville failing to isolate two infected twins promptly, exposing at least 26 people and drawing CMS Immediate Jeopardy sanctions. Many clinicians have never seen measles, making diagnosis and isolation difficult; outbreaks in North and South Carolina and Texas threaten measles elimination status. Health workers rely on the three Cs—cough, coryza, conjunctivitis—and CDC isolation-room guidance, while clinics pre-screen patients and advocate vaccination amid debates over federal messaging and vaccine policy. Public health officials warn of uneven immunization, with local schools showing gaps, and urge expanded vaccination to curb spread.