A measles outbreak in West Texas and neighboring counties in New Mexico has grown into the largest in 30 years, with cases now identified in multiple other states. Although measles is often considered a childhood disease, adults, including peri-menopausal and menopausal women, should take this outbreak seriously—especially if they are unsure of their vaccination status.
The Growing Measles Outbreak
As of last Friday, almost 200 confirmed cases have been reported in West Texas, with 30 more in New Mexico. One child and one adult have died in the outbreak, and more than 20 people have been hospitalized. Public health officials estimate the actual number of cases could be much higher due to non-reporting of milder cases. The CDC confirmed smaller numbers of cases in Alaska, California, Florida, Georgia, New Jersey, New York City, Pennsylvania, Rhode Island, and Washington, raising concerns about further transmission. Notably, until vaccination rates recently dropped, measles was consider eliminated in the US in 2000. Measles is highly contagious and spreads through respiratory droplets from coughing and sneezing. An estimated 9 out of every 10 people who are susceptible will get the virus if exposed The virus can linger in the air for up to two hours, making exposure easy in shared public spaces.
Why Peri-Menopausal and Menopausal Women Should Pay Attention
Many women in their 40s, 50s, and beyond may assume they are immune to measles, but this isn’t always the case. Immunity depends on when and how you were vaccinated or if you had measles as a child. Women in this age group who are caring for grandchildren, traveling, working in healthcare or education, or living in congregate spaces may have a higher risk of exposure.
Are You Protected? Understanding MMR Immunity
The measles, mumps, and rubella (MMR) vaccine - one dose provides 93% and two doses provide up to 98% - is the best protection. The CDC advises that:
People born before 1957 are assumed to have natural immunity because measles was widespread before vaccines were available so no additional vaccine is necessary.
If you were vaccinated between 1963-1968, you may have received a less effective killed-virus vaccine. In this case, the CDC recommends getting at least one dose of the modern live vaccine.
If you were vaccinated between 1968-1989, you likely received only one dose, rather than the now-standard two doses.
Those at higher risk, including international travelers, caregivers (including grandparents), students and teachers, healthcare workers, and those who live or in close contact with immunocompromised people should ensure they have received two doses for full protection.
What If You’re Unsure of Your Vaccination Status?
If you don’t have a record of your vaccination(s) or are unsure whether you need a booster, it’s safe to get an additional MMR dose rather than undergoing antibody testing. Talk with your doctor.
Symptoms and Risks of Measles for Adults
Measles is more severe in adults than in children, potentially leading to:
High fever (103°F or higher)
Cough, runny nose, red watery eyes
Rash that spreads from the face downward
Severe complications, including pneumonia, brain swelling, and hospitalization
For women in midlife, measles can also be especially risky if you have a weakened immune system due to conditions like autoimmune diseases, chronic illness, or take immunosuppressive medications.
Who Should NOT Get the MMR Vaccine?
Most people can safely receive the MMR vaccine, but it is not recommended for:
Pregnant women (vaccination should occur before conception or after delivery)
Individuals with severely compromised immune systems (such as those undergoing chemotherapy)
Those with a severe allergy to vaccine ingredients (e.g., gelatin or neomycin)
Protecting Yourself and Your Loved Ones
If you are a caregiver to young children who are too young to be vaccinated, your protection is even more critical. Infants (and those who are immunocompromised) rely on community immunity to stay safe. Here’s what you can do:
Ensure your own MMR vaccination is up to date
Encourage family members to check their immunity status
Practice good hygiene, such as frequent handwashing
Limit exposure to crowded areas if cases are rising in your area
Disinfect surfaces regularly
The Bottom Line
With measles cases spreading beyond Texas, now is the time for menopausal women to check their immunity status. If you’re unsure, talk to your healthcare provider about getting an MMR booster to ensure you’re fully protected. As we age, our immune system changes, and staying up to date on vaccinations can help safeguard our health—and the health of our families.
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