Two measles-associated deaths in Pennsylvania spark a discussion about misinformation, reporting, and the threat to measles elimination. The conversation examines evidence behind COVID, flu, and RSV vaccines, when to schedule seasonal shots, and shifting respiratory-virus activity. It also explores Ebola vaccine strategy in the DRC, West Nile prevention, and the pioneering legacy of school nursing.
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CIDRAP’s Mission Is People Not A Place
Osterholm credits CIDRAP’s 25-year impact to committed people who translate infectious-disease research into decisions for professionals and the public.
He also dedicates the episode to 9/11 victims and responders suffering long-term illness from toxic World Trade Center dust.
insights INSIGHT
Why Measles Deaths Became A Political Dispute
Pennsylvania’s measles-associated infant deaths became politicized because officials lacked a settled system for adjudicating measles fatalities.
Osterholm says measles virus was identified in one infant’s lungs, making expert assessment of its contribution essential while protecting family confidentiality.
insights INSIGHT
Under-Vaccinated Pockets Drive Measles Resurgence
Measles spreads rapidly when local vaccination coverage falls below the roughly 95% protection threshold, regardless of the season.
Osterholm compares emerging U.S. outbreaks with Canada’s 5,400 cases in 2025 and warns that similar U.S. rates could approach 50,000 cases.
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<p dir="ltr">This past August, Pennsylvania announced two measles-associated deaths in unvaccinated residents, marking the first measles deaths in the state in thirty-five years. This week, hosts Chris Dall and Dr. Micheal Osterholm discuss the two deaths and the controversy surrounding them. They'll also highlight takeaways from the independent review of COVID, flu, and RSV vaccines by CIDRAP's Vaccine Integrity Project, answer a listener’s question about the timing of COVID and flu shots, provide an update on the Ebola outbreak in the Democratic Republic of Congo, and share a special dedication for the 25th anniversary of CIDRAP.<br><br><strong>Links:</strong></p>
<p dir="ltr"><a href="https://pauloffit.substack.com/p/making-sense-of-lancaster-countys">Making Sense of Lancaster County’s Controversial Coroner</a> (Paul Offit’s Substack <em>Beyond the Noise</em>)</p>
<p dir="ltr"><a href="https://www.theatlantic.com/health/2026/08/pennsylvania-measles-infant-death-family/688469/">The Measles-Stricken Mother Who Lost Her Newborn Son</a> (<em>The Atlantic</em>) <br><br><a href="https://www.cidrap.umn.edu/measles/cidrap-op-ed-died-not-was-real-covid-problem-it-s-wrong-framework-measles">Op-Ed: ‘Died with, not from’ was a real COVID problem. It’s the wrong framework for measles.</a><strong> </strong>(CIDRAP)<br><br><a href="https://www.ama-assn.org/amaone/vaccine-recommendations">Respiratory Virus Season Immunization Recommendations</a> (American Medical Association)<br><br><a href="https://vaxintegrity.cidrap.umn.edu/2026-27-respiratory-season-evidence-review">Vaccine Integrity Project's 2026-27 Respiratory Season Evidence Review</a> (CIDRAP)</p>
<p dir="ltr"><br>Resources for vaccine and public health advocacy:</p>
<p><a href="https://www.voicesforvaccines.org/get-involved/"><strong>Voices for Vaccines</strong></a></p>
<p><a href="https://familiesfightingflu.org/take-action/"><strong>Families Fighting Flu</strong></a></p>
<p><a href="https://vaccinateyourfamily.org/get-involved/"><strong>Vaccinate Your Family</strong></a></p>
<p><a href="https://shotatlife.org/take-action/"><strong>Shot@Life</strong></a></p>
<p><a href="https://aspr.hhs.gov/MRC/Pages/index.aspx"><strong>Medical Reserve Corps</strong></a></p>
<p>Learn more about the <a href="https://www.cidrap.umn.edu/vaccine-integrity-project"><strong>Vaccine Integrity Project</strong></a></p>
<p><a href="https://www.cidrap.umn.edu/covid-19/osterholm-update-covid-19"><strong>MORE EPISODES</strong></a> </p>
<p><a href="https://www.cidrap.umn.edu/support-cidrap"><strong>SUPPORT THIS PODCAST</strong></a></p>
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<p><strong>Music:</strong></p>
<p>"Beauty Flow" Kevin MacLeod (incompetech.com)<br>Licensed under Creative Commons: By Attribution 4.0 License</p>