Logo of Johns Hopkins Bloomberg School of Public Health with shield icon, alongside text reading “Center for Health Security” on a light background.
AVIAN INFLUENZA A(H5)LOW
DENGUELOW
DISEASES AND PATHOGENS OF CONCERNLOW
MEASLESLOW-MODERATE
MPOXLOW-MODERATE
RESPIRATORY ILLNESSLOW
AVIAN INFLUENZA A(H5)LOW
DENGUELOW
DISEASES AND PATHOGENS OF CONCERNLOW
MEASLESLOW-MODERATE
MPOXLOW-MODERATE
RESPIRATORY ILLNESSLOW
AVIAN INFLUENZA A(H5)LOW
DENGUELOW
DISEASES AND PATHOGENS OF CONCERNLOW
MEASLESLOW-MODERATE
MPOXLOW-MODERATE
RESPIRATORY ILLNESSLOW
AVIAN INFLUENZA A(H5)LOW
DENGUELOW
DISEASES AND PATHOGENS OF CONCERNLOW
MEASLESLOW-MODERATE
MPOXLOW-MODERATE
RESPIRATORY ILLNESSLOW
AVIAN INFLUENZA A(H5)LOW
DENGUELOW
DISEASES AND PATHOGENS OF CONCERNLOW
MEASLESLOW-MODERATE
MPOXLOW-MODERATE
RESPIRATORY ILLNESSLOW
AVIAN INFLUENZA A(H5)LOW
DENGUELOW
DISEASES AND PATHOGENS OF CONCERNLOW
MEASLESLOW-MODERATE
MPOXLOW-MODERATE
RESPIRATORY ILLNESSLOW
AVIAN INFLUENZA A(H5)LOW
DENGUELOW
DISEASES AND PATHOGENS OF CONCERNLOW
MEASLESLOW-MODERATE
MPOXLOW-MODERATE
RESPIRATORY ILLNESSLOW
AVIAN INFLUENZA A(H5)LOW
DENGUELOW
DISEASES AND PATHOGENS OF CONCERNLOW
MEASLESLOW-MODERATE
MPOXLOW-MODERATE
RESPIRATORY ILLNESSLOW

National Study of Public Measles Exposures (2025)

Overview

CORI leading a national study to better understand how measles spreads in public settings—and how health departments can respond more effectively.

Why is this important?

When someone with measles visits a public place, health departments must act quickly to identify and notify people who may have been exposed. This process can be time- and resource-intensive, especially during large outbreaks.

However, there is limited data on how often these public exposures actually lead to additional cases. This makes it difficult for health departments to prioritize efforts and use resources efficiently.

What does this study accomplish?

This study brings together data from across the United States to:

  • Understand when public exposures lead to transmission
  • Identify patterns and risk factors
  • Provide evidence to improve outbreak response

CORI is working with health departments nationwide to collect and validate data from 2025 measles exposure events. All data are de-identified and securely shared.

How it works 

  • Collect data: Compile information on measles cases and public exposure events from public sources
  • Validate data: Partner with health departments to confirm details and fill gaps
  • Analyze patterns: Identify when and where transmission occurs
  • Share findings: Publish results to inform public health practice

Impact

  • Findings from this study will help:

    • Improve how health departments respond to measles exposures
    • Support more efficient use of contact tracing resources
    • Inform future public health guidance
    • Strengthen data standards for outbreak response

What have we learned so far? 

  • As of December 5, 2025, there have been at least 46 outbreaks in the United States this year.
  • Outbreak duration and scale varied considerably: Among seven local health departments studied, outbreaks lasted an average of 72 days, ranging from 26 to 131 days. On average, outbreaks involved 9 cases and 211 contacts, with case counts ranging from 2 to 19 and contacts ranging from 11 to 357 per outbreak.
  • Immunization record access was inconsistent: The availability of immunization records for cases and contacts per outbreak ranged from 0% to 96%, with an average of 65%, indicating significant data gaps in some jurisdictions.
  • Contact notification within 72 hours was challenging: On average, 55% of contacts were notified within 72 hours of exposure when measured from the identification date.
  • Staffing requirements were substantial and variable: Personnel involved in outbreak response ranged from 7 to 49 people, with total staff hours ranging from under 200 to nearly 10,000 hours, demonstrating that even small outbreaks required significant workforce mobilization.
  • Financial costs were considerable: Estimated outbreak response costs ranged from $26,313 to $300,000, with one jurisdiction spending $3,830 on overtime alone, highlighting the significant economic burden on health departments regardless of outbreak size.

How can you help?

Could not find activated Gravity Forms plugin on your website: https://cori.centerforhealthsecurity.org
CORI logo
Center for Outbreak Response Innovation
Advancing outbreak response through innovation, analytics, education, and research collaboration.
Stay Connected
Get the latest outbreak insights and research updates.
Logo of Johns Hopkins Bloomberg School of Public Health with shield icon, alongside text reading “Center for Health Security” on a light background.

The Center for Outbreak Response Innovation is supported through Cooperative Agreement NU38FT000004 between CDC’s Center for Forecasting and Outbreak Analytics and Johns Hopkins University’s Bloomberg School of Public Health.

© 2025 Center for Outbreak Response Innovation. All rights reserved.