Canada is no longer measles-free because of ongoing outbreaks, international health experts said Monday, as childhood vaccination rates fall and the highly contagious virus spreads across North and South America.
The loss of the country’s measles elimination status comes more than a year after the highly contagious virus started spreading.
Canada has logged 5,138 measles cases this year and two deaths. Both were babies who were exposed to the measles virus in the womb and born prematurely.
Measles elimination is a symbolic designation, but it represents a hard-won battle against the infectious disease. It is earned when a country shows it stopped continuous spread of the virus within local communities, though occasional cases might still pop up from travel.
Measles typically begins with a high fever and also causes a rash on the face and neck. While most people who get measles recover, it’s one of the leading causes of death among young children, according to the WHO.
Serious complications, including blindness and a swelling of the brain, are more common in young children and adults over age 30.
Canada eliminated measles in 1998, followed by the United States two years later. After hugely successful vaccination campaigns, the Americas became the first region in the world to be free of measles in 2016. Health officials estimate the measles vaccine prevented 6.2 millions deaths in the Americas between 2000 and 2023.
But vaccination rates have since slipped across the Americas, falling below the 95% coverage rate needed to stop outbreaks. Large outbreaks in Venezuela and Brazil in 2018 and 2019 cost the region its elimination status. It was reclaimed in 2024, but ends again with Canada’s loss.
Experts from the Pan American Health Organization, an independent health agency, made the determination after analyzing data on Canada’s outbreaks that showed the virus has spread continuously for a year.
The United States could be next.
Its elimination status, won in 2000, is at risk even though the large outbreak that killed three and sickened nearly 900 across Texas, New Mexico and Oklahoma is over.
Current outbreaks in the U.S. include 34 cases in South Carolina and one hitting towns on the Arizona-Utah border that has sickened more than 150 since mid-August.
That has made for the worst year for measles in the U.S. in more than three decades. Only nine states haven’t confirmed cases, according to the Centers for Disease Control and Prevention. The CDC has confirmed 1,681 cases this year and 44 outbreaks.
A large outbreak also continues in Chihuahua, Mexico, where health officials have confirmed 4,430 cases as of last week and 21 deaths, according to state health data.
Mexican and U.S. officials have said the genetic strains of measles spreading in Canada match those in the Texas and Chihuahua outbreaks. All those outbreaks affected certain Mennonite Christian communities who trace their migration over generations from Canada to Mexico to Seminole, Texas.
In August, officials said Mennonite communities in Belize, Argentina, Bolivia, Brazil, and Paraguay had outbreaks of the same type of measles virus.
Mennonite churches do not formally discourage vaccination, though more conservative Mennonite communities historically have low vaccination rates and a distrust of government.
Last month, the Pan American Health Organization confirmed more than 12,000 cases this year across at least 10 countries. Most are in Canada, the U.S. and Mexico. Bolivia recorded almost 400 measles cases, according to the group’s report.
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