Utah has spent the past year fighting measles outbreaks — a grim milestone that could affect whether the United States can keep its measles-free designation.

More than 680 people have gotten sick since the state’s first outbreak began on June 20, 2025.

Unlike measles outbreaks in Texas, South Carolina and Arizona, the spread in Utah has been tough to contain to one region — infecting undervaccinated communities in nearly every county.

Measles popped up in healthcare settings, big-box stores and restaurants, and youth sporting events. In February, an exposure at a state high school wrestling championship sparked at least 46 cases among attendees.

Measles is one of the most contagious diseases known to medicine. It causes a tell-tale rash, high fevers, strong cough, ear infections and diarrhea.