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2,465 measles cases this year put the U.S. elimination status in doubt

No measles deaths have been recorded in the U.S. this year, yet PAHO will decide in November whether transmission unbroken since January 2025 costs the country the elimination status it won in 2000.

Public health

This year's measles total has already passed all of 2025, with months still to run1

The CDC counted 2,465 confirmed measles cases for 2026 as of August 6, past the 2,289 logged in all of 2025 and with more than four months of the year still to run.1 Some 94% of the cases are tied to an outbreak, and 93% of patients were unvaccinated or of unknown status.12 The Johns Hopkins tracker puts 2026 above every year since the United States eliminated the disease in 2000.3

U.S. measles, 2025 against 2026 so far.12
Measure 2025 full year 2026 to Aug 6
Cases 2 289 2 465
Outbreaks 48 38
Outbreak-linked 90% 94%
Hospitalized 11% 7%

No one has died of measles here this year, and hospitalizations have eased to 7% of patients from 11% in 2025.2 Elimination is defined by continuous transmission, though, and measles has surfaced somewhere in the country every week since January 2025.4 That unbroken domestic spread can cost the status in a year with no deaths at all. A national committee reviews the year's record this month, and PAHO decides in November whether the U.S. keeps the designation it has held since 2000.23

Drug policy

SAMHSA has cut federal grants off from test strips for people who use drugs5

A SAMHSA directive from late April barred federal grant money from the standard tools of harm reduction: fentanyl and xylazine test strips, sterile syringes, safer-smoking supplies, and overdose hotlines.56 The carve-out runs by who holds the strip. The same test a police officer, EMT, or public-health worker may still buy with federal funds is off-limits the moment it is handed to the person who would use the drug.6 The administration says those supplies "facilitate illicit drug use and are incompatible with Federal laws," and names naloxone, which reverses an overdose, as what grants should fund instead.6 SAMHSA's acting leader signed the directive. STAT, the account closest to its release, identified him as Chris Carroll and called it a clear shift from harm reduction.7 Programs that hand out the strips are now losing them, NPR reported this week.6

Voting rights

Trump asks the Supreme Court to let his mail-in voting order take effect before the midterms8

Trump v. California Supreme Court of the U.S. · No. 26A124
Stage
Emergency application on the shadow docket; no ruling as of August 10
Question
May the Postal Service withhold mail ballots from voters a state has not cleared against its rolls?
Stakes
Whether the March 31 order governs mail voting nationwide this November

The Justice Department asked the Supreme Court on July 27 to let President Trump's March 31 order take effect nationwide for the November midterms, after the First Circuit left in place a Boston court's ruling that blocked it.89 The order directs the Postal Service to deliver mail ballots only to voters a state has cleared against its rolls.10 A coalition of 23 states and the District of Columbia is fighting to keep it frozen, while 12 states led by Alabama back the administration.11 The dispute is as much about timing as the order itself. The government argues the challengers sued too soon, positioning to invoke the rule against last-minute election changes,11 while the Postal Service has told the court it is running out of time to build the ballot-list system the order would require.10 No ruling had issued as of August 10.8

Energy

The largest U.S. grid operator must now decide who pays for data centers' power12

FERC has ordered PJM, the largest U.S. grid operator, to write new rules for the big co-located loads of AI data centers, and to weigh whether those loads should pay a standing charge toward the shared transmission system.1213 The order, issued December 18, 2025, is still in its compliance phase, which is why the fight is live now: PJM had 60 days to propose the new services and continues to report back.13 The open question is narrow but expensive. A data center already pays to connect its own site, and the fight is over whether it also owes toward the grid every other customer leans on.12 One modeled estimate, from Fortune, puts at about $23 billion the data-center costs already passed to the public through electricity bills.14

Sources

  1. CDC · Measles cases and outbreaks
  2. CIDRAP · CDC adds almost 100 new cases, expanding US measles outbreak
  3. Johns Hopkins IVAC · 2026 US measles cases surpass 2025 level
  4. STAT · The U.S. measles elimination status goes to PAHO review
  5. SAMHSA · Dear Colleague Letter: updated harm reduction funding guidance
  6. NPR · Federal funds can't be used to give test strips to drug users, raising overdose fears
  7. STAT · A clear shift from harm reduction at SAMHSA
  8. Supreme Court of the United States · Trump v. California, No. 26A124 (docket)
  9. Democracy Docket · Trump DOJ asks Supreme Court to greenlight anti-mail voting order before midterms
  10. Votebeat · Trump asks the Supreme Court to restrict mail ballots before the midterms
  11. SCOTUSblog · Why timing matters in the mail-in voting dispute
  12. FERC · Fact sheet: FERC directs the nation's largest grid operator to create new rules
  13. Utility Dive · FERC directs PJM to write rules for co-located data-center load
  14. Fortune · Data centers have added an estimated $23 billion to electricity bills