Coroner Disputes Pa. Measles Deaths; Kennedy Piles On
Coroner Disputes Pa. Measles Deaths; Kennedy Piles On
The News
Health and Human Services Secretary Robert F. Kennedy Jr. accused Pennsylvania Gov. Josh Shapiro's administration of possibly having "fabricated" two measles deaths, after the Lancaster County coroner said one of the dead — a newborn — died of a ruptured spleen, not measles.
Shapiro and Health Secretary Debra Bogen announced the two "measles-associated" deaths at a Lancaster County press conference on Tuesday, calling them the first measles-related deaths in Pennsylvania in 35 years and the first in the United States this year.
The state said both residents were unvaccinated and tested positive for measles, but released no other identifying details, citing patient privacy.
Republican county and state officials spent Wednesday demanding the state show its work.
Timeline
Pennsylvania's measles outbreak begins, according to The Philadelphia Inquirer, eventually reaching 29 counties with Lancaster County at its center.
Shapiro and Bogen announce two deaths. Shapiro says there have been 393 confirmed cases in the state this year, the most since 1992, and that "every single one of those cases was someone who is not fully vaccinated." He calls death from measles "completely preventable" and says, "We hope and we pray that those deaths will be the last."
Lancaster County Commissioner Josh Parsons, a Republican, posts that the coroner's office "currently has ZERO reported cases where measles is the immediate cause of death" and has "one case where a person died WITH measles, but not FROM measles."
The state Department of Health confirms one of the dead was an infant and that the infant's death is under investigation by the county coroner. The department says it labels deaths "measles-associated" when there is evidence of the disease even if measles "may not be assessed by the medical examiner or coroner to be the immediate cause of death."
Coroner Stephen Diamantoni tells the Inquirer the newborn died shortly after birth from a laceration of the spleen, that measles antibodies showed up in postmortem testing, and that the forensic pathologist who did the autopsy "did not feel it was related to measles."
Kennedy posts on X that the Shapiro administration may have "fabricated" the deaths, after telling C-SPAN that "they cannot find any measles deaths in Lancaster County."
Reactions
Kennedy said Shapiro was not cooperating with the Centers for Disease Control and Prevention or with the county. Shapiro administration staff told the Inquirer the department has been in regular contact with the CDC throughout the outbreak.
Shapiro said Kennedy was spreading misinformation about vaccine safety and scaring parents. Kennedy replied on X that the governor was "gaslighting" him and said the state's vaccination rates fell mostly during the Biden administration. Shapiro noted Kennedy had visited Lancaster in 2021 and told a crowd measles could be cured by "chicken soup and vitamin A" — there is no specific treatment for measles, and vitamin A neither prevents nor cures it.
State Sen. Scott Martin, a Lancaster County Republican, called the announcement a "media event" he was not told about in advance. "We have not been able to independently verify what they reported," he told The Center Square. Republican Rep. Dave Zimmerman said the administration "absolutely" should release more information and pointed to his bill requiring the Health Department to give county officials county-level outbreak data.
Parsons posted again Wednesday morning: "So as of right now, we have ZERO information that corroborates the idea that there were two measles deaths in Lancaster County. Again, everything stated could be accurate. But no one in authority has been able to say that... Transparency is owed to the people."
Dr. Paul Offit, a vaccine safety expert at Children's Hospital of Philadelphia, said the coroner's account "doesn't really give us more information." He said measles can enlarge the spleen and that birth can rupture an enlarged spleen, and that the coroner should offer an alternate explanation for the rupture if measles was not the cause. Offit said state health officials told him "these patients would not have died were it not for measles," and faulted the state for withholding details: "You're making it a lot easier for them when you don't give more information."
Diamantoni said his office is still investigating what caused the rupture, that the autopsy did not note an enlarged spleen, and that he is trying to learn whether the baby's mother had measles when she gave birth. He said state health officials had not contacted him personally as of Wednesday, though his chief deputy spoke with the department before Tuesday's news conference.
What's Next
The Lancaster County coroner's investigation into the infant's death is open, and no cause of death has been publicly released. The state has released nothing about the second person who died.
The Pan American Health Organization is expected to decide in November whether the United States has lost the measles elimination status it has held since 2000.
Shapiro joined a lawsuit earlier this year against Kennedy's department over its decision to scale back federal vaccine recommendations for children.
More
Pennsylvania's dashboard listed 424 confirmed measles cases this year as of Wednesday, including 94 in the previous seven days, with 73 hospitalizations. Lancaster County leads the state with 197 cases.
The share of Lancaster County children who got the MMR vaccine fell from 95.5% in 2017 to 87.6% last year, according to NBC News. Nationwide, 2,777 measles cases have been confirmed this year — the most in 35 years.
Lancaster County holds the largest Amish settlement in the country, and Zimmerman said some sub-groups within the Amish, Mennonite and other "plain" communities prefer not to vaccinate.
Measles kills roughly one to three of every 1,000 patients and can infect nine in 10 unvaccinated people exposed to it.
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