Pennsylvania measles outbreak nears 800 cases amid vaccination push

In the hills and farmlands of Pennsylvania, a disease once thought vanquished has returned with force, finding its footing in communities where immunity was never built and where trust in public institutions runs thin. Nearly 800 confirmed measles cases — concentrated among unvaccinated Amish populations — have compelled the state into an urgent reckoning with both the limits of its vaccination reach and the fragility of its public health credibility. Deaths have occurred, though the precise count remains contested between state and federal authorities, a silence that speaks as loudly as the o