SAPHL | Detailed Measles Outbreak Analysis

Upstate measles outbreak: Comprehensive analysis of regional immunity gaps

Updated Data: March 23, 2026

997 Total Cases
21 Hospitalizations

Analysis of localized immunity gaps

School-level vaccination status: Spartanburg County

Localized data helps us offer even better guidance to families. The table below highlights the specific areas where unvaccinated student populations are most concentrated.

School Name Up-to-Date Rate Total Students Unvaxed Count Location
Global Academy of SC21.3%607478Spartanburg
Libertas Academy - Boiling Springs74.3%822211Boiling Springs
Carlisle Foster’s Grove Elementary75.0%513128Chesnee
Cooley Springs-Fingerville Elementary77.1%31472Chesnee
Sugar Ridge Elementary77.5%890200Boiling Springs
Inman Elementary78.9%45696Inman
Holly Springs-Motlow Elementary79.7%48298Campobello
Campobello-Gramling Elementary80.2%797158Campobello
Boiling Springs Elementary80.4%852167Boiling Springs
Fairforest Elementary82.5%839147Spartanburg
Roebuck Elementary83.7%873142Roebuck
Lyman Elementary88.6%69379Lyman
Mayo Elementary89.5%31433Mayo

Note: Only a subset of primary schools are shown. Vaccination coverage of 95% is needed to stop the spread.

Outbreak Progression Timeline

March 17, 2026
Total Cases: 997

Guard Up: One new case reported. Dr. Bell emphasizes that 42 days (two incubation cycles) without a case are required to declare the outbreak over. Concerns remain high regarding spring break social activity.

March 13, 2026
Total Cases: 996

Geographic data shows the vast majority (993) of cases are in Spartanburg County, with 36 in Greenville. Scattered cases confirmed in Anderson, Pickens, Cherokee, Lancaster, and Sumter counties.

March 6, 2026
Total Cases: 991

Fiscal Impact: Response costs reach $1.6 million. Demographics show 90% of cases are children/teens, and 93% of all infected individuals were entirely unvaccinated.

March 3, 2026
Total Cases: 990

Vaccination Surge: Spartanburg County saw a 133% increase in MMR uptake in February compared to the previous year. This "wall of immunity" is credited with the current slowdown.

February 27, 2026
Total Cases: 985

Downward trend continues. However, Sugar Ridge Elementary faces its third round of quarantines, highlighting the persistence of the virus in schools with low vax rates (78%).

February 20, 2026
Total Cases: 973

Religious and Educational Exposure: New exposure sites identified at Slavic and Baptist churches in Spartanburg, plus Spartanburg Community College.

February 13, 2026
Total Cases: 950

Cases found in Lancaster and Sumter with no known source, confirming unrecognized community transmission is still active despite the lower daily counts.

January 27, 2026
Total Cases: 789

South Carolina surpasses the 2025 Texas outbreak as one of the largest modern measles events in the US.

October 2, 2025
Total Cases: 5

Outbreak Declared: DPH confirms initial community spread in Spartanburg County.