Kennedy Suggests Pennsylvania Measles Deaths Were 'Fabricated' as CDC Keeps Them Off the National Count During Record Outbreak
During the worst U.S. measles year in decades, the federal health secretary publicly questioned whether a state's reported measles deaths were real, and the CDC excluded them from its national count and changed how it counts measles deaths -- a gap a Johns Hopkins expert said 'looks like either incompetence or concealment.'
Record summary
Grade
Grade 2 of 5: Major Abuse of Power
Executive actions that exceed constitutional authority, circumvent statutory constraints, or weaponize government institutions for political ends. Scale and definitions
- Status
- Ongoing
- Incident date
- Record updated
- Location
- Lancaster County, Pennsylvania
- Category
- Federal Dismantlement
- Legal posture
- Reported
- ICC relevance
- No
- Sources
- 7 cited
- Stable ID
pennsylvania-measles-deaths-kennedy-fabrication-claim- Legal basis
- ICESCR Article 12(2)(c) (control of epidemic diseases), International Health Regulations (2005) Articles 6-7
- Posture note
- No legal proceedings. The CDC has said it is working with state epidemiologists on a standard definition of measles-related deaths and that its count is subject to change. The archive does not attribute the deaths themselves to federal action; this entry documents the federal response to them.
- Victims
- Five Pennsylvanians whose deaths the state classified as measles-associated in 2026, including a newborn; their families; the 943 Pennsylvanians and 3,887 people nationwide with confirmed measles in 2026 as of October 1
- Alleged responsible parties
- Robert F. Kennedy Jr., Secretary of Health and Human Services; publicly suggested reported measles deaths may have been fabricated— U.S. Department of Health and Human Services
Key points
- Pennsylvania confirmed two measles-associated deaths on August 25, 2026, both unvaccinated Lancaster County residents; one was a newborn who contracted measles before birth.
- On August 26 Kennedy said officials 'cannot find any measles deaths in Lancaster County' and posted that the deaths 'may even have been altogether fabricated by one of the Governor's hopeful staffers.'
- The county coroner said the newborn's immediate cause of death was a ruptured spleen, while noting the baby tested positive for measles; the state says it uses 'measles-associated' when evidence of measles is present even if it is not assessed as the immediate cause of death.
- On August 30 the CDC declined to add the Pennsylvania deaths to its national dashboard; it later moved to NCHS mortality data for its national death count.
- By September 30 Pennsylvania reported five measles-associated deaths, 943 cases and at least 176 hospitalizations; the CDC listed two U.S. measles deaths and 3,887 cases as of October 1.
What Happened
On August 25, 2026, Pennsylvania's Department of Health confirmed "two measles-associated deaths in Pennsylvania," both unvaccinated residents of Lancaster County, home to large Amish and Mennonite communities with low vaccination rates. They were the state's first measles deaths in 35 years. One was a newborn who had contracted measles before birth. HHS and the CDC initially posted condolences.
The next day, Health Secretary Robert F. Kennedy Jr. reversed course in public. Speaking in Tampa, he said officials "cannot find any measles deaths in Lancaster County," and in a post on X he wrote that the announcement "appears to have been premature, and the deaths may even have been altogether fabricated by one of the Governor's hopeful staffers." Pennsylvania Health Secretary Debra Bogen responded that she "sadly can confirm that there were two recent measles-associated deaths in Lancaster County," and the state health department explained that it uses the term "measles-associated" when laboratory or epidemiologic evidence of measles is present "but the disease may not be assessed by the medical certifier or coroner to be the immediate cause of death."
Lancaster County Coroner Stephen Diamantoni said the forensic pathologist identified the newborn's cause of death as a ruptured spleen; postmortem lung-tissue testing confirmed measles infection acquired before birth, and the coroner later said measles appeared on the death certificate as a contributing condition. Kennedy, who had called Gov. Josh Shapiro offering federal assistance that Shapiro declined, continued on Fox News on August 29 to refer to "so-called 'measles deaths.'" Shapiro said: "His actions and the rhetoric that's coming from this administration are having a negative impact on communities across, particularly right here in Pennsylvania," adding, "There's real-life consequences to spreading misinformation."
On August 30 the CDC declined to add the Pennsylvania deaths to its national measles dashboard, saying the available information did not establish whether measles caused or contributed to them. It subsequently moved to counting measles deaths from National Center for Health Statistics mortality data rather than state health department reports. On September 29, Reuters reported, the CDC confirmed two measles-related U.S. deaths for 2026 while Pennsylvania alone had reported four. "To the public, that gap looks like either incompetence or concealment," said Amesh Adalja of the Johns Hopkins Center for Health Security. The CDC said it was "working with state epidemiologists on a standard definition for measles-related deaths."
The Outbreak
The dispute played out during the largest U.S. measles year in decades. As of October 1, 2026, the CDC listed 3,887 confirmed cases, with cases among U.S. residents reported by 47 jurisdictions, and 95% of cases outbreak-associated. Through mid-September, the 2026 count was more than double the 2025 count at the same point, driven by South Carolina, Pennsylvania and Utah. On September 30 Pennsylvania announced a fifth measles-associated death, reporting 943 confirmed cases across 39 counties and at least 176 hospitalizations; the state administered more than 53,000 MMR doses in September, more than double its usual monthly rate.
Legal Analysis
The deaths themselves are not attributed here to any federal act. What this entry documents is the conduct of the federal health authority during an epidemic: the cabinet officer responsible for disease control publicly suggested, without evidence, that a state's death reports were fabricated by political staff, and the national surveillance agency then excluded those deaths from its count and changed its counting method mid-outbreak. Article 12(2)(c) of the International Covenant on Economic, Social and Cultural Rights, which the United States has signed but not ratified, identifies "the prevention, treatment and control of epidemic... diseases" as a core element of the right to health, and the International Health Regulations, which bind the United States, rest on accurate reporting and sharing of public health information. Accurate mortality data are part of outbreak control: they inform clinicians, parents weighing vaccination, and the allocation of response resources.
Why This Entry Is Rated Major
The rating reflects the conduct of the federal health authority during an active epidemic — the Secretary's public suggestion, without evidence, that a governor's staff may have fabricated the deaths, and the subsequent exclusion of the deaths from the national count — rather than any finding that federal action caused the deaths. The underlying degradation of federal outbreak capacity is documented in the related entry on HHS dismantlement.
International law engaged
| Instrument | Provision | What it protects or prohibits |
|---|---|---|
| International Covenant on Economic, Social and Cultural Rights (signed, not ratified by the United States) | Article 12(2)(c) | Obligation to take steps for the prevention, treatment and control of epidemic diseases |
| International Health Regulations (2005) | Articles 6-7 | Obligation to notify and share accurate public health information on events that may constitute a public health risk |
Update log
-
Entry created covering the August 25-30, 2026 dispute over Pennsylvania's measles deaths, the CDC's change in death-count methodology, and outbreak figures through September 30.
Sequence of events
-
Pennsylvania confirms two measles-associated deaths
Pennsylvania's health department confirms two measles-associated deaths among unvaccinated Lancaster County residents, the state's first measles deaths in 35 years. One was a newborn who contracted measles before birth. HHS and the CDC initially extend condolences.
-
Kennedy suggests the deaths may be 'fabricated'
Speaking in Tampa, Kennedy says officials 'cannot find any measles deaths in Lancaster County,' and in a post on X says the announcement 'appears to have been premature, and the deaths may even have been altogether fabricated by one of the Governor's hopeful staffers.' Pennsylvania Health Secretary Debra Bogen responds that both people tested positive for measles.
-
Coroner clarifies; CDC shifts its position
Lancaster County Coroner Stephen Diamantoni says measles appears on the newborn's death certificate as a contributing condition, while maintaining that measles did not contribute to the death, which a forensic pathologist attributed to a ruptured spleen. The CDC's X account thanks Kennedy for his 'efforts to clarify conflicting information from Pennsylvania officials' and says the governor's office declined federal assistance.
-
CDC leaves Pennsylvania deaths off national dashboard
The CDC declines to include the Pennsylvania deaths in its official measles count, saying available information does not establish whether measles caused or contributed to them.
-
CDC counts two deaths nationally as Pennsylvania reports four
The CDC confirms two measles-related U.S. deaths in 2026, using National Center for Health Statistics mortality data rather than state health department reports, while Pennsylvania has reported four. Johns Hopkins' Amesh Adalja warns the gap 'looks like either incompetence or concealment.'
-
Pennsylvania confirms fifth death
Pennsylvania announces a fifth measles-associated death, an unvaccinated Lancaster County resident, with 943 confirmed cases across 39 counties and at least 176 hospitalizations in 2026.
Sources
- 'Real-life consequences': Pennsylvania Gov. Shapiro, RFK Jr. spar over measles-associated deaths — ABC News
- A newborn baby was one of Pa.'s two measles-related deaths, state says as RFK Jr. questions whether they were 'fabricated' — The Philadelphia Inquirer
- 'Measles-associated deaths': Dissecting the dispute between RFK Jr. and PA Gov. Josh Shapiro — PolitiFact
- US CDC confirms two measles-related deaths in 2026 — Reuters (via KSL)
- Pennsylvania confirms fifth measles-associated death as US outbreak grows — Al Jazeera
- Measles Cases and Outbreaks — Centers for Disease Control and Prevention
- U.S. Measles Cases More Than Double 2025 Levels, With South Carolina and Pennsylvania Driving the Surge — Global Biodefense