NEW YORK – Two measles-related deaths reported in Pennsylvania last month involved infants, and one of the children died as a direct result of the virus, a Pennsylvania coroner said Wednesday.
Lancaster County Coroner Dr. Stephen Diamantoni said he has shared his findings with the Centers for Disease Control and Prevention. The CDC has not yet said whether either case will be included in its official count of measles-associated deaths, and its website continues to display a disclaimer regarding the Pennsylvania cases.
Ivan Miller died on Aug. 14, shortly after being born, from a ruptured spleen, Diamantoni said.
Mary Stoltzfus, who was 6 weeks old, died at home on Aug. 18. Diamantoni told The Associated Press that she had been born with a genetic defect that made her especially susceptible to infection, and that a measles infection caused her death.
Diamantoni said he released the details after WPMT-TV, Fox 43, filed a request under the state’s right-to-know law.
The causes of death differed
Diamantoni’s office didn’t perform an autopsy on the girl. The cause of death was determined by the doctors caring for her, he said.
She had been born with a condition called Amish lethal microcephaly that causes an unusually small head and underdeveloped brain. Children with the condition typically live 6 months or less.
His office did autopsy the boy, and determined he died from a ruptured spleen. Exactly how and when that happened is still under investigation, Diamantoni said.
The boy was infected with measles, which is listed on the death certificate as a contributing factor. But Diamantoni said measles did not contribute to what happened to the spleen, and that measles is noted only because it was considered “a significant condition” that the boy had at the time of death.
Neither was old enough to be vaccinated; the first dose is typically given at around 1 year of age.
The deaths have received outsized attention
Details of the deaths have come under unusual national scrutiny and became the focus of a furious political battle between Pennsylvania’s Democratic governor, Josh Shapiro, and officials in Republican President Donald Trump’s administration.
Pennsylvania officials announced the deaths last month, with Shapiro stressing that vaccinations could have averted the deaths.
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Soon after, U.S. Health Secretary Robert F. Kennedy Jr., a Trump administration appointee with a history of raising alarms about established vaccines, attacked Shapiro and suggested the deaths “may even have been altogether fabricated.”
Kennedy’s statements echoed ones he made last year, when three measles-related deaths were recorded. Kennedy questioned whether one of the children who died was killed by measles.
The health secretary oversees the CDC, and some public health experts have voiced concern about whether the CDC can still be counted on to post public health data that clashes with Kennedy’s worldview.
“Frankly, the CDC is not to be trusted in sharing information,” Dr. Georges Benjamin, executive director of the American Public Health Association, told the AP last week. “People are questioning their motives.”
CDC website still doesn’t show the deaths
That worry was fueled by some unusual edits to the CDC’s measles webpage. At one point, the webpage noted two measles-associated deaths but then was changed to say that the CDC was not counting the two deaths until it reviewed additional information.
The page, which was last updated Friday, now says, “CDC will update its reporting as additional information becomes available and relevant reviews are completed.” It still doesn’t reflect either Pennsylvania death.
In a social media post last week, Kennedy acknowledged Diamantoni’s conclusion that one of the deaths was due to measles.
Meanwhile, Pennsylvania’s measles outbreak continues to expand, with more than 620 cases across 37 counties this year, state officials said Wednesday.
The U.S. eliminated the domestic spread of measles in 2000 by maintaining high vaccination rates, but they have fallen in recent years to below the 95% coverage needed to prevent outbreaks. Meanwhile, measles infections have been surging in recent years.
In November, international health officials will meet to determine if the U.S. and Mexico have lost their measles-free status.
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