Vaccine hesitancy has been rising for years in the United States. Doctors and parents in one rural county are confronting the consequences.

Texas health officials say the number of people with measles has increased to 146 in rural West Texas outbreak that led this week to the death of a school-aged child who was not vaccinated.

A child died of measles in Texas, the first in a decade and just the second in a quarter century (“Child dies as measles spreads across West T