In a hard-to-watch video, a healthy-looking 4-year-old boy lies on a bed as doctors lift his eyelids to watch his big brown eyes erratically swirl and roll backward. His head jerks, and his little limbs weakly twitch and spasm. A small bit of foam pushes past his lips.

The video, captured by neurologists in India and published today in JAMA Neurology, shows what it looks like when the measles virus is allowed to ravage a child's brain. (The video can be viewed here.)

The boy was never vaccinated and developed a rare complication from measles called subacute sclerosing panencephalitis (SSPE). The condition occurs when the measles virus quietly sneaks into the central nervous system. It often lurks for years after an initial infection before it begins wreaking havoc, triggering damaging inflammation, destroying neurons, and causing brain lesions.

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As of Friday, April 25, the US has confirmed over 900 measles cases since the start of the year. The cases are across 29 states, but most are in or near Texas, where a massive outbreak continues to mushroom in close-knit, undervaccinated communities.

On April 24, the Centers for Disease Control and Prevention had tallied 884 cases across the country. Today, the Texas health department updated its outbreak total, adding 22 cases to its last count from Tuesday. That brings the national total to at least 906 confirmed cases. Most of the cases are in unvaccinated children and teens.

Overall, Texas has identified 664 cases since late January. Of those, 64 patients have been hospitalized, and two unvaccinated school-aged children with no underlying medical conditions have died of the disease. An unvaccinated adult in New Mexico also died from the infection, bringing this year's measles death toll to three.

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In now-rarified comments from experts at the Centers for Disease Control and Prevention, an agency official on Tuesday evening said the explosive measles outbreak mushrooming out of West Texas will require "significant financial resources" to control and that the agency is already struggling to keep up.

"We are scrapping to find the resources and personnel needed to provide support to Texas and other jurisdictions," said David Sugerman, the CDC's lead on its measles team. The agency has been devastated by brutal cuts to CDC staff and funding, including a clawback of more than $11 billion in public health funds that largely went to state health departments.

Sugerman noted that the response to measles outbreaks is generally expensive. "The estimates are that each measles case can be $30,000 to $50,000 for public health response work—and that adds up quite quickly." The costs go to various responses, including on-the-ground response teams, vaccine doses and vaccination clinics, case reporting, contact tracing, mitigation plans, infection prevention, data systems, and other technical assistance to state health departments.

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