Pennsylvania reports fourth measles death as state outbreak tops 600 cases

Pennsylvania officials have reported a fourth measles-related death this year, with all four US deaths occurring in the state amid an outbreak of more than 600 cases.

• An 18-year-old from Mifflin County died of acute encephalomyelitis, a rare neurological complication of measles, the county coroner's office said.
• All four US measles deaths this year have occurred in Pennsylvania, which has reported more than 600 cases primarily in Lancaster County.
• Governor Josh Shapiro accused Health Secretary Robert F. Kennedy Jr. of spreading vaccine misinformation and said he would withhold death information from him to protect affected families.
• Kennedy questioned whether the infant deaths were caused by measles and accused Shapiro of "political grandstanding."