health
Coroner Confirms Measles Killed Pennsylvania Infant as RFK Jr. Pushes CDC to Scrub Data
Lancaster County officials verify a six-week-old's death from measles, but the Health Secretary's pressure campaign has removed the cases from public CDC records.
By Duabbly Staff
A six-week-old girl in Lancaster, Pennsylvania, died from measles, according to a formal confirmation from the county coroner released Friday. Stephen Diamantoni, a Republican elected coroner since 2007, disclosed the death to local media outlets, stating the infant passed away at home on what he believed was August 18th. While acknowledging that the baby had been born with Amish lethal microcephalyβa rare genetic condition characterized by abnormally small heads and incomplete brain developmentβDiamantoni made clear that measles was the underlying cause of death.
The confirmation marks a pivotal moment in an escalating controversy surrounding measles deaths in Pennsylvania. The state's health department announced last week that two infants had died from the disease, prompting immediate political fallout. Both victims were newborns from Amish families in Lancaster County, a region experiencing a significant measles outbreak. Governor Josh Shapiro amplified the coroner's findings by sharing news coverage of the confirmation on social media, effectively validating the state's original announcement of the deaths.
The genetic condition affecting the first infant occurs due to a mutation in the SLC25A19 gene, which produces proteins essential for mitochondrial function and brain development. Within the Old Order Amish population of Pennsylvania, approximately one in every 500 newborns arrives with this condition. The prognosis remains grim, with affected infants typically surviving only about six months. Diamantoni's statement emphasized that despite the underlying genetic vulnerability, measles precipitated the infant's death.
The second death involved a newborn boy whose mother contracted measles shortly before giving birth. In an account provided to journalists, the mother described becoming severely ill with the infection, so weakened by the disease that she could barely speak above a whisper and felt devoid of energy as labor began. Several of her other children had already contracted measles prior to her own infection. The baby was born with a heartbeat but showed no spontaneous breathing. Paramedics were called to the scene, where they administered oxygen and performed chest compressions before the infant was pronounced dead within thirty minutes.
Medical testing confirmed the newborn tested positive for measles, with clinical evidence of the infection detected in his lungs. The parents and their midwife both attributed the death to measles without hesitation. Yet Diamantoni asserted that a pathologist concluded the cause of death was a ruptured spleen, claiming the organ did not appear enlarged and therefore measles could not have contributed to the fatality. This determination has drawn sharp criticism from medical experts.
Paul Offit, a vaccine expert and pediatric infectious disease specialist at Children's Hospital of Philadelphia, has publicly challenged this assessment. Offit explained that measles commonly causes splenic enlargement, making the organ vulnerable to rupture during the trauma of birth. Once a spleen ruptures, determining its pre-rupture size becomes nearly impossibleβcomparable to assessing how inflated a balloon was after it has burst. Offit further noted that ruptured spleens in newborns rank among the rarest pediatric complications, making measles exposure a far more plausible explanation than the pathologist's conclusion.
The controversy deepened significantly when Health Secretary Robert F. Kennedy Jr. intervened in the matter. Without providing supporting evidence, Kennedy claimed that Pennsylvania may have deliberately fabricated the deaths. He subsequently directed Erica Schwartz, the newly appointed director of the Centers for Disease Control and Prevention, to remove the fatalities from the agency's official data. CDC staff had already reviewed and accepted the deaths as measles-related, incorporating them into agency statistics.
Schwartz complied with Kennedy's directive, and the deaths were removed from the CDC's public-facing website. However, reporting that emerged Thursday revealed the cases remain documented in internal CDC databases. As of Friday afternoon, the CDC's public portal displays only an asterisk where 2026 measles death counts would normally appear. The agency updated the notation's explanation on Friday, altering the asterisk's meaning substantially.
The original asterisk note stated in part that available information did not establish whether measles caused or contributed to death or whether individuals had died from other causes while infected with measles. That language has been replaced with a new statement reading that the National Center for Health Statistics does not currently have death records from 2026 indicating measles as the underlying cause. This revision raises questions about whether the CDC has established new procedural requirements for reporting outbreak-related deaths.
Prior to Kennedy's intervention, the established process for documenting measles-associated deaths remained straightforward. State and local health departments conducted independent investigations and made determinations about whether measles caused or contributed to deaths. The CDC then reported the information it received from these agencies without inserting additional layers of review. This system had functioned for years without the bureaucratic friction now evident in the Pennsylvania cases.
Diamantoni himself contributed to the initial confusion surrounding the deaths. When the state health department first announced the fatalities, the coroner stated publicly that he had not yet received formal notification from state officials. This gap in communication seemingly lent credence to Kennedy's unfounded claims that the deaths might not be real or that the state was being dishonest. However, Lancaster County operates without its own independent health department, relying entirely on information transmitted from state health authorities. Diamantoni's office only recently received the state's report regarding the infant girl's death, explaining the delay in his initial knowledge of the case.
The broader implications of this episode extend beyond the two Pennsylvania infants. The precedent established by a cabinet-level official ordering the removal of disease data from public health records represents a significant departure from established government transparency protocols. Federal health agencies typically resist political pressure regarding scientific and epidemiological determinations. Kennedy's successful push to alter CDC documentation suggests a willingness to prioritize political objectives over public health record-keeping.
Experts remain divided on the second infant's cause of death, though medical evidence appears to support the measles connection. The timing of the mother's illness, the infant's positive test results, evidence of infection in the lungs, and the extraordinary rarity of spontaneous neonatal splenic rupture all align with a measles-related death. The pathologist's determination lacks explanation for why an uninfected newborn would experience spleen rupture during delivery.
As the measles outbreak continues in Lancaster County, these two deaths underscore the virus's capacity to harm vulnerable populations. Unvaccinated communities face heightened risk, particularly families with infants too young for vaccination and individuals with underlying health conditions. The political controversy surrounding the deaths threatens to overshadow the public health emergency driving the outbreak in the region.