{"id":754196,"date":"2026-01-05T06:01:00","date_gmt":"2026-01-05T12:01:00","guid":{"rendered":"https:\/\/oklahomawatch.org\/?p=754196"},"modified":"2026-01-05T11:05:42","modified_gmt":"2026-01-05T17:05:42","slug":"oklahoma-health-department-refuses-to-share-county-level-measles-data","status":"publish","type":"post","link":"https:\/\/oklahomawatch.org\/2026\/01\/05\/oklahoma-health-department-refuses-to-share-county-level-measles-data\/","title":{"rendered":"Oklahoma Health Department Refuses to Share County-Level Measles Data"},"content":{"rendered":"<div class=\"wp-block-custom-everlit-iframe-embed\"><iframe loading=\"lazy\" title=\"Everlit Audio Player\" src=\"https:\/\/everlit.audio\/embeds\/artl_ya2V7spOjva?client=wp&amp;client_version=2.6.0\" width=\"100%\" height=\"80px\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" allowfullscreen=\"\"><\/iframe><\/div>\n\n\n<p>Outbreaks of measles and whooping cough in Oklahoma have led to calls for greater transparency from the Oklahoma State Department of Health as the state stands alone in only sharing measles cases on a statewide basis.\u00a0<\/p>\n\n\n\n<p>Infectious disease and public health experts said the timely sharing of cases with the public can help communities mitigate the spread of disease.<\/p>\n\n\n\n<p>Dr. George Monks, a Tulsa dermatologist and former president of the Oklahoma State Medical Association, has been trying for months to get the state Health Department to share more data. He\u2019s employed social media cajoling, open records requests and complaints to the attorney general\u2019s public access counselor, to no avail.\u00a0<\/p>\n\n\n\n<p>\u201cThis data is crucial for Oklahoma families to make informed decisions about their health, whether it be vaccine choice or avoiding high-risk areas,\u201d Monks said. \u201cWithholding that county-level measles data could delay the community response, especially since it is so contagious.\u201d\u00a0<\/p>\n\n\n\n<p>To date, Oklahoma has recorded 17 cases of measles in 2025. Nationally, the United States has had the highest number of measles cases in three decades. More than 800 of the 2,000 U.S. cases this year came in Texas back in the spring, although <a href=\"https:\/\/dph.sc.gov\/news\/tuesday-measles-update-dph-reports-nine-new-measles-cases-upstate-bringing-outbreak-total-153\">South Carolina<\/a> is dealing with a current outbreak.\u00a0<\/p>\n\n\n\n<p>Measles is a highly contagious, airborne virus with symptoms including rashes, high fevers, coughs, runny nose and red, watery eyes. The virus spreads through the air when an infected person coughs or sneezes. It can linger for up to two hours in a room after exposure.\u00a0\u00a0<\/p>\n\n\n\n<p>Monks first requested measles case data by county in March, along with agency communications with the federal Centers for Disease Control and Prevention about a measles outbreak in Oklahoma. The state Health Department provided some email correspondence with CDC, but it cited a section of the federal Health Insurance Portability and Accountability Act, or HIPAA, in declining to release county measles data. Monks shared his requests and responses with Oklahoma Watch.\u00a0<\/p>\n\n\n\n<p>In its Oct. 30 letter siding with the state Health Department, the attorney general\u2019s office said the agency\u2019s response was reasonable and noted its website has statistical information related to measles and potential public exposure.\u00a0<\/p>\n\n\n\n<p>\u201cBased on the information available to me at this time, I conclude that OSDH has a good-faith legal basis to deny access to the records sought by Dr. Monks,\u201d wrote Anthony Sykes, the attorney general\u2019s public access counselor.\u00a0<\/p>\n\n\n\n<p>Oklahoma is the only state not providing measles cases by county or on a regional level, according to researchers at Johns Hopkins University. They published a <a href=\"https:\/\/jamanetwork.com\/journals\/jama\/article-abstract\/2839096\">study<\/a> in September in JAMA, the journal of the American Medical Association, detailing their efforts to develop the <a href=\"https:\/\/publichealth.jhu.edu\/ivac\/resources\/us-measles-tracker\">U.S. Measles Tracker<\/a>.\u00a0<\/p>\n\n\n\n<p>Kansas only withholds county-level measles data if the cases are fewer than five, the researchers noted. Tennessee, Utah and Iowa provide regional case data, but not by county.\u00a0<\/p>\n\n\n\n<p>\u201cSingle measles cases often represent the leading edge of potential outbreaks, making their rapid identification crucial for public health response,\u201d the researchers said in a supplemental paper describing their methodology. \u201cGeographic specificity, even for small case counts, enables public health officials to implement targeted contact tracing and exposure notifications.\u00a0<\/p>\n\n\n\n<p>\u201cMany state health departments routinely report individual measles cases in public communications, press releases, and exposure notifications, establishing precedent that individual case disclosure serves legitimate public health purposes.\u201d\u00a0<\/p>\n\n\n\n<p>Oklahoma used to disclose county-level measles cases as recently as 2019, during the last major measles outbreak. Media reports from that outbreak show measles in Okmulgee County.\u00a0<\/p>\n\n\n\n<p>In an emailed response to questions from Oklahoma Watch, the state Health Department said its public data is sufficient to inform local communities of potential exposure to measles.\u00a0<\/p>\n\n\n\n<p>It provides overall case counts, vaccination status, age range, median age of cases and any public exposure settings identified through investigation of a measles case.\u00a0<\/p>\n\n\n\n<p>\u201cIdentified exposure locations are what pose a risk of spread to the public, and the county of residence may not always reflect the population or communities that may be at risk during a public health investigation,\u201d the agency said.\u00a0<\/p>\n\n\n\n<p>The state Health Department didn\u2019t directly address questions on how other states are able to report county measles data. The agency said it continues to rely on its interpretation of federal HIPAA laws and Oklahoma\u2019s public health code in not releasing county-level measles data.\u00a0<\/p>\n\n\n\n<p>\u201cAccordingly, OSDH has the discretion to determine the manner in which statistical communicable disease data may be released to the public to the extent that such release is in compliance with de-identification and disclosure requirements of HIPAA,\u201d the department said in the email.\u00a0<\/p>\n\n\n\n<p><strong>Echoes of COVID<\/strong><\/p>\n\n\n\n<p>The debate over how and when to share infection data echoes those in the first year of the COVID-19 pandemic. Oklahoma was <a href=\"https:\/\/oklahomawatch.org\/2020\/03\/28\/as-covid-19-cases-spread-state-officials-release-few-local-details\/\">slow<\/a> to <a href=\"https:\/\/oklahomawatch.org\/2020\/06\/01\/oklahoma-pulls-back-on-coronavirus-data-transparency\/\">share<\/a> community-level <a href=\"https:\/\/www.kjrh.com\/news\/local-news\/local-health-officials-create-new-high-risk-zone-map-based-on-local-data\">infection data<\/a>. Even then, it provided county-level case information.\u00a0<\/p>\n\n\n\n<p>In those first few months of the pandemic, <a href=\"https:\/\/embed.documentcloud.org\/documents\/6820310-OSDH-Open-Records-Request-Oklahoma-Watch-3-20-20\/\">Oklahoma Watch requested<\/a> de-identified COVID-19 data from the state Health Department, including by city and ZIP code. Officials initially denied the request based on federal and state privacy laws, although those laws include exemptions to allow de-identified data. As the pandemic escalated, state health officials eventually provided localized data for COVID infections on an online data dashboard.\u00a0<\/p>\n\n\n\n<p>The state Health Department said it used a risk-based approach to reporting COVID-19 cases to make recommendations around public gatherings and school closures.\u00a0<\/p>\n\n\n\n<p>\u201cThe only way to implement such a system was to report ZIP code-level data,\u201d the department said. \u201cFor measles, using exact public setting location and time provides individuals the information necessary to communicate the risk to the public. Again, it\u2019s all about risk and managing it in such a way as to balance the public\u2019s need to know with our obligation to protect an individual\u2019s health information.\u201d\u00a0<\/p>\n\n\n\n<p>The state Health Department sent out potential measles exposure alerts earlier this year. The alerts included the addresses of stores and restaurants an infected person had visited.\u00a0<\/p>\n\n\n\n<p>Oklahoma public health officials withholding of county-level measles data contrasts with the state\u2019s <a href=\"https:\/\/oklahoma.gov\/health\/health-education\/acute-disease-service\/viral-view.html\">tracking for West Nile virus<\/a>, a mosquito-borne disease. The state Health Department\u2019s infectious disease website includes the number of cases and county of incidence for that virus.\u00a0<\/p>\n\n\n\n<p>\u201cI don\u2019t get it,\u201d Monks said. \u201cThey\u2019re citing these privacy concerns (for measles), but there\u2019s no patient data assigned to this. It\u2019s all just aggregate data. I don\u2019t get how they can come down on one side and then a different side based on the infectious disease.\u201d\u00a0<\/p>\n\n\n\n<p>The state Health Department said decisions about releasing county-level data are made based on a number of factors, including overall case count, population of the county and case investigation impact.\u00a0<\/p>\n\n\n\n<p>\u201cFor some diseases, like West Nile, it is important that the public is aware of the geographic location of the case to communicate the risk of disease to the public,\u201d the agency said. \u201cThe majority of diseases publicly reported on our website are stratified by their respective region, rather than county-level, to help protect patient privacy, while still providing the public with a geographic distribution of disease burden.\u201d\u00a0<\/p>\n\n\n\n<p>Monks continues to request disease data from the Health Department. He\u2019s asked for more information about pertussis, commonly called whooping cough, and tuberculosis.\u00a0<\/p>\n\n\n\n<p>\u201cThis is a really important time to get this data out to the public,\u201d Monks said. \u201cIn Oklahoma, this is the worst whooping cough outbreak in 70 years and the worst measles outbreak we\u2019ve had in 35 years.\u201d\u00a0<\/p>\n\n\n\n<p>Monks said it\u2019s a policy decision, not necessarily a public health decision, to withhold detailed data about respiratory disease outbreaks. Monks, who describes himself as a Reagan Republican, suspects some state leaders don\u2019t want to raise the ire of the federal Health and Human Services Department under the leadership of Robert F. Kennedy Jr., a longtime vaccine skeptic.\u00a0<\/p>\n\n\n\n<p>\u201cFrom the Republican standpoint, some have taken this position that this is a political football, and they really want to get away from pro-vaccinations and pro-science, especially in a primary,\u201d Monks said.\u00a0<\/p>\n\n\n\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-flow wp-block-group-is-layout-flow\"><div class=\"wp-block-image\">\n<figure class=\"alignleft size-full is-resized\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" width=\"645\" height=\"645\" src=\"https:\/\/i0.wp.com\/oklahomawatch.org\/wp-content\/uploads\/2022\/08\/Paul-Monies.jpg?resize=645%2C645&amp;ssl=1\" alt=\"\" class=\"wp-image-700535\" style=\"width:161px;height:161px\" srcset=\"https:\/\/i0.wp.com\/oklahomawatch.org\/wp-content\/uploads\/2022\/08\/Paul-Monies.jpg?w=645&amp;ssl=1 645w, https:\/\/i0.wp.com\/oklahomawatch.org\/wp-content\/uploads\/2022\/08\/Paul-Monies.jpg?resize=336%2C336&amp;ssl=1 336w, https:\/\/i0.wp.com\/oklahomawatch.org\/wp-content\/uploads\/2022\/08\/Paul-Monies.jpg?resize=140%2C140&amp;ssl=1 140w, https:\/\/i0.wp.com\/oklahomawatch.org\/wp-content\/uploads\/2022\/08\/Paul-Monies.jpg?resize=400%2C400&amp;ssl=1 400w, https:\/\/i0.wp.com\/oklahomawatch.org\/wp-content\/uploads\/2022\/08\/Paul-Monies.jpg?resize=200%2C200&amp;ssl=1 200w, https:\/\/i0.wp.com\/oklahomawatch.org\/wp-content\/uploads\/2022\/08\/Paul-Monies.jpg?resize=300%2C300&amp;ssl=1 300w, https:\/\/i0.wp.com\/oklahomawatch.org\/wp-content\/uploads\/2022\/08\/Paul-Monies.jpg?resize=100%2C100&amp;ssl=1 100w, https:\/\/i0.wp.com\/oklahomawatch.org\/wp-content\/uploads\/2022\/08\/Paul-Monies.jpg?w=370&amp;ssl=1 370w\" sizes=\"auto, (max-width: 645px) 100vw, 645px\"><\/figure>\n<\/div>\n\n\n<p><em>Paul Monies has been a reporter with Oklahoma Watch since 2017 and covers state agencies and public health. Contact him at (571) 319-3289 or <\/em><a href=\"mailto:pmonies@oklahomawatch.org\"><em>pmonies@oklahomawatch.org<\/em><\/a><em>.<\/em> <em>Follow him on Twitter @pmonies.\u00a0<\/em><\/p>\n\n\n\n<div style=\"height:10px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\t<div class=\"wp-block-newspack-blocks-homepage-articles  wpnbha is-grid columns-3 colgap-1 show-image image-aligntop ts-3 is-3 is-landscape \" style=\"\">\n\t\t<div data-posts data-current-post-id=\"725353\">\n\t\t\t\t\t\t\t<h2 class=\"article-section-title\">\n\t\t\t\t\t<span>MORE FROM PAUL MONIES <\/span>\n\t\t\t\t<\/h2>\n\t\t\t\t\t\t\n\t<article data-post-id=\"754196\" class=\"tag-attorney-general tag-cdc tag-covid-19 tag-george-monks tag-measles tag-oklahoma-news tag-oklahoma-state-department-of-health tag-oklahoma-state-medical-association tag-whooping-cough category-health category-publichealth type-post post-has-image\">\n\t\t\t\t\t\t\t<figure class=\"post-thumbnail\">\n\t\t\t\t\t\t\t\t<a href=\"https:\/\/oklahomawatch.org\/2026\/01\/05\/oklahoma-health-department-refuses-to-share-county-level-measles-data\/\" rel=\"bookmark\" tabindex=\"-1\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"1200\" height=\"900\" src=\"https:\/\/i0.wp.com\/oklahomawatch.org\/wp-content\/uploads\/2025\/12\/Monks_15-scaled.jpg?resize=1200%2C900&amp;ssl=1\" class=\"attachment-newspack-article-block-landscape-large size-newspack-article-block-landscape-large wp-post-image\" alt=\"Oklahoma Health Department Refuses to Share County-Level Measles Data\" data-hero-candidate=\"1\" srcset=\"https:\/\/i0.wp.com\/oklahomawatch.org\/wp-content\/uploads\/2025\/12\/Monks_15-scaled.jpg?resize=1200%2C900&amp;ssl=1 1200w, https:\/\/i0.wp.com\/oklahomawatch.org\/wp-content\/uploads\/2025\/12\/Monks_15-scaled.jpg?resize=800%2C600&amp;ssl=1 800w, https:\/\/i0.wp.com\/oklahomawatch.org\/wp-content\/uploads\/2025\/12\/Monks_15-scaled.jpg?resize=600%2C450&amp;ssl=1 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https:\/\/i0.wp.com\/oklahomawatch.org\/wp-content\/uploads\/2025\/12\/IMG_2431-scaled.jpg?resize=2048%2C1536&amp;ssl=1 2048w, https:\/\/i0.wp.com\/oklahomawatch.org\/wp-content\/uploads\/2025\/12\/IMG_2431-scaled.jpg?resize=1200%2C900&amp;ssl=1 1200w, https:\/\/i0.wp.com\/oklahomawatch.org\/wp-content\/uploads\/2025\/12\/IMG_2431-scaled.jpg?resize=800%2C600&amp;ssl=1 800w, https:\/\/i0.wp.com\/oklahomawatch.org\/wp-content\/uploads\/2025\/12\/IMG_2431-scaled.jpg?resize=400%2C300&amp;ssl=1 400w, https:\/\/i0.wp.com\/oklahomawatch.org\/wp-content\/uploads\/2025\/12\/IMG_2431-scaled.jpg?resize=200%2C150&amp;ssl=1 200w, https:\/\/i0.wp.com\/oklahomawatch.org\/wp-content\/uploads\/2025\/12\/IMG_2431-scaled.jpg?resize=1024%2C768&amp;ssl=1 1024w, https:\/\/i0.wp.com\/oklahomawatch.org\/wp-content\/uploads\/2025\/12\/IMG_2431-scaled.jpg?resize=2000%2C1500&amp;ssl=1 2000w, https:\/\/i0.wp.com\/oklahomawatch.org\/wp-content\/uploads\/2025\/12\/IMG_2431-scaled.jpg?resize=780%2C585&amp;ssl=1 780w, https:\/\/i0.wp.com\/oklahomawatch.org\/wp-content\/uploads\/2025\/12\/IMG_2431-scaled.jpg?resize=706%2C530&amp;ssl=1 706w, https:\/\/i0.wp.com\/oklahomawatch.org\/wp-content\/uploads\/2025\/12\/IMG_2431-scaled.jpg?resize=1200%2C900&amp;ssl=1&amp;w=370 370w\" sizes=\"auto, (min-width: 782px) 400px, (min-width: 600px) 42.5vw, 90vw\">\t\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\n\t\t\t\t\t\t\t<\/figure><!-- .featured-image -->\n\t\t\n\t\t<div class=\"entry-wrapper\">\n\t\t\t\t\t\t<h3 class=\"entry-title\"><a href=\"https:\/\/oklahomawatch.org\/2025\/12\/09\/state-delays-push-data-center-developers-to-private-land\/\" rel=\"bookmark\">State Delays Push Data Center Developers to Private Land<\/a><\/h3>\t\t\t\t\t\t\t\t\t\t\t<\/div><!-- .entry-wrapper -->\n\t<\/article>\n\n\t\t\t\t<\/div>\n\t\t\n\t<\/div>\n\t<\/div><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Oklahoma\u2019s refusal to share county-level measles data during outbreaks has sparked concerns from health experts, including Dr. George Monks, who argues the data is crucial for public safety. 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