CLEVELAND, Ohio — The measles outbreak in Texas and New Mexico has resulted in a second death, leaving many Ohioans wondering if they and their families are protected against the dangerous virus and if — as federal health official Robert F. Kennedy Jr. has stated — vitamin A prevents measles deaths.

Despite an unvaccinated child’s death, local residents in West Texas say personal choice—not public-health policy—should guide their decisions.

Health officials in Maryland have confirmed the state's first measles case for the year amid expanding outbreaks in Texas and New Mexico. The Maryland Department of Health said in a statement Sunday that a Howard County resident with recent international travel history has tested positive for the highly contagious disease.