The Money Trail Behind One OutbreakPublic health response activities accounted for roughly $3.2 million, the largest single component. For city and county health departments already stretched by other outbreak work, a $5.4 million response is not a line item that appears from nowhere. Schools in most states require documentation of MMR doses, and pediatric offices are busiest immediately before term begins. Public health response costs, direct medical costs, and lost productivity from New Mexico's 2025 measles outbreak, covering 100 confirmed cases and 2,946 identified contacts. The public health response was about $3.2 million and productivity losses were more than $1.8 million, because containment and quarantine consume far more resources than treatment.