Two people in Pennsylvania have died from measles, marking the first reported deaths from the disease in the U.S. this year. 

The Pennsylvania Department of Health said on Tuesday, Aug. 25, that the two people who died were unvaccinated and lived in Lancaster County, the epicenter of a statewide measles outbreak that has sickened hundreds. 

No additional information has been released about the two people who died. State health officials said the deaths are the first measles-associated fatalities in Pennsylvania in 35 years.

“Because measles was largely eliminated in the [state] for more than three decades, people are not familiar with this disease and don’t fully understand the potential severity of the illness,” said Dr. Debra Bogen, Pennsylvania’s health secretary, in a statement.

More than 2,700 measles cases have been reported in the U.S. this year—the highest number of cases since the disease was considered eliminated in the country in 2000. In just the past two years, the U.S. has recorded more measles cases than it did from 2000 through 2024 combined.

Measles is a highly contagious viral disease that can cause high fever, a tell-tale rash, cough, and other symptoms. The disease can be mild for some, but about one in four people sickened with measles is hospitalized. Young children, pregnant women, and the elderly are among those who are at risk of more severe disease.

No specific treatment for measles exists. The measles vaccine—delivered as a combination measles, mumps, and rubella (MMR) shot series—is 97% effective at preventing the disease and lowers the risk of complications if someone is infected. 

“As a physician, I want to make sure that people understand that the MMR vaccine is safe and provides the best protection we have against measles,” said Bogen.

Within communities, a vaccination rate of above 95% is considered ideal for robust herd immunity against measles. The national MMR vaccination rate among kindergarteners surpassed 95% in the 2019-2020 school year, but it has been declining ever since, according to U.S. Centers for Disease Control and Prevention data. In 2025-2026, MMR vaccination coverage was just 92.4% nationally, and about 93% in Pennsylvania. In Lancaster County, home of the largest Amish settlement in the country, the vaccination rate was under 88%. An estimated 25% of the Amish population in Lancaster County is vaccinated against measles, according to the Association of Immunization Managers, an organization of state and local immunization officials. 

Vaccination rates began notably declining in the U.S. during the COVID pandemic and have continued dropping amid increasing anti-vaccine rhetoric and policy under the Trump Administration. On Aug. 10, President Donald Trump signed an executive order that called for U.S. children to receive fewer vaccines and ordered the MMR vaccine to be split into three separate shots, despite a lack of scientific evidence to back the changes.

“Together, there could be a possibility they’re quite lethal,” Trump said of the combined shot, which has been in use for more than 50 years and has a strong safety and efficacy record.   

Doctors and vaccine scientists said Trump’s executive order and comments were unscientific and misleading. "As measles cases reach a 35-year high in the U.S. and with cold and flu season quickly approaching, [the] executive order on vaccines is not only disheartening but dangerous,” Dr. Andrew Racine, president of the American Academy of Pediatrics (AAP), said in a statement at the time. 

The CDC and the American Academy of Pediatrics recommend that all children get two doses of the MMR vaccine, starting with the first dose at 12 through 15 months of age. 

An additional early dose of the vaccine can also be given to children aged 6 to 11 months under some circumstances, says Dr. Elizabeth Murray, a pediatric emergency medicine physician in Rochester, N.Y. “With the ongoing measles outbreak, make sure your children are immunized. If your child is under age 1, talk to your doctor. Depending on how much measles is circulating where you live, your doctor may recommend an earlier dose,” she says. 

The CDC also advises adults who haven’t been immunized against measles or who are unsure about their vaccination status to get the vaccine. The agency recommends that people who were vaccinated before 1968 with an older version of the shot get at least one dose of the vaccine in use now, which is more effective. 

For people fully vaccinated after 1968, however, there is no need to get a booster, the CDC says, as two doses of the vaccine should offer adequate, lifelong protection. 

Most people leave the monkey bars behind with childhood. Yet hanging from a bar—right-side up, don’t worry—may be one youthful habit worth picking back up, especially if you spend your days hunched over your desk and phone. (Guilty.)

“We look at kids on a playground—what are they doing?” says Australian physiotherapist Daniel Vadnal, owner of FitnessFAQs, who posts instructive videos on Instagram and YouTube. “They don’t need to be told to hang. They just intuitively do it.”

A few years ago, Vadnal persuaded his grandmother, now 93, to try a supported hang. That means gripping a bar overhead with straight arms but keeping your feet planted on the floor, rather than dangling your entire body weight. She was skeptical: She hadn’t even raised her arms fully overhead since she was a kid. But after just 30 seconds, she felt taller and looser—and found it easier to reach her kitchen cabinets.

Here’s what hanging can do for your body, how to keep your feet planted while you build strength, and why just 30 seconds is long enough. 

It gives your upper body a stretch

At its simplest, hanging means gripping a secure overhead pull-up bar—the kind that can be installed in a doorway—with straight arms while supporting some or all of your body weight. You remain right-side up: Your hands are above your head, and your feet point toward the floor or remain planted on it. Hanging upside down, known as inversion, is an entirely different exercise. “It’s fairly simple, but it’s not easy,” says Hazel Anderson, a physical therapist and faculty member at the University of St. Augustine for Health Sciences in Austin.

Whether your feet stay planted for support or lift off the floor, there are two ways to position your upper body. “The passive hang is, as the name suggests, just relaxed,” Vadnal says. “You’re letting nature, gravity, your body do whatever it wants.” Your shoulders move toward your ears, creating a stretch through the shoulders, arms, and trunk.

An active hang requires more effort. “You want to think of trying to bring your shoulder blades down away from your ears,” Vadnal says. That engages the muscles around the shoulders and back, creating more stability. Your elbows remain straight—and your feet can remain planted or off the floor—in either type of hang.

Vadnal considers passive and active hangs opposite ends of a spectrum. A passive hang still requires enough muscle effort to remain safely attached to the bar; an active one involves “really making a concerted effort” to hold yourself in position. He recommends choosing the amount of engagement that feels most comfortable for your body.

Reaching overhead may feel especially satisfying after all those hours slumped over your desk. Hanging “stretches all the tight muscles that we tend to have through the pecs, through the triceps on the back of the arms, as well as the lats,” Vadnal says. You’ll likely find it leaves you feeling a little taller—and less scrunched up through the shoulders.

That doesn’t mean 30 seconds on a bar will permanently correct your posture or treat back or shoulder pain; those claims haven’t been established in strong clinical trials. But hanging moves your upper body into a position it might not visit very often, which helps explain why people often step down feeling looser.

It makes your grip work

A hang might look passive, but your hands and forearms are busy keeping you attached to the bar. “First and foremost, it supports grip endurance,” Anderson says. “It’s helping with grip strength, but more with the endurance of being able to hold on to the bar.”

That endurance is useful for everything from carrying groceries to working toward a pull-up. “The hands, fingers, and forearms serve as a link to our back,” Vadnal says. Strengthening that link helps prepare you to support—and eventually pull—your body weight.

Research on short, recreational hangs is limited, and most studies involve climbers. In a small 2026 study, 11 climbers hung on until their grip gave out. As they got tired, their shoulders and other upper-body muscles increasingly pitched in to keep them on the bar.

Another randomized trial found that when experienced climbers hung by their fingers for eight weeks, with progressively more weight attached to the body, some measures of grip strength improved. The study involved extra weight and a climbing hold—not beginners attempting a relaxed 30-second hang—but it supports the idea that regularly asking your hands to hold you up can make them better at the job.

Grip strength is also widely used as a marker of overall health. “We do know that grip strength is correlated with longevity,” Vadnal says. In a study of nearly 140,000 adults across 17 countries, weaker grip was associated with a higher risk of death and cardiovascular disease.

That doesn’t mean hanging longer will make you live longer, Vadnal adds. Think of it as one useful signal—not a path to immortality.

Your feet can stay on the floor

Beginners don’t need to hover heroically above the ground. When you’re starting out, the bar is—quite literally—low. “I love the addition of a little step stool or platform,” Anderson says. Hold the bar with both hands, bend your knees slightly, and keep enough weight in your feet that the stretch feels manageable. You can gradually allow your arms to support more of you as you become comfortable.

“You definitely don’t need to jump straight to 30-second hangs all at once,” Anderson says. She recommends starting with a 10-second supported hang and repeating it three to five times, resting briefly between attempts. From there, work toward the 30-second goal. Vadnal likes three 30-second sets, but only after choosing a variation easy enough to complete with control.

Begin with your hands about shoulder-width apart. “That’s most comfortable for pretty much everyone,” Vadnal says, though you can move your hands wider or narrower based on what feels best. Wrap your thumbs underneath the bar to make your grip more secure.

If the typical overhand position bothers your shoulders, try a neutral grip, with your palms facing each other. Many gyms have parallel handles that allow for it, and gymnastics rings will rotate to accommodate your joints. Vadnal calls it “probably the most friendly position for the shoulders.”

Decide whether a passive or slightly more active hang feels better, and don’t worry about matching someone else’s position. Forcing your shoulders farther overhead than they can comfortably go may leave them sore or irritated, Vadnal says. Let your range of motion improve gradually instead.

Most importantly, remember to breathe. Anderson advises using “slow, controlled breaths” and making sure you’re not holding your air in, whether you’re a beginner or an expert. It’s easy to get so focused on staying on the bar that your whole body clenches up; a few steady breaths can help you relax into the hang.

“Don’t chase the clock,” Anderson says. If your form changes or you can no longer control the hang, put your feet down, rest, and try again.

Know when to let go

Hanging should feel like work—not like you’re about to injure yourself. “We should feel a stretching sensation; we should feel fatigued,” Vadnal says. “We shouldn’t feel pain.” Put your feet down if you experience sharp or persistent pain, numbness, tingling, or weakness.

Those symptoms are signs to stop, not to push through. Talk to a doctor or a physical therapist before trying again. Some people should seek guidance before they ever reach for the bar: Anderson recommends medical clearance for anyone who recently had shoulder surgery or an injury involving the neck, shoulders, elbows, wrists, or trunk. The same applies to people with shoulder instability, pain when reaching overhead, cardiovascular concerns, or uncontrolled high blood pressure. 

Osteoporosis doesn’t automatically make hanging off-limits. But because a fall could have more serious consequences, Anderson says, it’s particularly important to keep your feet supported and get personalized guidance.

Anderson recommends practicing two or three times a week on nonconsecutive days, which allows the muscles to recover. There’s no need to progress from zero hanging to auditioning for Cirque du Soleil. Add time or body weight gradually, and take a day off if your hands, forearms, or shoulders remain unusually sore.

If you like hanging, Vadnal suggests keeping a bar somewhere you’ll regularly see it, like in your laundry room. “It’s like daily hygiene,” he says. “You brush your teeth; hanging is a good thing, too.”

Your therapist has probably encouraged you to have difficult conversations, advocate for your needs, and resist the urge to avoid things that make you anxious. That’s all well and good—until, one day, the difficult conversation is with them.

If therapy doesn’t feel useful anymore, or if you’ve realized that you and your therapist simply aren’t the right match, it can be tempting to outsource the breakup to the cancel-appointment button. Yet unless there’s an ethical, boundary, or safety concern, experts say it’s usually worth having a conversation with your therapist before ending the relationship. It might improve the therapy. It might also help you find someone better suited to you, or simply allow you to leave without feeling guilty about ghosting the person who knows exactly why you tend to ghost people.

Speaking up could also save you from having to begin the search from scratch. “Your therapist could be the gateway to your next great therapist,” says Ryan Culkin, a licensed professional counselor and chief counselor officer at Thriveworks, which provides therapy and psychiatry services. They might be able to adjust their approach—or recommend someone who would suit you better.

Even if you already know you’re finished, breaking the news doesn’t require a dramatic confrontation or an elaborate defense. Here’s how to decide whether it’s time to call it quits—and how to do it painlessly.

Figure out what kind of discomfort you’re feeling

Good therapy isn’t necessarily easy. “Sometimes therapy can be really uncomfortable, but it can be incredibly productive,” says Eli Kraiem, a clinical psychologist in New York. A therapist might challenge an assumption you’re attached to, point out a pattern you’d rather not see, or encourage you to do something that scares you. Feeling unsettled after a session doesn’t mean it went badly.

Michael G. Wetter, a clinical psychologist in Los Angeles, prefers this question: “What is the discomfort accomplishing?” Productive discomfort generally leads to insight, reflection, behavioral change, or progress toward goals you and your therapist have agreed on, he says. If it’s a poor fit, you might notice you leave therapy feeling misunderstood or have the same conversation week after week without much meaningful movement.

Juliann Siwicki, a licensed clinical professional counselor in Vero Beach, Fla., thinks about it this way: “Are you uncomfortable because you’re talking about something hard? Or because you feel like you’re having coffee with someone and not getting help? Those are two different things.”

You should be able to name what you're working toward—a pattern you're trying to break, a decision you're stuck on, a reaction you'd like to change—and to notice how much airtime your therapist is taking up. "A therapist can share something about themselves if it helps the client," Siwicki says. "It becomes too much when the client is spending the session listening to the therapist's stories, or feels like they need to take care of the therapist."

Kamran Eshtehardi, a clinical psychologist in Pasadena, Calif., has heard the far end of that spectrum. One client described a previous therapist who "thought it would be helpful to tell me about when they cheated on their wife"—including that his wife left him, and that he later saw an escort. "And I'm like, ‘What? Like, a therapist told you?’" Eshtehardi says. "Those are major red flags."

What was once a good fit can also change over time. A therapist who helped you through a crisis might not be right for your next stage. "A great therapist might not be great for you," Culkin says. "It's kind of like dating—you're not going to get it right the first time every time."

Even finding that “the therapist gets on your nerves” doesn’t necessarily mean you should quit, says Eshtehardi. A rupture doesn’t mean the therapy has “rotted on the vine,” he says, and progress sometimes develops “underneath the surface” before reaching a tipping point. But if you’ve explained what you need and nothing changes—or there’s no sense of progress—your frustration deserves attention.

Serious boundary violations, unethical behavior, or anything that makes you feel unsafe are different. You don’t need to attempt a repair before leaving, nor do you owe the therapist another session.

Say what isn’t working

If you’re open to continuing with your therapist, with the appropriate changes, describe what you’ve noticed and need—without turning the conversation into a performance review.

Try: “Our sessions have started to feel conversational, and I need more structure, feedback, and therapeutic insight. Can we talk about that?” Or: “I’m not sure what I’m working toward. Could we revisit my goals?” Culkin suggests language as straightforward as: “That didn’t land with me,” “I want to try something different,” or “I really liked when you did this.”

Eshtehardi recalls a client telling him that the usual sympathetic responses—“I’m so sorry to hear that” or “That must have been so hard”—didn’t work for them. “I just want to get stuff on the table and say, ‘OK, what’s going on here? How do we work with this?’” the client told him. That feedback helped Eshtehardi calibrate his approach. “I’m not saying it’s necessarily the client’s job to help train the therapist,” he says, but clients can explain what they’re looking for and how they prefer to work.

If you know you’re ready to leave 

Sometimes you’re not interested in recalibrating the relationship—you’ve already decided to end it. In that case, the goal isn’t to persuade your therapist that you have a good enough reason to go. It’s simply to communicate your decision in whatever way feels most manageable. 

You don’t have to deliver the news face-to-face. A call, email, or text is fine: “I don’t want therapy and the therapeutic relationship to be another source of anxiety for my clients,” Eshtehardi says. For someone accustomed to conflict or pushback, sending “I’m sorry, this isn’t working for me” and receiving a calm response can itself be therapeutic. You might realize, he says, that “maybe there’s a way to connect with people that doesn’t feel like I’m always doing the wrong thing.”

Eshtehardi also encourages clients who feel guilty to view the conversation as an opportunity to “practice trusting that someone else is going to be OK,” and trusting themselves to make the right decision. Your therapist’s response will provide useful information. A therapist who responds with openness and a willingness to adjust is giving you one kind of information; defensiveness or guilt-tripping gives you another. If the therapist acts wounded, Eshtehardi thinks of it as a “double whammy.” It might hurt, but it also “confirms that you’ve made the correct decision to stop therapy.”

You don’t need to build a case for your decision. “When it comes to trying to find the right fit, I don’t think clients should have to worry about having to justify their perspective,” Eshtehardi says. He suggests keeping the message simple: “I don’t think it’s the right fit. I’d like to stop sessions, and I really appreciate your time. Thank you.”

And try not to assume you’ve devastated them. Therapists are trained to handle patients leaving, Kraiem says. If yours can’t tolerate it, “then there’s a problem with the therapist, not with the patients.”

Make the transition easier on yourself

If you need consistent support, try to line up a new therapist before leaving your current one. Ask your therapist if they can recommend someone with a different style or specialty.

Before booking, confirm the new therapist accepts your insurance. “There’s nothing worse than getting through that first session” only to discover they don’t, Culkin says. You can also ask how they structure sessions, establish goals, and respond when a client disagrees. Be candid about what helped the first time around, what didn’t, and what’s important to you this time. Culkin encourages therapists to ask what clients appreciated about past providers and what they wish had been different. “Those are gold answers,” he says.

It’s not mandatory, but Kraiem recommends a wrap-up session, if you’re comfortable: “Let’s have one session to reflect on the experiences, process how you’ve improved, how you’ve grown through therapy, and maybe areas that still need improvement,” he says. 

Ask the practices about transferring relevant records. You’ll typically sign an authorization specifying what can be shared. Whether you want a direct handoff depends on why you’re leaving, Eshtehardi says. If you felt misunderstood, the former therapist’s perspective could “muddy the waters,” and you might prefer a clean start. If your therapist is referring you to someone with more specialized expertise, a conversation could help them get up to speed more quickly. In that case, Eshtehardi tells clients, “I’ll tell you everything I tell them so you know what they know.”

Finally, cancel future appointments and settle outstanding balances or other loose ends. Eshtehardi suggests asking: “Are there any last things we need to do?” If medication is part of your care, coordinate with your prescribing clinician about refills.

Changing therapists isn’t proof that treatment failed. Sometimes successful therapy means repairing a strained relationship. Other times, it means recognizing that the relationship has run its course—and using the difficult-conversation skills you’ve practiced to say so.