The deaths follows two measles-associated deaths in Lancaster County last month reported by the state last month, the first connected to the virus in the state in 35 years.

To determine that the latest cases met the criteria to be considered measles-associated deaths prior to announcing them, the health department DOH conducted investigations with cooperation from the Jefferson and Mifflin County coroner’s offices. The inquires included confirming clinical evidence of a measles infection, a positive laboratory test, and that the death was not due to an unrelated cause.