A Pennsylvania coroner has confirmed that two recent deaths linked to measles involved infants, with the virus itself directly causing one of the fatalities. Dr. Stephen Diamantoni, the Lancaster County coroner, shared his findings with the Centers for Disease Control and Prevention (CDC). However, the CDC has not yet decided whether to classify these deaths as measles-associated, and its official website still includes a disclaimer about such classifications. Ivan Miller, born on August 14, died shortly after his birth due to a ruptured spleen, according to Dr. Diamantoni. Mary Stoltzfus, who was six weeks old, died at her home on August 18. She was born with a rare genetic condition known as Amish lethal microcephaly, which severely weakens the immune system and makes individuals highly susceptible to infections. Dr. Diamantoni told The Associated Press that a measles infection was the cause of her death. Dr. Diamantoni's office did not perform an autopsy on Mary Stoltzfus; her cause of death was determined by the medical team who treated her. In contrast, an autopsy was conducted on Ivan Miller, which identified a ruptured spleen as the cause of his death. The exact circumstances and timing of the rupture are still under investigation. Both children were too young to be vaccinated, as the first dose is typically administered at around 1 year of age. The details of these deaths have sparked national attention and political debate between Pennsylvania’s Democratic governor, Josh Shapiro, and officials in the Trump administration. Governor Shapiro emphasized that the deaths could have been prevented through vaccination. U.S. Health Secretary Robert F. Kennedy Jr., a Trump appointee, questioned the validity of the deaths, suggesting they "may even have been altogether fabricated." Kennedy later acknowledged Dr. Diamantoni's conclusion that one of the deaths was due to measles. His comments align with similar remarks he made in 2022 when three measles-related deaths were recorded. The CDC has made updates to its measles webpage, initially noting two measles-associated deaths but later revising the information to say it would review additional data before updating its reporting. As of now, the page has not included the Pennsylvania cases. Dr. Georges Benjamin, executive director of the American Public Health Association, has raised concerns about the CDC's reliability in sharing information that may conflict with certain viewpoints. Pennsylvania’s measles outbreak continues to grow, with more than 620 cases reported across 37 counties this year. The U.S. had eliminated domestic measles spread by 2000 through high vaccination rates, but recent coverage has dropped below the 95% threshold needed to prevent outbreaks. International health officials will meet in November to determine if the U.S. and Mexico have lost their measles-free status.