Measles has sickened nearly 150 mostly unvaccinated people in rural West Texas, and a school-age child has died. The virus is spreading among Gaines County’s Mennonite community, where government mandates are not trusted.

As measles — a preventable disease the U.S. considered eliminated in 2000 — spreads through West Texas’ rural expanse, Klassen is sticking to an approach on vaccines that is a key tenet for Mennonites. Family leaders are the top decision-making authority — not outside recommendations, certainly not government mandates.

U.S. Health and Human Services Secretary Robert F. Kennedy Jr. said he’s spoken directly with Gov. Greg Abbott about the measles outbreak in Texas, but neither are telling Texas families to get the vaccine that can stop the spread of the highly contagious respiratory illness.