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.

Texas’ health commissioner told lawmakers Monday they are still trying to determine the origin of a South Plains-Panhandle measles outbreak more than a month after the first patients reported symptoms.