The Short Version
The comparative claim fails on the facts. While the CDC does confirm 1,748 measles cases as of April 16, 2026, this is a partial-year count — and critically, the full year of 2025 already recorded approximately 2,288 cases, which was itself the highest annual total since 1991. Therefore, 1,748 cases would not represent the highest total since 1991; that distinction already belongs to 2025.