As measles rages, one clinic leans on years of hard-won trust to keep vulnerable people safe

Main Street is bustling on a Wednesday afternoon in late September. Cars mix with horse-and-buggy carriages on the road, many coming and going from the weekly Sale Day — a market spread over 10 acres with livestock, fruits and vegetables, flowers and other goods available to purchase. Lively conversations in English and Pennsylvania Dutch fill the barn where a produce auction stretches until lunchtime; bids for a pint of bright red cherry tomatoes run from 90 cents to $1.30. As dozens of people mix and mingle through the afternoon — Amish and other Plain people, so named for their simple way of dressing, as well as “English,” as they refer to folks outside of their community — there are no direct indications that a measles outbreak is raging in the area.