Garland rallies Cavs to 108-102 win over No. 3 seed Knicks, who finish 0-8 vs East's top 2 teams

NEW YORK (AP) — Darius Garland scored 13 of his 26 points in the fourth quarter to lead the Cleveland Cavaliers' comeback from 23 points down for a 108-102 victory Friday night over the New York Knicks, who finished 0-8 against the top two teams in the Eastern Conference.

The Knicks were locked into the No. 3 seed in the East during the game when the Indiana Pacers, resting all five starters, were routed by the Orlando Magic to end their hopes of passing New York.

But no matter where the Knicks finished, they look a step below the teams above them. The top-seeded Cavaliers completed a four-game sweep, just as the No. 2 Boston Celtics did with their overtime victory at Madison Square Garden on Tuesday.

The Cavaliers played without All-Star Donovan Mitchell and key reserves Ty Jerome and De’Andre Hunter, but went with their other four starters.

Jalen Brunson scored 27 points for the Knicks, who rested All-Star center Karl-Anthony Towns but otherwise had their regular starting lineup in their third straight loss.

The Knicks made 10 of their first 13 3-point attempts to open a 48-25 lead in the first half, but the Cavaliers outscored them 30-16 in the fourth quarter.

Cavaliers: Coach Kenny Atkinson said he believed that Mitchell, officially listed out for the third straight game with a sprained left ankle, would have been able to play Friday if the game mattered and said he would be ready to go for the playoff opener on April 20.

Knicks: The Knicks will have enough trouble with first-round opponent Detroit, the No. 6 seed that won the series 3-1, before worrying about the record against Cleveland or Boston.

Garland scored all Cleveland's points in an 11-6 surge that turned a three-point deficit into a 97-95 edge.

Cleveland is 16-4 in its last 20 games in the regular season in Madison Square Garden, though lost both in the Knicks’ victory in the first round of the 2023 playoffs.

Cleveland faces Indiana again on Sunday. The Knicks will be in Brooklyn.

AP NBA: https://apnews.com/hub/nba

New York Knicks' Jalen Brunson (11) losses the ball as he drives to the basket during the second half of an NBA basketball game against the Cleveland Cavaliers Friday, April 11, 2025, in New York. (AP Photo/Seth Wenig)

Cleveland Cavaliers' Isaac Okoro, right, drives past New York Knicks' Mitchell Robinson during the first half of an NBA basketball game Friday, April 11, 2025, in New York. (AP Photo/Seth Wenig)

New York Knicks' Jalen Brunson passes during the second half of an NBA basketball game against the Cleveland Cavaliers Friday, April 11, 2025, in New York. (AP Photo/Seth Wenig)

New York Knicks' Mikal Bridges (25) grabs a rebound from the floor during the second half of an NBA basketball game against the Cleveland Cavaliers Friday, April 11, 2025, in New York. (AP Photo/Seth Wenig)

New York Knicks' Josh Hart grabs a rebound during the first half of an NBA basketball game against the Cleveland Cavaliers Friday, April 11, 2025, in New York. (AP Photo/Seth Wenig)

New York Knicks' Josh Hart, right, reacts was he fouls Cleveland Cavaliers' Darius Garland, center, during the first half of an NBA basketball game Friday, April 11, 2025, in New York. (AP Photo/Seth Wenig)

One-fifth of states have active measles outbreaks as confirmed cases nationwide keep ticking up, according to the U.S. Centers for Disease Control and Prevention.

The CDC's confirmed measles case count is 935, more than triple the amount seen in all of 2024. The three-month outbreak in Texas accounts for the vast majority of cases, with 683 confirmed as of Friday. The outbreak has also spread to New Mexico, Oklahoma and Kansas.

Two unvaccinated elementary school-aged children died from measles-related illnesses in the epicenter in West Texas, and an adult in New Mexico who was not vaccinated died of a measles-related illness.

Other states with active outbreaks — defined as three or more cases — include Indiana, Michigan, Montana, Ohio, Pennsylvania and Tennessee.

North America has two other ongoing outbreaks. One in Ontario, Canada, has resulted in 1,243 cases from mid-October through Tuesday. And the Mexican state of Chihuahua had 844 measles cases and one death as of Friday, according to data from the state health ministry. Health officials in Mexico and the U.S. say all three outbreaks are of the same measles strain.

Measles is caused by a highly contagious virus that’s airborne and spreads easily when an infected person breathes, sneezes or coughs. It is preventable through vaccines, and has been considered eliminated from the U.S. since 2000.

As the virus takes hold in U.S. communities with low vaccination rates, health experts fear that spread could stretch on for a year. Here's what else you need to know about measles in the U.S.

Texas state health officials said Tuesday there were 20 new cases of measles since Tuesday, bringing the total to 683 across 29 counties — most of them in West Texas. Three counties recorded their first cases: Hardeman has one, Eastland has two and Upshur has five. The state also added two hospitalizations to its count Friday, for a total of 89 throughout the outbreak.

State health officials estimated about 1% of cases — fewer than 10 — are actively infectious.

Sixty percent of Texas' cases are in Gaines County, population 22,892, where the virus started spreading in a close-knit, undervaccinated Mennonite community. The county has had 396 cases since late January — just over 1.5% of the county's residents.

The April 3 death in Texas was an 8-year-old child, according to Health Secretary Robert F. Kennedy Jr. Local health officials in Texas said the child did not have underlying health conditions and died of “what the child's doctor described as measles pulmonary failure.” A unvaccinated child with no underlying conditions died of measles in Texas in late February — Kennedy said age 6.

New Mexico added one case Friday for 67 total cases. Seven people have been hospitalized since the outbreak started. Most of the state's cases are in Lea County. Three are in Eddy County, two in Doña Ana County and one in Chaves County.

Indiana confirmed two more cases April 21 in an outbreak that has sickened eight in Allen County in the northeast part of the state — five are unvaccinated minors and three are adults whose vaccination status is unknown.

The cases have no known link to other outbreaks, the Allen County Department of Health has said.

Kansas added nine cases Wednesday for a total of 46 across eight counties in the southwest part of the state. Gray County is up to 15 cases. The state also reported its first hospitalization.

Kansas' health department didn't elaborate Wednesday about a discrepancy in the number of new cases at the state and county levels beyond noting that case counts are “fluid as the outbreak progresses."

The state's first reported case is linked to the Texas outbreak based on genetic testing.

Montcalm County, near Grand Rapids in western Michigan, has an outbreak of four cases that state health officials say is tied to the Ontario outbreak. The state had nine confirmed measles cases as of Friday, but the remaining five are not part of the Montcalm County outbreak.

Montana state health officials announced five cases April 17 in unvaccinated children and adults who had traveled out of state, and later confirmed it was an outbreak. All five are isolating at home in Gallatin County in the southwest part of the state.

They were Montana’s first measles cases in 35 years. Health officials didn’t say whether the cases are linked to other outbreaks in North America.

The state has two outbreaks. Ashtabula County near Cleveland has 16 cases. And Knox County in east-central Ohio has 20 — 14 among Ohio residents and the rest among visitors.

The Ohio Department of Health on Thursday confirmed 33 measles cases and one hospitalization. That count includes only Ohio residents. Defiance County in the northwestern part of the state has logged its first case.

Allen and Holmes counties have had one case each.

Oklahoma had 13 confirmed and three probable cases as of Friday. The first two probable cases were “associated” with the West Texas and New Mexico outbreaks, the state health department said. The department is not releasing which counties have cases, but Cleveland, Custer, Oklahoma and Sequoyah counties have had public exposures in the past couple of months.

There are eight measles cases in Erie County in far northwest Pennsylvania, officials said Friday. The county declared an outbreak in mid-April. The state has said it has 13 cases overall in 2025, including international travel-related cases in Montgomery County and one in Philadelphia.

Tennessee had six measles cases as of last week. Health department spokesman Bill Christian said all cases are the middle part of the state, and that “at least three of these cases are linked to each other” but declined to specify further. The state also did not say whether the cases were linked to other outbreaks or when Tennessee's outbreak started.

The state health department announced the first measles case March 21, three more on April 1 and the last two on April 17, but none of the news releases declared an outbreak. However, Tennessee was on a list of outbreak states in a CDC report April 17.

Measles cases also have been reported in Alaska, Arkansas, California, Colorado, Florida, Georgia, Hawaii, Illinois, Kentucky, Louisiana, Maryland, Minnesota, Missouri, New Jersey, New York, Rhode Island, Vermont, Virginia and Washington.

Cases and outbreaks in the U.S. are frequently traced to someone who caught the disease abroad. In 2019, the U.S. saw 1,274 cases and almost lost its status of having eliminated measles.

The best way to avoid measles is to get the measles, mumps and rubella vaccine. The first shot is recommended for children between 12 and 15 months old and the second between 4 and 6 years old.

Getting another MMR shot is harmless if there are concerns about waning immunity, the CDC says. People who have documentation of receiving a live measles vaccine in the 1960s don’t need to be revaccinated, but people who were immunized before 1968 with an ineffective measles vaccine made from “killed” virus should be revaccinated with at least one dose, the agency said.

People who have documentation that they had measles are immune and those born before 1957 generally don’t need the shots because most children back then had measles and now have “presumptive immunity.”

In communities with high vaccination rates — above 95% — diseases like measles have a harder time spreading through communities. This is called “herd immunity.”

But childhood vaccination rates have declined nationwide since the pandemic and more parents are claiming religious or personal conscience waivers to exempt their kids from required shots. The U.S. saw a rise in measles cases in 2024, including an outbreak in Chicago that sickened more than 60.

Measles first infects the respiratory tract, then spreads throughout the body, causing a high fever, runny nose, cough, red, watery eyes and a rash.

The rash generally appears three to five days after the first symptoms, beginning as flat red spots on the face and then spreading downward to the neck, trunk, arms, legs and feet. When the rash appears, the fever may spike over 104 degrees Fahrenheit, according to the CDC.

Most kids will recover from measles, but infection can lead to dangerous complications such as pneumonia, blindness, brain swelling and death.

There’s no specific treatment for measles, so doctors generally try to alleviate symptoms, prevent complications and keep patients comfortable.

AP Science Writer Laura Ungar contributed to this report.

The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Science and Educational Media Group and the Robert Wood Johnson Foundation. The AP is solely responsible for all content.

Health department staff members enter the Andrews County Health Department measles clinic carrying doses of the measles, mumps and rubella vaccine, Tuesday, April 8, 2025, in Andrews, Texas. (AP Photo/Annie Rice)

Health and Human Services Secretary Robert F. Kennedy Jr., left, arrives at Reinlander Mennonite Church after a second measles death, Sunday, April 6, 2025, in Seminole, Texas. (AP Photo/Annie Rice)