It is emblematic of a series of fierce, sometimes connected measles outbreaks - in places as diverse as Indonesia, the Philippines, Madagascar and Venezuela - that have shaken global health officials, revealing persistent shortcomings in the world's vaccination efforts and threatening to tarnish what had been a signature public health achievement.
The Orange County Department of Health is advising residents that the number of confirmed measles cases in the county is now 15 and that there has been a substantial increase in the number of cases in surrounding areas.
On Wednesday, the Genesee County Health Department said the case is not confirmed as measles and it said further there are no confirmed cases in Genesee County.
Dallas County's measles patient had stayed at home during their period of potential contagiousness, and therefore did not result in any additional public or workplace exposures.
In the midst of a measles outbreak in the United States, public health officials are urging parents to get their children vaccinated, and for parents to make sure they're up to date on their own vaccinations.
Earlier this week two babies aged 8 months and 11 months who were too young to be vaccinated contracted the disease.
The measles vaccine is highly effective and very safe.
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Measles is a highly contagious respiratory disease caused by a virus.
About 1 out of 4 people who get measles will be hospitalized.
High fever (may spike to over 104˚F).
Measles symptoms usually start at around 10 days after contact with an infectious person. Talk to your healthcare provider to determine if immune globulin is right for you and if it is available. Within three to seven days a red blotchy rash will appear first on the face before spreading.
The measles virus spreads readily to unvaccinated people through coughing, sneezing and mouth secretions, officials said.
If you do not receive a consent and/or information package for your child/children by May 2019 and believe that they are not up-to-date with their immunizations, please contact your local health unit.