Measles Resurgence in North Carolina: What You Need to Understand
North Carolina is currently experiencing a rise in measles cases, with 22 confirmed infections reported since late December 2025. This increase, coupled with outbreaks in neighboring states like South Carolina, is prompting health officials to urge vaccination and heightened awareness.
Understanding the Current Situation
Most of the cases reported in North Carolina have been linked to known outbreaks, particularly the one in upstate South Carolina. A concerning trend is that many infections are occurring in unvaccinated individuals. Dr. Zack Moore, NCDHHS State Epidemiologist, emphasized the contagious nature of measles, but also its preventability through vaccination.
Who is at Risk?
While the recommendation is for all individuals one year and older to receive the MMR vaccine, specific areas are seeing increased attention. Health care providers are being encouraged to consider early vaccination – for infants aged 6 to 11 months – who live in or frequently visit:
- Buncombe County
- The Charlotte Metropolitan area (Cabarrus, Gaston, Iredell, Lincoln, Mecklenburg, Rowan, and Union counties)
Even in counties within the Charlotte area where no cases have been reported, the presence of unexplained cases suggests local spread is possible.
Early Vaccination: A Proactive Approach
The North Carolina Department of Health and Human Services (NCDHHS) is recommending that healthcare providers consider early MMR vaccination for infants in high-risk areas. This is a shift in standard practice, reflecting the urgency of the situation.
Symptoms and What to Do If Exposed
Measles symptoms typically appear 7-21 days after exposure and include:
- High fever (potentially exceeding 104°F)
- Cough
- Runny nose
- Red, watery eyes
- Tiny white spots inside the mouth (Koplik spots)
- A red, blotchy rash starting on the face and spreading downwards
If you suspect you’ve been exposed, it’s crucial to contact your local health department immediately. Limit contact with others and call ahead to your doctor or emergency room to allow for precautions to prevent further spread.
Staying Informed: Exposure Locations and Resources
NCDHHS is maintaining a list of potential measles exposure locations, which is updated as information is verified. Individuals who may have been exposed are being contacted by local health departments or NC Public Health Outreach Teams via phone, text, email, or in-person visits.
Vaccination Access and Resources
The MMR vaccine is widely available at healthcare providers and many retail pharmacies. Children eligible for the Vaccines for Children program can receive the vaccine through enrolled providers. An MMR immunity checker tool is available to help determine if you need additional protection.
Frequently Asked Questions
- How contagious is measles?
- Measles is extremely contagious. The virus can remain infectious in the air for up to two hours.
- Is laboratory testing necessary after exposure?
- Not unless symptoms develop. Testing is recommended if you experience fever and rash after potential exposure.
- Where can I find more information?
- Visit dph.ncdhhs.gov/measles for guidance, resources, and vaccine information.
Protecting yourself and your community from measles requires vigilance and proactive measures. Vaccination remains the most effective defense against this highly contagious disease.
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