
Whether you’re trying to enjoy a rare warm winter’s day with your kids at a City of Statesville Park or visiting a local jump park such as FearLess Adventure Park to get rid of cabin fever, being aware of germs and illnesses may not be your primary concern. However, with the latest uptick of measles cases across the country, it may be a good idea to refresh your understanding of the incredibly contagious virus, how it spreads, what symptoms to look for, and the best way to keep you and your family healthy.
Measles, also known as rubeola, was once common in children. Measles is a highly contagious disease caused by a virus that is spread through the air and can live on surfaces for up to two hours. It spreads easily when an infected person breathes, coughs, or sneezes. It can cause severe disease, complications, and even death. A vaccine is available to prevent measles infection and spread.
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The World Health Organization reports:
- before the introduction of measles vaccine in 1963 and widespread vaccination, major epidemics occurred approximately every two to three years and caused millions of deaths each year.
- an estimated 95,000 people died from measles in 2024 – mostly children under the age of five years, despite the availability of a safe and cost-effective vaccine.
- accelerated immunization activities by countries, WHO, the Measles & Rubella Partnership, and other international partners successfully prevented an estimated 59 million deaths between 2000 and 2024. Vaccination decreased an estimated measles deaths from 780,000 in 2000 to 95,000 in 2024.
According to the CDC’s measles cases and outbreaks map, in 2025 South Carolina, New Mexico, Arizona, Utah, and Texas reported the highest numbers of measles cases in the U.S., with Texas recording over 800 cases. This year already, South Carolina (with 653 confirmed cases) and Utah (with 149 confirmed cases) are setting a dangerous precedent.
Measles: Symptoms, Stages, and What to Watch For
Symptoms of measles usually begin 7–14 days after exposure to the virus. A prominent, non-itchy, rash is the most visible symptom which begins in the face and moves down the body 3-5 days after fever begins.
Early symptoms usually last 4–7 days. They include:
- rash (beginning as small, flat, red spots that can develop into larger blotches)
- runny nose
- dry cough
- red, watery eyes
- small white spots inside the cheeks (called Koplik spots)
- fever (often over 101°F)
Complications of measles can include:
- blindness
- encephalitis (an infection causing brain swelling and potentially brain damage)
- severe diarrhea and dehydration
- ear infections
- severe breathing problems including pneumonia
A person with measles can spread the virus four days before the rash appears and four days after. Measles is highly contagious and spreads rapidly. Most people who haven’t had measles or haven’t been vaccinated will become infected when around someone with measles.
If you notice symptoms:
- Contact an AFC healthcare provider immediately.
- Keep the potentially infected person isolated to prevent spreading the virus.
- Follow your provider’s guidance for testing, treatment, and isolation.
Early action reduces the risk to others and ensures timely care.
If you are exhibiting any symptoms of measles, especially the trademark rash associated with the infection, contact AFC and book an appointment for expert treatment and care.
Treatment
There is no specific cure for measles. Measles treatment focuses on symptom relief, comfort, and preventing complications.
- Acetaminophen or ibuprofen can be used to manage pain and discomfort. Aspirin should not be given to children, due to the risk of Reye’s syndrome.
- Light sensitivity (photophobia) is common. Resting in a dark or dimly lit room can help reduce eye discomfort.
- Hydration and proper nutrition are essential to support recovery and prevent dehydration or secondary illness.
- If a secondary bacterial infection (such as pneumonia or an eye infection) develops, AFC providers may prescribe antibiotics. Antibiotics are not effective against the measles virus itself.
- Vitamin A supplements may be given in two doses, 24 hours apart, to children and adults with measles. Vitamin A can help reduce the risk of permanent eye damage, blindness, and measles-related complications.
Why Measles Is Making a Comeback in the United States
The United States declared measles elimination status in 2000, but recent declines in vaccination rates have allowed it to resurface. Factors such as vaccine misinformation, limited access to healthcare, and pandemic-related disruptions have all contributed to lower immunization coverage. Because measles is highly contagious, up to 90% of unvaccinated people exposed can become infected. Communities with fewer vaccinated individuals are more vulnerable to outbreaks. As international travel and large gatherings increase, health officials emphasize that improving vaccination rates is key to preventing further spread.
Preventing Measles in Children and Families
Vaccination
The MMR vaccine (measles, mumps, rubella) is the safest and most effective way to prevent measles. Two doses are about 97% effective at protection.
CDC Recommendations:
- First dose: 12–15 months
- Second dose: 4–6 years
If your child hasn’t received both doses, now is the time to catch up. Teens and adults who missed vaccination can also benefit from immunization. Staying up to date helps protect your family and community.
Hygiene and Safety Practices
While vaccination is key, additional steps can help reduce risk:
- Handwashing: Wash hands frequently with soap and water.
- Masking: Wear a mask in high-risk settings or around sick individuals.
- Surface cleaning: Disinfect commonly touched surfaces, especially if anyone is ill.
- Limit exposure: During outbreaks, avoid crowded indoor spaces, especially for children not fully vaccinated.
What to Do During a Measles Outbreak
Local health departments may recommend extra precautions:
- Earlier vaccination for infants
- Adjusting the timing of second doses for children
If you or your child develops measles, stay home. The virus spreads from four days before to four days after the rash appears.
People who are fully vaccinated with two MMR doses do not need a third dose during an outbreak.
How AFC Urgent Care Can Help
At AFC, we can help protect your family from measles and other communicable diseases:
- MMR vaccinations to keep children fully protected
- Immunization record reviews to ensure your family is up to date
- Prompt evaluation and testing if measles symptoms appear
Walk in or book online to schedule an appointment with one of our AFC Urgent Care providers if you have questions or concerns about measles.
Recent measles outbreaks highlight the importance of vaccines in protecting families and communities. Staying up to date on MMR, monitoring symptoms, and practicing good hygiene are key to keeping your family safe and healthy.
AFC Urgent Care is here to support you, from vaccinations to care for potential measles exposure. We provide trusted information and expert care to help families stay calm, informed, and protected during outbreaks.