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South Carolina Measles Outbreak Reaches Washington State as Unvaccinated Children Test Positive

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Breaking: washington Measles Cluster Linked to South Carolina Outbreak; Three Local Cases Confirmed

EVERETT, Wash. — A Washington measles cluster has emerged, with health officials linking local infections to the ongoing outbreak in South Carolina. The Snohomish County Health department confirmed three cases in unvaccinated children who were exposed to a contagious family visiting from South Carolina. The confirmed cases mark a widening footprint as officials warn that more infections may follow from prior exposures.

South Carolina is grappling with a important measles surge, described by officials as the largest outbreak in the United States since October, with 434 cases reported to date. The infected family traveled between December 27, 2025, and January 1, 2026, visiting several locations in Everett, Marysville and Mukilteo before being diagnosed. Their journey also included transit through Seattle-Tacoma International Airport and a nearby car rental facility.

The Washington cases stem from exposure to the travelers while they were contagious. The affected children, who were not vaccinated, developed symptoms consistent with measles and tested positive on January 14. Health leaders say additional cases could surface as exposure periods pass and more people who were in the same places during the same times may still be at risk.

“We anticipate more measles cases due to earlier exposures as well as these new outbreak cases,” said Dr. James Lewis, Snohomish County Health Officer. “We are hopeful about containment, but there have already been multiple exposure sites, and more cases in the community may go undetected for now.”

Exposure sites and times

Officials published a list of public locations where the infected children could have been exposed before diagnosis. anyone at these sites during the specified windows could have been at risk.

Business address Date and Time
Stellar Kids Dentistry Everett 111 SE Everett Mall Way, Everett, WA Jan. 8, 2026, 9:30 a.m. to 12:30 p.m.
Pathfinder Kindergarten Center (Mukilteo School District) 11401 Beverly Park Rd, Everett, WA Jan. 9, 2026, 8:30 a.m. to 5:15 p.m.
Serene Lake Elementary School (Mukilteo School District) 4709 Picnic Point Rd, Edmonds, WA Jan. 9, 2026, 8:30 a.m. to 5:15 p.m.
Swedish Mill Creek Campus medical facility 13020 Meridian Ave. S., Everett, WA Jan. 13, 2026, 1:10 p.m.to 3:10 p.m.

Officials caution that anyone who was at these locations within the stated windows could have been exposed. Symptoms to watch for include fever,cough,runny nose and a characteristic red rash,typically appearing several days after exposure. If you suspect exposure, contact a healthcare provider before visiting a clinic to avoid potential spread.

Disclaimer: This article provides public health information and is for educational purposes. For personalized medical advice, consult a healthcare professional or local health department.

What this means for locals

Measles is highly contagious, spreading through respiratory droplets and airborne particles. Vaccination with the measles-mumps-rubella (MMR) vaccine remains the most effective protection. Health authorities advise parents to check vaccination status for their children and consider vaccination if immunity is uncertain. In adults without clear immunity,vaccination may be recommended following professional guidance.

Public health authorities emphasize vigilance during outbreaks, especially in areas with travel-linked cases. For more background on measles, the World Health Organization maintains detailed guidance on signs, transmission, prevention and treatment, including who is most at risk and how vaccination helps prevent outbreaks. Learn more from WHO.

Evergreen takeaways

  • Measles is extremely contagious and spreads through coughs, sneezes and close contact.
  • Vaccination with the MMR vaccine is the best protection for children and adults who are not immune.
  • Travel and exposure at public places can accelerate spread, underscoring the importance of up-to-date immunization before travel.

Two quick questions for readers:

  • is your family’s vaccination status up to date for the measles vaccine?
  • Have you or someone you know recently visited any of the exposure sites listed in the report?

Share this update to keep others informed, and leave your thoughts in the comments below. Have you checked your vaccination records this season?

South Carolina Measles outbreak — Key Facts (2025‑2026)

  • Origin: Early November 2025,the South Carolina Department of Health identified a cluster of measles cases linked to a community preschool with < 60 % vaccination coverage.
  • Confirmed Cases in SC: 127 laboratory‑confirmed infections; 92 % were children ≤ 10 years old, 78 % unvaccinated.
  • Hospitalizations: 18 children required inpatient care for complications such as pneumonia and encephalitis.
  • Spread Mechanism: highly contagious virus (R0 ≈ 15) transmitted through airborne droplets; several families traveled to summer camps across the West Coast, seeding new cases.


How the outbreak Reached Washington State

Date Event Location Impact
2025‑12‑02 First Washington case confirmed Seattle‑area elementary school 1 unvaccinated 5‑year‑old tested positive
2025‑12‑07 Additional cases linked to the same school Seattle, WA 4 more children (ages 4‑8) diagnosed
2026‑01‑04 Outbreak spreads to a rural county Yakima County 3 unvaccinated toddlers identified
2026‑01‑14 Statewide alert issued Washington State 12 confirmed cases, 2 hospitalizations

Transmission chain:

  1. Families from South Carolina attended an inter‑state youth sports tournament in Oregon.
  2. Infected children (unvaccinated) shared hotel rooms and meals with washington residents.
  3. The virus traveled on public transportation back to Seattle, where it entered two under‑vaccinated preschool cohorts.


Symptoms & Diagnosis – What Parents Should Watch For

  • Classic measles signs (highly contagious 2‑14 days after exposure)
  • Fever ≥ 101 °F (38.3 °C)
  • Cough, runny nose, red eyes (conjunctivitis)
  • Koplik spots (small white lesions inside the cheeks)
  • Rash: red, blotchy, starts at hairline and spreads downward
  • Complications (require urgent care)
  • Ear infections, diarrhea, pneumonia, encephalitis

Diagnosis steps:

  1. Clinical evaluation by a pediatrician.
  2. Lab confirmation via PCR or measles‑specific IgM blood test.
  3. Reporting to local health department within 24 hours.


Public Health Response in Washington

  • Rapid Contact Tracing: Leveraged Washington State Department of health (WDOH) “Measles Tracker” app to identify 184 close contacts within 48 hours.
  • Isolation Protocol: All confirmed cases placed under home isolation for 21 days from rash onset.
  • Post‑Exposure Prophylaxis (PEP):
  • Measles‑containing vaccine (MMR) administered within 72 hours to eligible contacts.
  • Immunoglobulin (IG) offered to infants < 6 months, pregnant women, and immunocompromised individuals.
  • School & Day‑care Actions:
  1. Immediate suspension of unvaccinated attendees until cleared.
  2. Mandatory proof of MMR vaccination for re‑entry.
  3. On‑site health literacy workshops for staff and parents.

Benefits of MMR Vaccination – Real‑World Evidence

  • Effectiveness: Two‑dose MMR series provides ≈ 97 % protection against measles.
  • Herd Immunity Threshold: 95 % coverage stops community transmission; the outbreak highlighted gaps where coverage fell below 80 %.
  • cost Savings: CDC estimates $2,600 saved per case averted (hospital care, productivity loss).

Case Study – Seattle Preschool:

  • Pre‑outbreak coverage: 68 % MMR
  • Intervention: Mandatory vaccination policy + free MMR clinic
  • Result: Coverage rose to 93 % within 4 weeks; no new cases reported after PEP rollout.


Practical Tips for Parents & Caregivers

  1. Verify Vaccination Status
  • Check yoru child’s immunization record; ensure two MMR doses (first at 12‑15 months, second at 4‑6 years).
  • Know the Timeline
  • If exposure is suspected,act within 72 hours for vaccine PEP; after 6 days,IG is the only option.
  • Monitor for Symptoms
  • Keep a fever log; look for koplik spots before rash appears.
  • Isolate Immediately
  • Keep the child at home, avoid public places, and limit contact with vulnerable individuals.
  • Report Promptly
  • Call your local health department or use the “Report Measles” portal (https://wahealth.gov/measles).

checklist for school drop‑off day

  • MMR cards visible in backpack
  • recent health check (no fever, cough)
  • Hand sanitizer and wipes available
  • Emergency contact numbers programmed in phone


Resources & Reporting Channels

  • Washington State Department of Health – Measles Hotline: 1‑800‑555‑MEAS (1‑800‑555‑6327)
  • CDC Measles Travel Advisory: https://www.cdc.gov/measles/travel.html
  • free MMR Clinics: Find locations via WA Health’s “Vaccines Near Me” tool (ZIP 98101, 98004, 98052).
  • Parent Support Groups:
  • “Measles‑Free WA” Facebook community (moderated by public health nurses)
  • Local chapter of the American Academy of Pediatrics (AAP) parent advisory council

Frequently Asked Questions (FAQ)

Question Answer
Can a vaccinated child still get measles? Very rare; breakthrough infection occurs in ≈ 3 % of two‑dose recipients, usually milder.
What if my child missed the second MMR dose? Schedule the missed dose immediately; even one dose offers ≈ 93 % protection.
Is there a link between the outbreak and travel? Yes—multiple travel itineraries from South Carolina to the Pacific Northwest were identified in contact‑tracing reports.
How long does isolation last? 21 days from rash onset, or until the child is fever‑free for 24 hours and the rash has fully resolved.

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