Breaking Details

Public health officials confirmed the cases late on Jan. 5. Privacy protections limit release of additional details about the family, including vaccination status. The examination so far shows the only identified exposure occurred at the Mission Emergency Department waiting room in Asheville during the early hours of Jan. 4.

Officials emphasized that this remains an ongoing investigation and that more details could emerge as contact tracing continues.

Public Health Response

The North Carolina Department of Health and Human Services is coordinating with the South Carolina Department of Public Health as part of the measles response. Health officials urge residents who are not up to date on vaccines to consider vaccination—especially those aged 1 year and older—to protect themselves and others.

for people who may have been exposed, local health departments advise contacting a provider or the local health department promptly, limiting further exposure, and calling ahead before visiting clinics or emergency rooms to help prevent spread. Testing is not routinely recommended for exposed individuals unless symptoms develop.

In Buncombe County, officials also noted active transmission of other illnesses. There have been 89 reported cases of varicella (chickenpox) and 25 cases of pertussis (whooping cough) in the area this season.

What to No About Measles

Measles is a highly contagious, vaccine-preventable disease that spreads through direct contact and the air.The virus can linger for up to two hours in spaces where an infected person has been. Symptoms typically appear 7 to 14 days after exposure, but may show up as late as 21 days after exposure and can include fever, cough, runny nose, red eyes, Koplik spots, and a blotchy rash.

Health officials caution that measles can lead to serious complications, particularly in young children and adults with weakened immune systems. A recent national update shows measles activity remains elevated, reflecting continued outbreaks across the United States.

Resources for the public include vaccination information and a measles immunity checker tool for those unsure of their protection status. Health officials reiterate the importance of staying current with recommended vaccines, including the measles-mumps-rubella (MMR) vaccine, to reduce risk in communities.

Contextual Outlook

Nationwide, the 2025 measles season has seen a high number of confirmed cases, underscoring why local health departments track exposures and push vaccination. In north Carolina this year, a Polk County case involving an unvaccinated child was reported in December, linked to a measles cluster in the region, highlighting ongoing risks even outside major urban centers.

Officials say the work will continue with outreach, vaccination clinics, and targeted guidance to households and venues that may have been exposed.

Evergreen Insights: Why Vaccination Matters

Measles remains one of the most contagious diseases, but vaccination dramatically reduces risk. Communities with high vaccination coverage see fewer outbreaks and less transmission, protecting those who cannot be vaccinated due to age or medical reasons.

Public health officials emphasize that timely vaccination not only protects individuals but also lessens the burden on healthcare systems during outbreaks. Maintaining high immunity in the population is a shared duty that helps safeguard schools, workplaces, and families.

Public Guidance and Resources

Residents are urged to verify their immunity status and seek vaccination if needed.A measles immunity checker is available for those uncertain about their protection. Healthcare providers and local health departments can offer vaccines and schedule appointments through participating providers.

If you may have been exposed to measles or are experiencing fever with rash, contact a healthcare professional promptly before presenting to a clinic or hospital.

Engage with Us

• have you checked your family’s vaccination status lately?
• What questions would you like public health officials to address about measles risk in your community?

Disclaimer: This information is provided by public health authorities. For medical advice, consult a healthcare professional or your local health department.

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