The Michigan Department of Health and Human Services has confirmed one case of measles in Washtenaw County as of April 8, 2019. Washtenaw County Health Department is providing additional information to local residents because of potential exposure to measles in public areas. Measles is very contagious, potentially serious and vaccine preventable. The case is part of the larger Michigan outbreak.
Exposure locations
Everyone is encouraged to check and update their measles vaccination, if needed. Anyone at any of the following Washtenaw County locations during the dates and times provided should monitor themselves for rash with fever or other symptoms consistent with measles for 21 days. If you suspect measles, seek immediate medical treatment. Residents are urged to call their doctor or emergency room before arriving so they can take precautions to prevent exposure to other individuals. Please do not contact the businesses listed below for information.
- Jewish Community Center of Greater Ann Arbor, 2935 Birch Hollow Drive on April 1 - 4 & April 8 from 7:45 am to 6:30 pm. This includes families using the daycare program or individuals entering or exiting the facility.
- Olive Garden Italian Kitchen, 445 Eisenhower Parkway on April 1 from 5 to 7 pm.
- Liberty Athletic Club, 2975 W. Liberty Road on April 7 from 1 to 3:45 pm. This includes individuals entering and exiting the facility and anyone using the pool or family locker room during the specified time.
Known exposure locations in Oakland County are available at www.oakgov.com/health. There are no public exposure sites for the Wayne County case.
Who should get vaccinated?
If you are NOT fully vaccinated, vaccine given within 72 hours of exposure can prevent illness. Immune globulin (Ig) treatment is effective within six days of exposure for high-risk individuals (infants too young for vaccination, pregnant women and severely immune compromised). Talk to your healthcare provider to determine if immune globulin is right for you. If you are already vaccinated with two doses, have a history of natural illness or lab-confirmed immunity, you are considered immune. See specific guidelines below, or in this PDF.

Vaccination Clinics
The Washtenaw County Health Department is hosting walk-in MMR vaccination clinics at 555 Towner Street, Ypsilanti at the following times:
- Friday, April 12 from 1-7pm
Washtenaw County Health Department can provide vaccine with no charge to individuals with Medicaid, Blue Cross Blue Shield of Michigan insurance or who are uninsured or underinsured. Please bring your insurance card. For others, fees may apply. If you have another form of private insurance, contact your healthcare provider first for the vaccine. You can also call the Health Department at 734-544-6700 to make an appointment.
The MMR vaccine is also available through primary health care providers and at some local pharmacies.
About the vaccine
- Having two doses of MMR vaccine at least 28 days apart is fully protective. Having only one dose of MMR vaccine is approximately 93 percent protective.
- If exposed, approximately 90 percent of people who have NOT been vaccinated or previously had measles will develop the disease.
- The first dose of the vaccine is routinely given to children after their first birthday. The second dose is routinely given before kindergarten. However, if a child has been exposed to measles, you should consider an accelerated second dose (at least 28 days after the first dose).
- Vaccination is not necessary if an individual has a prior history of measles illness.
- Individuals born before 1957 are assumed to have natural immunity, according to the Centers for Disease Control and Prevention (CDC).
- If you do not have a record of two documented measles (MMR) vaccines, or if you are unsure if you have been vaccinated or have had measles in the past, contact your healthcare provider about getting vaccinated. The MMR vaccine is available through primary health care providers and at some local pharmacies. You can also contact the Washtenaw County Health Department at 734-544-6700.
- You cannot get measles from the vaccine.
About measles
Measles (rubeola) is an extremely contagious disease caused by the measles virus. Measles can cause complications such as pneumonia and encephalitis (inflammation of the brain). Measles can also cause miscarriages or premature delivery in pregnant women.
What are the symptoms of measles?
- High fever
- Cough
- Runny nose
- Red, watery eyes
- Tiny white spots on the inner cheeks, gums, and roof of the mouth 2-3 days after symptoms begin
- A rash that is red, raised, blotchy; usually starts on face, spreads to trunk, arms, and legs 3-5 days after symptoms begin
How long after exposure do symptoms begin?
Symptoms usually begin 7-14 days after exposure, but can appear as long as 21 days after exposure. If symptoms develop, do not visit your doctor, urgent care or emergency room unless you call ahead so they can take precautions to prevent exposure to other individuals.
How is measles spread?
Measles is easily spread by person-to-person direct contact and airborne spread of droplets from the nose, throat, and mouth through sneezing, coughing, and speaking. A person can be infected with measles just by being in a room with an infected person, even up to 2 hours after the infected person has left.
How long is a person contagious?
Measles can be spread 4 days before developing the rash through 4 days after the rash appears. Measles is highly contagious.
Reliable measles information