The majority of the cases have been children. Of the patients with known vaccination status, five have received at least one dose of the measles, mumps, and rubella (MMR) shot, while 80 have not been vaccinated, according to the state agency.
Measles is a virus that spreads through droplets discharged when an infected person coughs or sneezes. The virus is capable of causing infection for up to two hours.
According to the U.S. Centers for Disease Control and Prevention, people remain infectious for four days before a rash appears until four days after.
“Due to the highly contagious nature of this disease, additional cases are likely to occur in the outbreak area and the surrounding communities,” the Texas health agency said in a statement. It said it’s working with local health departments to investigate the outbreak, which is believed to have started in January.
Many outbreaks start when people return from visiting another country where measles is prevalent.
The CDC and Texas officials are advising people to receive the MMR vaccine if they have not already done so. If they have, officials are advising some people who were exposed to get another dose.
Both patients had reported exposure associated with the outbreak in those states and symptoms consistent with measles.
According to the Oklahoma State Department of Health, the individuals began isolating after realizing they had been exposed to measles.
“These cases highlight the importance of being aware of measles activity as people travel or host visitors,” Kendra Dougherty, director of infectious disease prevention and response at the department, said in a statement.
“When people know they have exposure risk and do not have immunity to measles, they can exclude themselves from public settings for the recommended duration to eliminate the risk of transmission in their community.”