The first case of measles in North Carolina for 2025 was confirmed by health officials on Tuesday.
Officials said a child visiting Forsyth and Guilford counties was confirmed to be infected after traveling from another country currently experiencing active outbreaks.
The North Carolina Department of Health and Human Services was working with health officials from Forsyth and Guilford Counties to identify locations and times where people might have been exposed.
Infants too young for the vaccine, or those who do not have age-appropriate vaccination, are immunocompromised, and/or are pregnant may be able to receive post-exposure prophylaxis to help prevent them from becoming ill.
Health officials recommend all unvaccinated individuals one-years-old and older to receive the vaccine to prevent the spread.
The measles virus is highly contagious and a vaccine preventable disease. Measles is spread by direct person-to-person contact and through the air.
The symptoms for measles usually begins a week to two weeks after exposure or even up to three weeks after contact.
Symptoms include the following:
High fever (may spike to more than 104 degrees)
Cough
Runny nose
Red, watery eyes (conjunctivitis)
Tiny white spots on the inner cheeks, gums and roof of the mouth (Koplik Spots) two to three days after symptoms begin
A rash that is red, raised, blotchy; usually starts on face, spreads to trunk, arms and legs three to five days after symptoms begin
Health officials said that including North Carolina’s first case of measles there have been 1,214 measles cases reported in 2025 in 36 other jurisdictions as of June 19, 2025.