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The announcements come as a measles outbreak hits the Pacific Northwest, where more than 50 cases have been confirmed.

Immunization and vitamin A supplementation of 9-month-old children are the best defenses against measles, the DOH said.

Denton County Public Health officials said Wednesday there's one confirmed case of measles in the county.

He added that it's too early to tell if the five new cases could be the beginning of a local outbreak.

Even though Arizona does not now have a reported case of measles, the state has one of the highest rates of exemptions for at least one vaccine that's required for childcare, kindergarten or sixth grade.

Beckham said new cases of measles are becoming more common than before, saying the last time they had a confirmed case was past year. Four of the cases involve children under the age of 2, while the fifth involves a woman in her 30s, news station KHOU reported.

Fever is followed by the onset of cough, runny nose, and/or eye inflammation.

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Measles can be prevented with the MMR vaccine and the Centers for Disease Control and Prevention recommends that children get the first dose of that vaccine between 12 and 15 months and the second dose between ages 4 and 6.

Measles is transmitted through direct contact with an infected person or through the air when the infected person coughs or sneezes. Israel and Ukraine are now dealing with large outbreaks of measles.

Anyone who believes they have measles should contact their health care provider as soon as possible. "In a sense, we already saw that in 2018, but it looks like cases may pick up more in 2019".

"Before the measles vaccine, we had an increase in measles, and then, when the measles vaccine was created, it started getting more and more people vaccinated", Beckham said.

Measles is prevented through the combination measles, mumps, and rubella, or MMR, vaccine.

Dr. Patrick Ludke says people in OR are at risk because the vaccination rate is not as good as it could be for measles.