Update: On Wednesday, January 21, 2015 the HHSA confirmed the three cases as measles.
San Diego County CA— (CNC) Three probable cases of measles were reported today with several locations identified where the public may have been exposed, the County of San Diego Health and Human Services Agency (HHSA) announced.
Like the 10 confirmed measles cases reported in the county earlier this year associated with a measles outbreak at Disneyland, these three individuals traveled to Disneyland on Dec. 18, 2014. None of them had been vaccinated for measles. Two have recovered from their illnesses, and one is currently ill and isolated at home.
Laboratory testing to confirm the cases will be completed early this week, but in an abundance of caution, locations are being announced today where the public may have been exposed. Here is a list of San Diego County locations and times of potential exposure to the probable cases:

• Sprouts Farmers Market, 471 College Blvd, Oceanside, on Jan. 14 from 4 p.m. to 7 p.m.
• Regal Carlsbad 12, 2501 El Camino Real, Carlsbad, on Jan. 6 from 9:30 p.m. to 1:30 a.m.
• Albertsons, 7660 El Camino Real, Carlsbad, on Jan. 13 from 6 a.m. to 5 p.m.
• Vista Community Clinic, 1000 Vale Terrace Drive, Vista, on Jan. 16 from 11 a.m. to 5:30 p.m.
• Phil’s BBQ, 579 Grand Ave, San Marcos, on Jan. 11 from 2 p.m. to 5 p.m.
• Ice-Plex Escondido, 555 N Tulip Street, Escondido, on Dec. 30 from 8 p.m. to 10:30 p.m.

The previously confirmed 10 cases may have exposed members of the public at these locations on these dates and times:

• City of San Diego Operations Building, 1222 First Ave., San Diego, Jan. 12 from 6:30 a.m. to 4 p.m.; Jan. 13 from 9 a.m. to 4:30 p.m.; and Jan. 14 from 6:30 a.m. to 5:30 p.m.
• CVS Pharmacy, 2760 Fletcher Parkway, El Cajon, Jan. 14 from 4 to 7 p.m.
• Vons, 2800 Fletcher Parkway, El Cajon, Jan. 14 from 4 to 7 p.m.
• Sharp-Rees-Steely Urgent Care Clinic, 5525 Grossmont Center Drive, La Mesa, on Jan. 3 between 10:30 a.m. and 1:30 p.m. and Jan. 14 from noon until the clinic was closed at 1 p.m.
• Rite Aid Pharmacy, 1665 Alpine Blvd., Alpine, Jan. 13 from 4 to 7 p.m.
• Trader Joes, 5495 Grossmont Center Drive, La Mesa, Jan. 12 from 4 to 7 p.m.
• Absolute Personal Fitness, 2000 Main Street, Julian, Jan 9 from 5 to 7 p.m.
• Julian Fitness Center, 2216 Main Street, Julian, Jan. 9 from 5 to 7 p.m.
• Parkway Plaza Mall in El Cajon, Dec. 29 from 10 a.m. to 2 p.m. only, especially in or around GameStop, Sunglasses Hut and the carousel in the mall.

Note: None of the locations listed have a current risk for measles and so far no cases have been identified that were exposed at these sites.
“It is important for anyone who was at one of these locations during the specified dates and times to watch for symptoms and contact their health care provider by telephone first if they show any signs of the disease,” said Eric McDonald, M.D., M.P.H., medical director of the County Epidemiology Program. “People who have been vaccinated are well protected against measles, but anyone who has not been vaccinated, or who has not had the disease, should take steps now to obtain the shot so that they are protected from future exposures.”
Measles develops seven to 21 days after exposure. Early symptoms include high fever, cough, runny nose, and red eyes. The distinctive red rash usually appears three to five days after early symptoms appear. A person is considered contagious four days before the rash appears. The rash begins on the face and head then proceeds downward and outward to the hands and feet. It fades in the same order it began, from head to feet.
All persons born in 1957 or after should have documentation of at least one dose of MMR (measles, mumps and rubella) vaccine or other evidence of immunity to measles. The Centers for Disease Control and Prevention recommends two doses of the vaccine: the first at 12 months of age, and the second between ages 4 – 6.
Complications from measles are more common in children younger than 5 years old and adults 20 years and older. Complications can include diarrhea, ear infection and pneumonia. Death can occur from severe complications and the risk is higher among younger children and adults. There is no treatment for measles. Bed rest, fluids and fever control are recommended. People with complications may need treatment for their specific problem.
For more information about measles, other vaccine-preventable diseases and the shots that protect against them, please call the HHSA Immunization Branch at (866) 358-2966 or visit www.sdiz.org.