There have been four total cases of measles in New York State so far this year, three in New York City and one in Suffolk County. None of the cases this year are related to each other or connected to the outbreaks in Texas and New Mexico. The risk of measles to New Yorkers from these outbreaks is low.

“Measles doesn’t belong in the 21st century, and it certainly doesn’t belong in the State of New York,” Governor Hochul said. “As measles outbreaks occur at home and around the globe, it’s critical that New Yorkers take the necessary steps to get vaccinated, get educated and stave off the spread of this preventable disease — the safety of our communities depends on it.”

The New York State Department of Health and local health departments work together to monitor cases and alert the Centers for Disease Control and Prevention. All New Yorkers are urged to protect themselves by making sure they’re up to date on important, lifesaving immunizations.

New York State Health Commissioner Dr. James McDonald said, “The single way to prevent measles is to be immunized, and this is an irrefutable fact. Measles is much more than just a rash. In the current outbreak in the United States, one in five people are being admitted to a hospital. I urge all New Yorkers to ensure they are current on their measles-mumps-rubella (MMR) immunizations and immediately get vaccinated if they are not.”

Based on immunization registry data, the current statewide vaccination rate for babies up to two years old, excluding New York City, is 81.4 percent. This is the percent of children who have received at least one dose of the Measles-Mumps-Rubella (MMR) vaccines. However, actual vaccination coverage among school-age children is higher, typically around 90 percent.

Individuals should receive two doses of the MMR vaccine to be protected. Those who aren’t sure about their immunization status should call their local health department or health care provider. Those who were born before 1957 have likely already been exposed to the virus and are immune. Those born between 1957 and 1971 should check with a doctor to ensure they’ve been properly immunized as vaccines administered during that time may not have been reliable.

Those who travel abroad should make sure they are vaccinated for measles. Babies as young as 6 months can get an MMR if they are traveling abroad. The babies should get their MMRs on schedule and need a total of three MMRs.

The State Health Department is monitoring the situation very carefully, along with the New York City Department of Health and Mental Hygiene. Local health departments in each county are prepared to investigate cases and distribute vaccines or other protective measures as needed.

Misinformation around vaccines has in recent years contributed to a rise in vaccine hesitancy, declining vaccination rates and a black market for fraudulent vaccination records. The Department takes an active role in combating vaccination fraud. This includes work by the Department’s Bureau of Investigations identifying, investigating, and seeking impactful enforcement actions against those who falsify vaccine records, as evidenced by several recent cases announced by the Department.

Combating vaccine fraud is a collective effort that includes various stakeholders responsible for community health and safety. The Department works with schools to help them fulfill their responsibility of reviewing vaccination records for fraud. Additionally, the Department partners with the New York State Education Department, local health departments and school-nurse professional organizations around this critical effort. Moreover, the Department’s Bureau of Investigations, in particular, works to educate, engage and support police and prosecutors statewide regarding vaccination fraud, which under New York law is a felony-level criminal offense.

Measles is a highly contagious, serious respiratory disease that causes rash and fever. In some cases, measles can reduce the immune system’s ability to fight other infections like pneumonia.

Serious complications of measles include hospitalization, pneumonia, brain swelling and death. Long-term serious complications can also include  subacute sclerosing panencephalitis, a brain disease resulting from an earlier measles infection that can lead to permanent brain damage.

People who are infected with measles often get “measles immune amnesia,” which causes their immune system to lose memory to fight other infections like pneumonia. In places like Africa, where measles is more common, this is the largest driver of mortality.

Measles during pregnancy increases the risk of early labor, miscarriage and low birth weight infants.

Measles is caused by a virus that is spread by coughing or sneezing into the air. Individuals can catch the disease by breathing in the virus or by touching a contaminated surface, then touching the eyes, nose, or mouth. Complications may include pneumonia, encephalitis, miscarriage, preterm birth, hospitalization and death.

The incubation period for measles is up to 21 days. People who are exposed to measles should quarantine 21 days after exposure and those who test positive should isolate until four days after the rash appears.

Symptoms for measles can include the following:

7-14 days, and up to 21 days after a measles infection

• High fever
• Cough
• Runny nose
• Red, watery eyes

3-5 days after symptoms begin, a rash occurs

• The rash usually begins as flat red spots that appear on the face at the hairline and spread downward to the neck, trunk, arms, legs and feet.
• Small, raised bumps may also appear on top of the flat red spots.
• The spots may become joined together as they spread from the head to the rest of the body.
• When the rash appears, a person’s fever may spike to more than 104° Fahrenheit.

A person with measles can pass it to others as soon as four days before a rash appears and as late as four days after the rash appears.

Health care providers should report suspected measles cases to their local health department.

Visit the State Health Department’s dedicated measles website for information about the measles, immunization data and information for providers.

The State Health Department has also launched a new Global Health Update Report webpage to keep New Yorkers informed of ongoing and emerging infectious disease outbreaks. The report is updated every Friday.

Visit the CDC website for information about the measles vaccine.