Measles is a highly-contagious respiratory disease caused by a virus.
It spreads through the air through coughing and sneezing. Measles
starts with a fever, runny nose, cough, red eyes, and sore throat, and
is followed by a rash that spreads all over the body.
Measles is so contagious that if one person has it, 9 out of 10 people around that person will also become infected if they’re not yet vaccinated. You can get measles just by being in a room where a person with measles has been, even up to two hours after that person has left. And what is even more worrisome is that an infected person can spread measles to others even before the infected person develops symptoms—from four days before they develop the measles rash through four days afterwards.
The good news is that measles can be prevented with the MMR (measles, mumps, and rubella) vaccine. The MMR vaccine has an excellent safety record and is highly effective. It is one of the most effective vaccines we have in our country.
In 2000, the United States declared that measles was no longer endemic (constantly present) in the country. The U.S. was able to eliminate measles because it has a highly effective measles vaccine, a strong vaccination program that achieves high vaccine coverage in children and a strong public health system for detecting and responding to measles cases and outbreaks.
One dose of measles vaccine is about 93 percent effective at
preventing measles if exposed to the virus and two doses are about 97
percent effective. Most people in the United States are protected
against measles through vaccination, so measles cases in the U.S. are
uncommon compared to the number of cases before a vaccine was
available. Since 2000, the annual number of people reported to have
measles ranged from a low of 37 people in 2004 to a high of 668 people
Since measles is still common in many countries, this disease is
brought into the U.S. by unvaccinated travelers (Americans or foreign
visitors) who get measles while they are in other countries. They can
spread measles to other people who are not protected against measles,
which sometimes leads to outbreaks. This can occur in communities with
Measles is highly contagious, so anyone who is not protected against
measles is at risk of getting the disease. People who are unvaccinated
for any reason, including those who refuse vaccination, risk getting
infected with measles and spreading it to others, including those who
cannot get vaccinated because they are too young or have specific
In 2008, 2011, 2013 and 2014, there were more reported measles cases compared with previous years. The U.S. Centers for Disease Control and Prevention (CDC) experts attribute this to:
Very few people—about three out of 100—who get two doses of measles
vaccine will still get measles if exposed to the virus. Experts aren’t
sure why; it could be that their immune systems didn’t respond as well
as they should have to the vaccine. But the good news is, fully
vaccinated people who get measles are much more likely to have a
milder illness, and they are also less likely to spread the disease to
other people, including people who can’t get vaccinated because they
are too young or have weakened immune systems.
You are considered protected from measles if you have written
documentation (records) showing at least one of the
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