Teen With Measles May Have Exposed Disneyland and Universal Studios Visitors .

Santa Ana, CA) -- The OC Health Care Agency (HCA) has confirmed that a female teenager traveling internationally from New Zealand to Southern California (Orange County and Los Angeles County) from August 11 through August 15, 2019 was infectious with the measles. Orange County residents may have been exposed to measles at the locations listed below on the following dates: Desert Palms Hotel, 631 W. Katella Ave., Anaheim

August 11 – 15, 2019

Disneyland Park and California Adventure, Anaheim August 12, 2019

The HCA has been working with the facilities listed above to reach people who had known close contact with this case. People who were in the location(s) above around the same time(s) should: Monitor themselves for illness with fever and/or an unexplained rash from 7 days to 21 days after their exposure (the time period when symptoms may develop); if symptoms develop, stay at home and call a health care provider immediately. Review their vaccination history if they have not previously had measles. People who have not had measles or the measles vaccine should talk with a health care provider about receiving Measles, Mumps and Rubella (MMR) vaccination.

Vaccination now will not prevent illness following exposure to this case, but will protect against infection in the future. “Measles is a highly contagious and potentially severe disease that causes fever, rash, cough, and red, watery eyes,” said Dr. Nichole Quick, County Health Officer. “It spreads very easily by air and by direct contact with an infected person, and is contagious from approximately four days before the rash appears through four days after the rash appears. We encourage community members to protect themselves and their families by getting vaccinated.” Residents with questions related to measles or potential exposure to this case may call the HCA Health Referral Line at 1 (800)-564-8448. This case also visited multiple locations throughout Los Angeles County while infectious. For details on those potential exposure sites, please visit http://publichealth.lacounty.gov/media/measles.The Los Angeles County Department of Public Health (Public Health) is looking to identify others who are at risk for measles and may have been exposed to a non-resident measles case that traveled to Los Angeles County while infectious.

Public Health urges residents, especially those who travel internationally and those who have not been fully protected against measles, to get the measles immunization in order to better protect their individual health and to prevent the spread of measles to others.

Other people may have been exposed to measles since public locations were visited by the person with measles while infectious. The potential public exposure locations, days and times were as follows: August 11, 2019 Los Angeles International Airport (LAX), Terminal 8, between 9:00p.m.–11:30p.m. August 14, 2019 Universal Studios, 100 Universal City Plaza, Universal City, CA? 91608* August 15, 2019 TCL Chinese Theatres, 6925 Hollywood Blvd, Hollywood, CA 90028 (formerly known as Grauman’s Chinese Theatre)* August 15, 2019 Madame Tussauds, 6933 Hollywood Blvd, Hollywood, CA 90028*August 15, 2019 The Original Farmers Market, 6333 W 3rd St, Los Angeles, CA 90036* August 15, 2019 Santa Monica Pier and Beach, 200 Santa Monica Pier, Santa Monica, CA 90401* August 15, 2019 Los Angeles International Airport (LAX), Tom Bradley International Terminal, between 6:00p.m.–11:59p.m.

*Time frames for these locations are still under investigation by Orange County Health Care Agency There is no known current risk related to measles that exists at these venues at this time. There are additional exposure sites in Orange County which can be found at: http://www.ochealthinfo.com/measles. Anyone who may have been at these locations on these dates may be at risk of developing measles for up to 21 days after being exposed and should: Review their immunization and medical records to determine if they are protected against measles. People who have not had measles infection previously or received the measles immunization may not be immune and should talk with a health care provider about receiving measles, mumps and rubella (MMR) immunization.

Contact and notify their health care provider as soon as possible about a potential exposure if they are pregnant, an infant, have a weakened immune system and/or are unimmunized. Monitor themselves for illness with fever and/or an unexplained rash from 7 days to 21 days after their exposure (the time period when symptoms may develop); if symptoms develop, stay at home and call a healthcare provider immediately. Currently, there have been 16 measles cases among Los Angeles County residents in 2019, in addition to 11 non- resident measles cases that traveled through Los Angeles County (excluding Long Beach and Pasadena as cases identified in those cities are reported by their local health departments). The majority of cases to date were unimmunized or did not know whether they had ever been immunized. “For those who are not protected, measles is a highly contagious and potentially severe disease that initially causes fever, cough, red, watery eyes, and, finally, a rash,” said Muntu Davis, MD, MPH, Los Angeles County Health Officer. “Measles is spread by air and by direct contact even before you know have it. The MMR immunization is a very effective measure to protect yourself and to prevent the unintentional spread of this potentially serious infection to others.” Additional cases and exposures may occur here related to returning travelers, especially returning international travelers who are not already protected against measles. Travelers taking domestic trips should follow the general Centers for Disease Control and Prevention (CDC) vaccination recommendations. Those traveling internationally should ensure they have received two doses and consider the expedited schedule for infants less than 12 months old. About Measles Measles is considered among the most contagious viruses in the world. About 90% of people who have never been immunized against measles become ill 7-21 days after exposure. Infected people can infect those around them before they have symptoms and know they are infected. Common symptoms of measles include fever, cough, runny nose, conjunctivitis (red eyes) and a rash which usually appears 10 to 21 days after the exposure. The measles virus can be transmitted from one person to another up to 4 days before the onset of rash. Individuals should contact their healthcare provider by phone before going in if they develop measles symptoms, so measures can be taken to prevent possible spread to others in the provider’s waiting room. They should also tell their doctor or other healthcare provider if they traveled internationally or had international visitors in the last 21 days or had exposure to another person with measles. Public Health interviews all persons with measles in the county to identify who may have come in contact with them, in order to try to prevent further spread of measles. Public Health communicates with health care providers, health plans, local governments, schools, and elected officials to provide updates on the measles outbreak and actions they can take to help prevent the spread of measles and support the countywide response. Measles immunizations are available at healthcare providers, local pharmacy or health clinic. Public Health clinics offer no or low-cost immunizations for individuals who are uninsured or underinsured. To find a nearby Public Health clinic, call 2-1-1 or visit http://publichealth.lacounty.gov/media/measles or call 2-1-1. The Department of Public Health is committed to promoting health equity and ensuring optimal health and well-being for all 10 million residents of Los Angeles County. Through a variety of programs, community partnerships and services, Public Health oversees environmental health, disease control, and community and family health. Nationally accredited by the Public Health Accreditation Board, the Los Angeles County Department of Public Health comprises nearly 4,500 employees and has an annual budget of $1.2 billion. To learn more about Los Angeles County Public Health, please visit www.publichealth.lacounty.gov, and follow LA County Public Health on social media at twitter.com/lacounty.gov, and follow LA County Public Health on social media at twitter.com/lapublichealth, facebook.com/lapublichealth, instagram.com/lapublichealth and youtube.com/lapublichealth.

For more information about measles, visit www.cdc.gov/measles or www.ochealthinfo.com/measles.