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Tuesday, November 10, 2026Nov 10

Patients in Northwest measles outbreak traveled to Hawaii

Signs posted at The Vancouver Clinic in Vancouver, Wash., warn patients and visitors of a measles outbreak on Wednesday, Jan. 30, 2019. The outbreak has sickened 39 people in the Pacific Northwest, with 13 more cases suspected. At least one patient who was sick with the measles has come to this clinic for treatment since the outbreak began Jan. 1, 2019. (AP Photo/Gillian Flaccus)
Signs posted at The Vancouver Clinic in Vancouver, Wash., warn patients and visitors of a measles outbreak on Wednesday, Jan. 30, 2019. The outbreak has sickened 39 people in the Pacific Northwest, with 13 more cases suspected. At least one patient who was sick with the measles has come to this clinic for treatment since the outbreak began Jan. 1, 2019. (AP Photo/Gillian Flaccus) Signs posted at The Vancouver Clinic in Vancouver, Wash., warn patients and visitors of a measles outbreak on Wednesday, Jan. 30, 2019. The outbreak has sickened 39 people in the Pacific Northwest, with 13 more cases suspected. At least one patient who was sick with the measles has come to this clinic for treatment since the outbreak began Jan. 1, 2019. (AP Photo/Gillian Flaccus)
photo Jocelyn Smith cares for her 11-month-old son, Mason at their home in Camas, Washington on Wednesday, Jan. 30, 2019. Smith has been afraid to take Mason out of the house during a measles outbreak in southwest Washington because he is too young to receive the measles vaccine. The measles outbreak has sickened 39 people, with 13 more cases suspected, since Jan. 1. (AP Photo/Gillian Flaccus)

VANCOUVER, Wash. (AP) – A measles outbreak in the Pacific Northwest became more worrisome Wednesday with word that people infected with the extremely contagious viral illness traveled to Hawaii and central Oregon after being exposed.

The revelation prompted public health officials in Oregon’s Deschutes County and in Hawaii to issue alerts, although no cases were confirmed in either location.

“It raises concerns that this can go on for a long time, become geographically larger than it is and more cases over weeks and months,” said Dr. Alan Melnick, public health director for Clark County, in southern Washington, which is at the epicenter of the outbreak and has a lower-than-normal vaccination rate.

There are 40 confirmed cases in the Northwest, including 38 clustered in southwest Washington, one in Portland and one in Seattle. Thirteen additional suspected cases were reported Wednesday, and some of those will likely be confirmed, Melnick said.

Officials haven’t yet determined how the measles outbreak started. The first patient sought medical care on Dec. 31, but other sick people may not have gone to a doctor or hospital, he said.