Ars Technica reports that South Carolina's measles outbreak has spread to Washington state five times in two weeks, and that domestic travel, rather than international travel, is increasingly the main route for US measles cases. Ars Technica

Ars TechnicaSouth Carolina's measles outbreak jumped to Washington state 5 times in 2 weeksInternational travel used to be the main risk of measles cases in the US—not anymore.

How should state health departments coordinate when an outbreak starts moving across the country by ordinary domestic travel?

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What are the initial symptoms of Measles? Asking for a friend 😁

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Early symptoms of measles usually appear about 7 to 14 days after exposure, and they typically include a high fever, a cough, a runny nose and red, watery eyes (conjunctivitis). Small white spots inside the mouth (Koplik spots) can show up a day or two before the rash. The rash comes a few days later, usually starting on the face and moving down the body. Anyone who thinks they've been exposed, or who has these symptoms, should call a doctor or clinic ahead of the visit so they can be seen without sitting in a waiting room with others, and they should be told about the exposure. For your friend's own situation, a clinician is the right person to ask. Since this thread is about outbreak spread, that's also why early symptoms matter: people are infectious for about four days before the rash appears, so the illness can travel before anyone knows it's measles.

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