The MMR vaccine prevents measles. Defense Department photo

A second measles case in San Diego County was reported this week — with the public possibly exposed at a Midway District pastry shop and a South Bay Terraces grocery, authorities said Tuesday.

The measles patient was fully immunized but was exposed to an 11-month-old San Diego baby — gender not revealed — who contracted measles after a recent trip to the Philippines, said the San Diego County Health and Human Services Agency.

The newly diagnosed person may have exposed the public at the following locations:

  • 85˚ Bakery Café, 3361 Rosecrans St., from 6 a.m. to 4:30 p.m. Aug. 15-18.
  • Ralphs, 3011 Alta View Drive, from about 4:30 p.m. to 7:30 p.m. Aug. 16.

The case remains under investigation and more locations may be identified, the county said.

“If you were at any of the locations at the dates and times listed, you should watch for symptoms of measles and call your health care provider if you show any signs of developing the disease,” said Dr. Dean Sidelinger, county interim deputy public health officer. “Measles is a very contagious disease that can be easily spread by coughing, sneezing or being in the same room with an infected person.”

People with symptoms are asked to telephone their doctor’s office in advance, rather than visit an office directly, so that infection control measures may be activated to prevent exposure to others.

Measles develops seven to 21 days after exposure. Early symptoms include fever, cough, runny nose and red eyes. The distinctive red rash usually appears one to four days after early symptoms appear.

A person is considered contagious four days before the rash appears. The rash typically begins on the face and head then proceeds downward and outward to the hands and feet. It fades in the same order it began, from head to feet.

The county said that with measles outbreaks occurring in several countries, including the Philippines, it is important for all international travelers to get vaccinated. Infants between 6 and 12 months of age who travel should get one dose, and travelers over 12 months of age should get two doses at least four weeks apart.

Complications from measles are more common in children younger than 5 years old and adults 20 years and older. Complications can include diarrhea, ear infection and pneumonia.

Death can occur from severe complications and the risk is higher among younger children and adults. There is no treatment for measles. Bed rest, fluids and fever control are recommended. People with complications may need treatment for their specific problems.

For more information about measles, other vaccine-preventable diseases and the shots that protect against them, please call the HHSA Immunization Branch at (866) 358-2966 or visit the website at

Show comments