Sleeping Beauty's Castle at Disneyland in Anaheim. Photo via Wikimedia Commons
Sleeping Beauty’s Castle at Disneyland in Anaheim. Photo via Wikimedia Commons

The three possible measles cases in the North County reported Monday were confirmed Wednesday by the San Diego County Health and Human Services Agency, bringing the total to 13 cases in the region amid a wider outbreak of the disease in California and the southwestern U.S.

Many of the cases stemmed from transmissions of the disease at Disneyland last month.

The three North County residents visited the Anaheim theme park Dec. 18. None were immunized against the illness.

Two patients have recovered while a third is being kept isolated at home, according to the HHSA.

The agency released a list of locations, dates and times where the sick people visited, including:

  • Vista Community Clinic, 1000 Vale Terrace Drive, Vista, Jan. 16 from 11 a.m. to 5:30 p.m.;
  • Sprouts Farmers Market, 471 College Blvd., Oceanside, Jan. 14 from 4 p.m. to 7 p.m.;
  • Albertsons, 7660 El Camino Real, Carlsbad, Jan. 13 from 6 a.m. to 5 p.m.;
  • Phil’s BBQ, 579 Grand Ave., San Marcos, Jan. 11 from 2 p.m. to 5 p.m.;
  • Regal Carlsbad 12, 2501 El Camino Real, Carlsbad, Jan. 6 from 9:30 p.m. to 1:30 a.m.; and
  • Ice-Plex Escondido, 555 N. Tulip St., Escondido, Dec. 30 from 8 p.m. to 10:30 p.m.

County health officials don’t believe there is a current risk of exposure at those locations.

The skin of a patient after three days of measles infection. Photo credit: Dr. Heinz F. Eichenwald/CDC

Measles develops seven to 21 days after exposure. Early symptoms include high fever, cough, runny nose, and red eyes.

A distinctive red rash usually appears three to five days after early symptoms appear. A person is considered contagious four days before the rash appears. The rash 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.

Health officials recommend that people born in 1957 or after should have documentation of at least one dose of measles, mumps and rubella vaccine or other evidence of immunity to measles. The Centers for Disease Control and Prevention recommends two doses of the vaccine — the first at 12 months of age, and the second between ages 4-6.

Complications from measles are more common in children younger than 5 years old and adults 20 years and older, and 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 problem.

More information about measles, other vaccine-preventable diseases and the shots that protect against them, is available by calling the HHSA Immunization Branch at (866) 358-2966 or going online to www.sdiz.org.

— City News Service