LYNCHBURG, Va. (WSET) — As measles cases surge across the United States, according to the Virginia Department of Health, six cases have been reported in the Commonwealth in 2026 so far. That’s already one more case than we saw in all of 2025.

Cali Anderson, Senior Epidemiologist with the Central Virginia Health District, said the increase in prevalence is concerning.

It has been increasing for the past several years, and around the country we’re seeing the same things with rates increasing. We have had a number of very large outbreaks around the US. So far in Virginia, we have not had that happen and we have only had individual cases so far this year,” Anderson said. “We’re likely to see those numbers keep increasing, unfortunately.”

Five of 2026’s cases were in Virginia’s Northern region, with one in the Central region. The ABC13 viewing area is located in the Southwest region, with no reported cases yet; however, Anderson warns that everyone needs to be vigilant.

READ MORE: Health officials investigate confirmed measles case at Virginia airport

“The biggest thing with measles that makes it so concerning is that it is very contagious. So, for individuals that are unvaccinated or not immune to the virus, they have a 90% chance of getting infected if they’re exposed to it,” she said. “For example, if you are in a room of 10 people and one individual with measles walks into the room, everyone else is unvaccinated, nine of them are going to get it.”

The disease is incredibly contagious and difficult to contain.

It is very, very hard to contain once it starts spreading, and that’s why we see such massive outbreaks once they get into pockets of unvaccinated communities,” Anderson said. “That’s a real big concern with measles is that it spreads like wildfire and unfortunately, measles can be very serious.”

In some patients, measles can cause hospitalization or even lead to death.

“Typically, we see about one in every five measles cases ends up having to be hospitalized. It can lead to some serious side effects like pneumonia, conjunctivitis, we can see deafness. Then another big thing with measles is it causes an immune memory loss. Your immune system recognizes a lot of viruses and things that you’ve seen in the past, but when measles comes in, it tends to wipe out that memory. So, now, when your body is exposed to common things like the flu or RSV, or even the common cold, it doesn’t know how to react to them anymore. It has to build that immunity back up,” Anderson said.

According to VDH, vaccination is the best way to protect yourself and your family.

“Just one dose of the measles MMR vaccine will provide 93 percent efficacy against measles, and then after two doses it’s 97 percent effective,” Anderson said. “Nothing is 100 percent, but if we go back to our room example, if we have 100 people in the room and everyone is fully vaccinated with two doses, only three of them have the chance of getting it.”

In Virginia, about 86 percent of seven-year-olds have the full vaccination series, according to VDH. However, in the Central Virginia region, that number is only 70.12 percent.

The vaccine is the number one prevention for measles,” Anderson said.

Measles symptoms can take up to three weeks to show after exposure; however, people can be contagious four days before a measles rash even begins. The initial symptoms are similar to a common cold or the flu, making it even more likely to spread.

“In the first stage, we typically see a high fever of greater than 101, and we usually start to see a runny nose, some red watery eyes and cough. We refer to it as the three C’s of measles: cough, coryza, which is that runny nose, and then conjunctivitis, which is the watery red eyes. Then, about three to five days later, that’s when the rash starts. We typically see the rash present on the face, and then it will spread downwards across the body,” Anderson said.

If you or someone you know begins showing symptoms, VDH recommends letting your doctor know as soon as possible.

“If you think your child or someone that you know might have measles, make sure you’re notifying the healthcare place that you are visiting before you go in. You want to make sure that you’re mentioning that it is a measles-like rash, or you had exposure to measles or something like that. That will help to make sure that we’re limiting our healthcare exposure, because then we can work on the back end to try to limit lobby exposure or anywhere else. That helps to just make sure that we keep the exposure down and our numbers down,” Anderson said.

It’s been 35 years since Suanne Burt Sardi last spoke with her older sister, Sandra.

Thirty-five years since the two women hung up the phone on an early morning in January, promising to check in again in the afternoon.

Thirty-five years since 41-year-old Sandra Burt Carrera was found shot to death in her Arlington, Virginia, home.

And for 35 years, the tragedy has gone unsolved.

Suanne was only 25 years old on January 15, 1991, when she received a phone call from her 11-year-old nephew, Alex Carrera. “He said, ‘Aunt Suanne, my mother’s dead. She’s shot in the head,’” Suanne told Dateline. “It just seemed inconceivable.”

And it was. Just hours earlier, Sandra had been alive and well. The sisters had been catching up on the phone. Sandra was living in Arlington, Virginia, where she worked in marketing for HOK Architecture. “She loved living in D.C.,” Suanne recalled. “She just thought it was so exciting.”

“She was very warm, she was very funny, and bright,” Suanne said. Sandra was 16 years older than Suanne and “was kind of like a second mom” to her. She was dedicated to her work, carving out her place in the architecture industry — first in Pittsburgh, and then in Washington, D.C. But according to Suanne, “her number one job was mom” to her son, Alex.

Sandra moved to Arlington following her divorce from Alex’s father. According to Suanne, the divorce had been amicable, and Sandra had started dating again.

On the morning of January 15, Sandra and Suanne spoke on the phone. Sandra told Suanne that the man she was seeing had come over the night before, but had already left before they got on the phone. They talked for a bit before Suanne had to hang up. “I remember the last thing I said was, ‘I have to go, I have to get to econ class.’ And she said, ‘OK, I’ll call you later.’” The sisters made plans to talk again in the afternoon around 2:00 p.m., and then said their goodbyes.

The afternoon came and went. Suanne, who was earning her MBA at the University of Pittsburgh, was having friends over that night. “I never thought about the fact that she didn’t call me,” Suanne said. “And then at six o’clock that night, Alex called me.”

According to Suanne, Alex forgot his keys to the house when he went to school that day, so he went to play with a neighbor after school. Around 6:00 p.m., he noticed the lights were on at his house, so he headed home. The front door was unlocked, and when he went in, he saw his mother’s body. Alex called 911, and shortly after that, called Suanne and his father, who lived in Pittsburgh, to tell them what had happened. “Absolutely horrific,” Suanne said. “It still makes me shake, thinking about all of it, all these years later.”

The Arlington County Police Department reported to the scene and continues to be the primary investigating agency. Media Relations and Public Affairs Manager Ashley Savage provided a response to Dateline’s questions regarding Sandra’s case via email.

According to Savage, the Arlington County Police Department arrived at the scene at approximately 6:09 p.m., where Sandra was found “fully clothed, laying on her side at the bottom of a short flight of stairs.” The manner of death was ruled homicide, and the cause of death was a gunshot wound.

According to Suanne, Sandra had been shot “execution-style” three times in the head. “She was blown out of her shoes and off the landing, onto the floor down below,” she said. “It’s absolutely just brutal.”

According to Arlington County PD, Sandra’s “home is not believed to have been disturbed.” Nor do they believe anything was taken from the home.

Suanne says that when she was on the phone with her sister earlier in the day, Sandra told her she was going to run errands on the way home from dropping Alex off at school, stopping for cash and to get groceries. “The groceries were sitting on the dining room table, and the cash was on the steps, totally undisturbed,” Suanne said.

“Her home was processed, and various personal items and forensic evidence were collected,” Savage wrote Dateline. “Various evidence has been tested throughout the years but has not led to the identity of a suspect.”

The weapon used to kill Sandra has not been located. “During the course of this investigation, detectives conducted a comprehensive investigation into Sandra’s life with the goal of identifying the individual(s) responsible for her death,” Savage wrote. “Despite these efforts, no arrest has been made in her case.”

Suanne summed it up: “The biggest problems were there were no witnesses, there’s no clear motive, and they never had a weapon.” The investigation stalled.

Over the last 35 years, the Arlington County Police Department has led the investigation into Sandra’s murder, receiving help from various agencies, including the FBI. “As this is an open investigation, additional details regarding their assistance is not releasable to ensure the integrity of the open investigation,” Savage wrote.

“The passage of time does not diminish the need for answers and accountability in this senseless act of violence that took Sandra’s life,” Savage wrote. “Anyone who knew Sandra or who lived in the area of Windgate Townhomes in Arlington, VA on January 15, 1991, is encouraged to reach out to the Arlington County Police Department. Detectives continue to follow-up on investigative leads in this case and remind the public that any information, regardless of how small it may seem, could be the tip that leads to justice on behalf of Sandra and her family.”

In the years since Sandra’s death, the family has faced the immense grief that comes with such a violent loss. “We were really, really close,” Suanne said. “We were best friends.”

As this year marks the 35th anniversary of Sandra’s death, Suanne “feels a sense of urgency” to find answers. In her sixties now, she longs for justice to be served in her sister’s case, and looks forward to what a fresh look could mean for Sandra’s story.

If you have information about Sandra’s case, please contact the Arlington County Police Department’s Homicide/Robbery Unit at 703-228-4180 or ACPDTipline@arlingtonva.us. Information may also be reported anonymously through the Arlington County Crime Solvers hotline at 1-866-411-TIPS (8477).

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