South Dakota
First South Dakota measles case in nine years appears in Rapid City
The first case of measles in South Dakota in nine years was reported Thursday by the state Department of Health.
Measles is a highly contagious viral disease that can cause health complications, especially in children younger than 5 years old.
The case was found in a Pennington County adult who traveled internationally and tested positive at Monument Health in Rapid City this month. The patient could have exposed people at the Black Hills Urgent Care from 10 a.m. to 2:30 p.m. on July 9 and the Monument Health Rapid City Emergency Department waiting room from 5 p.m. to 12 a.m. on July 12, the Department of Health said.
“Measles is a highly contagious viral disease and spreads through the air when an infected individual coughs or sneezes,” said Dr. Joshua Clayton, state epidemiologist, in a news release Thursday. “Individuals who have not been fully immunized with two doses of measles vaccine have an increased risk of infection if they have contact with an infected person.”
The measles vaccine is typically given to children between 12 and 15 months old, with the second dose given at 4 to 6 years old. Two measles shots usually produce lifelong immunity, according to the news release.
The last time a measles case was reported in South Dakota was in January 2015, when there was an outbreak of 13 cases in the Mitchell area and one case in an unvaccinated Sioux Falls 10-year-old.
Aside from an unvaccinated child younger than 5 years old contracting measles in Mitchell in December 2014, South Dakota hadn’t had a measles case since 1997.
Measles appears in two stages. First, the patient may have a runny nose, cough, slight fever and reddened eyes sensitive to light. Second, on the third to seventh day, the patient has a temperature of 103-105 degrees Fahrenheit and a red, blotchy rash beginning on their face and spreading across their body. The rash lasts up to a week.
Measles, mumps and rubella (MMR) vaccination rates have been on the decline in the United States for over a decade after the disease was declared eliminated in 2000. More than 160 cases have been reported nationwide so far in 2024, with 53% of cases hospitalized. Over 60% of cases in children younger than 5 years old have been hospitalized so far this year.
South Dakota’s MMR vaccination rate among kindergarteners decreased from 96.8% during the 2009-2010 school year to 92.5% during the 2022-2023 school year, according to the Centers for Disease Control. That is below the Office of Disease Prevention and Health Promotion’s goal of 95%, which establishes herd immunity.
Children entering school or an early childhood program in South Dakota must have received, or be in the process of receiving, two doses of the MMR vaccine and some other vaccines. Exemptions are available if a licensed physician says it would endanger the child’s life or health, or if the child’s religious doctrine opposes immunization.
The South Dakota Lottery offers multiple draw games for those aiming to win big.
Here’s a look at April 21, 2026, results for each game:
Winning Mega Millions numbers from April 21 drawing
01-36-43-56-58, Mega Ball: 07
Check Mega Millions payouts and previous drawings here.
Winning Millionaire for Life numbers from April 21 drawing
01-04-40-47-58, Bonus: 04
Check Millionaire for Life payouts and previous drawings here.
Feeling lucky? Explore the latest lottery news & results
Are you a winner? Here’s how to claim your prize
- Prizes of $100 or less: Can be claimed at any South Dakota Lottery retailer.
- Prizes of $101 or more: Must be claimed from the Lottery. By mail, send a claim form and a signed winning ticket to the Lottery at 711 E. Wells Avenue, Pierre, SD 57501.
- Any jackpot-winning ticket for Dakota Cash or Lotto America, top prize-winning ticket for Lucky for Life, or for the second prizes for Powerball and Mega Millions must be presented in person at a Lottery office. A jackpot-winning Powerball or Mega Millions ticket must be presented in person at the Lottery office in Pierre.
When are the South Dakota Lottery drawings held?
- Powerball: 9:59 p.m. CT on Monday, Wednesday, and Saturday.
- Mega Millions: 10 p.m. CT on Tuesday and Friday.
- Lucky for Life: 9:38 p.m. CT daily.
- Lotto America: 9:15 p.m. CT on Monday, Wednesday and Saturday.
- Dakota Cash: 9 p.m. CT on Wednesday and Saturday.
- Millionaire for Life: 10:15 p.m. CT daily.
This results page was generated automatically using information from TinBu and a template written and reviewed by a South Dakota editor. You can send feedback using this form.
Clear Lake businessman Tim Begalka is running for re-election to the South Dakota Senate for District 4. Begalka served two terms in the State House and two terms in the Senate.
He and his wife Rhonda live in Clear Lake. Their have three adult children also live in the state.
Begalka has owned Sodak Gardens, a local greenhouse and nursery, for the past 30 years. The business was started by his late father Leon Begalka in 1954. Begalka is a graduate of Clear Lake High School and South Dakota State University, and is a fifth generation Deuel County resident.
While in the legislature, Begalka served on the agriculture, education and commerce committees and was vice-chairman of the Judiciary Committee. In his release he said he has always looked out for the “little guy,” whether that be an individual, family, township, small-town, farm, business or school. He is a defender of property rights, the 2nd amendment and the right to life, he said in a release.
“While in Pierre, I frequently witnessed the bigger businesses, schools, and government entities try to take advantage of the little guys,” Begalka said in a release. “The big guys already have more money, power, numbers, and lobbyists. The little guys need a Senator with a backbone to stand up for them. That’s what I promise to continue to do, represent the citizens of District 4.”
He has never lost an election, and his winning philosophy, he said, is “Always tell the truth, and try to be nice to everyone”.
Begalka will be on the ballot for the June 2 Republican Primary. In order to vote in that primary, you need to be a registered Republican in District 4 by May 18th. District 4 includes all of Deuel, Grant, and Hamlin Counties, greater Codington, southeastern Roberts, and all of Clark County except the southwest corner.
The South Dakota Lottery offers multiple draw games for those aiming to win big.
Here’s a look at April 20, 2026, results for each game:
Winning Powerball numbers from April 20 drawing
09-17-36-47-64, Powerball: 26, Power Play: 3
Check Powerball payouts and previous drawings here.
Winning Lotto America numbers from April 20 drawing
05-07-31-41-43, Star Ball: 07, ASB: 02
Check Lotto America payouts and previous drawings here.
Winning Millionaire for Life numbers from April 20 drawing
19-37-40-41-53, Bonus: 02
Check Millionaire for Life payouts and previous drawings here.
Feeling lucky? Explore the latest lottery news & results
Are you a winner? Here’s how to claim your prize
- Prizes of $100 or less: Can be claimed at any South Dakota Lottery retailer.
- Prizes of $101 or more: Must be claimed from the Lottery. By mail, send a claim form and a signed winning ticket to the Lottery at 711 E. Wells Avenue, Pierre, SD 57501.
- Any jackpot-winning ticket for Dakota Cash or Lotto America, top prize-winning ticket for Lucky for Life, or for the second prizes for Powerball and Mega Millions must be presented in person at a Lottery office. A jackpot-winning Powerball or Mega Millions ticket must be presented in person at the Lottery office in Pierre.
When are the South Dakota Lottery drawings held?
- Powerball: 9:59 p.m. CT on Monday, Wednesday, and Saturday.
- Mega Millions: 10 p.m. CT on Tuesday and Friday.
- Lucky for Life: 9:38 p.m. CT daily.
- Lotto America: 9:15 p.m. CT on Monday, Wednesday and Saturday.
- Dakota Cash: 9 p.m. CT on Wednesday and Saturday.
- Millionaire for Life: 10:15 p.m. CT daily.
This results page was generated automatically using information from TinBu and a template written and reviewed by a South Dakota editor. You can send feedback using this form.
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