The Massachusetts Department of Public Health is working with the US Centers for Disease Control and Prevention and local partners to identify and notify those who may have been exposed, officials said.
“Measles is a highly contagious, airborne disease, which has increased significantly in the United States because of the unfortunate decrease in vaccination rates. It is also a preventable disease,” Public Health Commissioner Dr. Robbie Goldstein said in a statement. “This current situation serves as an important reminder of the critical role vaccination plays in protecting our communities.”
While Massachusetts has not had a measles case this year, the United States has seen the highest number of nationwide cases in more than a decade – nearly 2,000 in 44 jurisdictions, which included three confirmed deaths from measles, Goldstein said.
“Fifteen years ago, measles had been considered eliminated in the United States, but that tremendous progress is at risk,” Goldstein said. “Vaccines are one of the most important public health interventions ever – they are safe, effective, and lifesaving.”
Officials said the exposures may have occurred at Logan Airport Terminal B on Dec. 11 from 2:30 p.m. to 4:45 p.m.; at the DoubleTree hotel in Westborough from 3:30 p.m. on Dec. 11 to 9 p.m. on Dec. 12; and at Logan Airport Terminal C from 6 p.m. to 11:30 p.m. on Dec. 12.
“Those who could have been exposed and begin to develop symptoms of measles should call their healthcare provider before visiting an office, clinic, or emergency department,” public health officials said in the statement. “Visiting a healthcare facility may put others at risk and should be avoided if possible.”
Those who have had measles in the past or have received two doses of the Measles, Mumps, and Rubella (MMR) vaccine are unlikely to develop measles even if they were exposed, officials said.
Boston Public Health Commissioner Dr. Bisola Ojikutu also encouraged people to get vaccinated for measles.
“With multiple measles outbreaks across the country and increased travel around the holidays, now is an important time to ensure that you and your family are protected,” she said.
Ojikutu said two doses of MMR vaccine are 97 percent effective at preventing measles and provide protection against mumps and rubella. Children should receive the vaccine at 12-15 months of age and again before kindergarten, she said.
Children who are at least 6 months old and traveling internationally or to areas of the US with active outbreaks should receive an early dose of vaccine before traveling, Ojikutu said.
“It is never too late for children or adults to get the measles vaccine even if they are past the recommended age,” Ojikutu said.
Early symptoms of measles occur one to three weeks after exposure and may resemble a cold, with symptoms fever, cough, runny nose, and red eyes. A rash occurs on the skin two to four days after the initial symptoms develop and usually appears first on the head, officials said.
People with measles may be contagious up to four days before the rash appears and for four days after the rash starts, officials said.
State public health officials are urging anyone who has not been vaccinated or doesn’t know their measles immunization status to contact their healthcare provider to get vaccinated with at least one dose of the MMR vaccine.
“Measles vaccine given within 72 hours of exposure may prevent measles disease,” officials said in the statement. “Vaccination beyond this window will provide protection from subsequent exposures.”
Emily Sweeney can be reached at emily.sweeney@globe.com. Follow her @emilysweeney and on Instagram @emilysweeney22.