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First South Dakota measles case in nine years appears in Rapid City

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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.

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“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.

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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.



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South Dakota

VIEWPOINT | South Dakotans deserve the full story

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VIEWPOINT | South Dakotans deserve the full story


Families in South Dakota work hard. We sacrifice a lot and ask very little from the people who govern us. We expect honesty, careful budgeting, and leadership that puts our interests above politics.

In his recent budget address, our governor painted an incomplete picture. He celebrated good results but did not explain what and who made those results possible. South Dakotans deserve more than selective storytelling. We deserve the truth.



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28 SD school districts to receive literacy grant

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28 SD school districts to receive literacy grant


SIOUX FALLS, S.D. (KELO) — Nearly 30 school districts in the state of South Dakota will receive the Elevating Literacy Across South Dakota (ELA-SD) grant from the South Dakota Department of Education. The purpose of the ELA-SD grants is to help create a comprehensive program to advance literary and pre-literary skills, reading and writing for […]



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Rep. Dusty Johnson backs Senator Rounds push for investigation into mail service in South Dakota

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Rep. Dusty Johnson backs Senator Rounds push for investigation into mail service in South Dakota


RAPID CITY, S.D. (KOTA) -Congressman Dusty Johnson is backing Senator Mike Round’s push for an investigation in postal service delays in South Dakota.

Johnson took to social media saying Senator Mike Rounds was right to ask for an investigation into postal service delays in South Dakota. Rounds had previously sent a letter to the postal service’s inspector general asking for her to find the cause of mail delays in South Dakota. Rounds said in his letter he has heard from hundreds of constituents across South Dakota. Johnson opened up with KOTA Territory News about his support for the investigation.

“I think the postal service is a terrible disaster,” said Johnson.

Johnson noted that in the past the service did what he said was a pretty good job. Johnson says despite sending letters and making phone calls with the postal service, he has not gotten any answers.

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“I have asked if I can come down to one of their facilities, get a tour so I can better understand what’s going on behind the walls. They have refused to even let me, a member of congress, come learn about how they conduct their business. And so, this appears to be an enterprise that A, is not improving, B, isn’t communicating why there, why there failing and C doesn’t even appear to be particularly interested in getting better,” explained Johnson.

Rounds has pointed to the problem as being that mail traveling across or into South Dakota taking indirect routes. Rounds previously took a meeting with the postmaster general however the senator appears not satisfied with the outcome.

Rounds wrote in part in his letter, “I expressed my concerns about this to the Postmaster General (PMG) Steiner who downplayed such issue existed in South Dakota.”

In a letter sent to Rounds in October, Postmaster General David Steiner said that fixing issues at central region plants in Chicago, St Louis and Kansas City will likely improve outcomes and that at the time it was something the USPS was actively working on. The postmaster general acknowledged poor performance for first class mail at the beginning of the year and mid-summer but noted that it has since improved. During the week ending September 19th for South Dakota’s postal district, about %93 percent of first-class mail was delivered on time and roughly %97 percent was delivered within one day of its expected arrival. The postmaster general said he wanted to focus on the %3 percent that’s not getting to its destination on time.

“It may be only a small percentage of the mail, but because we deliver hundreds of millions of pieces each day nationally, the raw number is large,” wrote Steiner.

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Steiner emphasized that some mail in South Dakota has always left the state for processing before going to another part of the state. The postmaster general explained that some mail requires certain sorting equipment and therefor some mail travels to plants with the right equipment.

The postmaster general also maintained in his letter that mail going to and from the same area in South Dakota is not leaving the state.

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