GREENVILLE, N.C. (WITN) – North Carolina has confirmed its first measles case of the year, prompting renewed warnings from public health officials as summer travel increases.

According to the North Carolina Department of Health and Human Services (NCDHHS), the case involves a child who visited Forsyth and Guilford counties. The child became ill while traveling to North Carolina from a country currently experiencing a measles outbreak.

Though no cases have been reported in Pitt County, the region’s health officials are on alert. The county has not seen a measles case in more than 20 years.

“Since we have had lots around the country, we might likely have more in other parts, especially high population counties,” said Wes Gray, Pitt County Health Director. “So when those cases do happen, we are prepared, making sure people are updated on their vaccines.”

Measles is a highly contagious viral illness that spreads through the air when an infected person coughs or sneezes. The virus can linger in the air for up to two hours, which makes locations like airports, grocery stores, and other public spaces particularly vulnerable to potential exposure, according to Gray.

Health officials warn the disease is most common in children under 20, but adults can be affected as well, especially if they are unvaccinated.

“Usually you’ll see the onset of a rash 11 to 12 days after you’re exposed, that’s a rash on the inside of the mouth or on the skin,” Gray said. “Making sure you’re following up with healthcare providers is key. Mainly, this is something we look for in children, but adults can also get it. It’s especially dangerous to young children.”

Data shows 2025 is likely to be the worst year for measles in the United States since its declared elimination 25 years ago. (CNN/CDC via CNN Newsource)

Symptoms typically begin with a high fever, cough, runny nose, and red, watery eyes.

Gray added that contact tracing is an essential part of the county’s response strategy.

“That’s why when we do contact tracing, we want to know where a potential case has been and the time period they were there,” he said. “So we can then let the public know if the infected person was in a grocery store or business, so they know the potential threat was there.”

The MMR vaccine, which protects against measles, mumps, and rubella, remains the best defense. The CDC recommends two doses, one at 12 to 15 months and a second between ages 4 and 6. The vaccine is about 97% effective when both doses are received.

Health officials in Pitt County are encouraging residents to verify their vaccination status, especially before international travel or visiting crowded locations.

For more information about measles symptoms, vaccines, or to schedule an appointment, visit the Pitt County Health Department website or call their office directly.

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