A measles outbreak is spread across a Washington county known for choosing not to vaccinate its children, and health officials have declared a public health emergency.

Health officials announced late Thursday four new confirmed cases of measles in Oakland County, all believed to be linked to a sickened traveler who visited the area earlier this month.

The Michigan Department of Health and Human Services and the Oakland County Health Division are urging people to get vaccinated. The agencies also released an expanded list of places where people may have been exposed to the highly contagious disease to include stores, medical facilities and even the Oakland County Circuit courthouse.

In addition to the now-five confirmed cases, three other suspected cases are under investigation.

"It's definitely concerning, especially to have this many already in the year," Angela Minicuci, spokeswoman for the Michigan Department of Health and Human Services, told the Free Press.

The Health Division will host a special measles vaccination clinic from 10 a.m. to 2 p.m. Saturday at the South Oakland Health Center, 27725 Greenfield Road in Southfield. The vaccine is also available at other times through that office and through the health division's office in Pontiac, some health providers and many pharmacies.

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Measles is spread through coughing and sneezing. Symptoms include a high fever, cough, runny nose and red, watery eyes. Tiny white spots appear in the mouth followed by a blotchy red body rash

The disease is spreading nationally. From Jan. 1 through March 14, 268 cases have been confirmed in 15 states, according to the Centers for Disease Control and Prevention. In Washington state, officials have declared public health emergency amid widening in a county known for having a lot of residents who choose not to vaccinate their children

Leigh-Anne Stafford, health officer for Oakland County, urged people who don They know whether they've been vaccinated or whether they've had measles in the past to get vaccinated.

"If symptoms develop, do not visit your doctor or emergency room unless you call ahead so they can take precautions to prevent exposure to other individuals," she said.

Earlier this month, health officials said a traveler from Israel who was infected may have spread the virus while visiting Oakland County from March 6-13. Officials believe that case is linked to the four other confirmed and three suspected cases in the county.

Sites of possible exposure

Health officials said Thursday, May 19, 1919 (19659005) Congregation B'Nai Israel, 15400 W. 10 Mile Road, Oak Park

Ahavas Olam , 15620 W. 10 Mile Road, Southfield

Yeshiva Gedolah of Greater Detroit, 24600 Greenfield Road, Oak Park

Kollel Institute of Greater Detroit, 15230 Lincoln Street, Oak Park

March 15-18

One Stop Kosher Fo od Market, 25155 Greenfield Road, Southfield

March 15

Young Israel of Oak Park, 15140 W. 10 Mile Road, Oak Park, 1-6 p.m.

Kroger, 23675 Greenfield Road, Southfield, from noon-3 pm

March 16

Huntington Woods Minyan, 14130 Balfour Street, Oak Park, from 8:30 am to 2 pm [19659005] March 17

Yeshivas Darchei Torah School, 21550 W. 12 Mile Road, Southfield, from 9 am to 3 pm

March 18

Kroger, 19853 W. 12 Mile Road, Southfield, from 8-11 pm

Berkley Medical Center, 1695 W. 12 Mile Road, Berkley, from 11:15 am-3 pm

Meijer, 28800 Telegraph Road, Southfield, from 1-4: 30 pm

Yeshivas Darchei Torah School, 21550 W. 12 Mile Road, Southfield, from 9 am-3: 30 pm

March 20

Brede, Inc., 19000 Glendale Ave., Detroit, from noon-7:30 pm

Potential exposures

Additionally, officials released a second list of what they called potential exposure sites: March 15

Beaumont Reference Lab, 3601 13 Mile Road, Royal Oak, from 10 am to 2 pm

SKLD Bloomfield Hills, 2975 N. Adams Road, Bloomfield Hills, from noon-3 pm

Westborn Market, 27659 Woodward Ave., Berkley, 12: 30-3: 30 pm

Jax Kar Wash, 27054 Woodward Ave., Royal Oak, from 1-4 pm

March 16

Beth Tefilo, 24225 Greenfield Road, Southfield, from 8-11 pm

March 17

Beth Tefilo, 24225 Greenfield Road, Southfield, from 8-11 pm

Lowe's Home Improvement, 28650 Telegraph Road, Southfield, from 12: 20-3: 30 pm

Lowe's Home Improvement, 434 W. 12 Mile Road, Madison Heights, from 3-7 pm

Home Depot, 660 W. 12 Mile Road, Madison Heights, 4: 30-7 pm

March 18

Oakland County Circuit Court building, 1200 N. Telegraph Road, Bldg. 12E, Pontiac, from 1: 30-5 pm

ABC Warehouse, 24725 Southfield Road, Southfield, from 3: 30-7 pm

Universal Plumbing Supply, 14511 W. 11 Mile Road, Southfield, from 4:40 -7: 30 pm

March 19

Building at 211 W. Fort St., Detroit, from 10 am-2 pm This site includes the Detroit Economic Club, U.S. Department of Labor and U.S. Pat. Passport Office, health officials said. March 20, [BeaumontReferenceLaboratory360113MileRoadRoyalOakafter3pm

Providence Park Novi Medical Building, 26850 Providence Parkway, Novi, after 1 pm

For more information about measles, go to or call the Oakland County Health Division's Nurse on Call at 800-848-5533 from 8:30 am to 5 pm Monday through Friday. The phone will also be open during Saturday's vaccination clinic.

For up-to-date public health information, follow @publichealthOC on Facebook, Twitter and Pinterest

Contact Ann Zaniewski: 313-222-6594 or Follow here on Twitter: @AnnZaniewski.

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