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.

At least 18 additional locations where people may have been exposed to measles were identified Saturday in Oakland County, according to the county's Health Division.

On Thursday, the division had released a list of more than 25 locations of exposure between March 14-20. The additional sites push the exposure timeline to March 21.

There have been at least five confirmed cases of the highly contagious disease and three other suspected cases under investigation. Health officials said a traveler from Israel, who was infected, may have spread the virus while visiting Oakland County from March 6-13.

Related: 5 confirmed measles cases in Oakland County 'concerning '

Related: Oakland County confirms measles case: What to do if you were exposed

"Unvaccinated individuals need to get vaccinated. a record of two measles (MMR) vaccines, unsure if you have been vaccinated, or unsure if you have had measles in the past, contact your healthcare provider, ”said Leigh-Anne Stafford, health officer for Oakland County, in a news release

People are urged to watch for symptoms 21 days after potential exposure Symptoms include:

  • High fever (may over 104 degrees Fahrenheit)
  • Cough
  • Runny nose
  • Red, watery eyes (conjunctivitis)
  • Tiny white spots on the inner cheeks, gums, and roo f of the mouth (Copy Spots) two to three days after symptoms start
  • A rash that is red, raised, blotchy; usually starts on face, spreads to trunk, arms, and legs 3-5 days after symptoms start

Anyone who visited the locations during the times and dates can receive vaccination by Sunday.

A Oakland County Health Division's nurse on call phone line will be open from 10 am to 2 pm, Sunday at 800-848-5333 or email,

Additional measles exposure locations

March 18-21

Dovid ben Nuchim, 14800 Lincoln St., Oak Park

Farber Hebrew Day School, 21100 West 12 Mile Road, Southfield

March 18

Berkley Medical Center, 1695 W. 12 Mile Road, Berkley, from 1: 30–4: 30 pm

Walgreens, 7380 Orchard Lake Road, West Bloomfield, from 9:30 pm-midnight

Kravings, 25270 Greenfield Road, Southfield, 9 pm -midnight

Beaumont Hospital, Royal Oak – Emergency Department and Sixth Floor North Tower, 3601 W. 13 Mile Road, Royal Oak, from 2:30 – 11 pm

Beaumont Hospital, Royal Oak – Medical Office Building, 3535 W. 13 Mile Road, Royal Oak, from 3-5 pm [19659005] Crowne Point Office Building, 25900 Greenfield, Oak Park, after 9 am

Berkley Urgent Care, 3270 Greenfield Road, Berkley, 4-7 pm

March 19 [19659005] Beaumont Hospital, Royal Oak – 6th Floor, North Tower: 3601 W. 13 Mile Road, Royal Oak, 1-11 pm

Berkley Urgent Care, 3270 Greenfield Road, Berkley, 10 am – 1 pm

March 20

The 7-Eleven, Lincoln St., 15350 Lincoln, Oak Park, 9: 20-11: 30 pm

Ahavas Yisroel, 25952 Greenfield, Oak Park, 10 am –12: 30 pm

Kollel Institute of Greater Detroit, 15230 Lincoln St., Oak Park, 8-11: 30 pm

Yeshiva Gedolah of Greater Detroit, 24600 Greenfield Road, Oak Park, 9 pm – midnight [19659005] March 21

Beaumont Hospital, Royal Oak – Emergency Department, 3601 W. 13 Mile Road, Royal Oak, 10:30 am – 6 pm

Mapleview Liquor Store: 6084 Maple Road, West Bloomfield Township, 11 am – 2 pm

Yeshiva Gedolah of Greater Detroit, 24600 Greenfield Road, Oak Park, 8: 40-11 am

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