As measles cases surge nationwide, the North Carolina Department of Health and Human Services (NCDHHS) is ramping up prevention efforts to safeguard residents. Although the state has reported no measles cases so far in 2025, public health officials are urging communities, schools, and health care providers to remain vigilant.
“We encourage all North Carolinians to ensure they are up to date on their MMR vaccinations, and we are working with local health departments to ensure our state is prepared for any potential outbreaks,” said NCDHHS State Epidemiologist Dr. Zack Moore in a press release.
Nationwide, measles cases have climbed from 59 in 2023 to 285 in 2024. As of March 27, 2025, the CDC has confirmed 483 cases across 20 U.S. jurisdictions. Measles is a highly contagious viral disease that spreads through airborne droplets and contaminated surfaces, remaining infectious for up to two hours after exposure.
To prevent outbreaks, public health experts recommend a population vaccination rate of at least 95%. North Carolina’s MMR (measles, mumps, rubella) vaccination rate among kindergartners was 93.8% during the 2023-2024 school year, slightly below the required threshold. In some counties and schools, rates are even lower, increasing the risk of local outbreaks.
Statewide Preparedness Measures
NCDHHS is actively coordinating with schools, child care centers, and health care providers to monitor for symptoms and review vaccination records. The agency urges all residents to confirm their immunization status. Children should receive their first MMR dose between 12-15 months and a second dose between 4-6 years old. Unvaccinated adults or those uncertain of their immunity should consult their health care provider.
The department has also issued detailed guidance for child care centers, schools, and health care facilities to prepare for early detection and response to potential cases.
What You Can Do
Residents are encouraged to:
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Confirm they and their children are vaccinated or immune to measles.
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Recognize symptoms, including fever, cough, runny nose, red eyes, and a facial rash that spreads.
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Contact a health care provider immediately if exposed to measles and avoid in-person visits without prior notice.
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Consult a doctor before traveling internationally or to regions experiencing outbreaks.
While there is no active outbreak in North Carolina, health officials stress that early action and awareness are crucial to preventing one.
You can find out more info on NCDHHS’s measles and measles prevention site here.
