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The number of measles cases in a southeast Michigan outbreak has fallen to 39 from 41, but authorities have also confirmed an unrelated case in Washtenaw County stemming from international travel, state health officials said Friday. 

Anyone at any of the following locations during the dates and times provided should monitor themselves for rash with fever or other symptoms consistent with measles for 21 days. 

  • University of Michigan Intramural Sports Building, 606 E. Hoover, Ann Arbor on April 1, 11 a.m. to 3 p.m., April 3, 10 a.m. to 2 p.m., and April 4, 4 p.m. -7 p.m.
  • Lucky’s Market, 1919 S. Industrial Highway, Ann Arbor on April 1, 1 to 4 p.m. and April 6, 1:30 p.m.-4:30 p.m.
  • Lan City Hand Pulled Noodle, 2612 Washtenaw, Ypsilanti, April 2, 6 p.m.-10 p.m.
  • Whole Foods, 3135 Washtenaw Ave., Ann Arbor on April 2, 8 p.m.-11 p.m.
  • University of Michigan North Quad Complex, 105 S. State, Ann Arbor on April 3 from 8:30 a.m.-11:30 a.m.
  • NeoPapalis, 500 E. William, Ann Arbor, April 3, 9 p.m.-11 p.m.
  • Mani Osteria and Bar, 341 E. Liberty, Ann Arbor on April 4, 11 a.m.-2 p.m.
  • Encore Records, 417 E. Liberty, Ann Arbor on April 4, noon-3 p.m.
  • University of Michigan Angell Hall Courtyard Computing Site (aka The Fishbowl), 435 State, Ann Arbor on April 4, 1 p.m. to 6 p.m. and April 5, 4 p.m.-10:30 p.m.
  • Jolly Pumpkin Café & Brewery, 311 S. Main, Ann Arbor on April 5, 12:30 p.m. to 4:30 p.m.
  • Blank Slate Creamery, 300 W. Liberty, Ann Arbor on April 5, 2:30 p.m. to 6 p.m.
  • Asian Legend, 516 E. William, Ann Arbor on April 5, 8:30 to 10:30 p.m.
  • Walgreens Pharmacy, 317 S. State, Ann Arbor from April 5 at 9:30 p.m. to midnight April 6.
  • CVS Pharmacy, 209 S. State, Ann Arbor from April 5 at 9:30 p.m. to midnight April 6.
  • CVS Pharmacy, 1700 S. Industrial Highway, Ann Arbor on April 6, 10 a.m. to noon. 
  • Woodbury Gardens Apartments leasing office and clubhouse, 1245 Astor, Ann Arbor on April 6, 11 a.m. to 1:30 p.m.
  • Michigan Flyer-AirRide bus on April 6, 3:15 p.m. to 6 p.m.
  • Detroit Metropolitan Airport McNamara Terminal on April 6, 3:55 p.m. to 7:30 p.m.  

"Because measles can be spread through the air by an infected person, the public is being alerted to the potential exposures," health officials said. "A person with measles is contagious for four days before and four days after the rash appears. A person can be infected with measles just by being in the same room as an infected person, even up to two hours after the infected person has left."

Meanwhile, the Michigan Department of Health and Human Services said it is reducing this year's statewide count of measles cases to 39 after further testing of two of the cases. 

"One child in Washtenaw County had been potentially exposed to measles and that child, along with an Oakland County child, had both been recently vaccinated," officials said in a statement.

"Their symptoms and initial test results classified them as measles cases. Per the Centers for Disease Control and Prevention (CDC) protocol, additional genotype testing was conducted and determined they were not measles cases. The other 39 cases have been genotyped and confirmed to be measles cases."

MoreMichigan measles cases climb to 41, health officials say

Measles is a highly contagious, vaccine-preventable disease that is spread by direct person-to-person contact, and through the air. Symptoms include high fever; cough; runny nose; red, watery eyes; tiny white spots on the inner cheeks, gums and roof of mouth two to three days after symptoms start; and a red, raised, blotchy rash that usually starts on the face and spreads to the trunk, arms and legs within three to five days.

Severe and potentially deadly complications include pneumonia and swelling of the brain, according to the federal Centers for Disease Control.

State officials also said the following previously identified sites where measles were confirmed are no longer considered exposure locations:

  • Jewish Community Center of Ann Arbor
  • Olive Garden restaurant in Ann Arbor
  • Liberty Athletic Club in Ann Arbor
  • Beaumont Royal Oak Emergency Department 
  • Green Garden Child Development Center

Officials said the state is experiencing its highest number of measles cases since 1991 when 65 cases were reported. So far this year in the U.S., there have been 465 cases of measles confirmed in 19 states.

State and county health officials said the outbreak began March 13, when measles was confirmed in a traveler from Israel who stopped in New York before heading to Michigan. Michigan's measles outbreak coincides with others reported across the country, including New York, California, Illinois, Texas and Washington, according to officials.

cramirez@detroitnews.com
Twitter: @CharlesERamirez

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