Michigan health officials confirmed four more cases of measles Tuesday, bringing the state's total this year to 34, the most since 1991.

All of the new cases were in Oakland County, which has recorded 33, according to the Michigan Department of Health and Human Services. One case has been confirmed in Wayne County. 

Those infected range from 8 months old to 63 years old.

This is the highest number of measles in the state since 1991, when 65 cases were reported.

Through last week, there have been 387 cases of measles confirmed in 15 states, the U.S. Centers for Disease Control and Prevention reported. That surpasses the count of 372 cases for all of 2018, officials said.

In the Metro Detroit outbreak, health officials released possible exposure locations. 

Vaccination, effective within 72 hours of being exposed, is available between 9 a.m. and 2 p.m. Monday at Yeshivas Darchei Torah School, 21550 West 12 Mile, Southfield. 

Immune-globulin treatment, effective within six days of exposure, is available for high-risk residents such as pregnant women who might have been exposed at the following dates and locations.

March 29

• Congregation B'Nai Israel: 15400 W. 10 Mile, Oak Park, 5:30 – 8 p.m. 
• Bais Haknesses Hagrah, 14561 W. Lincoln Blvd., Oak Park, 7 – 10 a.m. 
• Beaumont Medical Building, 1st Floor: 3535 W. 13 Mile, Royal Oak, 2:30 – 5 p.m. 
• Yeshivas Darchei Torah School, 21550 West 12 Mile, Southfield, 9 a.m. – 7 p.m. 

March 28
• Bais Haknesses Hagrah: 14561 W. Lincoln Blvd., Oak Park, 7 – 10 a.m. 
• Yeshivas Darchei Torah School: 21550 West 12 Mile, Southfield, 9 a.m. – 7 p.m. 
• Congregation B'Nai Israel: 15400 W. 10 Mile, Oak Park, 5:30  – 8 p.m. 

Measles is a highly contagious disease  spread by direct person-to-person contact and through the air.

The virus can live for up to two hours in the air where the infected person was present. Symptoms of measles usually begin seven to 14 days after exposure, but can appear up to 21 days after exposure. They can include: a high fever, cough, runny nose, red, watery eyes, tiny white spots on the inner cheeks, gums, and roof of the mouth, as well as a red, raised, blotchy rash that usually starts on face, spreads to trunk, arms, and legs 3-5 days after symptoms begin. 

The Oakland County Health Division is offering vaccination from 8:30 a.m.- 6 p.m. Monday and 8:30 a.m.- 5 p.m. Tuesday-Friday at its centers at 1200 N. Telegraph Road, Building 34 East, Pontiac, and 27725 Greenfield Road, Southfield. For information, call (800) 848-5533. 

The division also is offering vaccination clinics 2:30 – 4:30 p.m. Wednesday and Thursday at Young Israel of Oak Park, 15140 W. 10 Mile.

The Wayne County Health Department offers walk-in vaccinations at 33030 Van Born Road in Wayne from 8 – 11 a.m. and 12:30 – 4 p.m. Monday, Tuesday, Thursday and Friday, and on Wednesday from 11 a.m. – 2 p.m. and 3:30 – 7 p.m. For information: (734) 727-7101.


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