Measles Cases Rise in North Dakota, Prompting Vaccination Recommendations

BISMARCK, ND – Health officials in North Dakota are reporting a rise in measles cases across the state, with confirmed infections now present in four counties. As of Friday, March 6, 2026, the North Dakota Department of Health and Human Services (HHS) has confirmed a total of 23 cases statewide, prompting recommendations for increased vaccination, particularly in areas experiencing outbreaks.

Current Measles Distribution in North Dakota

The confirmed cases are distributed as follows:

• Pembina County: 20 cases
• Traill County: 1 case (first reported case in the county)
• Walsh County: 1 case
• Williams County: 1 case

Pembina County is currently considered to be experiencing an outbreak, leading HHS to recommend early and accelerated vaccination for individuals living in or traveling to the area. New exposure sites have been identified in Grand Forks and Cavalier, with details available at hhs.nd.gov/measles.

National and Global Context

The increase in cases is not limited to North Dakota. The Centers for Disease Control and Prevention (CDC) has confirmed 1,281 measles cases across the United States in 2026. An outbreak is also occurring in the province of Manitoba, Canada, just across the border. Globally, health organizations are reporting increased measles cases in numerous countries.

Understanding Measles and Vaccination

Measles is a highly contagious viral illness that can lead to serious complications, especially in young children and individuals with weakened immune systems. The virus can remain infectious on surfaces and in the air for up to two hours after a contagious person leaves a space. Individuals are contagious for several days before and after symptoms appear.

Symptoms of measles include:

• Fever
• Cough
• Runny nose
• Red eyes
• Rash

The measles, mumps, and rubella (MMR) vaccine is recommended for children at 12-15 months of age, with a second dose administered between 4-6 years of age. However, vaccination rates in North Dakota have declined, with 80% of children aged 19-35 months and 89% of kindergarteners up to date on their measles vaccinations.

What to Do If Exposed

Individuals who believe they may have been exposed to measles are advised to monitor for symptoms. If symptoms develop, it is crucial to contact a healthcare provider for testing. To prevent further spread, individuals suspecting they have measles should call ahead before seeking medical care. Those who are not vaccinated and have been exposed should avoid contact with others for 21 days.

Key Takeaways

• Measles cases are increasing in North Dakota and nationwide.
• Pembina County is experiencing an outbreak, with accelerated vaccination recommended.
• Vaccination is the most effective way to prevent measles and its complications.
• Individuals exposed to measles should monitor for symptoms and seek medical attention if needed.