Measles (Rubeola)

Key Points

Answers to common questions about measles

Resources for health professionals

A health care provider places a Band-Aid on the arm of a young child after a vaccine.

Measles Vaccine: What to Know

  • The MMR vaccine is the best way to protect you and your loved ones from measles. Two doses are 97% effective at preventing measles.
  • Once vaccinated, most people are protected from measles for life. How to know if you're immune to measles.
  • Most health insurance plans pay for MMR vaccines. Need help paying?

Get more information: Measles Vaccination (CDC)

Need help paying for the vaccine?

If you're uninsured or underinsured, there are many ways to find a place to get free or low-cost vaccines near you:

Eligible children 18 or younger can get vaccines at no cost through the Vaccines for Children program.

Frequently Asked Questions and Resources

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Locate your vaccination records or other evidence of immunity. You're unlikely to get measles if you've gotten the MMR vaccine or have other evidence of immunity.

If you are not immune:

  • Contact your health care provider. Call first to set an appointment and inform them of your exposure. They'll take steps to protect you and others.
  • Your doctor may recommend:
    • The MMR vaccine, or
    • A medicine called immune globulin to reduce risk.
  • Stay home for 21 days after exposure to measles. 

You may hear from us or your local health department. What to expect during public health outreach for infectious diseases.

You're considered immune to measles if you were born before 1957, or you have:

  • Written documentation of vaccines for measles,
  • Laboratory evidence of immunity (such as a positive antibody test), or
  • Laboratory confirmation of measles.

Many people get vaccinated as a child to go to child care or school. North Carolina requires measles vaccination for these settings. More about NC school requirements and exemptions.

Yes, but getting measles if you've been vaccinated is rare. If this happens, symptoms are usually milder.

One dose of MMR vaccine is about 93% effective at preventing measles. Two doses are about 97% effective.

Vitamin A cannot prevent measles. The MMR vaccine is the best way to protect against measles. 

Only take vitamin A when directed by a health care provider. Providers may give vitamin A to some people diagnosed with measles as part of their care plan.

About Vitamin A

  • Most people get enough vitamin A in their diet through foods like:
    • Vegetables like carrots, bell peppers and broccoli
    • Fish and chicken
    • Yogurt
  • You can take too much vitamin A, known as toxicity, since it builds up in the body over time. In pregnancy, vitamin A toxicity can cause birth defects. 
Symptoms of vitamin A toxicity
  • Dizziness
  • Blurred vision
  • Nausea and vomiting
  • Headache

Measles in North Carolina

Measles is uncommon in North Carolina. Most cases occur after international travel by people who are not vaccinated.

Last case reported in 2024. It was the only case reported that year, and the first since 2018.

Bar graph shows measles cases over time in North Carolina, including an outbreak in 2013 and one case in 2024, the first since 2018.
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Measles cases in NC during last outbreak in 2013

Most cases were in people not vaccinated.