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Clark County Public Health confirms 14 measles cases, three suspected

Public Health says thousands may have been exposed at schools, churches, medical offices, businesses

By Wyatt Stayner, Columbian staff writer
Published: January 16, 2019, 3:57pm

A measles outbreak has grown in Clark County to 14 confirmed cases and the potential exposure of thousands of people to the highly contagious virus, according to Clark County Public Health.

Health officials released a statement Wednesday saying that Clark County Public Health is requiring “the exclusion of students and staff without documented immunity to measles from schools, child care and other congregate settings” where exposure is possible.

Public health officials have identified 14 confirmed cases of measles and three suspected cases since Jan. 1, according to the statement. One case has been hospitalized, and another suspected case has been hospitalized.

Of the 14 confirmed cases, 13 of the individuals had not been immunized against measles, according to the statement. Officials have not yet verified whether the remaining individual was immunized.

Measles exposure sites

Clark County Public Health released the following list of locations where people may have been exposed to measles in the Portland-Vancouver area:

Health care facilities:

• The Vancouver Clinic Salmon Creek, 2525 N.E. 139th St., Vancouver.

4:30 to 9:30 p.m. Jan. 23.

8:15 a.m. to noon Jan. 18

• Gresham Troutdale Family Medical Center, 1700 S.W. 257th Drive in Troutdale, Ore., from 12:30 to 2 p.m. Jan. 23.

• Legacy-GoHealth Urgent Care Cascade Park, 305 S.E. Chkalov Drive, Vancouver, from 6:25 to 10:15 p.m. Jan. 22.

• Legacy-GoHealth, 22262 N.E. Glisan St., in Gresham, Ore., from 9 to 11:30 a.m. Jan. 20.

• Memorial Urgent Care, 3400 Main St., Vancouver, from 4:30 to 7:50 p.m. Saturday, Jan. 19.

• Kaiser Cascade Park, 12607 S.E. Mill Plain Blvd., Vancouver.

12:30 to 7:30 p.m. Jan. 19.

7 p.m. Jan. 15 to 2 a.m. Jan. 16.

1 to 8:30 p.m. Jan. 12.

• Legacy Salmon Creek Medical Center Emergency Department, 2211 N.E. 139th St., Vancouver.

11:40 p.m. Jan. 14 to 5:10 a.m. Jan 15.

5:45 p.m. Jan. 13 and 12:30 a.m. Jan. 14.

8:30 p.m. Jan. 12 to 1 a.m. Jan. 13.

• Kaiser Orchards Medical Office, 7101 N.E. 137th Ave., Vancouver,

1:55 to 6:10 p.m. Jan. 14.

1:50 to 7:30 p.m. Jan. 24

• Rose Urgent Care and Family Practice, 18 N.W. 20th Ave., Battle Ground, 3:45 to 8 p.m. Jan. 14.

• PeaceHealth Southwest Medical Center Emergency Department, 400 N.E. Mother Joseph Place, Vancouver.

12:30 to 8:30 p.m. Jan. 13.

10 p.m. Jan. 12 to 4 a.m. Jan. 13.

• The Vancouver Clinic, 700 N.E. 87th Ave., Vancouver.

9:30 a.m. to 1 p.m. Jan. 14.

4:30 to 7:30 p.m. Jan. 13.

10:45 a.m. to 1:30 p.m. Jan. 12.

3:30 to 7 p.m. Jan. 11.

• Vancouver Clinic Columbia Tech Center, 501 SE 172nd Ave., Vancouver, from 11:30 am to 4 pm Friday, Jan. 11.

• Magnolia Family Clinic, 2207 N.E. Broadway, Suite 200, Portland, from 11:30 a.m. to 3 p.m. Jan. 8.

Schools and child care facilities:

• Orchards Elementary School, 11405 N.E. 69th St., Vancouver, on Monday, Jan. 14.

• Evergreen High School, 14300 NE 18th St., Vancouver, on Wednesday, Jan. 9.

• Slavic Christian Academy, 7300 MacArthur Blvd., Vancouver, on Monday, Jan. 7.

• Cornerstone Christian Academy, 10818 N.E. 117th Ave., Vancouver, on Jan. 4.

• Vancouver Home Connection, 301 S. Lieser Road, Vancouver, on Jan. 7; Jan. 8; and Jan. 11.

• Hearthwood Elementary School, 801 N.E. Hearthwood Blvd., Vancouver, on Jan. 7, 9 and 11.

• Image Elementary School, 4400 N.E. 122nd Ave., Vancouver, on Jan. 8 and Jan. 9.

• Eisenhower Elementary School, 9201 N.W. Ninth Ave., Vancouver, on Jan. 8 and Jan. 9.

• Tukes Valley Primary and Middle School, 20601 N.E. 167th Ave., Battle Ground, on Jan. 8.

• Maple Grove School, 601B S.W. Eaton Blvd., Battle Ground, on Tuesday, Jan. 8 and Wednesday, Jan. 9.

• River HomeLink, 601 S.W. Eaton Blvd., Battle Ground, on Tuesday, Jan. 8 and Wednesday, Jan. 9.

• St. Paul Christian Daycare, 1309 Franklin St., Vancouver, Jan. 16, 17, 18 and 23

• Yelena’s Daycare, 17007 N.E. 23rd St., Vancouver, Jan. 22 and 23

Other locations:

• Dollar Tree, 11501 N.E. 76th St., Vancouver, from 8:10 to 10:50 pm Tuesday, Jan. 15.

• Dollar Tree, 7809-B Vancouver Plaza Drive, Vancouver, from 6:30 to 9:10 p.m. Jan. 15.

• Dollar Tree, 305 S.E. Chkalov Drive, Vancouver from 1:10 to 4 p.m. Jan. 21.

• GracePoint Christian Church, 7300 MacArthur Blvd., Vancouver, from 6:30 a.m. to 5:30 p.m. Monday, Jan. 7.

• Church of Christ Savior, 3612 F St., Vancouver

9:30 a.m. to noon Jan. 6

6 to 11:30 p.m. Jan. 6

9:10 a.m. to 3 p.m. Jan. 13.

• Church of Truth, 7250 N.E. 41st St., Vancouver from 11 a.m. to 4:30 p.m. Jan. 6.

• Portland International Airport, 7000 N.E. Airport Way, Portland

10:45 a.m. to 3:45 p.m. on Jan. 7. More specifically, anyone who spent time in Concourse D and the Delta Sky Lounge during that time period.

7:30 to 11 p.m. Jan. 15, baggage claim and south end of the ticket counter (near Alaska Airlines and Starbucks)

• Costco, 4849 N.E. 138th Ave., Portland

1 to 5:30 p.m. Jan. 8.

5:30 to 8:40 p.m.  Jan. 16

• Amazon Lockers, 1131 S.W. Jefferson St., Portland, from 3:30 p.m. to 7 p.m. Jan. 10.

Rejuvenation, 1100 S.E. Grand Ave. Portland, from 3:30 to 7:30 p.m. Jan. 10.

Pho Green Papaya, 13215 S.E. Mill Plain Blvd., Vancouver, from 7:30 to 10:30 p.m. Jan. 10.

• Chuck’s Produce, 13215 S.E. Mill Plain Blvd., Vancouver, from 8 to 11:45 p.m. Jan. 10 and 2:30 to 5:30 p.m. Jan. 11.

• Ikea, 10280 N.E. Cascades Parkway, Portland, from 4:30 to 8:30 p.m. Jan. 11.

* Fisher Investments, 5525 N.W. Fisher Creek Drive, Camas

6:20 a.m. to 7 p.m. Jan. 10

6:20 a.m. to 7 p.m. Jan. 11

6:20 a.m. to 7 p.m. Jan. 14

6:20 a.m. to 7 p.m. Jan. 15

• Moda Center (Trail Blazers game), 1 N. Center Court St., Portland, from 5:30 to 11:30 p.m. Jan. 11.

• Verizon Wireless at Cascade Station, 10103 N.E. Cascades Parkway, Portland, from 5 to 11 p.m. Jan. 14.

• A Children’s Dentist, 101 NW 12th Ave., Battle Ground, from 1:30 to 6 pm Tuesday, Jan. 8.

• God Will Provide Church, 7321 N.E. 110th St., Vancouver, from 7 to 11 p.m. Jan. 18.

• Fred Meyer, 22855 N.E. Park Lane in Wood Village, Ore., from 11 a.m. to noon Jan. 20.

• Walgreens Pharmacy, 25699 S.E. Stark St., in Troutdale, Ore., from 1 to 2:30 p.m. Jan. 23.

• Vancouver Division of Children, Youth and Families, 907 Harney St., Vancouver, from 12:15 to 5:15 p.m. Jan. 18.

• Golden Corral, 11801 N.E. Fourth Plain Blvd., Vancouver, from 4 to 9 p.m. Jan. 19.

• Vancouver Woman, Infant and Children (WIC) office, 5411 E. Mill Plain Blvd., Vancouver, from 2:50 to 6:15 p.m. Jan. 23.

• Tower Mall public areas (entrances and hallways), 5411 E. Mill Plain Blvd., Vancouver, from 2:50 to 6:15 p.m. Jan. 23.

• New Life Mission Church, 3300 N.E. 172nd Place, Portland from 9:30 a.m. to 2 p.m. Jan. 20.

• Trader Joe's, 305 S.E. Chkalov Drive, Vancouver from 12:30 to 3:40 p.m. Jan. 21.

• Walmart Supercenter, 14505 N.E. Fourth Plain Blvd., Vancouver 1:30 to 5 p.m. Jan. 21.

Twelve of the cases are between the ages of 1 and 10, and two cases are between 11 and 18, which means thousands of people may have been exposed at numerous locations in the metro area, including five schools, as well as medical facilities, churches and businesses, according to Clark County Public Health Officer Dr. Alan Melnick.

Measles presents the biggest risk to those who have not been vaccinated, including infants younger than 12 months. You are likely immune to measles if you were born before 1957, have had measles before or are up to date on vaccinations (one dose for children 12 months through 3 years old, two doses in anyone 4 years and older).

Illness can develop in about one to three weeks after exposure. Symptoms begin with a fever, cough, runny nose, and red eyes, followed by a rash that usually begins at the head and spreads over the body.

Common complications of measles include ear infection, lung infection and diarrhea. Swelling of the brain is a rare but much more serious complication. Measles may also cause pregnant women to give birth prematurely, or have a low-birth-weight baby. For every 1,000 children with measles, one or two will die from the disease.

Anyone who has questions about public exposures should call 360-397-8021, a call center dedicated to the outbreak. The call center hours are 9 a.m. to 5 p.m. daily, including weekends.

It’s unclear whether these cases are connected, according to Public Health. The investigation is ongoing, and health officials will provide updates as more information is available.

Public Health has created a webpage dedicated to the measles investigation that contains the latest information, as well as answers to frequently asked questions: www.clark.wa.gov/public-health/measles-investigation.

The last time measles was confirmed in Clark County was in 2011. That year, three measles cases were confirmed. The first case of measles was diagnosed after someone traveled overseas and then returned to Clark County, said Marissa Armstrong, Clark County Public Health information officer. The other two cases were separate from the first, but linked to each other.

There was also a measles case in July that Clark County Public Health felt comfortable confirming based off of the evidence of the case. There was no lab test done because the family declined the test, however. Armstrong said the lack of test confirmation means the state will not conclusively confirm that case. The state and county have different confirmation guidelines.

Melnick said this is the largest outbreak during his 13 years with Clark County Public Health. In 1996, Clark County had 33 confirmed cases during an outbreak, according to The Columbian archives. That started with one case identified on April 22, and continued until early July.

Those 33 Clark County cases were part of a statewide outbreak, and made up more than three-fourths of all cases in the state during that outbreak. The health department gave more than 2,500 vaccinations to students, teachers and staff members at Clark College, five public schools and six preschool programs.

Melnick once again stressed the importance of getting vaccinated. Vaccination stats can be explored at: https://www.doh.wa.gov/DataandStatisticalReports/HealthBehaviors/Immunization/SchoolReports/DataTables.

“It’s safe. It’s effective,” Melnick said. “People should get vaccinated.”

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Columbian staff writer