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More Clark County measles cases and exposure locations confirmedFree

Clark County Public Health has identified 22 confirmed measles cases, and reports Orchards Elementary School as an exposure site

By Wyatt Stayner, Columbian staff writer, and

Katie Gillespie, Columbian Education Reporter

Published: January 21, 2019, 2:11pm

A measles vaccine (Associated Press files)

Clark County Public Health confirmed 22 measles cases and three suspected cases in its ongoing outbreak investigation. East Vancouver’s Orchards Elementary School has been listed as a new exposure location for Jan. 14.

Health officials said children ages 1 to 10 account for 17 of the confirmed cases. There are four cases in youths ages 11 to 18, and there was one case in an adult age 19 to 29 years. Of the 22 cases confirmed, 19 patients had not been immunized and immunization status could not be confirmed for three others. One person has been hospitalized.

Clark County declared a public health emergency Friday over the growing measles outbreak following news that a person contagious with measles attended a Jan. 11 Portland Trail Blazers game at the Moda Center. That game was nearly sold out, with 19,393 people attending, according to ESPN.

Here are the new locations where people may have been exposed to measles:

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.

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

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

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

Evergreen Public Schools, which has four schools on the exposure site list, released a statement late Monday relaying a request from health officials that anyone who had exposure to any of the 22 confirmed measles cases to not attend any school performance or event — including all sports matches, meets and games — unless they have proof of immunization or immunity. This restriction will stay in place at Evergreen High School and Hearthwood and Image elementary schools until Jan. 30, and Orchards Elementary School until Feb. 5.

Automated calls

Starting at 10:30 a.m. Tuesday, people who have been identified as possibly exposed to measles will receive an automated call from Public Health that will come from the county call center, 360-397-8021, according to a Public Health press release.

Not everyone who might have been exposed will receive the call. People who aren’t reached at 10:30 a.m. will be contacted a second time at 1 p.m. Those who are called will be asked whether they are showing symptoms of measles.

Measles symptoms begin with a high fever, cough, runny nose and red eyes, followed by a rash that usually begins at the head and spreads to the rest of the body. A person can spread the virus before they show symptoms. People are contagious with measles for up to four days before and up to four days after the rash appears. After someone is exposed to measles, illness develops in about one to three weeks.

The automated calls are an attempt to gather information more efficiently and identify cases sooner, according to the news release.

Immunization rates

At the 11 schools for which immunization data was available, 678 of 6,958 students were listed as being exempt from receiving their measles, mumps and rubella vaccines during the 2017-2018 school year.

According to the Washington State Department of Health, Battle Ground Public School’s River HomeLink has the highest rate of students who do not have MMR shots. Of the 1,019 students enrolled at the school, 239, or 23.5 percent, are not immunized against the highly contagious virus.

Data was not available for Slavic Christian Academy, a private school located in Orchards.

Clark County Public Health is requiring exclusion of students and staff without documented immunity to measles from only schools identified as possible exposure sites. Students and staff excluded from those identified schools are also excluded from other schools, child care and other congregate settings.

Students and staff at schools where measles exposure did not occur are not impacted by exclusions.

Virulent virus

The Centers for Disease Control and Prevention reports that 90 percent of unvaccinated people exposed to the measles virus develop the disease. The virus lives in the nose and throat mucus of an infected person, and can survive for up to two hours in an airspace where the infected person coughed or sneezed.

Health officials are urging anyone who has been exposed at an identified location and believes they have symptoms of measles to call their health care provider prior to visiting the medical office to make a plan that avoids exposing others in the waiting room.

If you are unsure of your family’s immunization status, you can view, download and print your family’s immunization information online at MyIR.net or request a copy of your immunization record from the Washington State Department of Health.

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Anyone with questions about measles infection or the measles vaccine should call their primary care provider or their local county health department:

• Clark County Public Health, 360-397-8021

• Multnomah County Public Health, 503-988-3406

• Washington County Public Health, 503-846-3594

• Clackamas County Public Health, 503-655-8411

• Public Health has identified additional locations where people may have been exposed to measles. There are dozens of locations in total, including hospitals, Portland International Airport and multiple schools. For a complete list of exposure sites, visit the Public Health measles investigation webpage.