Practice Support Services

What Practice Staff and Managers Need to Know About Measles as Cases Rise in North Carolina

Written by Chris Jones, DrPH | Jan 22, 2026 2:05:00 PM

As measles cases continue to rise across North Carolina and the surrounding region, it’s important for practice staff and managers to be equipped with clear, up‑to‑date information. This guidance combines essential material from the Measles Patient FAQ (Jan. 15, 2026) and reporting from North Carolina Health News, tailored specifically for frontline teams and leaders working to maintain high‑quality, safe clinical environments.

We encourage all practices to review the details below and share them with their teams.

What Is Measles?

Measles is a highly contagious viral illness that spreads quickly in unvaccinated populations. Early symptoms include:

  • High fever (often >104°F)
  • Cough
  • Runny nose
  • Red or watery eyes
  • A rash starting on the face, spreading downward
  • Small white mouth spots (Koplik’s spots) [Debrief Re...Ethics_v2 | PowerPoint]

Measles can cause severe complications—especially among children, older adults, and immunocompromised patients—making early identification essential in clinical settings.

How It Spreads — and Why Practices Should Stay Alert

The measles virus can remain airborne for up to two hours after an infected person leaves the area. Approximately 90% of unvaccinated individuals exposed will become infected. [Debrief Re...Ethics_v2 | PowerPoint]

Given this high infectivity, even a brief clinic exposure may require rapid response and coordinated communication with public health partners.

Why North Carolina Is Seeing More Cases

Recent reporting from North Carolina Health News highlights a continued rise in statewide measles cases, many linked to the ongoing outbreak in Spartanburg County, SC. Key takeaways include:

  • Cases in NC have increased since December, primarily among unvaccinated children.
  • Early symptoms may not be recognized immediately, allowing unintentional spread.
  • The two‑dose MMR vaccine remains the most reliable prevention tool. [northcarol...thnews.org]

For practice leaders, this underscores the importance of reinforcing vaccination outreach, screening protocols, and rapid response workflows.

MMR Vaccination Guidance for Patients

Vaccination remains the strongest protection.

Standard schedule

Adult considerations

Most adults with two documented doses do not need a booster; those uncertain should speak with their provider. Immunity testing is not recommended for those with two recorded doses. [Debrief Re...Ethics_v2 | PowerPoint]

In outbreak areas

Providers may consider early second doses or early infant vaccination (6–12 months), depending on risk. [Measles Patient FAQ | PDF]

Exposure Guidance to Share with Patients

Your local health department determines what meets the criteria for exposure.

If vaccinated (2 doses) or born before 1957:

If unvaccinated, unsure, or immunocompromised:

Guidance for Managing Pediatric Populations

When coaching your teams, emphasize:

  • Infants 0–6 months: Avoid exposure entirely
  • Infants 6–12 months: Discuss early MMR dose when appropriate
  • Children with one dose: Consider early second dose during outbreaks
  • Unvaccinated children: Begin the MMR series immediately [Measles Patient FAQ | PDF]

If measles is suspected, have families call before arrival so your clinic can prepare isolation precautions. [Measles Patient FAQ | PDF]

Testing, Treatment & Clinical Considerations

There is no antiviral treatment for measles. Vitamin A may be used in treatment after infection but does not prevent illness. Only the MMR vaccine prevents disease. [wunc.org]

Practices should reinforce workflows for:

  • Prompt masking and isolation
  • Airborne precautions where possible
  • Immediate notification of Infection Prevention or public health partners
  • Reviewing room‑closure procedures for airborne pathogens

Recommended Webinar for Staff Education

To support your quality improvement efforts, we encourage you and your teams to watch this short webinar on measles preparedness:

👉 Webinar: Measles Overview & Preparedness Strategies

Include this resource in your next staff meeting or circulate it through internal communication channels.

Final Notes for Practice Leaders

As your AHEC Practice Support team, we encourage practices to:

  • Review vaccination outreach strategies for gaps
  • Reassess triage and front‑desk screening workflows
  • Reinforce airborne isolation procedures
  • Ensure your team understands exposure timelines and reporting expectations
  • Share this blog post with all team members, including supervisors and clinical staff

Measles remains highly preventable, and strong practice‑level systems make a meaningful difference in patient and community safety.

If you’d like help conducting a workflow assessment, staff training, or readiness review, your NC AHEC Practice Support coach is here to help.