SANTA ANA, CA (AP) – A teenage girl from New Zealand who visited Disneyland and other tourist destinations in Southern California last week brought more than her luggage. She brought measles.
Public health officials in Los Angeles and Orange counties issued a warning Friday that people may have been exposed to the disease if they were in Disneyland or at Disney California Adventure Park on August 12.
The girl had measles when she arrived at Los Angeles International Airport on Aug. 11 and went to the Desert Palms Hotel in Anaheim, officials said.
After Disneyland, she is believed to have gone to Universal Studios, TCL's Chinese Theater and Madame Tussaud's in Hollywood and Santa Monica's beach and port on Aug. 14-15, authorities said.
Since then, the girl has returned to New Zealand, said Dr. Nicole Nicker, an Orange County health officer.
The California Department of Public Health stated that it was not aware of cases of measles caused by exposure to the passenger, but was still investigating.
However, local health agencies have stated that it may take up to 21 days after exposure to symptoms such as fever and rash to occur.
"The seabass is spread by air and through direct contact, even before you know it," says Dr. Muntu Davis, a Los Angeles County health officer.
Related: Treatment, Preventive Care and Vaccinations for Measles
Treatment, Preventive Care and Vaccinations for Measles Worldwide
receives measles vaccination from a family doctor on April 16, 2018 in the Romanian capital, Bucharest.
Carrots are still claiming young lives in Romania, where nearly 40 children have died in a hearth, many accusing parents of misleading stories that their vaccination is dangerous. About 12,000 people have contracted measles since the end of 2016 in the second poorest country in the European Union, 46 of them have died. Among those killed are 39 children under the age of three who have not been vaccinated, making Romania one of the hardest hit countries in the ongoing measles epidemic in Europe. / AFP PHOTO / Daniel MIHAILESSU (Photo credit should be given to DANIEL MIHAILESCU / AFP / Getty Images)
A family doctor is preparing a measles vaccine during a consultation on April 16, 2018 in Bucharest, Bucharest. – Carrots are still claiming young lives in Romania, where nearly 40 children have died in an outbreak, which many accuse parents of misleading stories of vaccination being dangerous. About 12,000 people have contracted measles since the end of 2016 in the second poorest country in the European Union, 46 of them have died. Among those killed are 39 children under the age of three who have not been vaccinated, making Romania one of the hardest hit countries in the ongoing measles epidemic in Europe. (Photo by Daniel MIHAILESCU / AFP) (Credit for the photo should read DANIEL MIHAILESCU / AFP / Getty Images)
A nurse was observed to vaccinate school children at her school in Lhoksémave, August 4, 2018, Aceh, Indo, Indo . Indonesian measles vaccine (MR) vaccination in Indonesia is part of the Indonesian government's health program to provide physical immunity from two dangerous diseases, rubella and measles in Indonesian children. (Photo by Fachrul Reza / NurPhoto via Getty Images)
Artists wearing superhero costumes console a high school student while she receives a German pest, also known as Rubella, vaccination in Pekanbaru, Riau province on August 1, 2018 as part of from the Indonesian government health program to combat childhood diseases. (Photo by WAHYUDI / AFP) (Credit image to be read by WAHYUDI / AFP / Getty Images)
ALEPPO, SYRIA – APRIL 17: A Syrian child is vaccinated during a measles campaign in Al-Bab neighborhood of Aleppo, Syria on April 17, 2018. Children escaped the Eastern Guta Duma after a suspected chemical attack on the Assad regime on April 7, 2018, received a measles vaccine in the Aleppo region. (Photo by Omer Alwen / Anadolu Agency / Getty Images)
A Venezuelan woman is vaccinated against measles in Cucuta, Colombia, by Simon Bolivar International Brigade on the Venezuelan border, March 21, 2018 / AFP PHOTO / Schneyder Mendoza photo must read SCHNEYDER MENDOZA / AFP / Getty Images)
Venezuelan Ian Manuel receives a free measles vaccine given by a volunteer after showing his ID at the Pakarama border control, Roraima, Brazil, August 19, 2018. REUTERS / Nacho Doce
A member of the Free Revolutionary Police is conducting a background check of measles vaccine in southern Idlib, September 17, 2014. Fifteen children die after measles vaccination in northern Syria as a result of their shutdown program, aid officials said Wednesday, a tragedy likely to damage health confidence services in opposition areas. The Free Revolutionary Police is a newly-opened unarmed police movement operating in areas controlled by the Free Syrian Army to solve daily problems in Idlib, the group said. Photo taken on September 17, 2014. Reuters / Halil Ashawi (SYRIA – Tags: CIVIL CONFLICT CIVIL HEALTH)
A girl receives measles vaccination at a 2014 TEC health center, BASECO compound Philippine President Benigno Aquino states that between September 1 and 2014, between 11 and 13 million people in the country are at risk of measles, polio and rubella (German measles) and asked the public to help eradicate preventable diseases during the launch on monday in bulk on ionalno vaccination campaign against measles and polio, reported local media. REUTERS / Eric De Castro (PHILIPPINES – Tags: HEALTH)
A vial of measles, mumps and rubella vaccine and fact sheet can be seen at Boston Children's Hospital in Boston, MA, Feb 26, 2015 / R COUNTRIES – Labels: HEALTH
Rowan Walters, four years old, has been abstaining from her mother as she delivered an MMR injection at the Pediatric Outpatient Unit at Morriston Hospital in Swansea, South Wales, 6 April. the number of confirmed measles cases in South Wales, parents in the area and were urged to vaccinate their children, and hospitals in the region have opened clinics on Saturday, local media reported. Reuters / Rebecca Naden (UK – Tags: PUBLIC HEALTH)
A Ciudad Juarez medical worker at the Mexico border crossing with El Paso, Texas, distributes leaflets to passing motorists and people as part of a profile program, 2015 California public health officials confirmed three more measles cases in an epidemic that began in late December, bringing to 113 the total number of people thought to be infected in the state. Arizona health officials, who have documented seven measles cases, said the epidemic would likely be addressed if no other infections were reported over the weekend. In the US, more than 150 people have been diagnosed with measles, many linked to a fire that authorities say began when an infected person from the country visited Disneyland in late December. REUTERS / Jose Luis Gonzalez (MEXICO – Tags: IMPACT ON PUBLIC HEALTH)
Quickly call anyone who has symptoms, before symptoms to avoid additional exposures. People are also urged to check their records to determine if they have been vaccinated or have had measles before.
Quick said he expects more cases of measles to be observed, generally among international travelers visiting California due to an increase in the disease abroad.
"We are generally concerned about outbreaks in places in this country as well as internationally," she says.
Measles cases are increasing worldwide. The number of cases nearly tripled globally in the first seven months of the year compared to the same period in 2018, the World Health Organization reported this month.
New Zealand – and the United States – have been coping with their worst outbreaks of decades
On Friday, Disneyland officials said there were no reported theme park staff who had contracted the disease. Dr. Pamela Himmel, Disneyland's chief medical officer, said in a statement that health officials say the risk to employees and visitors is "probably low."
"We maintain strict sanitary standards for protecting guests and actors, and Earlier this year, we
Disneyland and the adjacent Disney California Adventure Park were major tourist destinations, attracting tens of thousands of visitors a day.
In 2015, measles outbreak, including Disneyland, affected 147 people and spread to the United States and Canada.
Earlier this month, Los Angeles County health officials reported 16 measles cases among county residents this year and – in addition to the New Zealand girl – 10 others among non-residents who traveled through.
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