North Carolina Sees Rise in Measles Cases, Prompting Vaccination Guidance

State health officials urge early vaccination, especially in high-risk areas, to combat the outbreak

Published on Feb. 20, 2026

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North Carolina is experiencing a rise in measles cases, with 22 confirmed infections reported since late December 2025. This increase, coupled with outbreaks in neighboring states, is prompting health officials to urge vaccination and heightened awareness. The state is recommending early MMR vaccination for infants in high-risk areas and providing resources on symptoms, exposure locations, and vaccine access.

Why it matters

Measles is a highly contagious disease that can have serious complications, especially for unvaccinated individuals. The outbreak in North Carolina highlights the importance of vaccination in preventing the spread of measles and protecting public health.

The details

Most of the cases reported in North Carolina have been linked to known outbreaks, particularly the one in upstate South Carolina. A concerning trend is that many infections are occurring in unvaccinated individuals. The North Carolina Department of Health and Human Services (NCDHHS) is recommending that healthcare providers consider early MMR vaccination for infants in high-risk areas, including Buncombe County and the Charlotte metropolitan area.

  • Since late December 2025, 22 confirmed measles cases have been reported in North Carolina.
  • The outbreak in North Carolina is connected to a larger outbreak in neighboring South Carolina.

The players

Dr. Zack Moore

NCDHHS State Epidemiologist, who emphasized the contagious nature of measles and the importance of vaccination.

North Carolina Department of Health and Human Services (NCDHHS)

The state health agency that is providing guidance, resources, and recommendations to healthcare providers and the public regarding the measles outbreak.

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What they’re saying

“We must not let individuals continue to damage private property in San Francisco.”

— Robert Jenkins, San Francisco resident (San Francisco Chronicle)

What’s next

The North Carolina Department of Health and Human Services is maintaining a list of potential measles exposure locations and contacting individuals who may have been exposed.

The takeaway

The measles outbreak in North Carolina highlights the importance of vaccination in preventing the spread of this highly contagious disease. Health officials are urging early vaccination, especially in high-risk areas, to protect individuals and the community.