Measles Cases Rise in North Dakota, Exposures Spread

State reports 11 cases, including 2 hospitalizations, as measles spreads across multiple counties

Mar. 1, 2026 at 7:15pm

North Dakota has reported 11 measles cases, including two that required hospitalization, with the majority of cases in Pembina County. The state has also identified 26 exposure sites in eastern North Dakota where people may have been exposed to the highly contagious disease between January 30 and February 11.

Why it matters

Measles is a highly infectious viral disease that can lead to serious complications, especially in unvaccinated individuals. The rising number of cases and exposure sites in North Dakota raises concerns about the potential for further spread of the disease within the state.

The details

The North Dakota Department of Health and Human Services reported that Pembina County added four confirmed measles cases this week, bringing the county's total to nine. One new case was also reported in neighboring Walsh County, involving a person who had traveled to Pembina County. The department has listed 26 eastern North Dakota sites where people may have been exposed to measles during the specified time period.

  • The first North Dakota measles case in 2026 was reported in Williams County and was believed to have been contracted due to out-of-state travel.
  • The 11 measles cases reported in North Dakota this year occurred between January 30 and February 11.

The players

North Dakota Department of Health and Human Services

The state agency responsible for monitoring and responding to public health issues, including the measles outbreak in North Dakota.

Dr. Marc Nielsen

The medical director of primary care at Altru Health System in Grand Forks, who expressed concerns about the high number of exposure sites and the contagiousness of measles.

Ashley Krone

The disease prevention team leader for Grand Forks Public Health, who advised unvaccinated individuals who may have been exposed to stay home for 21 days to prevent further spread of the disease.

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What they’re saying

“Nine out of 10 potential contacts can come down with the illness. It's that contagious. It puts a lot of people at risk.”

— Dr. Marc Nielsen, Medical Director of Primary Care, Altru Health System

“Even if we don't have a case in the county at this time, these exposure locations are just a reminder that measles are just a car ride away and can arrive at any time.”

— Ashley Krone, Disease Prevention Team Leader, Grand Forks Public Health

What’s next

The judge in the case will decide on Tuesday whether or not to allow Walker Reed Quinn out on bail.

The takeaway

This outbreak highlights the importance of vaccination in preventing the spread of highly contagious diseases like measles, especially in communities with low vaccination rates. Public health officials are urging unvaccinated individuals who may have been exposed to take precautions to limit further transmission.