April 17, 2025
Measles case at Seattle-Tacoma International (SEA) Airport and nearby hotel
Actions requested
➜ This health advisory is also available in PDF format (159 KB).
Be aware of a confirmed measles case in a Canadian resident who traveled internationally and spent time while infectious at SEA Airport and nearby hotel on April 6 and April 7.
- See table below for public exposures in King County while infectious
- Secondary cases would most likely occur between April13 – April 28, 2025
- MMR vaccination remains the most important tool for preventing measles infections and spread from imported cases.
Consider measles in anyone with fever (≥101°F or 38.3°C) and a generalized maculopapular rash with cough, coryza, or conjunctivitis who has recently traveled internationally or domestically to a region with a known measles outbreak, or has other known or suspected exposure to measles:
- Refer to Measles actions for Healthcare Providers for more details on immediate isolation, notification, testing, and management of patients with suspected measles.
Ensure all patients without evidence of immunity are up to date on MMR vaccine per routine ACIP recommendations. This includes recommending MMR to patients with plans to travel internationally (regardless of the destination) or domestically to outbreak areas at least 2 weeks prior to their trip:
- An early MMR dose for infants 6-11 months of age (not counted in routine 2-dose series)
- A second MMR dose for anyone eligible who is ≥12 months of age (2 doses at least 28 days apart)
Background
Public Health was notified of a Canadian resident with measles, likely exposed during international travel, who was at the following locations during their infectious period:
| Date | Time | Location |
|---|---|---|
| 4/6/25 | Approximately 5:45 pm to 10 pm | Seattle-Tacoma International Airport:
|
| 4/6/25-4/7/25 | Approximately 8:45 pm on 4/6 – 7 am on 4/7 | Comfort Suites Tukwila Airport |
| 4/7/25 | Approximately 4:45 am to 7:30 am | Seattle-Tacoma International Airport, S Concourse (Gate S1) |
There is no ongoing risk for measles exposure at these locations.
How to subscribe to alerts
The Communicable Disease Epidemiology & Immunization Section emails timely Health Advisories to those who subscribe to our Info-X Listserv.
The listserv is a free service for King County health care providers.
➔ Send a request to be added to the list. (Note: This link opens your default email application on your computer. If using a different email service, follow the instructions below).
If using a different email service, send a request to cdepilistservrequests@kingcounty.gov with the subject, "Request to add to Info-X listserv". To complete your subscription, please provide the following:
- Your name and professional title (i.e. infection control professional, nurse administrator, physician, laboratorian, etc.)
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Upon receipt of this information, you will be subscribed to the list.
Resources
For Healthcare Providers
- Healthcare Providers: Stay Alert for Measles, CDC
- Expanding Measles Outbreak in the United States and Guidance for the Upcoming Travel Season , CDC HAN, March 7, 2025
- Measles One-Pager for Healthcare Providers, (PDF) Project Firstline and AAP
- Measles - For Healthcare Professionals, CDC
- Measles Specimen Collection Instructions for RT-PCR, (PDF) WA State Dept. of Health
- Measles Specimen Collection Instructions for Serology, WA State Dept. of Health
- Immunization Schedules, CDC
- Safety Information for Measles, Mumps, Rubella (MMR) Vaccines, CDC
For Infection Preventionists
- Interim Measles Infection Prevention Recommendations in Healthcare Settings, CDC
- Measles Playbook, APIC Emerging Infectious Diseases Task Force
For Laboratories
- Public Health Laboratories Lab Test Menu, WA State Dept. of Health
- Measles Specimen Shipping Guide, WA State Dept. of Health
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