Signs posted at The Vancouver Clinic in Vancouver, Wash., warn patients and visitors of a measles outbreak on Wednesday, Jan. 30, 2019. The outbreak has sickened 39 people in the Pacific Northwest, with 13 more cases suspected. At least one patient who was sick with the measles has come to this clinic for treatment since the outbreak began Jan. 1, 2019. (AP Photo/Gillian Flaccus)
The Associated Press
VANCOUVER, Wash. (AP) - Authorities say there are now 40 confirmed cases of measles in a Pacific Northwest outbreak.
Public health officials said Wednesday that 38 cases are in southwest Washington state, one is outside Portland, Oregon, and one is in Seattle.
Two of the confirmed patients from southwest Washington traveled to Hawaii and were quarantined there and a third person was contagious while on a trip to Bend, Oregon.
Authorities believe no one was exposed to the measles in Hawaii.
Clark County Public Health says there are now 13 additional suspected cases.
Of the confirmed cases, most patients are under age 10.
All but a handful were not immunized against the disease.
Washington Gov. Jay Inslee last week declared a state of emergency due to the outbreak.
Signs posted at The Vancouver Clinic in Vancouver, Wash., warn patients and visitors of a measles outbreak on Wednesday, Jan. 30, 2019. The outbreak has sickened 39 people in the Pacific Northwest, with 13 more cases suspected. At least one patient who was sick with the measles has come to this clinic for treatment since the outbreak began Jan. 1, 2019. (AP Photo/Gillian Flaccus)
The Associated Press
Jocelyn Smith cares for her 11-month-old son, Mason at their home in Camas, Washington on Wednesday, Jan. 30, 2019. Smith has been afraid to take Mason out of the house during a measles outbreak in southwest Washington because he is too young to receive the measles vaccine. The measles outbreak has sickened 39 people, with 13 more cases suspected, since Jan. 1. (AP Photo/Gillian Flaccus)
The Associated Press
Jocelyn Smith cares for her 11-month-old son, Mason at their home in Camas, Wash., on Wednesday, Jan. 30, 2019. Smith has been afraid to take Mason out of the house during a measles outbreak in southwest Washington because he is too young to receive the measles vaccine. The measles outbreak has sickened 39 people, with 13 more cases suspected, since Jan. 1. (AP Photo/Gillian Flaccus)
The Associated Press