Union County health officials confirm first measles case, expand vaccinations and quarantine guidance

Union County Board/Staff Briefing · February 9, 2026

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Summary

Public-health staff announced the county's first confirmed measles case in decades and described expanded vaccination clinics, contact tracing, and quarantine rules; officials urged proof-of-immunity for exposed people and explained limits on enforcement and post-exposure treatment.

Unidentified Public Health Official (speaker 6) told the board on Feb. 9 that Union County has recorded its first confirmed measles case in more than three decades, and county health staff described steps being taken to identify exposures, expand vaccinations and advise residents on quarantine rules.

"We have our first confirmed measles case in Union County," the official said, and staff described a series of recent exposure events that prompted heightened surveillance and outreach. A large exposure at Shining Light Baptist Academy in Monroe resulted in 175 quarantine orders being issued; after 18 people provided documented proof of immunity that number was reduced to 157, officials said. The county hosted a drive-through measles vaccination and titer clinic on Feb. 6 targeted to public, private and religious schools.

Megan Trollope (speaker 4) provided broader epidemiological context, citing rising measles activity across neighboring counties and states and noting the county dashboard will be updated to reflect the confirmed case. She said public-health teams have been conducting surveillance, provider outreach and vaccination messaging since late December.

Officials clarified how quarantine and isolation orders work. Trollope said exposed people with proof of immunity (two MMR doses or a positive titer, with age-based exceptions) should monitor for 21 days and generally do not need quarantine. "If you have no proof of immunity, then we do have to issue a quarantine measure," she said. Post-exposure prophylaxis is only effective if given within about 72 hours of exposure, she added, and "the health director is the only person that has authority to do that." The county also described typical contact-tracing methods — an activity log of places visited during the infectious window — and noted state tools (a public exposures dashboard) are used to share site information.

On enforcement, Trollope acknowledged practical limits and said county staff rely primarily on education and voluntary compliance: "It doesn't come without challenge... we hope that people do the right thing to protect their neighbors," she said. Health staff said they will continue expanded vaccination offers, immunity-clinic availability and outreach to parents and providers.

Next steps: county public-health staff will continue contact tracing, update the county dashboard, and offer vaccination and titer clinics; officials asked residents to consult the county site and school communications for potential exposure notices.