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North Dakota Measles Cases Reach 23 With First Traill County Infection, Pembina Outbreak

Falling MMR coverage leaves communities vulnerable to travel-linked spread.

Overview

  • North Dakota HHS confirmed new measles cases in Traill and Pembina counties, bringing the 2026 statewide total to 23.
  • Health officials report this is the first recorded case in Traill County.
  • Pembina County is designated an outbreak area, with early and accelerated MMR vaccination recommended for some residents and travelers.
  • Nationally, 1,136 measles cases have been confirmed in the United States in 2026, while Manitoba has reported more than 200 cases this year.
  • State officials note about 89% of North Dakota kindergartners are up to date on MMR, short of the roughly 95% coverage needed to prevent outbreaks, and exposure guidance is available at hhs.nd.gov/measles.