{"id":2806,"date":"2026-06-25T17:10:46","date_gmt":"2026-06-25T17:10:46","guid":{"rendered":"https:\/\/www.vdh.virginia.gov\/clinicians\/?page_id=2806"},"modified":"2026-06-26T14:32:19","modified_gmt":"2026-06-26T14:32:19","slug":"measles-outbreak-expansion-and-back-to-school-immunizations","status":"publish","type":"page","link":"https:\/\/www.vdh.virginia.gov\/clinicians\/clinician-letters\/measles-outbreak-expansion-and-back-to-school-immunizations\/","title":{"rendered":"Measles Outbreak Expansion and Back-to-School Immunizations"},"content":{"rendered":"<div id=\"pl-2806\"  class=\"panel-layout\" ><div id=\"pg-2806-0\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-2806-0-0\"  class=\"panel-grid-cell\" ><div id=\"panel-2806-0-0-0\" class=\"so-panel widget widget_sow-editor panel-first-child\" data-index=\"0\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter\" src=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/134\/Commissioner_Letterhead.png\" alt=\"VDH Letterhead\" width=\"878\" height=\"319\" \/><\/p>\n<p>&nbsp;<\/p>\n<\/div>\n<\/div><\/div><div id=\"panel-2806-0-0-1\" class=\"so-panel widget widget_sow-editor panel-last-child\" data-index=\"1\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<h3 style=\"text-align: center;\">Measles Outbreak Expansion and Back-to-School Immunizations<\/h3>\n<p style=\"text-align: center;\"><strong>June 26, 2026<\/strong><\/p>\n<p><span data-contrast=\"auto\">Dear colleague,<\/span><span data-ccp-props=\"{&quot;469777462&quot;:[4050],&quot;469777927&quot;:[0],&quot;469777928&quot;:[3]}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">This letter provides updates on the\u00a02026\u00a0measles outbreak\u00a0in Virginia\u00a0and back-to-school\u00a0immunization\u00a0recommendations.\u00a0<\/span><span data-ccp-props=\"{&quot;335559738&quot;:120,&quot;335559739&quot;:240,&quot;469777462&quot;:[4050],&quot;469777927&quot;:[0],&quot;469777928&quot;:[3]}\">\u00a0<\/span><\/p>\n<h3 aria-level=\"1\"><b><span data-contrast=\"auto\">Measles Outbreak\u00a0in\u00a0Buckingham County\u00a0Expands\u00a0into Cumberland County<\/span><\/b><span data-ccp-props=\"{&quot;335559738&quot;:120,&quot;335559739&quot;:240,&quot;469777462&quot;:[4050],&quot;469777927&quot;:[0],&quot;469777928&quot;:[3]}\">\u00a0<\/span><\/h3>\n<p><span data-contrast=\"auto\">Yesterday,<\/span><span data-contrast=\"auto\">\u00a0the Virginia Department of Health (VDH)\u00a0<\/span><a href=\"https:\/\/www.vdh.virginia.gov\/news\/public-relations-contacts\/2026-news-releases\/virginia-department-of-health-expands-measles-outbreak-area-to-include-cumberland-county\/\"><span data-contrast=\"none\">announced<\/span><\/a><span data-contrast=\"auto\">\u00a0that the 2026 measles outbreak\u00a0in Buckingham County\u00a0has expanded geographically to include\u00a0Cumberland County. The\u00a0outbreak was first\u00a0<\/span><a href=\"https:\/\/www.vdh.virginia.gov\/clinicians\/clinician-letters\/measles-outbreak-in-buckingham-county\/\"><span data-contrast=\"none\">declared<\/span><\/a><span data-contrast=\"auto\">\u00a0on May 13\u00a0for\u00a0Buckingham County. Since then, the number of\u00a0outbreak\u00a0cases has\u00a0risen\u00a0substantially\u00a0in\u00a0Buckingham County and in some neighboring areas.\u00a0Based on available epidemiologic information, there is\u00a0now evidence\u00a0of community\u00a0transmission\u00a0in Cumberland County.\u00a0<\/span><b><span data-contrast=\"auto\">\u00a0<\/span><\/b><b><span data-contrast=\"auto\">For people who are not protected against measles,\u00a0the\u00a0risk of\u00a0measles\u00a0exposure\u00a0is\u00a0now\u00a0higher\u00a0in both Buckingham and Cumberland Counties\u00a0as compared to\u00a0other parts of Virginia<\/span><\/b><span data-contrast=\"auto\">.\u00a0<\/span><span data-ccp-props=\"{&quot;335559738&quot;:120,&quot;335559739&quot;:240,&quot;469777462&quot;:[4050],&quot;469777927&quot;:[0],&quot;469777928&quot;:[3]}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Providers practicing in and around Buckingham and Cumberland Counties should\u00a0maintain\u00a0a high index of suspicion for measles and test any patient presenting with measles-compatible symptoms.\u00a0In light of\u00a0this expanding outbreak,\u00a0VDH encourages\u00a0<\/span><b><span data-contrast=\"auto\">all\u00a0<\/span><\/b><span data-contrast=\"auto\">clinicians to:<\/span><span data-ccp-props=\"{&quot;335559739&quot;:120}\">\u00a0<\/span><\/p>\n<ul>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"7\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"auto\">Ensure that all patients are up to date on routinely recommended MMR vaccinations\u00a0for\u00a0<\/span><a href=\"https:\/\/publications.aap.org\/redbook\/resources\/15585\/AAP-Immunization-Schedule\"><span data-contrast=\"none\">children<\/span><\/a><span data-contrast=\"auto\">\u00a0and\u00a0<\/span><a href=\"https:\/\/www.aafp.org\/clinical-insights\/immunizations-and-vaccines\/immunizations-schedules-resources\"><span data-contrast=\"none\">adults<\/span><\/a><span data-contrast=\"auto\">.<\/span><span data-ccp-props=\"{&quot;335559738&quot;:120,&quot;335559739&quot;:240,&quot;469777462&quot;:[4050],&quot;469777927&quot;:[0],&quot;469777928&quot;:[3]}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"7\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"auto\">Talk\u00a0with\u00a0their patients who live in or visit Buckingham\u00a0County,\u00a0Cumberland County,\u00a0and\u00a0surrounding areas\u00a0about\u00a0<\/span><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/3\/Measles-Outbreak-Vaccine-Recommendations.pdf\"><span data-contrast=\"none\">outbreak vaccination recommendations<\/span><\/a><span data-contrast=\"auto\">\u00a0and\u00a0advise\u00a0patients who are not protected against measles to avoid large gatherings in these areas.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559738&quot;:120,&quot;335559739&quot;:240,&quot;335559740&quot;:259,&quot;469777462&quot;:[4050],&quot;469777927&quot;:[0],&quot;469777928&quot;:[3]}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"7\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"3\" data-aria-level=\"1\"><b><span data-contrast=\"auto\">Immediately<\/span><\/b><span data-contrast=\"auto\">\u00a0report suspected or confirmed measles cases to\u00a0their\u00a0<\/span><a href=\"https:\/\/www.vdh.virginia.gov\/health-department-locator\/\"><span data-contrast=\"none\">local health department<\/span><\/a><span data-contrast=\"auto\">. Please do not wait for laboratory confirmation.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559738&quot;:120,&quot;335559739&quot;:240,&quot;335559740&quot;:259,&quot;469777462&quot;:[4050],&quot;469777927&quot;:[0],&quot;469777928&quot;:[3]}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li aria-setsize=\"-1\" data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"7\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"4\" data-aria-level=\"1\"><span data-contrast=\"auto\">Check the immune status of the healthcare providers on your teams and take\u00a0<\/span><a href=\"https:\/\/www.cdc.gov\/infection-control\/php\/measles-healthcare-response\/index.html\"><span data-contrast=\"none\">readiness steps<\/span><\/a><span data-contrast=\"auto\">\u00a0for your facility.<\/span><span data-ccp-props=\"{&quot;335559738&quot;:120,&quot;335559739&quot;:120,&quot;469777462&quot;:[4050],&quot;469777927&quot;:[0],&quot;469777928&quot;:[3]}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"auto\">After you report a\u00a0suspect\u00a0case, VDH staff work quickly to\u00a0facilitate\u00a0measles\u00a0testing at Virginia\u2019s Division of Consolidated Laboratory Services (DCLS) if indicated.\u00a0VDH staff\u00a0also work\u00a0quickly\u00a0to\u00a0identify\u00a0other people who might have been exposed and\u00a0assess if they should receive\u00a0post-exposure prophylaxis (PEP).\u00a0There is a narrow window for\u00a0PEP\u00a0to\u00a0be effective. MMR vaccine\u00a0can\u00a0be given within 72 hours of exposure\u00a0to those who are eligible.\u00a0Immunoglobulin (IG)\u00a0can\u00a0be given\u00a0within\u00a0six days of exposure.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:120,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">In 2026, 129\u00a0measles cases have been reported\u00a0in Virginia.\u00a0All reported cases\u00a0since\u00a0May 4,\u00a02026\u00a0have been associated with the current outbreak\u00a0in the Central\u00a0region\u00a0and\u00a0VDH anticipates\u00a0more\u00a0outbreak\u00a0cases\u00a0in this region.\u00a0Measles can be a serious illness that affects people of all ages.\u00a0Eight\u00a0Virginians with measles\u00a0(6%) have\u00a0been hospitalized.\u00a0One\u00a0in\u00a0three\u00a0cases\u00a0in 2026\u00a0(n=43,\u00a033%) have occurred in children five\u00a0to twelve\u00a0years of age\u00a0and\u00a0nearly one\u00a0in three cases (n=38,\u00a029%) have occurred in adults.\u00a0Nearly all cases (n=127, 98%) have been in people who were\u00a0unvaccinated\u00a0or had an unknown vaccine status.\u00a0For the latest information about measles in Virginia, please visit\u00a0VDH\u2019s\u00a0<\/span><a href=\"https:\/\/www.vdh.virginia.gov\/measles\/hcp\/\"><span data-contrast=\"none\">Measles Information for Healthcare Providers website<\/span><\/a><span data-contrast=\"auto\">.\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:120,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<h3 aria-level=\"1\"><b><span data-contrast=\"auto\">Back-to-School Immunizations<\/span><\/b><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559738&quot;:120,&quot;335559739&quot;:240,&quot;335559740&quot;:259,&quot;469777462&quot;:[4050],&quot;469777927&quot;:[0],&quot;469777928&quot;:[3]}\">\u00a0<\/span><\/h3>\n<p><span data-contrast=\"auto\">Vaccinations required for school help keep students healthy, allowing them to focus on learning and playing, while also contributing to the well-being of the larger community. Unfortunately, each year, some students miss the first day of school because they have not received the required vaccines.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">The\u202f<\/span><a href=\"https:\/\/law.lis.virginia.gov\/vacode\/title22.1\/chapter14\/section22.1-271.2\/\"><span data-contrast=\"none\">Code of Virginia<\/span><\/a><span data-contrast=\"auto\">\u202frequires children entering daycare, public,\u00a0and private schools to give proof of vaccination before enrolling in school. Virginia schools\u00a0require\u00a0immunizations for entry into\u00a0<\/span><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/11\/Rising-KG-Parent-Letter.pdf\"><span data-contrast=\"none\">kindergarten<\/span><\/a><span data-contrast=\"auto\">,\u00a0<\/span><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/11\/Rising-7th-Grader-Parent-Letter.pdf\"><span data-contrast=\"none\">seventh grade<\/span><\/a><span data-contrast=\"auto\">, and\u00a0<\/span><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/11\/Rising-12th-Grader-Parent-Letter.pdf\"><span data-contrast=\"none\">12th grade<\/span><\/a><span data-contrast=\"auto\">. These vaccines should be given based on the schedule recommended by\u00a0<\/span><a href=\"https:\/\/www.vdh.virginia.gov\/immunization\/requirements\/\"><span data-contrast=\"none\">VDH<\/span><\/a><span data-contrast=\"auto\">, the\u00a0<\/span><a href=\"https:\/\/downloads.aap.org\/AAP\/PDF\/AAP-Immunization-Schedule.pdf\"><span data-contrast=\"none\">American\u202fAcademy of Pediatrics<\/span><\/a><span data-contrast=\"auto\">, and the <\/span><a href=\"https:\/\/www.aafp.org\/family-physician\/patient-care\/prevention-wellness\/immunizations-vaccines\/immunization-schedules\/birth-through-age-18-immunization-schedule.html\"><span data-contrast=\"none\">American Academy of Family Physicians<\/span><\/a><span data-contrast=\"auto\">.\u202f<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Please encourage parents and caregivers to schedule a check-up\u00a0early enough\u00a0to ensure that all necessary vaccinations are completed before school begins.\u00a0This is an excellent opportunity to\u00a0provide an overall wellness check and\u00a0address any questions or concerns\u00a0parents may have about vaccines.<\/span><span data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">On behalf of\u00a0the entire\u00a0VDH team, thank you for your partnership,\u00a0dedication, and\u00a0determination\u00a0in keeping Virginians safe and healthy.\u00a0<\/span><span data-ccp-props=\"{&quot;469777462&quot;:[4050],&quot;469777927&quot;:[0],&quot;469777928&quot;:[3]}\">\u00a0<\/span><span data-ccp-props=\"{&quot;469777462&quot;:[4050],&quot;469777927&quot;:[0],&quot;469777928&quot;:[3]}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Sincerely,<\/span><span data-ccp-props=\"{&quot;469777462&quot;:[4050],&quot;469777927&quot;:[0],&quot;469777928&quot;:[3]}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Cameron Webb, MD, JD<br \/>\n<\/span><span data-contrast=\"auto\">State Health Commissioner<\/span><span data-ccp-props=\"{&quot;469777462&quot;:[4050],&quot;469777927&quot;:[0],&quot;469777928&quot;:[3]}\">\u00a0<\/span><\/p>\n<\/div>\n<\/div><\/div><\/div><\/div><\/div>","protected":false},"excerpt":{"rendered":"<p>&nbsp; Measles Outbreak Expansion and Back-to-School Immunizations June 26, 2026 Dear colleague,\u00a0 This letter provides updates on the\u00a02026\u00a0measles outbreak\u00a0in Virginia\u00a0and back-to-school\u00a0immunization\u00a0recommendations.\u00a0\u00a0 Measles Outbreak\u00a0in\u00a0Buckingham County\u00a0Expands\u00a0into Cumberland County\u00a0 Yesterday,\u00a0the Virginia Department of Health (VDH)\u00a0announced\u00a0that the 2026 measles outbreak\u00a0in Buckingham County\u00a0has expanded geographically to include\u00a0Cumberland County. The\u00a0outbreak was first\u00a0declared\u00a0on May 13\u00a0for\u00a0Buckingham County. Since then, the number of\u00a0outbreak\u00a0cases has\u00a0risen\u00a0substantially\u00a0in\u00a0Buckingham [&hellip;]<\/p>\n","protected":false},"author":510,"featured_media":0,"parent":25,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_lmt_disableupdate":"no","_lmt_disable":"","footnotes":""},"tags":[],"class_list":["post-2806","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Measles Outbreak Expansion and Back-to-School Immunizations - Clinicians<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.vdh.virginia.gov\/clinicians\/clinician-letters\/measles-outbreak-expansion-and-back-to-school-immunizations\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Measles Outbreak Expansion and Back-to-School Immunizations - Clinicians\" \/>\n<meta property=\"og:description\" content=\"&nbsp; Measles Outbreak Expansion and Back-to-School Immunizations June 26, 2026 Dear colleague,\u00a0 This letter provides updates on the\u00a02026\u00a0measles outbreak\u00a0in Virginia\u00a0and back-to-school\u00a0immunization\u00a0recommendations.\u00a0\u00a0 Measles Outbreak\u00a0in\u00a0Buckingham County\u00a0Expands\u00a0into Cumberland County\u00a0 Yesterday,\u00a0the Virginia Department of Health (VDH)\u00a0announced\u00a0that the 2026 measles outbreak\u00a0in Buckingham County\u00a0has expanded geographically to include\u00a0Cumberland County. The\u00a0outbreak was first\u00a0declared\u00a0on May 13\u00a0for\u00a0Buckingham County. Since then, the number of\u00a0outbreak\u00a0cases has\u00a0risen\u00a0substantially\u00a0in\u00a0Buckingham [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.vdh.virginia.gov\/clinicians\/clinician-letters\/measles-outbreak-expansion-and-back-to-school-immunizations\/\" \/>\n<meta property=\"og:site_name\" content=\"Clinicians\" \/>\n<meta property=\"article:modified_time\" content=\"2026-06-26T14:32:19+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/134\/Commissioner_Letterhead.png\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"4 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.vdh.virginia.gov\\\/clinicians\\\/clinician-letters\\\/measles-outbreak-expansion-and-back-to-school-immunizations\\\/\",\"url\":\"https:\\\/\\\/www.vdh.virginia.gov\\\/clinicians\\\/clinician-letters\\\/measles-outbreak-expansion-and-back-to-school-immunizations\\\/\",\"name\":\"Measles Outbreak Expansion and Back-to-School Immunizations - Clinicians\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.vdh.virginia.gov\\\/clinicians\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/www.vdh.virginia.gov\\\/clinicians\\\/clinician-letters\\\/measles-outbreak-expansion-and-back-to-school-immunizations\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/www.vdh.virginia.gov\\\/clinicians\\\/clinician-letters\\\/measles-outbreak-expansion-and-back-to-school-immunizations\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.vdh.virginia.gov\\\/content\\\/uploads\\\/sites\\\/134\\\/Commissioner_Letterhead.png\",\"datePublished\":\"2026-06-25T17:10:46+00:00\",\"dateModified\":\"2026-06-26T14:32:19+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/www.vdh.virginia.gov\\\/clinicians\\\/clinician-letters\\\/measles-outbreak-expansion-and-back-to-school-immunizations\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/www.vdh.virginia.gov\\\/clinicians\\\/clinician-letters\\\/measles-outbreak-expansion-and-back-to-school-immunizations\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/www.vdh.virginia.gov\\\/clinicians\\\/clinician-letters\\\/measles-outbreak-expansion-and-back-to-school-immunizations\\\/#primaryimage\",\"url\":\"https:\\\/\\\/www.vdh.virginia.gov\\\/content\\\/uploads\\\/sites\\\/134\\\/Commissioner_Letterhead.png\",\"contentUrl\":\"https:\\\/\\\/www.vdh.virginia.gov\\\/content\\\/uploads\\\/sites\\\/134\\\/Commissioner_Letterhead.png\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/www.vdh.virginia.gov\\\/clinicians\\\/clinician-letters\\\/measles-outbreak-expansion-and-back-to-school-immunizations\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/www.vdh.virginia.gov\\\/clinicians\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Clinician Letters\",\"item\":\"https:\\\/\\\/www.vdh.virginia.gov\\\/clinicians\\\/clinician-letters\\\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Measles Outbreak Expansion and Back-to-School Immunizations\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/www.vdh.virginia.gov\\\/clinicians\\\/#website\",\"url\":\"https:\\\/\\\/www.vdh.virginia.gov\\\/clinicians\\\/\",\"name\":\"Clinicians\",\"description\":\"\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/www.vdh.virginia.gov\\\/clinicians\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Measles Outbreak Expansion and Back-to-School Immunizations - Clinicians","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.vdh.virginia.gov\/clinicians\/clinician-letters\/measles-outbreak-expansion-and-back-to-school-immunizations\/","og_locale":"en_US","og_type":"article","og_title":"Measles Outbreak Expansion and Back-to-School Immunizations - Clinicians","og_description":"&nbsp; Measles Outbreak Expansion and Back-to-School Immunizations June 26, 2026 Dear colleague,\u00a0 This letter provides updates on the\u00a02026\u00a0measles outbreak\u00a0in Virginia\u00a0and back-to-school\u00a0immunization\u00a0recommendations.\u00a0\u00a0 Measles Outbreak\u00a0in\u00a0Buckingham County\u00a0Expands\u00a0into Cumberland County\u00a0 Yesterday,\u00a0the Virginia Department of Health (VDH)\u00a0announced\u00a0that the 2026 measles outbreak\u00a0in Buckingham County\u00a0has expanded geographically to include\u00a0Cumberland County. 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