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LEWISTOWN -- Mifflin County added seven measles cases as Pennsylvania's outbreak reached 1,433 cases, according to the state Department of Health's latest dashboard update.
Mifflin County reached 205 confirmed cases Monday, Nov. 2, up from 198 on Oct. 28. The county accounted for one-fifth of the 35 cases added statewide during that period and continues to rank second behind Lancaster County.
Lancaster County reached 496 cases, up nine since Oct. 28. Centre County remained at 41 cases, Juniata County at 12 and Huntingdon County at eight.
Pennsylvania's statewide total increased from 1,398 to 1,433. Hospitalizations climbed from 265 to 269, while the number of measles-associated deaths remained at five. Cases have been reported in 44 counties.
The dashboard listed 74 cases during the previous seven days, down from 85 in the Oct. 28 update. People younger than 18 continued to account for 33% of all cases. The department has reported four cases among fully vaccinated people, representing less than 1% of the statewide total.
Mifflin County remains among 16 counties where the Health Department has found evidence of community transmission. Compared with the Oct. 28 list, Clinton County was added Monday, and Somerset County was removed.
The other counties with community transmission are Centre, Chester, Clarion, Clearfield, Clinton, Elk, Franklin, Indiana, Jefferson, Lancaster, Mercer, Snyder, Union, Warren and York. The designation means measles is spreading locally beyond a single household and cases aren't tied to infections originating in another county.
The dashboard's vaccination section, last updated Oct. 28, lists 10,676 MMR doses administered by Health Department staff in 2026.
In an Oct. 30 release, the department said its nurses had administered over 6,800 MMR vaccinations at 237 pop-up clinics since the outbreak began in late April. Including doses provided at state health centers, department nurses had administered more than 10,600. Health care providers across Pennsylvania administered more than 53,000 MMR doses during the first four weeks of October, compared with about 25,000 in a typical month.
The department also said a Centers for Disease Control and Prevention Epidemic Intelligence Service officer will remain in Pennsylvania through Friday, Nov. 6. The officer is helping the state develop epidemiological models of the outbreak.
The department also issued a public exposure notice for the Target at 1745 Quentin Road in Lebanon. A person who tested positive for measles may have exposed others at the store on Oct. 23 between 5 and 8 p.m. The department advised anyone who was there during that period to check their vaccination status and monitor for symptoms.
Measles symptoms can begin seven to 21 days after exposure and include fever, cough, a runny nose and red, watery eyes. A rash usually follows, beginning on the head or face before spreading downward. People who believe they've been exposed and develop symptoms should contact a health care provider or call the department's hotline at 877-PA-HEALTH.
The Health Department says two MMR doses provide 97% lifetime protection. It also recommends an early dose for infants ages 6 through 11 months who live in or travel to counties with community transmission. That early dose doesn't replace the two routinely recommended doses.