"All of the cases are among children who are unvaccinated," said Dr. Olivia Kasirye, Sacramento County's public health officer.
What makes this year especially concerning, she says, is that in the past, most cases in the region were linked to travel outside of California or the U.S.
"It is different, because it does signify that we have local transmission of measles within the community," Dr. Kasirye said.
Despite the risk to the general public being considered low, health experts say the trend is concerning given how quickly the virus can spread among people who are not vaccinated.
"Measles cases introduced to those communities, that's where the greatest risk of transmission will occur," Dr. Kasirye said.
The telltale sign of measles is a red rash that starts on the face and spreads downward. By that point, however, the person may have already spread the illness.
Health officials say people should call their healthcare provider before going into a medical facility if they suspect measles.
Across California, there have been 36 confirmed cases so far this year, with about 1,600 reported nationwide.
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