An out-of-state traveler visited Hot Springs, South Dakotak, while contagious with measles last month and stopped at two public spaces several times during their stay, according to a news release Thursday from the South Dakota Department of Health.

Those places were:

• 12-7 p.m. on June 19 at Two Crows Creamery.
• 8:30-11:30 a.m. on June 19, 20 and 21 at Wandering Bison Coffee.

The department said anyone who was at the locations during the indicated days and times may have been exposed. They should self-monitor for symptoms for three weeks after the exposure date.

People who are not immune to measles should contact their health care provider to discuss protective options, the Health Department said, including vaccination or immune globulin, depending on eligibility and timing. People considered immune to measles include those who:

• Were born before 1957.
• Received one dose of measles vaccine (MMR) as an adult or from 12 months to pre-school age.
• Received two doses of measles vaccine (MMR) as a school-aged child or as an adult at higher risk of infection.
• Have a presence of measles antibodies shown by a lab test.
• Had a previous measles infection shown by a lab test.

The public alert comes as the in-state number of reported measles cases has remained at four for two weeks. The super-contagious disease is nearing a six-year record as outbreaks spread across the United States. According to a federal Centers for Disease Control and Prevention update Tuesday, there are 1,267 confirmed cases affecting 34 states.

In response to cases appearing in South Dakota, the state Health Department is holding vaccination clinics across the state through July 10. 

Measles symptoms appear in two stages, first with a runny nose, cough and slight fever. Second, occurring on the third to seventh day of the illness, a red blotchy rash appears and lasts for up to a week. The rash usually begins on the face. The person’s temperature also rises to 103-105 degrees Fahrenheit.