Four new cases of measles have been confirmed in the state, according to the Maine Center for Disease Control and Prevention.

The cases are all from Penobscot County from unvaccinated individuals, according to Maine CDC. There are no risks of exposure to the public.

The first case of measles in Maine since 2019 was detected in Bangor earlier this month.

The new cases announced by Maine CDC brings the total number to five.

Measles can cause pneumonia, encephalitis and death.

The disease is highly contagious and can be spread through coughs or sneezes.

Those with the following symptoms should contact their health provider before seeing them in-person:

• Fever
• Cough
• Runny nose
• Red, watery eyes
• Tiny white spots inside the mouth on the inner lining of the cheek 
• Rash that spreads from the head down

State health officials say vaccination is the best treatment for prevention. 

Those who received two doses of the measles, mumps and rubella vaccine as a child are protected for life.

Anyone who is not immunized or does not know if they’ve been vaccinated against measles should get vaccinated.

There were 910 confirmed reported measles cases as of Feb. 13, according to the U.S. CDC.