Nara Prefecture has confirmed a case of measles involving a man in his 70s, marking the second reported instance of the disease in the area this year. The announcement was made on March 26, 2025, following the man's hospitalization and subsequent positive test results for the virus.
The patient began experiencing symptoms such as cough, runny nose, fever, and a rash starting on March 17. After his condition worsened, he was admitted to a medical facility on March 23, where he was diagnosed with measles on March 24 after genetic testing was conducted at the prefectural health research center.
Significantly, the man has no history of overseas travel and has not been vaccinated against measles, which raises concerns about potential community spread. Health officials have indicated that the measles virus can survive in the air for up to two hours, making it highly contagious.
Following the diagnosis, Nara Prefecture has issued a public alert regarding potential exposure at various locations frequented by the patient. Individuals who visited Sugi Pharmacy Taima-Gakyuen store during the daytime on March 19, 20, and 21, or the food court on the 4th floor of AEON Mall Takanohara from noon to night on March 22, are advised to monitor for symptoms. If they develop fever, cold-like symptoms, or a rash by April 12, they should seek medical attention, contact a healthcare provider in advance, wear a mask, and avoid public transportation.
The timeline of the man's movements indicates he utilized public transportation extensively during the days leading up to his hospitalization. On March 18, he took the Nara Kotsu Bus (Sakyo Junkan) to Takanohara Station around 6:00 AM and returned from the station after 8:00 PM. He continued to use the bus on March 19, 20, and 21 during morning and late morning hours, traveling via Takanohara Station.
On March 22, he again used the Nara Kotsu Bus (Sakyo Junkan) to Takanohara Station at 8:00 AM and later that evening after 9:00 PM. Additionally, he traveled on Kintetsu Railway between Takanohara Station and Yamato-Saidaiji Station on multiple occasions, including early morning rides on March 18 and 22.
Officials are urging anyone who may have been in contact with the patient to remain vigilant for the typical symptoms of measles, which usually appear about 10 days after exposure. These symptoms often begin as cold-like signs, including fever and cough, and can escalate to a high fever exceeding 39 degrees Celsius and a characteristic rash.
Health authorities stress that measles is not only highly contagious but also poses serious health risks, particularly for those who are unvaccinated. They recommend that individuals ensure they are up-to-date with their vaccinations, as the most effective prevention against measles is through vaccination. Routine vaccinations are typically administered at one year of age and before entering elementary school.
In light of this recent case, Nara Prefecture has reiterated the importance of vaccination and public awareness regarding measles. The risk of developing the disease is considerably lower for those who have previously contracted measles or have received two vaccinations.
As the situation develops, health officials continue to monitor the outbreak and are prepared to take further action if necessary to protect public health. They advise the public to remain informed and proactive in seeking medical advice if they suspect exposure to measles.
This recent case serves as a reminder of the importance of vaccinations and public health measures in preventing the spread of infectious diseases. With measles being one of the most contagious viruses known, the community's cooperation is crucial in mitigating any further outbreaks.
