The measles outbreak in Oakland County has grown to 18 confirmed cases, health officials said Monday night.

The Michigan Department of Health and Human Services and the Oakland County Health Division are urging people to get vaccinated and have scheduled special vaccine clinics this week at a synagogue in Oak Park.

The outbreak that began earlier this month is linked to an ill traveler from Israel who visited Oakland County from March 6-13.

Measles is spread through coughing and sneezing. Symptoms include a high fever, cough, runny nose and red, watery eyes. A few days after symptoms begin, tiny white spots appear in the mouth followed by a blotchy red body rash.

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Complications can include pneumonia, swelling of the brain, ear infections that result in permanent hearing loss, preterm births and low birth weight babies.

The highly contagious disease is spreading nationwide. From the beginning of the year through March 21, there have been 314 confirmed cases of measles in 15 states, according to the Centers for Disease Control and Prevention.

Locally, health officials said 970 people received vaccines from March 22 through March 24.

Vaccinations will be available from 10 a.m.-1 p.m. Tuesday and from 10 a.m. to 2 p.m. Wednesday through Friday at Young Israel of Oak Park, 15140 W. 10 Mile Road. People can also get them through the Health Division's offices in Pontiac and Southfield.

People who haven't been vaccinated should get vaccinated within 72 hours of exposure. Officials said people who don't have documentation of two measles (MMR) vaccines from a doctor or Michigan Care Improvement Registry (MCIR), or those who don't know whether they've been vaccinated, should contact their healthcare providers or visit a vaccine clinic.

The state and county health agencies released an updated list Monday of where people might have been exposed to the disease. The full list of exposure locations can be found on the Oakland County Health Division's website, www.oakgov.com/health.

Possible measles exposure sites, dates

March 23

Yeshiva Gedolah of Greater Detroit, 24600 Greenfield Road, Oak Park, 7-9 p.m.

March 22

Aldi, 26300 Greenfield Road, Oak Park, 1:15-4 p.m.

Yeshiva Gedolah of Greater Detroit, 24600 Greenfield Road, Oak Park, 7-9:30 p.m.

Berkley Urgent Care, 3270 Greenfield Road, Berkley, noon-4 p.m.

Congregation Shomrey Emunah, 25451 Southfield Road, Southfield, 7:30-10 p.m.

One Stop Kosher Food Market, 25155 Greenfield Road, Southfield, 1:45-4:30 p.m.

March 21

Beaumont Hospital, Royal Oak - emergency department, 3601 W. 13 Mile Road, 10 a.m.-6 p.m.

Congregation Yagdil Torah, 17100 W. 10 Mile Road, Southfield, 8:30-11:30 a.m. and 7-9:45 p.m.

Dorfman Funeral Home, 30440 West 12 Mile Road, Farmington Hills, 2-5:30 p.m.

Dovid ben Nuchim, 14800 Lincoln Street, Oak Park, 8:30-11:30 p.m.

Yeshiva Beth Yahuda, 15751 Lincoln Drive, Southfield, 8:15 a.m.-1:15 p.m. and 8:45 p.m.-12:45 a.m.

Ohr HaTorah Synagogue, 15150 W. 10 Mile Road, Oak Park, 8-11:30 a.m. and 2:45- 5:30 p.m.

March 20

Aldi, 26300 Greenfield Rd, Oak Park, all day

Kollel Institute of Greater Detroit, 15230 Lincoln Street, Oak Park, 8:20-11:20 a.m.

Meijer, 5150 Coolidge Hwy., Royal Oak, 10:30 a.m.-1:30 p.m.

One Stop Kosher Food Market, 25155 Greenfield Road, Southfield, noon-3:30 p.m.

Pointview Products, 46986 Liberty Drive, Wixom, 8 a.m.-3:30 p.m.

Ohr HaTorah Synagogue, 15150 W. 10 Mile Road, Oak Park, 7-11 p.m.

Yeshiva Beth Yahuda, 15751 Lincoln Drive, Southfield, 10 a.m.-5 p.m.

For more information about measles, go to www.oakgov.com/health or call the Oakland County Health Division's Nurse on Call at 800-848-5533 from 8:30 a.m.-5 p.m. Monday through Friday.

Contact staff writer Ann Zaniewski at 313-222-6594 or azaniewski@freepress.com. Follow her on Twitter: @AnnZaniewski.