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flag North Dakota reports 28 measles cases across four counties, the largest outbreak since 1978.

flag North Dakota reports its 28th measles case, with Burke County now affected, marking four counties with confirmed cases since May 2. flag Williams County has the most cases with 13 infections. flag The outbreak is the highest since 1978, primarily affecting unvaccinated individuals who traveled internationally. flag Vaccinated residents face low risk, but unvaccinated individuals exposed to measles should quarantine for 21 days and monitor symptoms.

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