A second measles case in Spokane, following the first confirmed case in more than 20 years last week, has prompted warnings to 50 unvaccinated people who came into contact with the patients to stay home for 21 days, with some of those under mandatory quarantine. Both of the confirmed measles cases are in unvaccinated adults.

The Spokane Regional Health District also reported that another 250 people who came into contact with the measles patients were vaccinated or had proven immunity to the high contagious disease; you can read our full report here from S-R reporter Nina Culver. Officials have been in touch with Bloomsday organizers about Sunday’s big annual running race in Spokane, but report that the risk of exposure is lessened in the open air.