Health officials announced Friday that Kentucky has seen four measles cases in the past week.

Officials with the Kentucky Cabinet for Health and Family Services announced four new measles cases were reported in the state this week.

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At least 3% of those cases have been in people who received two doses of the MMR measles vaccine, meaning they were fully vaccinated, according to the Centers for Disease Control and Prevention.

Since Gallatin County’s first confirmed measles cases in mid-April, linked to out-of-state travel, the number has climbed to 12 locally, with 20 cases reported statewide.