Maryland health officials confirmed two more cases of measles in the state, bringing the total infections this year to three.

The cases among Baltimore-area residents were linked to travel to other states with active transmission of measles.

Health officials in Maryland have been on alert since cases began piling up across the country. There have been close to 1,800 reported in multiple states this year, and Maryland reported its first case Sunday.

The two new cases, however, do not appear related to that one, officials said.

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The officials at the Maryland Department of Health are asking people to check their vaccine status, monitor their symptoms and review the list of places where they may have been exposed.

They include:

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  • Giant Foods Pasadena (4315 Mountain Road, Pasadena), April 12, 10 a.m.-1 p.m.
  • Bean Rush Cafe (1121A Annapolis St., Annapolis), April 14, 8:30-11:30 a.m.
  • The building located at 2062 Generals Highway, Annapolis, April 15, 1-4:30 p.m.
  • Whole Foods Annapolis (200 Harker Place, Suite 100, Annapolis), April 15, 3:30-6:15 p.m.
  • The building located at 181 Harry S Truman Parkway, Annapolis, April 20, 4-7 p.m.
  • Arnold Professional Building (1521 Ritchie Highway, Arnold), April 15, 1-3:40 p.m.
  • Arnold Professional Center (1509 Ritchie Highway, Arnold), April 16, 11:30 a.m.-2:30 p.m., and/or April 20, 10:50 a.m.-2 p.m.
  • Oakwood Professional Building (7845 Oakwood Road, Glen Burnie), April 14, 4-7:15 p.m., and/or April 15, 10:30 a.m.-1 p.m., and/or April 20, 9:30 a.m.-12:30 p.m.
  • Baltimore Washington Medical Center Emergency Department (301 Hospital Drive, Glen Burnie), Monday, 9:45 a.m.-12:30 p.m.
  • Patient First Pasadena (8105 Ritchie Highway, Pasadena), Tuesday, 11:45 a.m.-3 p.m.

The officials said they are working to identify people who may have come in contact with the three who have confirmed cases.

Measles is easily spread through the air when someone coughs or sneezes. Someone can catch measles up to two hours after the infected person has left the area.

Experts say the measles-mumps-rubella vaccine is highly effective against the disease. And Maryland has a high rate of vaccination, with more than 96% of kindergartners having gotten two doses before the last school year began.

That has helped Maryland fare better than other states, with just five cases in the previous five years. However, rates have ticked down in pockets, as they have nationwide, as vaccine misinformation and disinformation have spread.

Most people recover from measles, though they need to stay home because they are contagious four days before and four days after the telltale red body rash develops.

People should monitor for early symptoms from one to three weeks after exposure. The symptoms include fever, running nose, cough and that head-to-toe rash.

Those exposed need to stay home from work and school for three weeks to prevent further spread, and they must contact their health care provider before going to an emergency room or doctor’s office.

Those unsure if they’ve been vaccinated can talk to their doctors about next steps.

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“Vaccination remains essential to protecting ourselves, our families and our communities against measles and other infectious diseases,” Dr. Meg Sullivan, Maryland’s deputy secretary for public health services, said in a statement.

Insurance covers the vaccine, and those uninsured or underinsured can get it from the Vaccines for Children Program or a state program through their local health department.