San Diego County public health officials Friday confirmed the first case of measles in the region in a teenager who recently left the country.

Last year, four measles cases were confirmed in the county, all associated with international travel. As of Aug. 4, a total of 19 cases have been reported in California. As of Aug. 6, there are 1,359 confirmed cases in the U.S.

The teenager testing positive for the disease was not vaccinated and may have exposed others at:

Scripps Clinic Torrey Pines Urgent Care, 10710 North Torrey Pines Road, on Aug. 6, from 8:53 p.m. to Aug. 7, at 12:26 a.m.

Rady Children's Emergency Department, 3020 Children's Way, 1st floor, on Aug. 6, from 11:01 p.m. to Aug. 7, at 05:21 a.m.

The county epidemiological team is working with Scripps and Rady to identify patie

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