The South Carolina measles outbreak centers around a school in the Upstate, a state health official announced Oct. 3. And more cases are expected as it is also likely spreading in the community.

S.C. Department of Public Health officials would not identify the school or the county where the outbreak of at least five confirmed cases is anchored, citing privacy concerns. But parents at the school have been notified and the department is working to make vaccinations more available there, Dr. Linda Bell, the state epidemiologist, said.

South Carolina is now among more than 40 states that have seen 42 different outbreaks of measles so far this year, with 1,544 cases as of Sept. 30, the U.S. Centers for Disease Control and Prevention said.

Of those, 92 percent have been in people who were unv

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