Officials from the South Carolina Department of Health said the measles outbreak is growing amid holiday travel and low vaccination rates, warning that the spread could continue for several weeks, Health Day reports.

As of December 10, the state Department of Public Health has confirmed 114 cases, almost all in the northern part of the state. State epidemiologist Dr. Linda Bell said at a briefing that of the 111 cases recorded there, 105 were among unvaccinated individuals, while three had received only one dose of the two-dose measles vaccine.

According to the U.S. Centers for Disease Control and Prevention (CDC), the measles, mumps, and rubella (MMR) vaccine is 93% effective after one dose and 97% effective after two doses. State authorities have placed 254 people under quarantine, including 16 who are in isolation.

At least 16 new cases were linked to recent gatherings at the Way of Truth Church in Inman.

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