WICHITA, Kan. -

The Kansas Department of Health and Environment and the Sedgwick County Health Department confirm two cases of measles in Sedgwick County.

The cases are linked to an outbreak in the Kansas City metropolitan area.

One case was in an adult who had not been vaccinated. The other case was in an infant too young to be vaccinated.

Symptoms of measles include fever, blotchy rash on the skin, which spreads from the head to the trunk then to the lower extremities, cough, runny nose, red, watery eyes, feeling run down, achy and tiny white spots with bluish-white centers found inside the mouth.

The health department says measles can be spread to others from four days before to four days after the rash appears.

Anyone with symptoms is asked to stay home, except to see a health provider. They are also asked to call ahead in order to protect other patients and staff.

The measles have been rare in the United States since the creation of the MMR (measles, mumps, rubella) vaccine.

Health officials say they have seen a resurgence in the disease this year. More than 550 cases have been confirmed in 20 states from January 1, 2014 through July 3, 2014. This is the highest number of cases since measles elimination was documented in the U.S. in 2000.