MEMPHIS, Tenn. -- The Tennessee Department of Health confirmed three additional cases of measles in Middle Tennessee on Tuesday. Public health officials are now investigating the cases. On Mar. 27, Shelby County was confirmed to have the first measles case but second in the state. The first m easles case in the state was reported on Mar. 21 in Middle Tennessee. This makes five cases of measles in total in Tennessee. According to the Tennessee Department of Health, all three of the recently confirmed cases are currently recovering at home. Public health officials are working to identify other locations and persons potentially exposed to the virus. First measles case confirmed in Shelby County There is a national measles outbreak, involving over 480 cases in 20 states, with two, confirmed fatalities in the U.S. "Measles typically has a classic red, spotty rash that begins on the face and spreads over the body," said the Tennessee Department of Health. "Additional symptoms can include fever, headache, and generally not feeling well, followed by rash, cough, red eyes, or congestion." They said measles is a highly infectious and potentially fatal disease that spreads very easily through the air when an infected person speaks, coughs or sneezes. TDH encourages consultation with your medical provider about measles prevention. Two doses of the MMR vaccine are highly effective at preventing measles. ...read more read less