In Texas specifically, a total of 223 people have contracted measles since the outbreak began in January, with at least 29 people, mostly children, requiring hospitalization. One child, who was unvaccinated, has died from measles, while a second unvaccinated person’s death is currently being investigated by health officials.

Measles cases have surpassed last year’s total less than three months into the year, as the outbreak in West Texas continues to spread.