At least 124 cases of measles have been reported in Texas since late January — marking the largest outbreak in the state in close to 30 years. The dozens of reported cases have mostly affected children,

Texas reported 90 cases this week, while New Mexico reported nine. A majority of the cases have been in a Texas county where vaccination rates have lagged behind the rest of the state.

Lea County, New Mexico, is now reporting an outbreak of measles, according to the New Mexico Department of Health (NMDOH). Lea County is near Gaines County, Texas, where measles cases continue to rise as part of the original outbreak.