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.

A fast-growing measles outbreak in West Texas has nearly doubled in just one week, now totaling 90 cases across seven counties and spreading to New Mexico. Earlier this week, the Texas Department of State Health Services confirmed 49 cases in five counties.

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.