The Texas health department reported 422 cases of measles in the state on Tuesday, an increase from 400 in its previous count on March 28.

Already, the U.S. has more measles cases this year than in all of 2024, the U.S. Centers for Disease Control and Prevention has said. Other states with outbreaks — defined as three or more cases — include New Mexico, Kansas, Ohio and Oklahoma. Since February, two unvaccinated people have died from measles-related causes.

The measles outbreak that began in the South Plains region surged to 400 cases across Texas on Friday, with dozens more reported in New Mexico and Oklahoma. The latest update from the Texas Department of State Health Services added 73 infections,