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.

The measles outbreak in West Texas has grown to 58 cases as of Tuesday. Eight people in neighboring eastern New Mexico also have been diagnosed with the highly contagious disease.

At least 58 cases of measles have been reported in West Texas within the last three weeks — marking the largest outbreak in the state in close to 30 years. The dozens of reported cases have mostly affected children,