Already in 2025, the United States has reported more measles cases than in any full year since the early ‘90s, according to federal data. And that record-setting case count has been driven by a massive outbreak that began in Texas.

The Texas Department of State Health Services says three new measles cases have been detected in the last week in connection to an outbreak in West Texas.

The U.S. Centers for Disease Control and Prevention count, updated Wednesday, is 14 more cases than in all of 2019, when the U.S. almost lost its status of having eliminated measles. There've been three deaths in the U.S. this year, and all were unvaccinated: two elementary school-aged children in West Texas and an adult in New Mexico.