Among the 561 measles cases in West Texas, state health officials said 550 involved individuals who were either unvaccinated or had an unknown vaccination status. The CDC recommends two doses of measles, mumps and rubella vaccine for children 6 and younger and one or two doses for those who are older and don’t have evidence of immunity.

The measles outbreak in West Texas now counts almost 600 cases, according to Texas health data released Friday. The 597 cases is 36 more than were tallied Tuesday, according to information from Texas Health and Human Services.

Texas health officials reported over 560 measles cases in the state Tuesday, days after the Centers for Disease Control and Prevention announced 712 confirmed cases of measles in the U.S. as outbreaks of the highly contagious illness have also been reported in Arkansas,