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, as the United States battles one of the largest outbreaks of the disease in the past decade.

Measles cases in Texas rose to 400 as the U.S. total reached almost 500 amid the worsening outbreak, officials have said.

The measles outbreak in Texas continues to spread, with 422 cases reported since January, an increase of 22 cases since Friday. Most cases are in West Texas, where one child has died. Dallas County Health and Human Services has cut 21 workers,

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.

Katherine Wells was celebrated early during the COVID-19 pandemic. Then public health became a political litmus test.

A measles outbreak in Kansas has more than doubled to nearly two dozen cases over the last week, according to state health officials, who said they identified a “possible link” between confirmed cases of the highly contagious illness and a larger outbreak in Texas and New Mexico.

The measles outbreak in western Texas is continuing to grow with 327 cases confirmed, according to new data published Tuesday.

Texas has reached 400 cases of measles in an outbreak that started two months ago. Texas, New Mexico, Ohio, Kansas and Oklahoma all have active measles outbreaks.

The Kansas Department of Health and Environment, which reported one new measles case in the past week, now has a possible link to the Texas outbreak.