A measles outbreak in northwest Texas grew to 124 cases in nine counties on Tuesday, and health officials warned that residents in other parts of the state may have been exposed to the highly contagious respiratory illness.

On February 21, the Texas Department of State Health Services (TDSHS) reported 32 more measles cases in the South Plains region, boosting the state's total to 90 cases. Most are in Gaines County, where the outbreak is centered in the Mennonite community.