Texas has reached 422 cases of measles in an outbreak that started two months ago. Texas, New Mexico, Ohio, Kansas and Oklahoma all have active measles outbreaks.

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. Separately, New Mexico reported four additional measles cases from its report on March 28,

The measles outbreak that began in the South Plains region surged to 400 cases across Texas on Friday, with dozens more reported in New Mexico and Oklahoma. The latest update from the Texas Department of State Health Services added 73 infections,