Texas is experiencing its largest measles outbreak in 30 years, primarily affecting the South Plains region. A child has died and several people have been hospitalized by the extremely contagious disease that was once considered eradicated,

The measles outbreak in Texas has reached nearly 150 cases, according to a Friday morning update from the state health department. The agency said 146 cases have been identified since late January. Twenty of those patients have been hospitalized, and one school-age, unvaccinated child has died.

The latest update comes two days after the first death was reported in a school-aged child who lived in the outbreak area.