The Texas health department reported 422 cases of measles in the state on Tuesday, an increase from 400 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.

Of the 422 cases, 280 are in Gaines County, where the outbreak started. Donald Trump Gives DOGE Update as Elon Musk Says He'll Step Down in May Metal Detectorists Were Scanning the Beach—and Found a Stunning 2,