Health officials in Maryland have confirmed the state's first measles case for the year amid expanding outbreaks in Texas and New Mexico. The Maryland Department of Health said in a statement Sunday that a Howard County resident with recent international travel history has tested positive for the highly contagious disease.

Nearly 230 measles cases have been identified in outbreaks in West Texas and a nearby New Mexico county. One hundred ninety-eight measles cases have been reported in the West Texas outbreak, the Texas Department of State Health Services said in an update Friday — 39 more confirmed cases since an update on Tuesday.

The CDC is urging travelers to ensure they are vaccinated against measles as the outbreak spreads ahead of the spring and summer travel season.

The outbreak has sickened nearly 200 people in Gaines County, Texas. A neighboring county in New Mexico has seen 21 new cases since Tuesday.

Six years ago, two communities in New York – one in Brooklyn and one in Rockland County – were facing the worst measles outbreaks the United States had seen in decades. It was the closest the nation has gotten to losing elimination status for the extremely contagious disease,

Measles cases have risen to nearly 200 in Texas as New Mexico also records more than two dozen cases. NBC News' Erika Edwards reports on how Secretary of Health and Human Services Robert F. Kennedy Jr.