The latest update includes a case from Lubbock County, pushing the number of affected counties to 5.
Officials say additional cases are likely to occur in Gaines County and the surrounding communities.
PAHO is tracking a rise in dengue serogroup 3 activity, which could raise the risk of severe illness as countries approach the peak of the season.
Yet 84% said they would back their state using public funds to provide free or discounted measles, mumps, and rubella vaccines, up from 81% in 2019.
The KFF poll, conducted earlier this month, also teases out impressions of Trump's health nominees and perceptions about the H5N1 threat.
The results call into question the common assumption that inflation-adjusted vaccine costs are constant over time, the authors say.
But the average number and duration of the episodes didn't differ significantly between the groups, and there were no serious adverse events.
The authors call for stronger vaccination systems, interventions, and catch-up campaigns in underserved populations.
Exemptions rose in 41 states, with 14 reporting that over 5% of kindergartners had an exemption from at least one vaccine.
California has reported 63 West Nile virus infections this year, including many in the Central Valley.
