The Texas Department of State Health Services (TDSHS) today reported 19 more cases since its last update on May 2, lifting the state’s total to 702 cases.

As the country’s biggest measles hot spot, the state has reported outbreak-linked cases from 29 counties, mainly in west Texas. So far 91 people have been hospitalized, reflecting an increase of 2 since the last report. Of the 702 cases, 672 involved unvaccinated people or whose immunization status was unknown.
Texas, like several other states, also continues to report a spate of other measles illnesses not linked to the main outbreak. The state has recorded 16 such cases.
Other states have reported measles cases linked to the Texas outbreak, and today Oklahoma reported one more infection, raising its total to 17, which includes three probable cases.
New cases in Illinois, North Dakota, and Missouri
Elsewhere, three Midwestern states reported new cases. The Illinois Department of Public Health reported two more cases, bringing its total to six, all in adults. The two new cases involved patients from southern Illinois. One patient is from the Franklin-Williamson bi-county area, which, with three cases in people who know each socially, meets the federal definition of an outbreak.
After reporting its first measles case since 2011, the North Dakota Department of Health and Human Services has reported three more cases, lifting its total to four. The three patients are all unvaccinated people who are close contacts of the first case, health officials said.
Also, the Missouri Department of Health and Senior Services today reported a confirmed case involving an adult resident of New Madrid County who likely had limited exposure to others while infectious. Officials said the case isn’t linked to a prior case or prior exposures reported in Missouri.