At least 124 cases of measles have been reported in Texas since late January — marking the largest outbreak in the state in close to 30 years. The dozens of reported cases have mostly affected children,

Health authorities warned of further spread. Most U.S. measles cases this year involved people 19 and under and those without a confirmed vaccination.

Texas reported 90 cases this week, while New Mexico reported nine. A majority of the cases have been in a Texas county where vaccination rates have lagged behind the rest of the state.