At least 58 cases of measles have been reported in West Texas within the last three weeks — marking the largest outbreak in the state in close to 30 years. The dozens of reported cases have mostly affected children,

The U.S. is grappling with multiple outbreaks of disease as the Trump administration purges federal health workers.

The measles outbreak in rural West Texas has grown to 58 cases as of Tuesday, and eight people in neighboring eastern New Mexico also have been diagnosed with measles. New Mexico health department spokesman Robert Nott said Tuesday that the agency hadn’t “identified any direct contact” between cases in its state and cases in Texas.