A child in West Texas has died of measles, state health officials said on Wednesday, the first reported U.S. death from the highly contagious disease in a decade, as a Texas outbreak has grown from a handful of cases to more than 130 across two states.

Gaines County in West Texas is at the heart of the ongoing measles outbreak. Non-medical vaccine exemption rates there are high.

At least 124 cases have been reported since late January, mostly among children and teenagers who were unvaccinated or whose vaccination status was unknown.