The outbreak has since spread to several counties in the region and is "suspected" to have spread into New Mexico, according to New Mexico Department of Health (NMDOH). Nine cases have been confirmed in Lea County, which borders Texas. Of the nine cases, four are among children, according to NMDOH. ????? ???????  

The outbreak began in Gaines County, which has become the epicenter, with 80 cases confirmed among residents, according to DSHS. ????????????  

Children and teenagers between ages 5 and 17 make up the majority of cases with 62, followed by 39 cases among children ages 4 and under. ?????  

Almost all of the cases are in unvaccinated individuals or individuals whose vaccination status is unknown, and 18 people have been hospitalized so far, DSHS said. ????? ???????  

In a press release, the Texas Department of State Health Services (DSHS) said the child was hospitalized in the northwestern city of Lubbock last week and tested positive for measles. ????????????