The measles outbreak in Texas has reached nearly 150 cases, according to a Friday morning update from the state health department. The agency said 146 cases have been identified since late January. Twenty of those patients have been hospitalized, and one school-age, unvaccinated child has died.

In Texas, there were 146 cases of measles across the state and the South Plains, with 20 patients hospitalized. The best way to prevent getting sick is to get two doses of a measles vaccine.

Texas health officials say the number of people with measles has increased to 146 in rural West Texas outbreak that led this week to the death of a school-aged child who was not vaccinated.