A fast-growing measles outbreak in West Texas has nearly doubled in just one week, now totaling 90 cases across seven counties and spreading to New Mexico. Earlier this week, the Texas Department of State Health Services confirmed 49 cases in five counties.

The measles outbreak in rural West Texas has grown to 90 cases across seven counties, the state health department posted online Friday, and 16 people are hospitalized.

Some private schools have shut down because of a rapidly escalating measles outbreak in West Texas. Local health departments are overstretched, pausing other important work as they race to limit the spread of this highly contagious virus.