Nearly 230 measles cases have been identified in outbreaks in West Texas and a nearby New Mexico county. One hundred ninety-eight measles cases have been reported in the West Texas outbreak, the Texas Department of State Health Services said in an update Friday — 39 more confirmed cases since an update on Tuesday.

An unvaccinated adult in Lea County, New Mexico, died recently and tested positive for measles afterward, the state’s Department of Health disclosed Thursday.

An adult who was infected with measles has died in New Mexico, state health officials announced Thursday, though the virus has not been confirmed as the cause.