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A second school-aged child in West Texas has died from a measles-related illness, a hospital spokesman confirmed Sunday, as the outbreak continues to swell.

Aaron Davis, a spokesperson for UMC Health System in Lubbock, Texas, said that the child was “receiving treatment for complications of measles while hospitalized” and was not vaccinated. The hospital declined to say which day the child died.

Neither the U.S. Centers for Disease Control and Prevention nor the Texas State Department of State Health Services include the death in their measles reports issued Friday. Spokespeople for the state health department and U.S. Health and Human Services Department didn't immediately respond to requests for comment on Sunday.

 of measles in February in Lubbock — the first measles death in the U.S. in a decade. In early March, an adult in New Mexico who was unvaccinated and did not seek medical care became the 

 outbreak is believed to have spread to New Mexico, Oklahoma and Kansas, 

. The World Health Organization also reported cases related to Texas in Mexico.

The number of cases in Texas shot up by 81 between March 28 and April 4, and 16 more people were hospitalized. A team from the U.S. Centers for Disease Control and Prevention is on the ground in Texas assisting with outbreak response.

Nationwide, the U.S. has more than double the number of 

, saying it should be encouraged while also sowing doubt in the vaccine’s safety. He is expected to launch a Make America Healthy Again tour across the southwestern U.S. early this week.

The measles, mumps and rubella vaccine has been used safely for more than 60 years and is 97 percent effective against measles after two doses.

Experts and local health officials expect the outbreak to go on for 

 if not a year. In West Texas, the vast majority of cases are in unvaccinated people and children younger than 17.

With several states facing outbreaks of the vaccine-preventable disease, some worry that measles may cost the U.S. its status as having eliminated the disease.

Measles is a respiratory virus that can survive in the air for up to two hours. Up to 9 out of 10 people who are susceptible will get the virus if exposed, 

. The first shot is recommended for children ages 12 to 15 months, and the second for ages 4 to 6 years.

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A second school-aged child in West Texas has died from a measles-related illness. That was confirmed Sunday by a spokesman for UMC Health System in Lubbock, Texas. 

Second child died from measles-related causes in West Texas, where cases are nearing 500

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