The latest update comes two days after the first death was reported in a school-aged child who lived in the outbreak area.

Declining vaccination rates, decreasing trust in government and a political unwillingness to endorse vaccines is shaping Texas’ measles response.

LUBBOCK, Texas — A child who was not vaccinated has died from measles in West Texas, the first death in an outbreak that began late last month and the first from measles in the U.S. since 2015.