The U.S. is having its worst year for measles spread since 1991, with a total of 1,288 cases nationally and another six months to go. But in Gaines County, Texas, which was once the nation’s epicenter for measles activity, health officials said they are no longer seeing ongoing measles transmission.

The U.S. Centers for Disease Control and Prevention count, updated Wednesday, is 14 more cases than in all of 2019, when the U.S. almost lost its status of having eliminated measles. There’ve been three deaths in the U.S. this year, and all were unvaccinated: two elementary school-aged children in West Texas and an adult in New Mexico.

A vast majority of this year’s cases are from Texas, where a major outbreak raged through the late winter and spring, but where no new outbreak cases were reported this week. Other states with active outbreaks — which the CDC defines as three or more related cases — include Arizona, Colorado, Georgia, Illinois, Iowa, Kansas, Michigan, Montana, New Mexico, North Dakota, Oklahoma and Utah. Missouri confirmed its first outbreak July 3.

— The Associated Press