A day care facility in a Texas county that's part of the measles outbreak has multiple cases, including children too young to be fully vaccinated, public health officials say. West Texas is in the middle of a still-growing measles outbreak with 505 cases reported on Tuesday.

State health officials reported 24 new measles cases on Tuesday, bringing the total number of reported cases to 505.

The measles outbreak that began in West Texas more than two months ago could continue spreading and growing for months to come, according to health experts. The outbreak has already caused the state to report more measles cases in the first few months of this year than in any full year since 1992.

A second child with measles has died in Texas, state officials said on Sunday, in an outbreak of the childhood disease that has resulted in nearly 500 cases in Texas and has spread across 22 states. The unvaccinated school-aged child,

The health secretary has faced harsh criticism for his handling of the outbreak, embrace of alternative treatments and tepid endorsement of vaccination.

The Texas Department of State Health Services said Tuesday that the number of measles cases in the outbreak that began in January has risen to 505 confirmed infections with 57 hospitalizations. Based on the most recent data,