Kansas has an outbreak of two diseases — measles and tuberculosis — as lawmakers loosen vaccine requirements for children.

A measles outbreak in Kansas doubled in less than a week to 23 cases and has “a possible link” to outbreaks in Texas and New Mexico that have sickened more than 370, the state health department said Wednesday.

A growing measles outbreak in Kansas has reached 23 cases and may be linked to earlier outbreaks in Texas and New Mexico. Ohio is now reporting 10 cases, with wider exposure concerns.

As measles cases continue to rise in the U.S. and abroad, travelers may be concerned about visiting destinations with ongoing outbreaks.