The second death of a child with measles has been reported in West Texas amid an outbreak that has infected hundreds in the region and across state lines.

It is the second confirmed measles death in the U.S. in a decade. If the outbreak continues at the current pace, the nation may lose its elimination status.

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.