An outbreak of measles is wreaking havoc in the South Plains region of Texas, where nearly 60 children have been confirmed to be infected. Physicians in the state say the current situation was “inevitable” due to the low rates of vaccination among the largely Mennonite community.

In Texas, health officials say a measles outbreak is the state’s largest in nearly 30 years. As of Tuesday at least 58 people in rural West Texas were diagnosed. And it appears to have spread to New Mexico, where eight people are sick from a smaller outbreak.

With hospitalizations and at least nine confirmed cases, health officials race to contain a growing outbreak in a community with low vaccination