A child has died of measles in Texas, officials said — the first death from the highly contagious disease the United States has seen in a decade. The school-age child was not vaccinated, according to the Texas Department of State Health Services.

So, to recap, for the first two to four days, common measles symptoms in adults include: After this initial phase, you’ll get the characteristic measles rash. It’ll usually start at the top of your body, near your hairline and on your cheeks, and then move downward to your chest and trunk and finally outward to your limbs, Dr. Lovins says.

The majority of the 124 measles cases reported in Texas this year have been in children between five and 17. The first death in an ongoing measles outbreak has been reported in Texas. The Texas Department of State Health Services announced the death of a school-aged child on Wednesday morning.

Health officials aim to improve public understanding of the importance of measles vaccinations and, for some, potentially the need for a booster shot.