(Des Moines, Iowa) –  Officials with the Iowa Department of Health and Human Services said Tuesday, a second person in Iowa has now tested positive for measles. The announcement comes after the first case in Iowa since 2019 was reported last month.

The May case was a woman from central Iowa who was not vaccinated and had been traveling. This new case involves a man who was vaccinated. The department is working on confirming if he had recently been traveling.

The announcement comes as the highly contagious disease continues to spread across the country, with 34 states reporting cases. According to the CDC, over 1,100 cases have been reported in the country as of June 5, a majority of them occurring in Texas.

Measles is a highly contagious and potentially deadly disease. It spreads through the air when a person infected with the virus coughs or sneezes. Symptoms appear roughly 7-21 days after infection and include: cough, red and/or watery eyes, nasal congestion, fever, rash, and Koplik spots. If you believe you’ve been exposed to measles or may have measles HHS says to call your healthcare provider as soon as possible.