Dozens of free measles vaccination clinics across Texas have been abruptly canceled, as steep federal funding cuts hit local public health operations.

The measles outbreak in western Texas is continuing to grow with a total of 422, according to new data published Tuesday.

The Texas health department reported 422 cases of measles in the state on Tuesday, an increase from 400 in its previous count on March 28. Separately, New Mexico reported four additional measles cases from its report on March 28,

The Texas public health department is now reporting a total of 422 measles cases in the ongoing outbreak that began in Gaines County. The outbreak has now spread to two additional counties, both in the center of the state.

Public health departments relied on COVID funding to expand testing, lab and vaccination capabilities. Local health leaders say the federal government's clawback of $11.4 billion will undermine that growth.

The Kansas Department of Health and Environment, which reported one new measles case in the past week, now has a possible link to the Texas outbreak.

Tarrant County Public Health let go of some employees funded by federal grants in late March, as nationwide cuts have left health departments across the U.S. and North Texas scrambling.

A local medical official is warning against the unsupervised use of vitamin A to treat measles as Texas sees a growing number of cases. Here's what to know.