Twenty-five years after the disease was declared “eliminated” in the U.S., cases are rising again, with a Texas outbreak now spreading to New Mexico. Measles cases continue to rise in the United States nearly two and a half decades after the virus had been declared eliminated in the country.

According to the CDC, if you were born after 1957, one dose is considered sufficient to be considered protected from measles. Some adults may need a second dose. The CDC says adults who are going to be in high-risk settings for transmission should make sure they’ve had two doses at least 28 days apart.