The CDC reports that America’s measles epidemic is far from finished, as 25 new cases have been reported in the last week bringing the total to 1,148 in 2019, the most since 1992.

The 2.2% increase in the number of cases between July 11 and July 18 included new cases in Ohio and Alaska, bringing the total number of states affected by the outbreak to 30, the US CDC said.

While 25 new cases is up from 14 in each of the past two weeks, the number reported in a week has not exceeded 30 since June 24.