An outbreak of tuberculosis in the Kansas City area has grown into one of the largest ever recorded in the United States, with dozens of active cases of the infectious disease reported, according to health officials.

A yearlong outbreak of tuberculosis in the Kansas City, Kansas area has taken local experts aback, even if it does not appear to be the largest outbreak of the disease in U.S. history as a state health official claimed last week.

In today’s Health Alert, the tuberculosis outbreak continues to infect dozens of people in Kansas. Two people lost their lives last year, and right now, 67 people are being treated for active TB.