The number of measles cases in the United States so far this year has surpassed last year, reports USA Today.

Nationwide as of Oct. 6, the most recent nationwide data available, 142 measles cases had been reported, according to the federal Centers for Disease Control and Prevention. The number of people sickened, mostly unvaccinated, exceeded the 2017 total of 120 in mid-August.

As of Friday, Rockland County had 46 confirmed cases and nine suspected cases, according to the county’s health commissioner, Dr. Patricia Ruppert. A month ago, Rockland County Health Department officials were worried about an outbreak and offering emergency measles vaccination clinics because a traveler from Israel had visited an ultra-Orthodox Hasidic synagogue and a sukkah, a temporary structure built for the weeklong Jewish festival of Sukkot, near a Jewish boys school in New Square, New York.