Measles cases in the United States are the highest they’ve been since the country eliminated the disease in 2000. The U.S. has reported 1,277 cases since the start of the year, according to NBC News’ tally of state health department data.

The U.S. has now recorded more confirmed measles cases this year than in any year in well over a quarter-century.

The number of measles cases in the U.S. has reached a 33-year record high, years after it was officially eliminated in the country, prompting public health experts to sound the alarm that other diseases could experience a similar resurgence.