Update: Second child dies from measles in Grant County; Wisconsin cases reach 649

A second child has died from measles in Grant County, the Wisconsin Department of Health Services and the Grant County Health Department confirmed Friday, WGLR reports. Health officials did not release the age or gender of the child but said the death was connected to the ongoing measles outbreak in the state. As of Friday, 649 measles cases had been confirmed in 20 counties since August, the Department of Health Services said. An infant died from measles in Grant County last week, marking Wisconsin's first measles death since 1990. Two more Wisconsin counties confirmed measles cases Friday: the Monroe County Health Department confirmed a case in a county resident, and the Crawford County Health Department announced a laboratory-confirmed case. Both health departments are working with the affected people and their health care providers to identify anyone who may have been exposed, and people identified as potential contacts will be notified directly by public health officials. Southwestern Wisconsin has been hit hardest by the outbreak; Grant County was the hardest-hit county at 153 cases as of Nov. 10.