An Amish community in central Ohio continues to grapple with a measles outbreak after community members brought the disease back from a service trip in the Philippines, NPR reports.
Local health officials have set up vaccination clinics in the area to combat the outbreak, but the disease continues to spread to nearby counties, NPR reports.
So far this year, there have been at least 130 reported cases of measles in Ohio Amish communities, NPR reports. The outbreak is part of a larger measles problem in the United States this year.
So far in 2014 there have been 514 reported cases of the measles in the United States, with 87 percent of cases attributed to 16 separate outbreaks, according to the CDC.
The typical national average of reported cases is about 60, the Washington Post reports.
Symptoms of measles include fever, runny nose, cough and a rash all over the body. The disease is usually spread when unvaccinated communities are exposed to people who carry the virus back from other countries, the CDC reports.