North Dakota's measles rate is the highest in the country

With 34 confirmed cases spread across four different counties, the rate of measles in North Dakota is higher than anywhere else in the country.

The state has a rate of 4.3 measles cases per 100,000 residents, the North Dakota Public Health Association said in a June 3 Facebook post . New Mexico has the next highest rate, with 3.7 cases per 100,000 residents, followed by Texas, where hundreds of people have been infected.

"This is not a result of local public health failure," the association's post says. "This is a result of persons in the community choosing not to have their children vaccinated and resisting local public health recommendations and urgent efforts to increase vaccination uptake."

Two people in the state have had to be hospitalized, and none of the people infected we