Pennsylvania authorities report a sixth measles-related death as the state confronts its largest outbreak in decades. NBC News and The Independent say the death is linked to measles and comes as more than 4,000 measles cases are confirmed nationwide this year.

The Hill and The Washington Post report that the Franklin County Coroner identified a 39-year-old woman who died after a recent measles diagnosis. The coroner states she had several underlying conditions and that the illness had been treated, while documenting the death as measles-related. Outlets also note this outbreak is the first in the U.S. to surpass more than 1,000 cases since 1991.

Together, the coverage emphasizes the scale of the national outbreak, while Pennsylvania-focused reporting details the local coroner’s advisory and the patient’s circumstances. None of the outlets cite new causes beyond the measles diagnosis and the presence of underlying health conditions.