Actor Gene Hackman died of heart disease a full week after his wife died from hantavirus in their New Mexico home, likely unaware that she was dead because he was in the advanced stages of Alzheimer’s disease, authorities revealed Friday.

Betsy Arakawa died of hantavirus pulmonary syndrome at the age of 65, New Mexico health authorities said. Here’s what to know about the rare but deadly disease.

Nearly 230 measles cases have been identified in outbreaks in West Texas and a nearby New Mexico county. One hundred ninety-eight measles cases have been reported in the West Texas outbreak, the Texas Department of State Health Services said in an update Friday — 39 more confirmed cases since an update on Tuesday.

The outbreak has sickened nearly 200 people in Gaines County, Texas. A neighboring county in New Mexico has seen 21 new cases since Tuesday.