A yearlong outbreak of tuberculosis in the Kansas City, Kansas area has taken local experts aback, even if it does not appear to be the largest outbreak of the disease in U.S. history as a state health official claimed last week.

Kansas is currently experiencing a large tuberculosis outbreak, but federal health officials are countering the claim it’s a U.S. record.

You don’t need to have the vaccine to attend colleges in Kansas, but some do require you to get tested for tuberculosis before enrolling and going to classes on campus, like at the University of Kansas.