Nearly 160 recruits at a U.S. Air Force base in Texas have been affected by a flu outbreak just two months after Pete Hegseth removed the requirement for an annual flu vaccine.

According to ABC News and The New York Times, there were at least 159 known cases and two hospitalizations among recruits at Lackland Air Force Base at Joint Base San Antonio, where recruits sleep on bunk beds and eat together at large communal tables. The true figures may be higher, however.

An Air Force spokesperson told ABC News that there has been a “localized influenza outbreak among trainees at Basic Military Training” for three weeks.

They added that medical professionals and public health officials have put “mitigation measures” in place to isolate and treat those showing symptoms and monitor trainees who were in close contact with those affected.

The spokesperson told the outlet that trainees with symptoms were being given “the appropriate care,” including antiviral medications.

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