There have reportedly been 150 confirmed cases of Shigella in Kansas City, Missouri, prompting city health officials to warn the public of the disease outbreak that causes high fever and abdominal problems.

Fox 4 KC, citing newly released numbers from the Kansas City Health Department on Friday, reports the city usually sees 10 cases of Shigella per year, but so far in 2015 there have already been 150 reported cases. From Jan. 1 to July 1, there were only 16 cases, but in the last two months there have been 134 additional cases. The outbreak is 15-times the annual average.