INDIANAPOLIS (AP) – Indiana now has 48 cases of fungal meningitis linked to injections of a recalled back pain medication.

Health officials said Wednesday that there were still three deaths from the disease linked to Indiana. Elkhart County’s health officer has said all three deaths are linked to the northern Indiana county.

The Centers for Disease Control and Prevention updated the count on its website Wednesday.

The Indiana State Department of Health has said six Indiana clinics received the tainted steroids, including the OSMC Outpatient Surgery Center in Elkhart. The tainted medication also went to clinics in Columbus, Evansville, Fort Wayne, South Bend and Terre Haute.

The tainted steroids have been traced to the New England Compounding Center of Framingham, Mass.