INDIANAPOLIS (AP) – Indiana now has 43 cases of fungal meningitis linked to injections of a recalled back pain medication.

The Indiana State Department of Health reported two additional cases Thursday. The number of deaths remains at three, and Elkhart County’s health officer has said all three have been linked to that county east of South Bend and bordering Michigan.

The health department 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.