INDIANAPOLIS (AP) – Indiana now has 50 cases of fungal meningitis linked to injections of a recalled back pain medication.

The Indiana State Department of Health released the new total Friday. It says the number of deaths from the disease linked to Indiana remains at three. Elkhart County’s health officer has said all three deaths are linked to the northern Indiana county.

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.