Health officials announced on Wednesday that more people have died from the national meningitis outbreak, bringing the number of deaths to 31.

Currently, there are 424 non-fatal cases in the following states: Florida, Georgia, Idaho, Illinois, Indiana, Maryland, Michigan, Minnesota, New Hampshire, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas and Virginia.

The following states with meningitis-related deaths include: Florida (3), Indiana (4), Maryland (1), Michigan (7), North Carolina (1), Tennessee (13), and Virginia (2)
Tennessee leads with the most illnesses and deaths.

The outbreak has been tied to a contaminated steroid shot for back pain from specialty pharmacy The New England Compounding Center of Framingham, MA. It has since been shut down and their products have been recalled.