Officials say there have been at least 129 infections and nine deaths in Michigan linked to a national meningitis outbreak.
The Michigan Department of Community Health says the state has had 65 cases of meningitis, including the nine deaths. In addition, there have been 57 epidural abscesses, one stroke and six joint infections.
Livingston County and Washtenaw counties have had two deaths each, with one each in Cass, Charlevoix, Genesee, Ingham and Wayne counties.
Fungal meningitis has been linked to contaminated steroids produced by a Massachusetts pharmacy and shipped to four Michigan clinics. Patients who became ill had received injections for neck or back pain.