New Jersey health officials say six new fungal meningitis cases, including four in Cumberland County, have been reported in the ongoing outbreak.

Statewide, 46 cases cases have been reported. The new cases include a 60-year-old Salem woman, a 66-year-old Morris County man and four Cumberland County residents — a 64-year-old man and three women, ages 63, 70 and 77.

The cases, five confirmed and 41 considered probable, are linked to a recalled, potentially tainted steroid produced by a specialty pharmacy in Massachusetts. Nationally, officials say more than 600 cases have been reported in 19 states, including 39 deaths.

State health officials say no one in New Jersey has died from the illness. Twelve patients remain hospitalized, and all of those sickened continue to recover.