Three additional meningitis cases have been reported in Cumberland County, bringing the total statewide to 40.

All three were women, ages 48, 49 and 71.

The cases, two confirmed and 38 considered probable, are linked to a recalled, potentially tainted steroid produced by a specialty pharmacy in Massachusetts. Nationally, officials say more than 500 cases have been reported in 19 states, including 36 deaths.

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