SOUTH BEND — A report says the fourth death in Indiana from a fungal meningitis outbreak among patients injected with a recalled steroid occurred in St. Joseph County.

The county’s health officer, Dr. Thomas Felger, told the South Bend Tribune for a report Thursday that the victim was a 62-year-old woman. Felger says St. Joseph County has had 11 of Indiana’s 51 confirmed cases.

All four deaths have occurred in northern Indiana. The health officer in Elkhart County has previously said three deaths occurred there.

The Indiana State Department of Health has said six Indiana clinics received the tainted steroids. They’re located in South Bend, Elkhart, Columbus, Evansville, Fort Wayne and Terre Haute.

The tainted steroids have been traced to the New England Compounding Center of Framingham, Mass.