The number of Americans sickened by a deadly meningitis outbreak has now reached 119 cases, including 11 deaths.

The U.S. Centers for Disease Control and Prevention updated the count on Tuesday.

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A laboratory technician packges cerebrospinal fluid of the three confirmed meningitis cases in Minnesota to send to the CDC. The agency says 10 states have reported an illness. (Hannah Foslien/Associated Press)

New Jersey is the 10th state to report at least one illness. The other states involved in the outbreak are Tennessee, Michigan, Virginia, Indiana, Florida, Maryland, Minnesota, North Carolina and Ohio.

Officials have tied the outbreak of rare fungal meningitis to steroid shots for back pain. The steroid was made by a specialty pharmacy in Massachusetts. At least one contaminated vial was found at the company.

The company recalled the steroid that was sent to clinics in 23 states, and later recalled everything it makes.