An additional five confirmed infections have brought the total number of Campylobacter illnesses to 76 in an outbreak linked to raw milk from Your Family Cow dairy in Chambersburg, Pennsylvania, the Pennsylvania Department of Health said Wednesday. At least 9 people have been hospitalized.

Four of the new cases surfaced in Pennsylvania, while another appeared in Maryland. The new breakdown of illnesses by state is as follows:

Pennsylvania (66 illnesses), Maryland (5), West Virginia (3), New Jersey (2).

The Maryland Department of Health and Mental Hygiene noted that four of its five victims are under the age of 18.