RICHMOND (AP) -- Virginia Dept. of Health officials say there are 24 suspected cases of fungal meningitis connected to the use of tainted steroids and one person has died.

Officials said 689 people in Virginia received the injections.

State epidemiologist Dr. David Trump urged anyone who received an injection at outpatient clinics in Roanoke and Christiansburg, known to have received the steroids, to follow up with their doctor. If you got an injection on or after August 8, 2012, you are at highest risk, but it's not definite that you will get it ,he said.

There's an average 20-day incubation period before symptoms of meningitis have shown up, he noted.

The Centers for Disease Control and Prevention has confirmed more than 100 cases of the fungal meningitis nationwide. The outbreak spans nine states and has killed at least eight people.

The steroid linked to the outbreak had already been recalled by the Massachusetts company that produced it.

AP-WF-10-09-12 0605GMT

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