A central Pennsylvania dairy connected with 43 illnesses in four states has resumed bottling raw milk after an 11-day shutdown.
Thirty-six of the people sickened were in Pennsylvania.
The Family Cow dairy in Chambersburg began bottling again Tuesday. The dairy had been shut down since illnesses were first reported late last month.
Officials say confirmed cases of Campylobacter infection include 36 people in Pennsylvania, four in Maryland, two in West Virginia, and one in New Jersey.
Camplyobacter is a bacterial infection that affects the intestinal tract and can sometimes affect the bloodstream and other organs, the Department of Health says.
The raw milk from the dairy in question is sold at an on-site store at The Family Cow Farm and retail stores around Pittsburgh, Philadelphia, the Lehigh Valley and South-Central Pennsylvania, according to the Department of Health.
The Pennsylvania Department of Agriculture cleared the dairy to resume production on Monday after series of inspections.
Farm owner Edwin Shank says he's installing lab equipment to test for E. coli every time the dairy bottles raw milk.