According to press reports, raw milk produced at The Family Cow farm is the source of the most severe outbreak of sickness linked to raw milk in Pennsylvania in five years. The Pennsylvania Department of Health reported on Wednesday reported five more confirmed cases of campylobacteriosis, bringing the four-state total to 76.

The two previous largest outbreaks since 2006 were both in 2008 — 72 cases in an outbreak originating in Lancaster County and 68 in Montgomery County. More than 250 people in Pennsylvania have become ill after drinking raw milk during the past five years, according to the state health department. Campylobacter bacteria caused six of the seven outbreaks during that time.

Breakdown of cases: 66 in Pennsylvania, 5 in Maryland, 2 in New Jersey and 3 in West Virginia.