A second person has died following an outbreak of Legionnaires’ disease in North Carolina, while 88 people have been hospitalized, state health officials announced on Thursday.

As of Oct. 9, there were 134 confirmed cases of Legionnaires’ disease or Pontiac fever, a milder form of the illness, according to the North Carolina Department of Health and Human Services’ Division of Public Health.

Residents in “multiple states and North Carolina counties” have been affected, officials said.

The outbreak is linked to the North Carolina Mountain State Fair, which took place from Sept. 6-15 at the Western North Carolina Agricultural Center in Fletcher.

More specifically, those sickened were likely exposed to Legionella bacteria near a hot tub display within the Davis Event Center at the Agricultural Center. The event center housed many vendors during the fair, including those for hot tubs.

Read more from Madeline Farber / Fox News