All of the state's cases have been linked to contact with infected dairy cows, officials said. No human-to-human transmission has been documented.

However, there is urgent concern over dairy cows. In California’s Central Valley, the carcasses of dead cattle have been piling up, a phenomenon documented in videos taken by a local veterinarian. According to the CDC, there have been confirmed infections in more than 300 herds of cattle in the U.S. in 14 states since March.