Richard Knox

The news for patients who had injections of fungus-tainted steroids just keeps getting worse.

One lasting image of Superstorm Sandy will be very sick patients being evacuated from flooded hospitals. But less visible are thousands of patients who rely on visiting nurses and home health aides for care ranging from bathing and feeding to oxygen and ventilators.

Hurricane Sandy only sideswiped Haiti during its early days. But reports so far suggest that even this indirect hit led to nearly as many deaths there as in the U.S. after the storm made landfall on the Mid-Atlantic coast.

As of Wednesday, Haiti had documented 54 deaths caused by Sandy — most in the nation's southern peninsula, which points toward Jamaica. Another 21 Haitians were still counted as missing, and many fear the death toll will rise as officials reach affected areas isolated by impassable roads and ruined bridges.

In a highly unusual step, the Food and Drug Administration has released a report of inspections it conduct this month of the Massachusetts pharmacy at the center of a national outbreak of fungal infections.

Two weeks after Matthew Spencer got a spinal injection for his chronic back pain, he felt "not quite right." Nothing too specific: worsening headache, nausea.

Then he saw a TV report on a recall of contaminated steroid medication used for back pain.

"I thought, well, I don't know if I had that medicine or not, but maybe I'd better go check it out," Spencer says.

As the caseload of fungal meningitis linked to a tainted steroid drug climbs, experts are learning more about this human-made epidemic. The signs indicate that cases could still be emerging until Thanksgiving or beyond.

The latest count is 268 cases of meningitis and three patients with fungal joint infections, spread across 16 states from New Hampshire to Texas and Idaho to Florida. Twenty-one people have died.