172 sick in 32 states

172 sick in 32 states

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Romaine lettuce of all varieties from the Yuma, Arizona, region has been blamed as the source of this outbreak. If you can not be certain a salad is free of romaine lettuce, do not eat it.

Twenty-three more people fell ill since the last update on May 9, bringing the total to 172 people from 32 states, the CDC said on Wednesday.

California still has the most cases, 39, followed by Pennsylvania (21); Minnesota (12); Idaho (11); New Jersey, Montana, Arizona, Alaska (eight each); Washington (seven); OH (six); NY and MI (five each); Georgia (four); Wisconsin, Tennessee, Massachusetts, Colorado (three each); Connecticut, Illinois, North Dakota (two each); Florida, Texas, Iowa, Kentucky, Louisiana, Mississippi, Missouri, Nebraska, Oregon, South Dakota, Utah, Virginia (one each).

"CDC is updating its advice to consumers".

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The person could have consumed the romaine lettuce at home, at a local restaurant or somewhere outside the area, Rooney said. Of 157 people with information available, 75 have been hospitalized, including 20 people who developed hemolytic uremic syndrome, which is a type of kidney failure. So, it should no longer be in stores and restaurants because of its three-week shelf life.

The person became ill about three weeks ago and has recovered, said Phil Rooney, a spokesman for the Douglas County Health Department.

The outbreak-which has been linked to one death-has been traced to tainted romaine lettuce grown in Arizona's Yuma Valley region.

In scale, this outbreak is approaching that of the 2006 baby spinach E. coli outbreak that sickened more than 200 people and killed five.

The CDC estimates that foodborne illnesses affect 47.8 million people in the US every year, putting 127,000 into the hospital and killing more than 3,000.

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