Romaine lettuce is displayed on a shelf at a supermarket in California in April, during an E. coli outbreak traced to contaminated lettuce.
Go here for more information from the CDC. No deaths have been reported.
No deaths have been reported, but 13 of the people who became sick in the U.S. were hospitalized.
The Canadian Food Inspection Agency is urging everyone in Quebec and Ontario to throw away their romaine lettuce because of an E. coli outbreak. One of the hospitalized developed hemolytic uremic syndrome, a type of kidney failure.
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The most recent illness onset in the USA among these cases was October 31, 2018.
"It's still early in this investigation and work remains to pinpoint the source of contamination that contributed to this outbreak", Food and Drug Administration Commissioner Scott Gottlieb said in a release.
Officials now say you should throw all types or uses of romaine lettuce away immediately. Toss it. In fact, the alert includes advice on how to clean your refrigerator if romaine has been inside it recently.
Restaurants also are being advised by the CDC to not serve it, and stores are being told not to sell it.
"Symptoms of Shiga toxin-producing E. coli (STEC) infection vary for each person, but often include severe stomach cramps, diarrhea (often bloody), and vomiting". If there is fever, it is usually not very high (less than 101 degrees Fahrenheit/less than 38.5 degrees Celsius).