According to the CDC, 25 states have reported cases of E. coli linked to romaine lettuce.
The sick count in the states not mentioned above: Alaska and Arizona, eight each; Georgia, five; MI and NY, four each; OH and MA, three each; Colorado, Connecticut, Illinois and Wisconsin, two each; Kentucky, Louisiana, Mississippi, Missouri, South Dakota, Tennessee, Utah and Virginia, one each. Reports share more information about the bacteria to raise awareness on the outbreak.
The latest CDC report added four new states to the outbreak map, Florida, Minnesota, North Dakota and Texas.
A deadly E. coli outbreak linked to romaine lettuce is now affecting residents in Texas.
While the numbers have changed, the advice from the Centers for Disease Control and the Food and Drug Administration remains the same: Avoid all romaine lettuce from the Yuma, Arizona region as well as any romaine lettuce you can't confirm is not from that area.
The 2006 spinach outbreak of E. coli O157: H7 was one of the critical events in the lead-up to Congress passing the Food Safety Modernization Act (FSMA), which President Obama signed into law on January 4, 2011. One death was reported from California.
Also since the last update, 28 more ill people have been reported, bringing the total to 149.
The outbreak has now affected people in New Jersey, Connecticut, Pennsylvania, New York and almost half the rest of the US states.
Restaurants and retailers are being told to not serve or sell romaine lettuce coming from the Yuma, Arizona region. Those heads were harvested between March 5 and 16 and are past their 21-day shelf life.
Symptoms of illness caused by E. coli O157 typically include stomach cramps and diarrhea, often with bloody stools, but only a low-grade or no fever. The growing season in Yuma ended about a month ago, said the University of Arizona's Russell Engel, the director of Yuma County's cooperative extension service, but investigators have yet to isolate a possible brand or supplier.
The last time E. coli made headlines was back in 2006, but the latest wave of infections is supposedly even worse, which calls for the public to be well-informed to help keep it from spreading.