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The outbreak has been traced to the Yuma, Ariz., growing region, but it is not yet pinned to a common grower, supplier, distributor or brand.

Illnesses that occurred after March 27, 2018, might not yet be reported due to the time it takes between when a person becomes ill with E. coli and when the illness is reported.

The outbreak resulted in almost 36 people becoming ill to varying degrees, including 11 in Washington state. The following Monday, the Montana Department of Public Health and Human Services (DPHHS) announced three confirmed and four pending cases were likely linked to chopped romaine lettuce sourced from the winter growing areas in Yuma, bringing the nationwide total to at least 45 cases.

The Centers for Disease Control and Prevention is investigating whether romaine lettuce is the source of an E. coli outbreak. While none of the cases reported have been linked to Fresh Food products, the company said its concerned that its romaine supplier may have been involved in the outbreak.

The CDC on Friday advised consumers anywhere in the United States not to eat and throw away any store-bought chopped romaine lettuce at home, including salads and salad mixes containing chopped romaine lettuce.

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Many people prefer romaine to iceberg lettuce, because the romaine has a lot less water and usually lasts much longer in the fridge.

The people who are in the age range from 12 years to 84 years, with an average age of 29. Twenty-two ill people have been hospitalized, including three people who developed hemolytic uremic syndrome, a type of kidney failure.

The evidence which was collected after the epidemiologic indicate that the chopped romaine lettuce is the main source of this outbreak. While no deaths related to the outbreak have been reported, symptoms of E. coli can present as diarrhea, severe stomach cramps and vomiting. The CDC advises anyone with these symptoms to seek medical attention as E. coli infection is typically diagnosed via a stool sample.

Those who want to purchase romaine salad at grocery stores should first confirm that it was not grown in Yuma, Arizona, according to the CDC.