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On its website in December, the public health agency said that continued reports of illnesses suggested that contaminated romaine lettuce may still be in restaurants and stores, and advised people living in Eastern Canada to avoid romaine lettuce. Consumer Reports, however, is still saying to avoid romaine lettuce.

Cases by state is as follows: California (4), CT (2), IL (1), IN (2), Maryland (3), MI (1), Nebraska (1), New Hampshire (2), New Jersey (1), NY (1), OH (1), Pennsylvania (2), Vermont (1), Virginia (1), and Washington (1). Attorney Fred Pritzker and his team recently won $7.5 million for young client whose kidneys failed after he developed hemolytic uremic syndrome because of an E. coli infection. Because of this, the CDC is not recommending that US residents avoid any type of particular food. Individuals became sick in November and early December 2017.

No common supplier distributor, or retailer of leafy greens has been identified as a possible source of this outbreak.

State and local public health officials continue to interview sick people in the United States to determine what they ate in the week before their illness started. The five hospitalized are in the United States with the one death in the US and one in Canada.

The cases occurring in both the USA and Canada are of the same strain and appear to share a , but the CDC said this was not sufficient data to prove a link.

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In all, 42 people, from five provinces, became ill, according to Public Health Agency Canada.

"People in these groups should be particularly vigilant about avoiding romaine lettuce", Rogers said.

Jean Halloran, director of Food Policy Initiatives at Consumers Union, said it's unclear what steps FDA and CDC are taking in the wake of one of the most serious outbreaks that has occurred in the Trump administration. For STEC O157:H7 infections, this period can be two to three weeks.

However, officials indicated the outbreak in the United States may also be over soon. Holidays can increase this delay. They include severe stomach cramps, diarrhea and vomiting. This strain of E. coli can not be neutralized by washing, only by cooking, so if you have any, grill it till it's crispy or toss it.

For the record, symptoms of E. coli begin two to eight days after consuming the bacteria, notes CNN. "The bacteria can also be transmitted if a person who is carrying the bacteria doesn't wash his or her hands after using the bathroom and then processes or prepares food".