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He says romaine production out of California is not associated with the outbreak.

Talk to your health care provider if you have symptoms of an E. coli infection and report your illness to your local health department.

Health officials warned consumers to completely avoid romaine lettuce amid a widening E.coli outbreak linked to produce grown in Yuma, Ariz.

The CDC expanded the warning Friday afternoon to all forms of romaine lettuce. Restaurants may know, but unless the restaurant can assure patrons that their romaine is not from the Yuma, Arizona area, people should not eat it, the CDC said. Common symptoms of an infection include stomach cramps, diarrhea, and vomiting. As a result, they caution that all store-bought chopped romaine lettuce, including salad mixes containing romaine, should not be eaten.

"If you can not confirm the source of the romaine lettuce, do not buy it or eat it", the CDC said in a statement. The warning covers all types of romaine lettuce and lettuce products from the Yuma, Arizona, growing region.

The number of cases of illness has grown in the last several days.

To keep yourself and your family safe, the CDC recommends avoiding any romaine lettuce products that could be contaminated.

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To date, 53 other cases have been reported in 16 states with 31 hospitalizations and no deaths.

Pennsylvania is the hardest-hit state with 12 cases, followed by Idaho with 10.

One case linked to the outbreak has been identified in IL. Instructions also say to not purchase any romaine until further notice, and to refrain from buying any dish featuring romaine lettuce in a restaurant. It is important to toss or refrain from eating the lettuce because lettuce labels do not often identify the source of origin.

This investigation is ongoing, and CDC will provide updates when more information is available.

McDonald's in Nogales is among restaurants that have stopped serving salad in light of a recent E.coli outbreak.

Most E. coli are harmless and actually are an important part of a healthy human intestinal tract. No, said Ian Williams, chief of the CDC's Outbreak Response and Prevention Branch.

This strain has been responsible for many high-profile outbreaks. The bacteria can be spread by contaminated water, animal manure or in undercooked beef.


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