LOUISIANA (WVUE) - E-coli illnesses linked to chopped romaine lettuce out of Yuma, Arizona have been reported in Louisiana, according to the Centers for Disease Control.
Eighteen more ill people have been added to the CDC's investigation since the last update on April 13.
Five more states have reported ill people including Alaska, Arizona, California, Louisiana, and Montana.
Nine more hospitalizations have been reported, including two people who developed a type of kidney failure called hemolytic uremic syndrome.
Consumers anywhere in the United States who have store-bought chopped romaine lettuce at home, including salads and salad mixes containing chopped romaine lettuce, should not eat it and should throw it away, even if some of it was eaten and no one has gotten sick. If you do not know if the lettuce is romaine, do not eat it and throw it away, according to the CDC.
As of Wednesday 53 people infected with the outbreak strain of E. coli O157:H7 have been reported from 16 states.
Illnesses started on dates ranging from March 13, 2018 to April 6, 2018.
Illnesses that occurred after March 29, 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.
According to the CDC, this takes an average of two to three weeks.
The CDC warns before purchasing romaine lettuce at a grocery store or eating it at a restaurant, confirm with the store or restaurant that it is not chopped romaine lettuce from the Yuma, Arizona growing region. If you cannot confirm the source of the romaine lettuce, do not buy it or eat it.