(Reuters) - Fourteen more people fell ill
from an E. coli outbreak linked to romaine
lettuce, U.S. health officials said on
Friday, bringing the number of people
affected to 98 across 22 U.S. states.
Romaine lettuce grows near Soledad,
California, U.S., May 3, 2017.
The reported strain of E. coli, which
produces poisonous substances known as Shiga
toxins, can cause severe abdominal cramps,
bloody diarrhea and vomiting.
The outbreak that began last month is now
the largest multi-state Shiga
toxin-producing outbreak since 2006, the
U.S. Centers for Disease Control and
Prevention (CDC) said.
Forty-six people have been hospitalized,
including 10 who had developed a type of
kidney failure, the CDC said in its latest
update on the outbreak. No deaths have been
Three more states — Mississippi,
Tennessee, and Wisconsin — reported people
“We do expect more reports of illnesses
since there is a two-to-three week delay
between the time that a person is sick and
between the time they can be confirmed as
part of the outbreak,” Matthew Wise, deputy
branch chief for Outbreak Response at the
CDC, said at a media briefing.
Eight cases in Alaska were linked to a
farm in Yuma, Arizona, the CDC said.
“Most of the illnesses linked to the
Romaine outbreak are not linked to the
Romaine lettuce from (the Yuma) farm. We are
investigating dozens of other fields as
potential sources of the chopped Romaine
lettuce,” a U.S. Food and Drug
Administration official said at the
The CDC repeated its advice that people
not eat or buy romaine lettuce, which is
commonly used in salads, unless they can
confirm it is not from the Yuma growing