Any romaine lettuce being sold now is nearly certainly not from the Yuma, Arizona region and so unlikely to carry the E. coli bacteria that's been making people sick, the Centers for Disease Control and Prevention says.
Romaine lettuce is displayed on a shelf at a supermarket in San Rafael on April 23, 2018.
Iowa, Nebraska and OR are the latest states to report illnesses linked to the outbreak, joining 29 states that previously reported cases. The chain said in a statement on its website that it had removed all romaine from the Yuma, Arizona area, where the E.coli outbreak began, and was "only sourcing our romaine from the Salinas, California area". The latest reported illness started on May 2, 2018, officials said.
The growing season there ended last month, and according to the US Food and Drug Administration, the last shipments of lettuce from there were harvested April 16.
Unless you know where the lettuce came from, consumers anywhere in the USA who have any store-bought romaine lettuce at home should not eat it and should throw it away.
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The CDC said three more states - Iowa, Nebraska and OR - have been hit by the outbreak, bringing the total number of affected states to 32.
That means that the agency is no longer advising consumers to avoid buying romaine lettuce in connection with the outbreak.
The Centers for Disease Control and Prevention says the bacteria strain behind the outbreak tends to cause more serious illnesses.
The CDC's Deputy Chief for Outbreak Response, Matthew Wise, said the technology helps authorities trace cases of E.Coli back to their source.
The sweeping advisory came after information tied to some new illnesses prompted health officials to caution against eating all kinds of romaine lettuce that came from Yuma. "Most people get diarrhea [often bloody], severe stomach cramps and vomiting", according to the CDC.