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The warning included all types of romaine lettuce grown in the Salinas area, including whole heads of romaine, organic romaine, hearts of romaine and romaine in salad wraps.

Consumers are advised if they have lettuce that was grown in Salinas to throw it away or return it to the place of purchase. Anyone ordering salad containing romaine at a restaurant or a salad bar should ask the staff if the lettuce came from Salinas, officials said.

The public should also stay away from packages of pre-cut lettuce and salad mixes that contain any romaine, according to the CDC.

Wisconsin has reported the most ill people, with a total of 31. Arizona, California, Colorado, Florida, Idaho, Iowa, Illinois, Maryland, Michigan, Minnesota, Montana, Nebraska, New Jersey, New Mexico, North Carolina, Ohio, Oregon, Pennsylvania, South Dakota, Texas, Virginia and Washington have also reported people infected.

The CDC first issued an advisory last month after 67 people became ill.

OUTBREAK UPDATE: Do not eat, sell, or serve romaine lettuce from the Salinas growing region. If you don’t know or can’t tell where the lettuce is from, don’t eat it. 67 ill people reported from 19 states. Find out how to identify this lettuce: https://t.co/sZvP3yMmqV pic.twitter.com/ZjJPLqWXOC

— CDC (@CDCgov) November 26, 2019

Most people infected with that strain of E.coli can experience diarrhea, which is often bloody, and vomiting. Many of those infected recover within a week, but, in rare cases, a person can develop a severe infection.

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