The Centers for Disease Control has reported 31 more people have become ill apparently from eating romaine lettuce from the Yuma area.

The update Wednesday also said that three more states have reported ill people. According to the CDC , the most recent illnesses started April 12, 2018 and that there may yet be more illnesses reported because the time between when a person becomes ill with E. Coli and when the illness is reported to CDC.

Information collected to date indicates that romaine lettuce from the Yuma, Arizona growing area could be contaminated with E. Coli O157:H7 and could make people sick. No common grower , supplier , distributor, or brand of romaine lettuce has been identified. The CDC advises consumers to not buy or eat romaine lettuce unless you can confirm it is not from the Yuma, Arizona region. Restaurants and retailers are advised to not sell or serve any romaine lettuce from the Yuma growing region. This includes whole heads and hearts of romaine, chopped romaine and salads and salad mixes containing romaine lettuce.

So far, 84 people infected with the outbreak strain of E. Coli have been reported from 19 states. Forty-two people have been hospitalized , including nine people who have developed a type of kidney failure associated with the infection. No deaths have been reported.