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CDC reports more illness cases from romaine lettuce

The Centers for Disease Control and Prevention (CDC) has raised its count of Americans sickened by romaine lettuce grown in the U.S. in an E. coli outbreak.

In a news release Thursday afternoon, the CDC reported nine additional victims of illnesses related to the E. coli outbreak, bringing the total to 52 nationwide from Oct. 5 to Nov. 18. No deaths have been reported, but 19 people have been hospitalized related to the outbreak.

"No common grower, supplier, distributor, or brand of romaine lettuce has been identified," the CDC wrote in the news release.

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Consumers are advised to avoid any lettuce grown in regions of northern or central California, where officials believe the outbreak is centered. Americans are also advised to avoid any romaine lettuce not labeled with a grow location.

"Check bags or boxes for a label to confirm that it was not harvested in the Central Coastal growing regions of northern and central California," the CDC warns. "If the romaine lettuce is not labeled, do not buy, serve, sell, or eat it."

"People with symptoms of an E. coli infection, such as severe stomach cramps, diarrhea (often bloody), and vomiting, who think they might have gotten sick from eating romaine lettuce, should talk to their doctor and report their illness to the health department," the release continued.

The CDC's investigation has narrowed following the agency's initial announcement of the E. coli outbreak, which urged Americans to avoid all romaine lettuce nationwide.

“CDC is advising that U.S. consumers not eat any romaine lettuce, and retailers and restaurants not serve or sell any, until we learn more about the outbreak,” the agency said in a warning last month.