Twenty-five more ill people from 13 states were added to this investigation since the last update on May 16, 2018.
Three more states have reported ill people: Arkansas, North Carolina, and Oklahoma.
Four more deaths were reported from Arkansas (1), Minnesota (2), and New York (1).
It takes two to three weeks between when a person becomes ill with E. coli and when the illness is reported to CDC. Most of the people who recently became ill ate romaine lettuce when lettuce from the Yuma growing region was likely still available in stores, restaurants, or in peoples’ homes. Some people who became sick did not report eating romaine lettuce, but had close contact with someone else who got sick from eating romaine lettuce.