Nine more people have become sick after eating romaine lettuce amid an E. coli outbreak, according to the Centers for Disease Control and Prevention.

The total of people infected is now 52 across 15 states, the CDC said Thursday. Illnesses were reported between Oct. 5 and Nov. 18. 

The highest number of cases have been reported in California and New Jersey, each reporting 11 people sick. Seven people in Michigan, and six each in New Hampshire and New York were reported. Other states affected include: Connecticut, Florida, Illinois, Louisiana, Massachusetts, Maryland, Ohio, Pennsylvania, Rhode Island and Wisconsin.  

Nineteen people have been hospitalized, including two who suffered from kidney failure. No deaths have been linked to the outbreak.

Health officials in Canada are investigating an additional 27 cases

Last month, the Food and Drug Administration announced that the contaminated lettuce likely came from crops in California. The agency says romaine lettuce that contains labeling information showing it was harvested outside of the infected area (Central Coast growing regions of northern and central California) is safe to eat. Hydroponically- and greenhouse-grown romaine lettuce is also safe to eat. 

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9. E.coli infections     Health and regulatory agencies are investigating a multi-state outbreak of Escherichia coli, also known as E. coli, linked to romaine lettuce grown in northern and central California. As of November 26, 2018, 43 cases of E. coli infection have been reported in 12 states.
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