It’s taking place once again: The Centers for Illness Control and Avoidance (CDC) is cautioning Americans to prevent romaine lettuce.

In a fresh declaration published online today (Nov. 20), the firm revealed that authorities are “examining a multistate break out of Shiga toxin-producing Escherichia coli O157: H7 connected to romaine lettuce.” To put it simply, E. coli– polluted lettuce is here once again.

Up until now, 32 cases have actually been reported in 11 states. In addition, 18 cases connected to the very same break out have actually been reported in 2 Canadian provinces. Customers are being recommended to “not consume any romaine lettuce, and merchants and dining establishments [should] not offer or serve any” till the CDC discovers more about the break out.

If you have any romaine in your house, you ought to toss it away, even if a few of it was currently consumed and you did not get ill, the CDC states. The advisory uses to all kinds of romaine lettuce, consisting of “entire heads of romaine, hearts of romaine, and bags and boxes of pre-cut lettuce and salad blends which contain romaine, consisting of infant romaine, spring mix and Caesar salad,” the CDC states. If you do not understand if lettuce is romaine, do not consume it.

Last spring, an E. coli break out in romaine lettuce eliminated 5 individuals and sickened more than 200 individuals in 36 states. The break out was initially reported in March, and the CDC didn’t state the lettuce safe to consume till mid-May Because break out, the source was traced to a infected watering canal in Yuma, Arizona

Initially released on Live Science