Romaine lettuce is back on the menu.

On Monday, the United States Fda revealed that romaine lettuce not grown in northern and main California is safe to consume.

The romaine has actually been connected to an E. coli break out that led to 43 reported health problems throughout 12 states in the United States, along with 22 individuals in Canada who have actually ended up being ill, since Monday.

Learn More: Romaine lettuce sales are down more than $71 million up until now this year as the market has actually been mauled with food-poisoning break outs– and things will worsen

Significant romaine lettuce manufacturers and suppliers will start identifying lettuce with its harvest area and date to make sure that the veggies were not infected by E. coli. Particular counties where the romaine connected to the break out was gathered consist of Monterey, San Benito, San Luis Obispo, Santa Barbara, Santa Cruz, and Ventura, the FDA revealed on Wednesday.

If the lettuce is identified and not from northern and main California, it is safe to consume; if it is not identified, the FDA is recommending versus purchasing or consuming the lettuce.

“The FDA thinks it was seriously essential to have a ‘tidy break’ in the romaine supply offered to customers in the United States in order to purge the marketplace of possibly infected romaine lettuce associated to the existing break out,” the FDA stated in a declaration. “This appears to have actually been achieved through the marketplace withdrawal demand of Nov. 20, 2018.”

On November 20, the Centers for Illness Control and Avoidance informed individuals throughout the United States to stop consuming and eliminate romaine lettuce in all kinds. At that point, a minimum of 32 individuals in 11 states had actually reported E. coli infections connected to romaine lettuce beginning in October, according to the CDC.

Gastrointestinal disorder break outs have actually cost the romaine lettuce market countless dollars up until now in2017 In April, the FDA exposed that romaine lettuce gathered in the Yuma, Arizona, area was infected with E. coli in a break out that left 5 individuals dead and sickened a minimum of210

.

The break out sent out romaine lettuce sales plunging more than 40% in the weeks after the CDC informed individuals to discard all kinds of romaine. Romaine lettuce sales are down by more than $71 million up until now in 2018, according to Nielsen information.

Regardless of the rough year, Expense Marler, a lawyer who concentrates on food-poisoning cases, states there’s no clear reason that romaine has actually been at the center of 2 significant E. coli break outs.

“I believe it’s simply, romaine’s getting a bad draw,” Marler stated. “It might have simply as quickly occurred to other sort of lettuce or other kinds of leafy greens, such as spinach.”