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The Centers for Disease Control and Prevention warned Wednesday that one person has died and 13 others have been hospitalized due to an outbreak of Listeria linked to deli meats and cheeses.

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The outbreak, which has infected a total of 16 people, has been detected in Massachusetts, New York, New Jersey, Maryland, Illinois, and California, according to the CDC’s latest update.

According to the CDC, seven of the 16 diseases were found in New York City.

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However, officials have warned that the actual number of sick people is likely higher than reported and that the outbreak may not be limited to the aforementioned states.

According to the CDC, meat and cheese purchased from deli shops in several states are still believed to be “likely sources of this outbreak.” Federal health officials say deli meats and cheese are known sources of listeriosis.

The U.S. Centers for Disease Control and Prevention (CDC) said it’s difficult to identify a single product in an outbreak involving deli meats and cheeses due to the bacteria “easily spreading between food and deli environments and can persist for long periods in grocery store windows and equipment. ”

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Dozens of people have already been interviewed by local health authorities. Eleven of them reported eating meat or cheese from grocery stores.

Five out of seven people who sick in New York told health officials they bought sliced ​​meats or deli cheese at at least one NetCost Market grocery chain location.

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However, “investigators do not believe that NetCost Market delicacies are the only source of disease because some sick people did not shop at NetCost Market during the outbreak,” the CDC said, adding that “contaminated food likely brought outbreak-caused strain of Listeria into the body.” delicacies in several states.”

According to the CDC, older people, pregnant people, and people with weakened immune systems are at higher risk of severe illness.

Healthy people may suffer from mild symptoms of food poisoning, such as diarrhea and fever, officials said.