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Americans should not eat any romaine lettuce amid concerns over a new E. coli outbreak, the Centers for Disease Control and Prevention warned Tuesday.

Consumers should throw away any romaine lettuce, and retailers and restaurants should not sell or serve it, the CDC said.

At least 32 people in 11 states have gotten sick from the same strain of E. coli in the outbreak. The illnesses started in October and have hospitalized at least 13 people, including one with a kind of kidney failure, the CDC said. No deaths have been reported, and no recalls have been issued.

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