(PENNLIVE) — Romaine lettuce is unsafe to eat in any form, the Centers for Disease Control and Prevention said Tuesday in a broad alert in response to a new outbreak of illnesses caused by a particularly dangerous type of E. coli contamination.

The CDC told consumers to throw away any romaine lettuce they may already have purchased. Restaurants should not serve it, stores should not sell it, and people should not buy it, no matter where or when the lettuce was grown. It doesn’t matter if it is chopped, whole head or part of a mix. All romaine should be avoided.

The CDC alert, issued just two days before Americans sit down for their Thanksgiving dinners, reported that 32 people in 11 states have become sick from eating contaminated romaine. Of those, 13 have been hospitalized, with one patient suffering from a form of kidney failure. No deaths have been reported.

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