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6 killed, dozens sickened by listeria outbreak tied to recalled pasta meals

Recalled pasta meals sold at grocery stores in many states

This image provided by U.S. Agriculture Department shows Marketside Linguine with Beef Meatballs & Marinara Sauce. (U.S. Agriculture Department via AP) (Uncredited)

Six people are dead and dozens have gotten sick in the nationwide listeria outbreak linked to recalled pasta meals sold at grocery stores.

The listeria food poisoning is tied to pasta meals sold at stores including Walmart and Trader Joe’s in many states.

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In total, at least six people have died and 27 have been sickened in 18 states in the outbreak that began in August 2024. The latest illnesses occurred in September and October, with the most recent on Oct. 16, according to the U.S. Centers for Disease Control and Prevention.

The new deaths were reported in Hawaii and Oregon, the CDC said. Previous deaths were reported in Illinois, Michigan, Texas and Utah. One person who became ill was pregnant and it resulted in the death of a fetus.

The outbreak has been traced to precooked pasta produced by Nate’s Fine Foods of Roseville, California. In September, the company recalled nearly 245,000 pounds (111,130 kilograms) of pasta, including cases of linguine, fettuccine, penne and other products sold to large producers of heat-and-eat meals and pasta salads.

The move came after tests showed that pasta made by Nate’s Fine Foods contained the same strain of listeria found in chicken fettuccine Alfredo and meatball linguine products identified in the outbreak. FreshRealm, the San Clemente, California, company that produced those meals, used genetic sequencing to confirm the link to the outbreak.

Several national grocery stores have recalled dozens of products made with the affected pasta. People should check their refrigerators and freezers for the recalled foods and throw them away or return them to stores for a refund, officials said.

The CDC is working with state health officials to determine whether sick people ate recalled food or if additional foods may be contaminated with listeria bacteria linked to the outbreak. The U.S. Food and Drug Administration and the Agriculture Department are also investigating.

Here are the recalls to date:

Increased risk for listeria

People who are at an increased risk of severe symptoms from listeria:

  • Women who are pregnant
  • Newborns
  • People who are 65 years old or older
  • People who have a weakened immune system

Symptoms of listeria

Women who are pregnant:

  • Fever
  • Flu-like symptoms, such as muscle aches and fatigue

Other people:

  • Fever
  • Flu-like symptoms, such as muscle aches and fatigue
  • Headache
  • Stiff neck
  • Confusion
  • Loss of balance
  • Seizures

Severity of invasive illness

Women who are pregnant:

  • Symptoms in pregnant women are usually mild. Some pregnant women never have symptoms.
  • Infection during pregnancy usually leads to
    • miscarriage
    • stillbirth
    • premature delivery
    • life-threatening infection of the newborn.

Other people:

  • Symptoms in people who are not pregnant can be severe.
  • In cases of invasive listeriosis not associated with pregnancy, almost 1 in 6 people die.

Intestinal illness

Listeria can also cause an intestinal illness. This kind of illness is rarely diagnosed because laboratories do not regularly test patient samples for Listeria.

Symptoms of intestinal illness usually start within 24 hours after eating food contaminated with Listeria and usually last 1–3 days.

Symptoms of intestinal illness:

  • Diarrhea
  • Vomiting

Severity of intestinal illness:

  • Symptoms are usually mild.
  • However, some people with intestinal illness develop invasive illness

The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Department of Science Education and the Robert Wood Johnson Foundation. The AP is solely responsible for all content.


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