A Utah resident is dead after a nationwide listeria outbreak caused 20 illnesses, 19 hospitalizations and four deaths.

The Utah Department of Agriculture and Food issued an alert Monday warning consumers of an outbreak linked to ready-to-eat pasta meals sold nationwide.

“The actual number of illnesses may be higher than the number reported, as many cases may go unreported and it can take three to four weeks to determine if an illness is part of an outbreak,” reads a news release from the agriculture and food department.

Specifically, the products linked to the alert include “Marketside linguine with beef meatballs and marinara sauce” sold at Walmart with “best if used by” dates of Sept. 22, Sept. 24, Sept. 25, Sept. 29, Sept. 30 and Oct. 1; and “Trader Joe’s Cajun-style blackened chic

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