Four people are dead and nearly 20 were hospitalized due to a listeria outbreak connected to recalled ready-to-eat meals sold at stores nationwide, including at Walmart, Trader Joe’s and Albertson’s.

The Centers for Disease Control and Prevention (CDC) issued the recall on Sept. 25 while investigating an outbreak of listeria monocytogenes contamination.

The outbreak has occurred in 15 states with a total of 20 confirmed infections, the agency reports. Since Sept. 26, the infection has resulted in 19 hospitalizations and four deaths were reported in Illinois, Michigan, Texas and Utah. One of the illnesses resulted in a fetal loss.

Trader Joe’s

One of the products is for “Trader Joe’s Cajun style blackened chicken breast fettuccine alfredo,” which was sold in 16-ounce tray packages wi

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