A deadly outbreak of Listeria monocytogenes linked to prepared pasta meals is continuing to spread across the United States.

Since September 25, the Food and Drug Administration (FDA) and Centers for Disease Control and Prevention (CDC) have identified three new states with infections, bringing the total number to 18 states.

The agencies first reported food recalls associated with the outbreak in June.

In the last month, seven new cases have been identified, alongside six new hospitalizations. That brings their respective totals to 27 cases and 25 hospitalizations since the outbreak began.

Two more deaths have also been reported, with six deaths recorded in total. There is also one reported instance of fetal loss during a pregnancy-associated illness.

Where has the Listeria outbreak s

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