An ongoing, multi-state listeria outbreak linked to prepared pasta meals has affected two individuals in Hawaii, resulting in one death, according to federal officials.

The U.S. Food and Drug Administration is still investigating the outbreak, which has been linked to Nate’s Fine Foods, a California-based supplier, and includes pre-cooked pasta meals often found in the refrigerated and frozen sections of grocery stores.

The listeria outbreak was first reported as early as June, and has now sickened at least 27 people in 18 states, including two in Hawaii, according to the U.S. Centers for Disease Control and Prevention. Twenty-five people have been hospitalized, and six have died , including one in Hawaii, CDC said.

One pregnancy-associated illness resulted in a fetal loss, CDC said.

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