Federal health officials said a has resulted in more reported illnesses and an additional death.

Last week, the deadly listeria outbreak involving packaged pasta meals produced by FreshRealm Inc. has now impacted 20 people across 15 states.

The CDC said four people in total have died — in Illinois, Michigan, Texas, and Utah — and 19 people had to be hospitalized in connection to this listeria outbreak. Officials said "one pregnancy-associated illness resulted in a fetal loss."

Officials said the true number of cases and the states that are impacted may be higher than the numbers they have gathered.

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"This is because some people recover without medical care and are not tested for listeria.  In addition, recent illnesses may not yet be reported as it usually takes 3 to 4

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