Federal health officials announced the death toll has risen in an ongoing listeria outbreak linked to recalled pasta meals as more states report new cases of illnesses and hospitalizations.

The Food and Drug Administration confirmed two more deaths and seven new illnesses from three states have been reported since their last update on Sept. 25. As of Oct. 30, a total of 27 people across 18 states have been infected with the outbreak strain of listeria, which has also killed six people.

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The deaths were reported in Hawaii, Illinois, Michigan, Oregon, Texas and Utah.

Of the 27 people sickened, 25 were hospitalized, and one pregnancy-associated illness resulted in fetal loss, according to the FDA.

The agency urged

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