NEW YORK (AP) — Health officials in the U.S. and Canada on Tuesday told people to avoid eating romaine lettuce because of a new E. coli outbreak.

The U.S. Food and Drug Administration said it is working with officials in Canada on the outbreak, which has sickened 32 people in 11 states and 18 people in the Canadian provinces of Ontario and Quebec.

The strain identified is different than the one linked to romaine earlier this year but appears similar to last year’s outbreak linked to leafy greens.

FDA Commissioner Scott Gottlieb said the agency doesn’t have enough information to ask suppliers for a recall, but he suggested that supermarkets and restaurants should withdraw romaine until the source of the contamination can be identified.

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