A total of 42 people infected with the outbreak strain of Listeria monocytogenes were reported from 21 states – Alabama, California, Colorado, Connecticut, Florida, Illinois, Indiana, Maryland, Michigan, Minnesota, Missouri, North Carolina, Nevada, New York, Ohio, Oklahoma, Pennsylvania, Tennessee, Texas, Washington, and West Virginia. Illnesses started on dates ranging from August 17, 2018, to March 13, 2025. Of 42 people with information available, 41 were hospitalized. A total of 14 deaths were reported from 9 states: California, Illinois, Indiana, Michigan, Minnesota, North Carolina, New York, Tennessee, Texas, and Washington. Most people in this outbreak reported living in long-term care facilities or were hospitalized prior to becoming sick. The true number of sick people in this outbreak was likely higher than the number reported, and the outbreak may not have been limited to the states with known illnesses. This is because some people recover…