Federal health investigators from the US Food and Drug Administration and US Department of Agriculture's Food Safety and Inspection Service documented 27 individuals infected with the outbreak strain across 18 states, per WKRC/CNN Newsource. The CDC characterizes listeria as "a bacteria that can contaminate many foods," with symptoms developing from the same day of consumption to 10 weeks afterward, according to WKRC/CNN Newsource. Among 26 patients with available medical records, 25 required hospitalization, and six deaths occurred in Hawaii, Illinois, Michigan, Oregon, Texas and Utah, WKRC/CNN Newsource stated.

Health officials indicated the 27 documented cases likely underrepresent the outbreak's actual scope, given the three-to-four-week verification period and unreported recoveries among patients who never sought medical care, WKRC/CNN Newsource reported. June investigations by federal agencies identified FreshRealm-produced chicken fettuccine alfredo meals as contaminated with Listeria monocytogenes causing illness, according to WKRC/CNN Newsource.

FreshRealm subsequently tested meal ingredients and pasta from Nate's Fine Foods, a Roseville, California ready-to-eat manufacturer, which then initiated a voluntary recall exceeding 245,000 pounds of prepared pasta dishes, per WKRC/CNN Newsource. The recall's scope reflected widespread distribution through multiple national retail networks before contamination detection by federal testing protocols.

Federal regulators continue investigating the contamination's full extent as the true infection count may substantially exceed confirmed cases due to reporting delays and unreported recoveries. The outbreak represents one of the year's most significant food safety emergencies affecting ready-to-eat products distributed through major American grocery chains.

The bacterial contamination's impact extended beyond adult victims to include pregnancy-related complications resulting in fetal loss, underscoring the pathogen's severe health consequences across vulnerable populations. California manufacturer Nate's Fine Foods faces ongoing scrutiny as investigators work to prevent additional infections from remaining contaminated products in circulation.

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