Health officials warned Tuesday that all romaine lettuce should be thrown away amid a new multistate outbreak of E. coli bacteria.

The advisory from the Centers for Disease Control and Prevention follows 32 confirmed cases of the bacteria in 11 U.S. states and Canada.

Of those cases, 13 people have been hospitalized, including one person who experienced a type of kidney failure. No deaths have been reported.

Consumers who have any type of romaine lettuce in their home should not eat it and should throw it away, even if some of it was eaten and no one has gotten sick, the CDC said.