A recall of Boar’s Head products expanded to include an additional 7 million pounds of deli meat and poultry items, CNBC News reported. The recall stems from a deadly multistate outbreak of listeria, which was discovered when a liverwurst sample collected by the Maryland Department of Health tested positive for the outbreak strain of Listeria monocytogenes.

CNBC News reported that as of July 30, 34 people across 13 states have fallen ill with listeria, including 33 hospitalizations and two deaths.

The original recall was issued on July 26 and included more than 207,000 pounds of deli meat. The U.S. Department of Agriculture’s Food Safety and Inspection Service (FSIS) announced the additional recall on July 31.

“This expansion includes 71 products produced between May 10, 2024, and July 29, 2024, under the Boar’s Head and Old Country brand names. These items include meat intended for slicing at retail delis as well as some packaged meat and poultry products sold at retail locations,” FSIS said. The products being recalled have “sell by” dates ranging from July 29, 2024, through October 17, 2024.

“The products subject to recall were distributed to retail locations nationwide and some were exported to the Cayman Islands, Dominican Republic, Mexico and Panama. The products shipped to retailers bear establishment number ‘EST. 12612’ or ‘P-12612’ inside the USDA mark of inspection on the product labels,” FSIS stated.

A full list of the recalled products is available from FSIS.

FSIS stated that it is working with the Centers for Disease Control and Prevention (CDC) and state public health partners to investigate the multistate outbreak of infections, and the investigation is still ongoing.

FSIS also recommended retail delis clean and sanitize all food and non-food surfaces and discard any open meats and cheeses in the deli.