At least 32 people in the United States have been sickened by listeria-tainted caramel apples — including six who have died — even as companies nationwide continue to recall the treats sold this fall, health officials said on Thursday.

Officials with the Centers for Disease Control and Prevention (CDC) updated their figures in the growing outbreak, reporting that 31 of 32 victims have been hospitalized in 11 states. In addition, two cases related to the outbreak have been reported by the Public Health Agency of Canada.

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