The Centers for Disease Control and Prevention has added 34 cases to the salmonellosis outbreak linked to maradol papayas from the Carica de Campeche farm in Mexico.
Those cases were reported in 11 states, including Missouri and Tennessee, which had not previously been affected, according to an investigation update from the CDC.
In total, 173 illnesses have been reported in 21 states. One death has been reported, and 58 people have been hospitalized.
Four strains of salmonella are now connected with the outbreak: Kiambu and Thompson, which were listed previously, and Agona and Gaminara.
Maradol papayas sold under the Caribeña, Cavi and Valery brands were recalled in recent weeks because they were produced by the Carica de Campeche farm.
The U.S. Food and Drug Administration is still looking to see whether any other brands are connected to that farm.
The CDC and the FDA continue to advise consumers not to eat maradol papayas from Carica de Campeche.