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http://www.medpagetoday.com/InfectiousDisease/GeneralInfectiousDisease/12371 The CDC has not identified all of the states involved -- or even where those first cases occurred -- but Lola Russell, an agency spokesperson, said that a list should be available later today or tomorrow.

Ohio's Department of Health reported that 50 cases have been identified there, the second highest in the nation. Local media have reported eight cases in Arizona, 51 in California, 20 in Michigan, and five in Texas.

To lower the risk for infection, the CDC recommends avoiding raw or undercooked eggs, poultry, meat, and raw or unpasteurized milk, as well as washing all produce thoroughly.

In addition, the agency said, individuals should wash their hands before handling food and between handling different food products, as well as after handling small animals, particularly reptiles.