Over 50 illnesses and seven hospitalizations have been reported in Ontario and Alberta in a salmonella outbreak linked to salami.
The Public Health Agency of Canada said the investigation is ongoing after three types of salami were recalled on Tuesday.
The recall in Ontario, Alberta, and Manitoba is for Rea brand Genoa Salami Sweet, Rea brand Genoa Salami Hot, and Bona brand Mild Genova Salami.
On Wednesday, the health agency said there have been 57 lab-confirmed cases of salmonella, 44 in Alberta and 13 in Ontario.
People became sick between mid-April and late May.
No deaths linked to the outbreak have been reported.
The products were distributed at grocery stores, specialty markets, and food establishments such as restaurants and cafes.
The agency also said the products may have been used in prepared products, like sandwiches, or sold at deli counters.
Those who have the recalled products are advised not to consume the deli meat.
Symptoms of the foodborne bacterial illness include nausea, diarrhea, vomiting, stomach cramps, chills, fever, and a sudden headache.
Most people who get salmonella fully recover within four to seven days, said the agency.
Those most at risk for serious illness include older adults, young children, pregnant people, and those with weakened immune systems.
The health agency said the salmonella strain associated with this outbreak is multi drug-resistant, meaning it's resistant to certain antibiotics such as streptomycin, kanamycin, ampicillin, and sulfisoxazole. Other antibiotics can be used if necessary.