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ROANOKE, Va. (WFXR) – An outbreak of E. Coli tied to McDonalds has led to at least 49 illnesses and one death.

The CDC confirmed that there have been 10 hospitalizations, including one child with complications that could lead to kidney disease.

It is currently believed that the contamination came from either fresh beef or onions used in the quarter-pounder hamburger, but slivered onions have emerged as the most likely cause.

“There was a late-night recall of U.S. Foods of some Taylor Farms onions and Taylor Farms is the supplier of onions to McDonalds,” said food safety lawyer Bill Marler.

Taylor Farms distributes to many other places but so far, all reported cases have been tied back to McDonalds.

“Even if onions went to other places, there at least appears to be no other linked illnesses to those,” said Marler.

Of the 49 reported illnesses, 35 have been in Colorado or Nebraska and the Midwest has been the most heavily impacted region.

The CDC reported that it expects to see additional illnesses reported but Marler believes any new cases are unlikely to be found in other regions.

“I think if it was going to impact places in the east and the south, you probably would have seen it already,” he said.

The Virginia Department of Health confirmed that neither Virginia nor its nearby states have been affected by this outbreak.

Symptoms of E. Coli are severe stomach cramps, fever, and vomiting and the Department of Health recommends seeking immediate medical care if you experience these symptoms.

McDonalds pulled the quarter-pounder and onions from its menu in impacted areas but declared on Wednesday that its food is safe to eat again.

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