A Centers for Disease Control warning about an E.coli outbreak being linked to romaine lettuce has prompted some local markets to pull the product from their shelves.

The warning says 32 people in 11 U.S. states and 18 in two Canadian provinces were sickened between Oct. 8 and 31.

“Thirteen people were hospitalized, including one person who developed hemolytic uremic syndrome, a type of kidney failure. No deaths have been reported,” the statement said.

The alert advises consumers to throw out any romaine lettuce they may have in their homes and to clean refrigerator surfaces where the greens were stored.

Woody Foster at Foster’s Food Fair and Joe Thorne at Cost U Less said they were pulling the product from their shelves Tuesday afternoon. Workers at Kirk Market and Hurley’s supermarket said they were still assessing the situation.

The Department of Environmental Health did not respond to requests for additional information.