The E. coli outbreak linked to McDonald’s Quarter Pounder has now sickened 75 people, an increase of 26 since the outbreak was revealed on Wednesday. Deaths linked to the outbreak remain at one, the Centers for Disease Control and Prevention said on Friday.

The latest illness includes individuals in 13 states: Colorado, Iowa, Kansas, Michigan, Missouri, Montana, Nebraska, New Mexico, Oregon, Utah, Washington, Wisconsin and Wyoming.

Investigators are working to determine whether fresh slivered onions, used in Quarter Pounders, are the source of the outbreak. While that investigation is ongoing, McDonald’s says it has stopped using those onions in the affected states.

The CDC says some people are more at risk of E. coli infection than others. They include young children, adults 65 years and older and people with a weakened immune system.

Signs of E. coli infection include diarrhea and a fever higher than 102 degrees, vomiting and dehydration. In serious cases, kidney failure and death can occur.

This is a breaking news story. Check back for updates.

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