An outbreak of Salmonella has infected more than 150 more people across the United States.
Over a quarter of these cases, are in children under the age of 5 years.
A CDC (Centre for Disease Control and Prevention) investigation revealed there are at least three multistate outbreaks, across 18 states.
The CDC also found Salmonella is linked to backyard poultry, in that country.
About 53 people were hospitalised, with 40, being new cases.
One person died in Washington.
The largest outbreak in this investigation has an unusually high number of people reporting contact with ducks.
These outbreak strains have been linked to five hatcheries.
The CDC advised residents to always wash hands with soap and water for 20 seconds after touching birds, their supplies, or collecting eggs.
Businesses are also advised to source poultry from hatcheries that take steps
to reduce Salmonella contamination, clean and sanitize poultry display areas between shipments of new poultry.
Symptoms of the disease are diarrhea, fever, and stomach cramps 6 hours to 6 days after being exposed to the bacteria.
The illness can last up to 4 to 7 days, and most people recover without treatment.
In some people, the illness may be so severe that the patient is hospitalized.
Picture: National Collaborating Centre for infectious diseases