The patient count in a multi-state hepatitis A outbreak traced to fresh blackberries continues to rise, even though the berries were sold two months ago.

As of Nov. 26, there are 14 people across five states who have been confirmed with hepatitis A infections linked to fresh blackberries sold at Fresh Thyme Farmers Market grocery stores. Investigators have found that the fresh berries were possibly distributed in the chain’s stores in six other states, according to the Food and Drug Administration.

The most recent illness onset date was Nov. 15. Additional illnesses are likely to be confirmed because it can take 50 days or more after exposure for symptoms of the infection to develop. There is also lag time between when a person becomes ill and when confirmed test results are reported to federal officials

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