According to the North Carolina Department of Health and Human Services the outbreak of E. coli O157:H7 infections now includes 61 (38 children and 23 adults) who attended the Cleveland County Fair.

One child has died as a result of the infection; eleven individuals have been or are currently hospitalized.

Illnesses were reported in residents of Cleveland County (33), Gaston County (11, including the fatality), Lincoln County (10), Catawba County (1), Mecklenburg County (1) and Union County (2) in North Carolina, as well as York County (2) and Cherokee County (1) in South Carolina.