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As the outbreak grows to 59 cases, officials puzzle over why romaine and not other lettuce was tainted.
So far 32 illnesses have been confirmed in 11 states, as well as 18 cases in Canada.
The report calls on PHAC to speed up development of a plan to address antimicrobial resistance.
So far the CDC probe hasn't pointed to a specific food type to guide consumers.
A CDC official says though cases are still being reported, the pace of new reports appears to be slowing.
Flu hospitalizations are also on the rise, with the highest levels in seniors, a pattern often seen in H3N2-dominant seasons.
The report shows a first-time drop in medically important antibiotic use in animals.
The report shows antimicrobial resistance mostly stable, with some declines and some worries.
In another development, UK health officials warned travelers about an uptick in cases linked to Mexico, particularly the Riviera Maya coast.
Also, researchers report that the virus was circulating in Haiti in late 2014.
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