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The outbreak has reached 156 cases, as 113,000 pounds of ground beef are recalled.
Of 18 cases, 15 are in Florida; the meat producer has not been named.
Illnesses from Salmonella Javiana, Thompson, and Infantis have risen about 50% in 10 years.
Rates of multidrug resistance in Salmonella seroptype I 4,,12:i:- have tripled.
Guidance involves steps to curb Salmonella and Campylobacter in poultry and better trace ground beef.
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