Washington (AP/PTI): E. coli food poisoning linked to McDonald's Quarter Pounder hamburgers has sickened at least 49 people in 10 states, including one person who died and 10 who were hospitalized, federal health officials said Tuesday.

The death was reported in an older person in Colorado, and one child has been hospitalized with severe kidney complications, the U.S. Centers for Disease Control and Prevention reported.

Infections were reported between Sept. 27 and Oct. 11, in Colorado, Iowa, Kansas, Missouri, Montana, Nebraska, Oregon, Utah, Wyoming and Wisconsin. Colorado has the most cases, 27, followed by Nebraska with nine.

Everyone interviewed in connection with the outbreak had reported eating at McDonald's before falling ill and most mentioned eating Quarter Pounder hamburgers, the CDC said. The US Agriculture Department, the Food and Drug Administration and state health officials are also investigating.

The specific ingredient tied to the outbreak has not been identified, but investigators are focused on onions and beef. McDonald's reported to the CDC that it had removed slivered onions and beef patties used for Quarter Pounders from stores in the affected states. The burgers may be temporarily unavailable in those states.

E. coli bacteria are harbored in guts of animals and found in the environment. Infections can cause severe illness, including fever, stomach cramps and bloody diarrhea.

People who develop symptoms of E. coli poisoning should seek health care immediately and tell the provider what they ate.

The Associated Press has reached out to McDonald's for comment.

The news comes in an already tough year for the Chicago-based chain. Its global same-store sales fell for the first time in nearly four years in the second quarter as inflation-weary customers skipped eating out or chose cheaper options. The company responded with a $5 meal deal, which was introduced at U.S. restaurants in late June and was recently extended through December. The deal doesn't include the Quarter Pounder.

McDonald's shares dropped 9% in after-hours trading Tuesday after the CDC's announcement.

The type of bacteria implicated in this outbreak, E. coli O157:H7, causes about 74,000 infections in the US each year, leading to more than 2,000 hospitalizations and 61 deaths. Infections are especially dangerous for children younger than 5 and can cause acute kidney failure.

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Bengaluru (PTI): Alleging a “criminal conspiracy” by BJP candidate D N Jeevaraj in the Sringeri Assembly poll recounting, Karnataka CM Siddaramaiah on Tuesday said the outcome was manipulated after valid postal ballot votes in favour of Congress leader T D Raje Gowda were tampered with during the recounting process.

Following a Karnataka High Court order on an election petition filed by Jeevaraj, challenging Raje Gowda’s election, the reverification and recounting were conducted on Saturday.

After the reverification and recount of postal ballots for the Sringeri Assembly constituency, votes polled in favour of Raje Gowda were reduced by 255, the returning officer said.

A report on the matter has been submitted to the Election Commission of India for further action, the officer added.

Congress leader Raje Gowda had won the 2023 Assembly polls from Sringeri by 201 votes, defeating his nearest rival Jeevaraj.

Addressing a press conference in Bengaluru, Siddaramaiah said the High Court had directed the recounting of postal ballots and that irregularities were noticed during the exercise conducted on May 2.

“This is a clear case of criminal conspiracy,” Siddaramaiah said, alleging that valid votes cast in favour of Raje Gowda were altered after being accepted by counting agents of all parties, including Congress, BJP, and JD(S).

He claimed that during the recounting of postal ballots, 255 votes were initially accepted as valid by all agents but were later tampered with by subordinate officials.

“There is a second mark on the votes polled in favour of Raje Gowda. They had accepted these as valid votes. Subsequently, another mark was made by officials. This is a clear case of criminal conspiracy,” he said.

When asked who was behind the alleged conspiracy, the CM replied, “It was hatched by Jeevaraj and others. It is planned.”

Siddaramaiah further alleged that the returning officer acted improperly by declaring the result despite the presence of an Election Commission observer during the recounting.

“Immediately after the counting, the returning officer announced the result. He should not have done so; this is against the law,” he said.

He pointed out that Raje Gowda had originally won by 201 votes, but after the recounting, the BJP candidate was declared the winner by 52 votes.

“The BJP has committed a criminal act of conspiracy. This is not vote chori but vote dacoity,” he alleged.

The CM said a police complaint had already been filed by Raje Gowda’s election agent, Sudhir Kumar, and emphasised the need for electoral integrity.

“We want transparency and free and fair elections. That is what our Constitution mandates,” he added.

Stating that the government would pursue legal remedies, Siddaramaiah said, “We are preparing an appeal challenging the returning officer’s announcement in a court of law.”

Responding to a separate query on elections in other states, the CM said there appeared to be an anti-incumbency factor in West Bengal, while results in Tamil Nadu were “surprising,” adding that Vijay’s party was emerging as the largest there.

Following the victory of party candidates in Bagalkote and Davanagere South, Siddaramaiah expressed confidence about future electoral prospects in Karnataka.

“Even in 2028, we will win the Assembly elections. We will come back,” the CM said.

Siddaramaiah added that he would order a forensic examination into the alleged tampering of postal ballots.