The sicknesses and deaths linked to a massive contamination of deli meats has become the largest listeria outbreak in 13 years, the Centers for Disease Control and Prevention said Wednesday.

The agency said 14 more illnesses and five more deaths have been reported since the last update three weeks ago. The total number of people hospitalized is up to 57. Eight people have been killed.

The deadly food poisoning outbreak has led to the recall of more than 7 million pounds of popular Boar’s Head products made at a plant in Virginia. The recall impacts pre-packaged poultry and meat, plus products intended to be sliced at deli counters.

Some of the affected products have sell-by dates into October 2024, so health officials are concerned people may still have them in their homes, unaware of the recall. If you have one of the 71 recalled deli products, you should throw it away or contact the store where you bought it for a refund. (You can look for “EST. 12612” or “P-12612” inside the USDA mark of inspection on the product labels to determine if they’re recalled.)