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A multi-state listeria outbreak reported in November has been traced back to environmental contamination at the Prairie Farms facility in Fort Wayne.

The FDA says an onsite investigation at Prairie Farms Dairy revealed three environmental swabs taken in the processing area tested positive for listeria monocytogenes.

A range of milkshakes have been recalled after they were linked to 11 deaths and dozens of serious illnesses, many of them in long-term care homes and hospitals, the FDA confirmed on Friday.

The outbreak has infected 38 individuals, 37 of whom have been hospitalized, and 12 who have died A listeria outbreak linked to recalled frozen shakes has left 12 people dead, according to the U.S. Food and Drug Administration (FDA).

A nationwide recall has been issued for frozen nutritional shakes linked to a deadly listeria outbreak, according to the Food and Drug Administration. The shakes were sold to hospitals and long-term care institutions, including nursing homes.

The supplemental shakes are labeled under the brands Lyons ReadyCare and Sysco Imperial and were sold to institutional customers, including hospitals and long-term care facilities, officials said.

The cause of a long-running listeria outbreak has finally been determined to be frozen supplemental shakes, and Alabama is one of the states impacted.