Romaine lettuce is removed from the shelves of the East End Food Co-op and other local grocery stores due to a recent consumer alert regarding a multi state E.Coli outbreak at the East End Food Co-op Tuesday, Nov. 20, 2018, in Pittsburgh. The Co-op has replaced their fresh and bagged romaine lettuce with blue signs reading, “The CDC has issued a Consumer Alert for romaine lettuce due to a multi state E.Coli outbreak.” (Jessie Wardarski/Pittsburgh Post-Gazette via AP)