The Laboratory Services Division of the Colorado Department of Public Health and Environment has confirmed the first case of spinach-related E. coli that is of the same strain as the one associated with the national outbreak.

“As would be expected in a widespread outbreak that has already affected neighboring states, Colorado now has a case of disease confirmed to be part of the multi-state E.-coli outbreak,” said Dr. Ned Calonge, chief medical officer at the Colorado Department of Public Health and Environment. “This case provides further support for the recommendation of the Food and Drug Administration for consumers to avoid eating fresh spinach or fresh spinach-containing products until further notice.”

Of those five cases, two are from Boulder County, two from the City and County of Denver, and the third is from Gunnison County.