The state Department of Health and Human Services said Monday that 22 children and 16 adults who attended the Cleveland County Fair have gotten sick.
Officials say a North Carolina child died last week and seven people have needed hospital treatment. Gaston County Health Director Chris Dobbins says three people are on dialysis and four developed a type of kidney failure.
The nine-day fair ended Oct. 7. Health officials say symptoms of E. coli infection could come up to 10 days after exposure and can include diarrhea, abdominal cramps, nausea and vomiting.
