( CNN ) -- A hepatitis A outbreak linked to a frozen fruit mix commonly used in smoothies has grown over the past week , from 34 to 87 reported cases , health officials said . The cases have been reported in eight states , up from five : Arizona , California , Colorado , Hawaii , Nevada , New Mexico , Utah and Washington , the U.S. Centers for Disease Control and Prevention said Monday . Thirty-six people have been hospitalized . No deaths have been reported , the CDC said . Townsend Farms recalled bags of its Organic Antioxidant Blend this month . The suspected fruit mix was sent to Costco and Harris Teeter stores , the CDC says . Health authorities have evaluated 68 of the 87 reported cases . Forty-six people reported eating the fruit mix , all of whom bought it from Costco , according to the CDC . Forty-five of the 68 cases are women ; ages range from 2 to 84 years , authorities said . The outbreak has been traced to pomegranate seeds from Turkey that are in the fruit mix , according to Townsend Farms . The mix contains pomegranate seeds and other produce from Argentina , Chile and the United States . Frozen fruit mix suspected in hepatitis A outbreak . Hepatitis A is usually transmitted via contaminated food or water , or by someone who 's infected , according to the Mayo Clinic . Frequent handwashing is recommended to limit the spread . The highly contagious infection inflames the liver , limiting its ability to function . While mild cases do n't require treatment and the Mayo Clinic says most of those infected recover completely with no permanent liver damage , severe cases can lead to liver failure and death , according to the World Health Organization . There are an estimated 1.4 million cases of hepatitis A worldwide . At Costco , the recalled codes include T012415 through T053115 ; consumers can find these on the back of the package near the words `` Best by . '' Harris Teeter packages have `` Best by '' codes of T041615E or T041615C .
87 cases of hepatitis A have been reported . The outbreak has now spread to eight states . Comment: