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According to Fox 28, the Ohio Department of Health has confirmed 20 cases of botulism stemming from a church potluck in Lancaster last week.

The confirmed cases include the death of 55-year-old Kim Shaw. They also said there are nine suspected cases which have yet to be confirmed.

ODH also said there have been six preliminarily positive specimens that they’ve identified thus far. They’re working to clarify if they have any connection with the Botulism outbreak and hope to have answers in the next few days.