The Public Health Agency of Canada is reporting a fifth hospitalization in an E. coli outbreak linked to recalled Pillsbury brand Pizza Pops.

The federal agency says 23 people in seven provinces got sick with the bacterial illness after eating or handling certain flavours of the frozen snack between early October and late November.

The Canadian Food Inspection Agency recalled several pepperoni and bacon Pizza Pops on Sunday due to an E. coli contamination that is under investigation.

The outbreak has now reached Alberta, Ontario, British Columbia, New Brunswick, Manitoba, Saskatchewan and Newfoundland and Labrador.