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LIVINGSTON COUNTY, N.Y. -- The Livingston County Health Department has confirmed that seven cases of e-coli have been reported throughout the county. Public Health Director Joan Ellison says the first case was reported on August 6th.

Ellison says of the seven who got sick, four were hospitalized. Two remain in the hospital. They range from ages 22 to 67.

The cause of the e-coli has not been determined.

Ellison says it's not the number of confirmed cases that's concerning, but the short time frame in which all cases were reported.

"We've interviewed the individuals who were ill... There's been a couple of places where they may have purchased food or eaten. And we are working with those food handlers and facilities to get information," said Ellison.

The department issued a county-wide alert to try to figure out where the e-coli may have come from.

Ellison says the state is involved and will be doing its own testing to see if there are any statewide or nationwide ties to the bacterial infection.