Orval Kent Foods recalled approximately 23,000 pounds of Amish Macaroni Salad that may pose a health risk. This voluntary action was being taken in response to the results of a test conducted on a single package of Amish Macaroni Salad by the Ohio Department of Agriculture and Consumer Services, Division of Food S afety, for E. coli O157:H7. The product included in this recall is Amish Macaroni Salad with the following UPC codes and associated Use By dates: UPC 7945368281 Orval Kent Amish Macaroni Salad, 5 pound container, Use By 6/12/08- UPC 7347468281 Yoder's Amish Macaroni Salad, 1 pound container, Use By 6/7/08- UPC 7347401045 Yoder's Amish Macaroni Salad, 2 pound container, Use by 6/7/08- and UPC 7347488729 Yoder's Amish Macaroni Salad, 5 pound container, Use By 6/7/08- This specific product was shipped to customers who have distribution to retail and food service establishments in the following areas: Delaware, Illinois, Indiana, Maryland, Michigan, New Jersey, New York, Ohio, and Pennsylvania. E. coli O157:H7 causes a diarrheal illness often with bloody stools. Although most healthy adults can recover completely with a week, some people can develop a form of kidney failure that can lead to serious kidney damage and even death. Young children, the elderly and those with weak immune systems are most susceptible to foodborne illnesses.