Since the previous update on November 22, an additional 27 ill people have been reported. As of November 25, 2019, a total of 67 people infected with the outbreak strain of E. coli O157:H7 have been reported from 19 states.

Illnesses started on dates ranging from September 24, 2019, to November 14, 2019. Ill people range in age from 3 to 89 years, with a median age of 25. Sixty-seven percent of ill people are female. Of 50 ill people with information available, 39 hospitalizations have been reported, including six people who developed hemolytic uremic syndrome (HUS), a type of kidney failure. No deaths have been reported.

Epidemiologic, laboratory, and traceback evidence indicate that romaine lettuce from the Salinas, California, growing region is the likely source of this outbreak.

FDA and states continue to trace the source of the romaine lettuce eaten by ill people. Preliminary information indicates that some of the ill people ate lettuce grown in Salinas, California. No common grower, supplier, distributor, or brand of romaine lettuce has been identified.

CDC continues to advise that consumers not eat and retailers not sell any romaine lettuce grown in Salinas, California. The investigation is ongoing to determine the source of contamination and if additional products are linked to illness.

This outbreak is caused by the same strain of E. coli O157:H7 that caused outbreaks linked to leafy greens in 2017 and to romaine lettuce in 2018.

Arizona, California, Colorado, Idaho, Illinois, Maryland, Michigan, Minnesota, Montana, New Jersey, Ohio, Pennsylvania, Virginia, Washington and Wisconsin now report illnesses.  Canada has also reported one likely illness.

Since the initial investigation notice, 23 additional ill people have been reported. As of November 21, 2019, a total of 40 people infected with the outbreak strain of E. coli O157:H7 have been reported from 16 states.

Illnesses started on dates ranging from September 24, 2019, to November 10, 2019. Ill people range in age from 3 to 89 years, with a median age of 22. Sixty-five percent of ill people are female. Of 39 ill people with information available, 28 hospitalizations have been reported, including 5 people who developed hemolytic uremic syndrome (HUS), a type of kidney failure. No deaths have been reported.

Epidemiologic, laboratory, and traceback evidence indicate that romaine lettuce from the Salinas, California growing region is a likely source of this outbreak.

In interviews, ill people answered questions about the foods they ate and other exposures in the week before they became ill. Eight (80%) of 10 people interviewed reported eating romaine lettuce. This percentage is significantly higher than results from a survey of healthy people in which 47% reported eating romaine lettuce in the week before they were interviewed. Ill people in Maryland reported eating Ready Pac Foods Bistro® Chicken Caesar Salad. To date, ill people in other states have not reported eating this particular salad, which contained romaine lettuce from the Salinas, California growing region.

As reported on November 20, 2019, the Maryland Department of Health identified E. coli O157 in romaine lettuce from an unopened package of Ready Pac Foods Bistro® Chicken Caesar Salad collected from a sick person’s home in Maryland. Whole genome sequencing has been completed and shows that the E. coli strain in the romaine lettuce is closely related genetically to the E. coli found in sick people in this outbreak. This provides additional evidence that people in this outbreak got sick from eating romaine lettuce.

On November 21, 2019, Missa Bay, LLC,  salad products due to possible E. coli contamination.

Do not eat or sell any of the recalled salad products, which were sold under many different brand names.

  • The recalled salad products have “Use By” dates ranging from October 29, 2019, to November 1, 2019.
  • The recalled products have establishment number “EST. 18502B” inside the USDA mark of inspection.

This recall includes salad products that contained contaminated romaine lettuce. The romaine lettuce was tested by the Maryland Department of Health as part of a foodborne illness outbreak in Maryland.

FDA and states are tracing the source of the romaine lettuce eaten by ill people. Preliminary information indicates that some of the ill people ate lettuce grown in Salinas, California. No common grower, supplier, distributor, or brand of romaine lettuce has been identified.

This outbreak is caused by the same strain of E. coli O157:H7 that caused outbreaks linked to leafy greens in 2017 and to romaine lettuce in 2018.

E. coli O157:H7 outbreaks associated with lettuce, specifically the “pre-washed” and “ready-to-eat” varieties, are by no means a new phenomenon. In fact, the frequency with which this country’s fresh produce consuming public has been hit by outbreaks of pathogenic bacteria is astonishing. Here is just a sample of E. coli outbreaks based on information gathered by the Center for Science in the Public Interest, Kansas State University, and the Centers for Disease Control and Prevention:

Date Vehicle Etiology Confirmed
Cases
States/Provinces
July 1995 Lettuce (leafy green; red; romaine) E. coli O157:H7 74 1:MT
Sept. 1995 Lettuce (romaine) E. coli O157:H7 20 1:ID
Sept. 1995 Lettuce (iceberg) E. coli O157:H7 30 1:ME
Oct. 1995 Lettuce (iceberg; unconfirmed) E. coli O157:H7 11 1:OH
May-June 1996 Lettuce (mesclun; red leaf) E. coli O157:H7 61 3:CT, IL, NY
May 1998 Salad E. coli O157:H7 2 1:CA
Feb.-Mar. 1999 Lettuce (iceberg) E. coli O157:H7 72 1:NE
Oct. 1999 Salad E. coli O157:H7 92 3:OR, PA, OH
Oct. 2000 Lettuce E. coli O157:H7 6 1:IN
Nov. 2001 Lettuce E. coli O157:H7 20 1:TX
July-Aug. 2002 Lettuce (romaine) E. coli O157:H7 29 2:WA, ID
Nov. 2002 Lettuce E. coli O157:H7 13 1:Il
Dec. 2002 Lettuce E. coli O157:H7 3 1:MN
Oct. 2003-May 2004 Lettuce (mixed salad) E. coli O157:H7 57 1:CA
Apr. 2004 Spinach E. coli O157:H7 16 1:CA
Nov. 2004 Lettuce E. coli O157:H7 6 1:NJ
Sept. 2005 Lettuce (romaine) E. coli O157:H7 32 3:MN, WI, OR
Sept. 2006 Spinach (baby) E. coli O157:H7 and other serotypes 205 Multistate and Canada
Nov./Dec. 2006 Lettuce E. coli O157:H7 71 4:NY, NJ, PA, DE
Nov./Dec. 2006 Lettuce E. coli O157:H7 81 3:IA, MN, WI
July 2007 Lettuce E. coli O157:H7 26 1:AL
May 2008 Romaine E. coli O157:H7 9 1:WA
Oct. 2008 Lettuce E. coli O157:H7 59 Multistate and Canada
Nov. 2008 Lettuce E. coli O157:H7 130 Canada
Sept. 2009 Lettuce: Romaine or Iceberg E. coli O157:H7 29 Multistate
Sept. 2009 Lettuce E. coli O157:H7 10 Multistate
April 2010 Romaine E. coli O145 33 5:MI, NY, OH, PA, TN
Oct. 2011 Romaine E. coli O157:H7 60 Multistate
April 2012 Romaine E. coli O157:H7 28

1:CA

Canada

June 2012 Romaine E. coli O157:H7 52 Multistate
Sept. 2012 Romaine E. coli O157:H7 9 1:PA
Oct. 2012 Spinach and Spring Mix Blend E. coli O157:H7 33 Multistate
Apr. 2013 Leafy Greens E. coli O157:H7 14 Multistate
Aug. 2013 Leafy Greens E. coli O157:H7 15 1:PA
Oct. 2013 Ready-To-Eat Salads E. coli O157:H7 33 Multistate
Apr. 2014 Romaine E. coli O126 4 1:MN
Apr. 2015 Leafy Greens E. coli O145 7 3:MD, SC, VA
June 2016 Mesclun Mix E. coli O157:H7 11 3:IL, MI, WI
Nov. 2017 Leafy Greens E. coli O157:H7 67 Multistate and Canada
Mar. 2018 Romaine E. coli O157:H7 219 Multistate and Canada

 

King Arthur Flour, Inc. was notified by ADM Milling Co. that three additional product lot codes of Unbleached All-Purpose Flour 5 lb. were omitted from the original data they provided for the press release on October 3, 2019. The additional lot codes and their corresponding “Best Used By” dates are listed below:

Best Used by Date 12/09/19: Lot codes L18A09A L18A09C

Best Used by Date 01/08/20: Lot code A19A08A

This new information only applies to “Best Used By” dates already disclosed in the prior release. No additional Best Used By dates are introduced as a result of these three updated lot codes.

As stated in the prior release, we have undertaken this voluntary recall because of the potential presence of E. coli O26.

King Arthur Flour has not received any confirmed reports of illnesses to date related to this product.

Pride of Florida, a Raiford, Fla. establishment, is recalling approximately 64,797 pounds of raw beef products that may be contaminated with E. coli O157:H7, the U.S. Department of Agriculture’s Food Safety and Inspection Service (FSIS) announced today.

The raw ground beef items were produced on various dates from Sept. 23, 2019 to Oct. 10, 2019. The following products are subject to recall:

  • 24-lb. Case containing 1-lb chubs of “CIRCLE A BRAND 85-15 LEAN GROUND BEEF” with pack date Oct. 8, 2019; package code of Oct. 8. 2020 and case code of 1-86407-30002-5.
  • 24-lb. Case containing 1-lb chubs of “CIRCLE A BRAND 80/20 GROUND BEEF” with pack dates 9-26-19, 9-27-19, 9-30-19; package codes of Sept. 26, 2020, Sept. 27, 2020, Sept. 30, 2020; and case code of FG-8020-24-1.
  • 12-lb. Case containing 1-lb chubs of “CIRCLE A BRAND 80/20 GROUND BEEF” with a pack date of 9-26-19; package code of Sept. 26, 2020; and a case code of FG-8020-12-1.
  • 15-lb. Case containing 20-oz packages of “CLARKS 5 CHOPPED BEEF STEAKS” with a pack date of 9-23-19; a package code of Sept. 23, 2020; and a case code of 0-73673-00211-4.
  • 13-lb. Case containing 17.5-oz packages of “CLARKS 5 CHOPPED PEPPER STEAKS” with a pack date of 9-23-19; a product code of Sept. 23, 2020; and a case code of 0-73673-00222-0.
  • 20-lb. Case containing 5.3-oz packages of “SOUTHEAST PROTEIN PURVEYOR GROUND BEEF PATTIES” with a pack date of 10-18-19; a package code of Oct. 10, 2020; and a case code of FG-8020-20-5.3.
  • 40-lb. Case containing 10-lb packages of “SOUTHEAST PROTEIN PURVEYOR 81/19 GROUND BEEF” with pack dates of 9-30-19, 10-2-19, 10-8-19, package codes of Sept. 30, 2020, Oct. 2, 2020, and Oct. 8, 2020; and case codes of FG-81/19-10C-40# and FG-81/19-10C-40.
  • 60-lb. Case containing 10-lb packages of “SOUTHEAST PROTEIN PURVEYORS 80-20 GROUND BEEF” with a pack date of 9-26-19; a package code of Sept. 26, 2020; and a case code of FG80/20-60-6/10

The products subject to recall bear establishment number “EST. 18506” inside the USDA mark of inspection. These items were shipped to commercial distributors and a cold storage warehouse in Florida.

The problem was discovered when the firm was notified by their third-party laboratory that a sample was positive for E. coliO157:H7, but the products associated with the sample had already been shipped into commerce. There have been no confirmed reports of adverse reactions due to consumption of these products.

Anyone concerned about an injury or illness should contact a healthcare provider. E. coli O157:H7 is a potentially deadly bacterium that can cause dehydration, bloody diarrhea and abdominal cramps 2–8 days (3–4 days, on average) after exposure the organism. While most people recover within a week, some develop a type of kidney failure called hemolytic uremic syndrome (HUS). This condition can occur among persons of any age but is most common in children under 5-years old and older adults. It is marked by easy bruising, pallor, and decreased urine output. Persons who experience these symptoms should seek emergency medical care immediately.

FSIS is concerned that some product may be frozen and in Commercial Distributor’s freezers. Distributors who have obtained these products are urged not to distribute them.

The U.S. Department of Agriculture’s Food Safety and Inspection Service (FSIS) is issuing a public health alert for raw non-intact beef products derived from imported beef from Ontario, Canada that has been recalled by Ryding-Regency Meat Packers, Ltd. because it may be contaminated with E. coli O157:H7. The Canadian Food Inspection Agency is conducting a food safety investigation and determined that certain products produced by the company may be contaminated. While Canada is the recalling authority, FSIS is amplifying the recall through this public health alert.

The Canadian Food Inspection Agency notified FSIS that several shipments of beef implicated in a series of recalls have been exported to the U.S.  FSIS has identified that imported beef manufacturing trimmings produced on May 27 and 30, 2019 that are subject to recall were used in the U.S. to produce other raw non-intact beef products distributed for retail sale.  The U.S. companies that produced these raw non-intact beef products have received notice of the recall from Ryding-Regency and FSIS has confirmed that they are following the instructions provided to recall affected product from their customers.  However, retail consumers may not have received such notification.

The following products have been identified as part of the Canadian recall and were distributed to institutions and retailers in Connecticut, Illinois, Maine, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, and Vermont: [View Labels (PDF Only)]

  • 10-lb. cardboard box packages containing bulk plastic wrapped raw frozen ground beef gyros labeled “DEVANCO FOODS CHICAGO’S FAVORITE” GYROS SLICES (STRIPS) with a case code 159 19.
  • 10-lb. cardboard box packages containing bulk plastic wrapped raw frozen ground beef gyros labeled “KRONOS HALAL GYROS STRIPS” HALAL CERTIFIED BEEF GYROS UNCOOKED, IQF STRIPS with a case code 19 159.
  • Retail sized (8 patties) cardboard box packages containing “ZIYAD PREMIUM QUALITY Beef Hamburger Patties” with a case code 911541.021541.
  • Retail sized (8 kabobs) cardboard box packages containing “ZIYAD PREMIUM QUALITY Uncooked Kufta Kabob” with a case code 911154.021154.
  • 8-lb. cardboard box packages containing bulk plastic wrapped raw frozen ground beef patties labeled “Shop Right 100% PURE QUARTER POUND Ground Beef Hamburgers” and a sell by date of 060720.
  • 3-lb. cardboard box packages containing plastic wrapped raw frozen ground beef patties labeled “Shop Right 100% PURE Ground Beef Hamburgers” and a sell by date of 060720.
  • 2-lb. cardboard box packages containing plastic wrapped raw frozen ground beef patties labeled “LANDIS BRAND 100% ALL BEEF PATTIES 8 Quarter Pound Patties” and a sell by date of 060720.

FSIS is concerned that some product may be in institutional or consumers’ freezers.  Institutions that have these products are urged not to serve them and consumers who have purchased these products are urged not to consume them. These products should be thrown away or returned to the place of purchase.

E. coli O157:H7 is a potentially deadly bacterium that can cause bloody diarrhea, dehydration, and in the most severe cases, kidney failure. The very young, seniors and persons with weak immune systems are the most susceptible to foodborne illness.

The J. M. Smucker Company today announced a voluntary recall of specific lots of Robin Hood® All Purpose Flour distributed and sold in the U.S. due to possible E. coli contamination. This recall does not impact any Robin Hood® items sold in Canada.

No other items manufactured by The J. M. Smucker Company, including other Robin Hood® products distributed and sold in the U.S. or Canada, are impacted by this issue. No illnesses related to this issue have been reported to date.

The impacted products are as follows:

Product Name

UPC Code – Case

UPC Code – Item

Lot Codes

Best if Used By Dates

Robin Hood® All Purpose Flour (5 lb) 0 51500 18010 2 0 51500 18010 5 8350 513
8351 513
8354 513
8355 513
6/16/2020
6/17/2020
6/20/2020
6/21/2020

These products were distributed by The J. M. Smucker Company to a variety of retailers in the U.S.

In association with ADM Milling Company, King Arthur Flour, Inc., announced today a voluntary national recall of specific lots of its Unbleached All-Purpose Flour (5 lb. & 25 lb.)

We are taking this voluntary precautionary step because of the potential presence of E. coli 026 which was discovered through sampling. King Arthur Flour has not received any confirmed reports of illnesses related to this product.

This flour was milled at an ADM Milling facility in Buffalo, NY, and was distributed by King Arthur Flour through retailers and distributors nationwide, and sold through our website, catalogue, and store in Norwich, VT.

The only product affected by this voluntary recall is our Unbleached All-Purpose Flour (5 lb. & 25 lb.) from the Best Used by Dates and Lot Codes listed below.

King Arthur Flour Unbleached All-Purpose Flour 5 lb. UPC: 071012010509

Best Used By: Lot Code
12/04/19 L18A04A
12/05/19 L18A05A, L18A05B, L18A05C
12/09/19 L18A09B
12/10/19 L18A10A
12/13/19 L18A13B, L18A13C
12/20/19 L18A20A, L18A20B, L18A20C
12/21/19 L18A21A
12/27/19 L18A27A, L18A27B, L18A27C
12/28/19 L18A28A
01/02/20 A19A02B, A19A02C
01/03/20 A19A03A, A19A03B, A19A03C
01/05/20 A19A05A, A19A05B
01/07/20 A19A07B, A19A07C
01/08/20 A19A08B
01/09/20 A19A09B
01/10/20 A19A10B
01/12/20 A19A12A
01/14/20 A19A14A, A19A14B, A19A14C
01/15/20 A19A15A, A19A15B

Best Used By and Lot Code information can be found on the bottom of the ingredient side panel of the 5 lb. Bag. Best Used By date and Lot Code, along with their location on the bag, must all match in order to represent flour affected by this recall.

King Arthur Flour Unbleached All-Purpose Flour 25 lb. UPC: 071012012503 Costco only
Best Used By: 12/04/19, 12/10/19, 12/20/19, 01/07/20, 01/15/20

This is an expansion of a recall announced June 13, 2019. The Lot Codes listed above join the previously voluntarily recalled Lot Codes on June 13:

https://www.fda.gov/safety/recalls-market-withdrawals-safety-alerts/association-adm-milling-co-king-arthur-flour-inc-voluntarily-recalls-limited-quantity-unbleached-all

General Mills announced today a voluntary national recall of five-pound bags of its Gold Medal Unbleached All Purpose Flour with a better if used by date of September 6, 2020. The recall is being issued for the potential presence of E. coli O26 which was discovered during sampling of the five-pound bag product. This recall is being issued out of an abundance of care as General Mills has not received any direct consumer reports of confirmed illnesses related to this product.

This recall only affects this one date code of Gold Medal Unbleached All Purpose Flour five-pound bags. All other types of Gold Medal Flour are not affected by this recall.

Consumers are asked to check their pantries and dispose of the product affected by this recall.

Guidance from the Food and Drug Administration (FDA) and the Centers for Disease Control (CDC) continues to warn that consumers should refrain from consuming any raw products made with flour. E. coli O26 is killed by heat through baking, frying, sautéing or boiling products made with flour. All surfaces, hands and utensils should be properly cleaned after contact with flour or dough.

This voluntary recall includes the following code date currently in stores or consumers’ pantries:

Gold Medal Unbleached All Purpose 5LB Flour
Package UPC 016000 196100
Recalled Better if Used by Date 06SEP2020KC

Although most strains of E. coli are harmless, others can make you sick. E. coli O26 is a potentially deadly bacterium that can cause bloody diarrhea and dehydration. Seniors, the very young, and persons with compromised immune systems are the most susceptible to foodborne illness.

Any consumers concerned about an illness should contact a physician. Anyone diagnosed by a physician as having an illness related to E. coli O26 is also urged to contact state and local public health authorities.

I landed in Jackson Hole, Wyoming and made the hour and a half drive to Pinedale – seeing a few bison along the way.

A total of 33 people infected with the outbreak strain of STEC O103 (8 people), STEC O121 (21 people), or both (4 people) were reported from 8 states.

Illnesses started on dates ranging from March 18, 2019, to August 11, 2019. Ill people ranged in age from 6 to 80 years, with a median age of 27. Fifty-two percent of ill people were female. Of 31 ill people with information available, 18 hospitalizations were reported. No deaths were reported, and no cases of hemolytic uremic syndrome, a type of kidney failure, have been reported.

Federal, state, and local officials collected records from the restaurants where ill people ate ground bison. These records showed that the ground bison produced by Northfork Bison Distributions, Inc., was sold in several restaurants where ill people ate ground bison. The outbreak strain of STEC O121 was isolated from bison burgers manufactured by the Canadian firm.

On July 16, 2019, Northfork Bison Distributions, Inc., in Saint-Leonard, Quebec, Canada, recalled ground bison produced between February 22, 2019, and April 30, 2019. Recalled ground bison was sold to distributors as ground bison and bison patties, referred to as Bison Burgers and/or Buffalo Burgers. Recalled ground bison was also sold to retailers in 4-ounce burger patties.