June 2009

It’s rare that an "FDA Medwatch" is about food. Usually, such alerts are for medical professionals and address something having to do with drugs or medical devices. The national E. coli 0157:H7 outbreak associated with Nestle’s cookie dough, however, is very unusual and this FDA Medwatch has been issued for both consumers and all healthcare professionals:

FDA and the CDC are warning consumers not to eat any varieties of prepackaged Nestle Toll House refrigerated cookie dough due to the risk of contamination with E. coli O157:H7 (a bacterium that causes food borne illness). The warning is based on an ongoing epidemiological study conducted by the CDC and several state and local health departments. Since March 2009 there have been 66 reports of illness across 28 states. Twenty-five persons were hospitalized; 7 with a severe complication called Hemolytic Uremic Syndrome (HUS). No one has died.E. coli O157:H7 causes abdominal cramping, vomiting and a diarrheal illness, often with bloody stools. Most healthy adults can recover completely within a week. Young children and the elderly are at highest risk for developing HUS, which can lead to serious kidney damage and even death.

FDA advises that if consumers have any prepackaged, refrigerated Nestle Toll House cookie dough products in their home that they throw them away. Cooking the dough is not recommended because consumers might get the bacteria on their hands and on other cooking surfaces. Individuals who have recently eaten prepackaged, refrigerated Toll House cookie dough and have experienced any of these symptoms should contact their doctor or health care provider immediately. Any such illnesses should be reported to state or local health authorities.

Please continue reading for the outbreak map, including a case-breakdown by state, from the Centers for Disease Control and Prevention (CDC).
Continue Reading FDA Joins States In Warning Against Eating Nestle Toll House Cookie Products; CDC Issues Outbreak Map

The Danville News just put this report on its website:

Nestle USA has stopped production in half of its Danville, VA  plant following a Centers for Disease Control and Food and Drug Administration investigation that the company’s cookie dough may be connected to a recent E. coli outbreak.

“The Danville facility makes the majority of

 On the heels of the warning Colorado issued about Nestle Toll House cookies, the company issued the following press release:

(SOLON, Ohio) – June 19th, 2009 – Nestlé USA’s Baking Division is initiating a voluntary recall of Nestlé® TOLL HOUSE® refrigerated cookie dough products.

Nestlé is taking this action out of an abundance of caution

DENVER–The Colorado Department of Public Health and Environment is urging Coloradans not to eat raw Nestle Toll House cookie dough because of possible contamination with E. coli O157:H7.

Colorado state health officials, the CDC and several other state health departments are investigating an outbreak of E. coli O157:H7 infections. To date, 66 cases from

Over the last few weeks we have been investigating E. coli O157:H7 illnesses in several states. All seemed unconnected. However, common food items were uncooked Nestles Toll House Cookie Dough, Strawberries, Fruit Roll-ups and Ground Beef. The vast majority reported eating Toll House Cookies.

We now have reports that federal, state and local health officials

 Valley Meats LLC, a Coal Valley, Illinois grinding plant recalled approximately 95,898 pounds of ground beef that might have been contaminated with E. coli O157:H7, the U.S. Department of Agriculture’s Food Safety and Inspection Service (FSIS) announced in late May.

However, the problem was discovered through an epidemiological investigation of illnesses, NOT before the