E. coli outbreak linked to lettuce turns deadly
Published at | Updated atDebra Goldschmidt, CNN
(CNN) — One person has died from the E. coli outbreak linked to romaine lettuce from the Yuma, Arizona growing region, the US Centers for Disease Control and Prevention said Wednesday. This is the first death from this outbreak.
The agency reported 23 additional cases of illness bringing the total number of cases to 121 since the outbreak began in March.
RELATED: 8 Idahoans sick from E. coli in romaine lettuce
Fifty-two individuals have been hospitalized.
Kentucky, Massachusetts and Utah are the latest states to report illnesses bringing the total number of states impacted to 25.
Health officials are continuing to investigate the source of the ongoing outbreak but still have not been able to identify a single grower, farm, manufacturer, supplier or brand.
E. Coli Outbreaks Fast Facts
Here’s a look at E. coli outbreaks.
General Information: (from the CDC)
There are many strains of the bacteria Escherichia coli (E. coli). Most strains are harmless and live in the intestines of healthy humans and animals.
Some kinds of E. coli cause disease by producing Shiga toxin. The bacteria that make these toxins are called “Shiga toxin-producing” E. coli (STEC). The most commonly found STEC in the United States is E. coli O157:H7.
The symptoms of STEC infections can include stomach cramps, diarrhea and vomiting. Some infections are mild, but others can be life-threatening.
The CDC estimates that 265,000 STEC infections occur each year in the United States. E. coli O157:H7 causes more than 36% of these infections.
People of all ages can be infected, but young children and the elderly are more likely to develop severe symptoms.
The types of E. coli that can cause illness can be transmitted through contaminated water or food, or through contact with animals or people.
Prevention:
To avoid E. coli infections, experts advise to thoroughly cook meat, avoid unpasteurized dairy products and juices, avoid swallowing water while swimming, and wash hands regularly.
1998 – The Hazard Analysis and Critical Control Points program (HACCP) begins requiring meat processors to establish critical checkpoints in the plants to prevent pathogens from contaminating meat.
– Inspectors from the food-safety agency randomly test all facilities that grind meat products to make sure that the plants are complying with the HACCP program.
1999 – The USDA approves the irradiation process for meat. Irradiation is a process that uses beams of high-speed electrons to kill E. coli and other bacteria.
May 2000 – Huisken Meats of Sauk Rapids, Minnesota, becomes the first meat processor to begin selling irradiated ground beef to retailers.
June 2009 – Epitopix LLC, a Minnesota-based veterinary pharmaceutical company, begins licensing a new vaccine for cows that reduces the transmission of E. coli between cows and humans.
Timeline of selected E. coli outbreaks in the United States:
Jack in the Box (E. coli O157:H7)
1992-1993 – The Jack in the Box outbreak kills three children and makes about 500 people sick in the Northwest United States.
The Jack in the Box incident leads the Bill Clinton administration to begin random testing for E. coli in ground beef.
The meatpacking industry sues the USDA to block the tests. The USDA wins the lawsuit.
ConAgra Beef Co. (E. coli O157:H7)
July 19, 2002 – Nineteen million pounds of meat produced at the ConAgra Beef Co.’s Greeley, Colorado, plant is recalled.
At least 35 people become ill due to this meat contamination and one person dies.
The contaminated meat is shipped to at least 21 states.
Prepackaged Spinach (E. coli O157:H7)
September 14, 2006 – The FDA issues a warning to consumers about an E. coli O157:H7 outbreak in multiple states. The warning states, “preliminary epidemiological evidence suggests that bagged fresh spinach may be a possible cause of this outbreak.”
Fall 2006 – At least 199 cases of E. coli infection occur in 26 states. Three people die and about 31 develop Hemolytic Uremic Syndrome (HUS), a dangerous complication that can lead to kidney failure.
The outbreak is most severe in Wisconsin, where 49 cases are reported to the FDA, and one death is confirmed.
The source of the outbreak is traced to fresh, bagged spinach from the California-based Natural Selection Foods company, which issues a voluntary recall of its spinach products.
October 2006 – The FDA matches the E. coli strain to one found on a cattle ranch located next to the spinach fields in Salinas Valley.
Taco Bell/Taco John’s (E. coli O157:H7)
November 29, 2006 – An outbreak begins in New Jersey and New York at nine different Taco Bell locations.
December 5, 2006 – Taco Bell announces the removal of green onions from Taco Bell restaurants nationwide in response to preliminary tests suggesting they are the cause of the E. coli outbreak.
November-December 2006 – As many as 67 people in five states are confirmed as having the strain of E. coli bacteria involved in the Taco Bell outbreak.
December 2006 – Kevin Teale of the Iowa Department of Health tells CNN that approximately 40 people have reported symptoms consistent with E. coli, and 11 to 15 people have been hospitalized in Iowa.
Topp’s Ground Beef Patties (E. coli O157:H7)
September 25, 2007 – Topps Meat Company issues a recall of its frozen burgers after six people fall ill and three are hospitalized due to E. coli from Topps burgers.
September 29, 2007 – Topps Meat expands its recall to 21.7 million pounds of ground beef products. The company announces a week later that it is going out of business.
October 26, 2007 – An update is released – 40 cases of E. coli identified. At least 21 people are hospitalized and two developed hemolytic-uremic syndrome (HUS).
Cheese (E. coli O157:H7)
November 5, 2010 – Thirty-eight people from five states are sickened from cheese sold at Costco. Fifteen are hospitalized and one suffers from hemolytic uremic syndrome (HUS), a form of kidney failure.
November 23, 2010 – Bravo Farms recalls all its cheeses.
Chipotle (E. coli O26)
October 31, 2015 – Health officials in Washington and Oregon announce that an outbreak of E. coli infections may be linked to food served at Chipotle restaurants in Washington and Oregon.
November 3, 2015 – Chipotle announces it has closed 43 restaurants in Oregon and Washington.
November 20, 2015 – The CDC reports 45 people in six states have been infected with E. coli. The six states are Washington, Oregon, California, Minnesota, New York and Ohio. The report says evidence suggests that “a common meal item or ingredient served at Chipotle Mexican Grill restaurants…is a likely source of this outbreak.”
December 4, 2015 – The CDC reports that an additional seven people have been infected. Three new states, Illinois, Maryland and Pennsylvania have reported cases. This brings the total to 52 people infected in nine states.
December 21, 2015 – The CDC reports that an additional person has been infected in Pennsylvania, for a total of 53 people infected.
February 1, 2016 – The CDC says the Chipotle outbreaks “appear to be over.”
I.M. Healthy Brand SoyNut Butter (E. coli O157:H7)
January 4, 2017-February 21, 2017 – A nine-state outbreak of Shiga toxin-producing Escherichia coli (STEC O157:H7) occurs. Sixteen people fall ill and eight are hospitalized.
March 3, 2017 – The CDC investigates the multi-state outbreak. “Epidemiologic evidence available at this time indicates that I.M. Healthy brand SoyNut Butter is a likely source of this outbreak. SoyNut Butter is a nut-free substitute for peanut butter.”
March 7, 2017 – The SoyNut Butter Company announces the voluntary recall of all varieties of I.M. Healthy SoyNut Butters and I.M. Healthy Granola products.
March 30, 2017 – The FDA says no food products may be sold or distributed by the Dixie Dew Products, Inc. facility in Erlinger, Kentucky, because they may be contaminated with E. coli. Dixie Dew is I.M. Healthy’s contracted soy nut butter manufacturer.
May 4, 2017 – The CDC announces that the outbreak investigation is over. To date, 32 illnesses have been reported from 12 states.
Romaine Lettuce (E. coli 0157:H7)
April 10, 2018 – The CDC says it’s investigating a multistate outbreak, with 17 people infected from seven states.
April 13, 2018 – The CDC reports that its investigation is focused on chopped romaine lettuce from the Yuma, Arizona region. According to the CDC, 35 people from 11 states have fallen ill.
April 18, 2018 – In an update, the CDC reports that 53 people from 16 states have been infected. A total of 95% of those sickened said they ate romaine lettuce before the illness started.
April 20, 2018 – The CDC expands its warning to include all forms of romaine lettuce from the Yuma area, including whole heads and hearts, not just chopped.
April 27, 2018 – The CDC reports that 14 more people have fallen ill from tainted lettuce, bringing the total up to 98 people in 22 states.