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FDA Statement on Foodborne E. coli O157:H7 Outbreak in Spinach
Update: Sunday, September 17, 2006
The U.S. Food and Drug Administration (FDA) will continue to provide the public with regular updates on the E. coli O157:H7 outbreak each day until further notice.
Case Reports
To date, 109 cases of illness due to E. coli infection have been reported to the Centers for Disease Control and Prevention (CDC), including 16 cases of Hemolytic Uremic Syndrome (HUS) and one death. Illnesses continue to be reported to CDC. This is considered to be an ongoing investigation.
Symptoms of E. coli O157:H7 Illness
E. coli O157:H7 causes diarrhea, often with bloody stools. Although most healthy adults can recover completely within a week, some people can develop a form of kidney failure called HUS. HUS is most likely to occur in young children and the elderly. The condition can lead to serious kidney damage and even death.
States Affected
There are 19 confirmed states: California, Connecticut, Idaho, Indiana, Kentucky, Maine, Michigan, Minnesota, Nevada, New Mexico, New York, Ohio, Oregon, Pennsylvania, Utah, Virginia, Washington, Wisconsin, and Wyoming.
Consumer Advice
FDA advises consumers to not eat fresh spinach or fresh spinach-containing products until further notice.
If individuals believe they may have experienced symptoms of illness after consuming fresh spinach or fresh spinach-containing products, FDA recommends that they seek medical advice.
Two (2) Recalls
FDA has been informed that River Ranch, of California, is recalling packages of spring mix containing spinach. River Ranch obtained bulk spring mix containing spinach from Natural Selections. The following brands are involved: Farmers Market, Hy Vee, Fresh and Easy. Products that do not contain spinach are not part of this recall.
Natural Selection Foods, LLC, of San Juan Bautista, California, is recalling all of its products containing spinach in all brands they pack with "Best if Used by Dates" of August 17, 2006 through October 1, 2006. These products include spinach and any salad with spinach in a blend, both retail and food service products. Products that do not contain spinach are not part of this recall.
Natural Selection Foods, LLC brands include: Natural Selection Foods, Pride of San Juan, Earthbound Farm, Bellissima, Dole, Rave Spinach, Emeril, Sysco, O Organic, Fresh Point, River Ranch, Superior, Nature's Basket, Pro-Mark, Compliments, Trader Joe's, Ready Pac, Jansal Valley, Cheney Brothers, Coastline, D'Arrigo Brothers, Green Harvest, Mann, Mills Family Farm, Premium Fresh, Snoboy, The Farmer's Market, Tanimura & Antle, President's Choice, Cross Valley, and Riverside Farms.
The affected products were also distributed to Canada and Mexico. FDA continues to investigate whether other companies and brands are involved.
Lettuce Safety Initiative
The FDA developed the Lettuce Safety Initiative
http://www.cfsan.fda.gov/~dms/lettsafe.html in response to recurring outbreaks of E.coli O157:H7 in lettuce. As a result of this outbreak, the initiative has been expanded to cover spinach. The primary goals of the initiative are to reduce public health risks by focusing on the product, agents and areas of greatest concern and to alert consumers early and respond rapidly in the event of an outbreak. This initiative is based on the 2004 Produce Safety Action Plan, intended to minimize the incidence of food borne illness associated with the consumption of fresh produce.
FDA continues to work closely with the CDC and state and local agencies to determine the cause and scope of the E.coli outbreak in spinach. Please check
www.fda.gov for updates.
FDA Consumer Advisory on Refrigeration of Carrot Juice
Three Cases of Botulism Possibly Caused by Improper Refrigeration
The U.S. Food and Drug Administration (FDA) is advising consumers of the vital importance of keeping carrot juice?including pasteurized carrot juice?refrigerated. There are three cases of botulism in the state of Georgia associated with pasteurized carrot juice that may have been due to the product not being properly refrigerated.
FDA, the Centers for Disease Control and Prevention (CDC), and health authorities in Georgia have been closely monitoring and continue to investigate these three cases of foodborne botulism.
On September 15, 2006, Georgia health authorities issued a press statement, which in part stated the following: "?At this time we believe that these three cases are an isolated incident?. During the investigation, other community members have been identified as having purchased and consumed the same product from the same vendor within the past three weeks. These persons have not become ill or developed any symptoms. The fact that additional cases have not been identified suggests that the toxin was not present before the sale of the product?"
"Because botulism is such a potentially serious illness, we want to remind consumers that it is critical to refrigerate carrot juice for safety. Consumers should not keep carrot juice unrefrigerated," said Dr. Robert Brackett, Director of FDA's Center for Food Safety and Applied Nutrition (CFSAN). Inadequate refrigeration of carrot juice allows botulinum spores to multiply to the level at which they can cause illness.
Botulism is a rare but serious paralytic illness caused by botulinum toxin, a nerve poison that under certain conditions is produced by Clostridium botulinum, a bacterium commonly found in soil. Botulism can be fatal and is considered a medical emergency. Foodborne botulism is not common in the United States; an average of 24 cases are reported each year. Botulinum poisoning can result in the following symptoms: double-vision, droopy eyelids and altered voice or trouble with speaking or swallowing, and paralysis on both sides of the body that progresses from the neck down, possibly followed by difficulty in breathing. People experiencing these problems should seek immediate medical attention.
Adequate refrigeration is one of the keys to food safety. Cold temperatures keep most harmful pathogens from growing and multiplying. Refrigerator temperatures should be no higher than 40°F and freezers no higher then 0°F. Consumers should check the temperatures occasionally with an appliance thermometer.
Consumers should look for the words "Keep Refrigerated" or "Refrigerate After Opening" on juice labels to know whether the product should be refrigerated. FDA is looking into whether the industry is providing clear labeling on refrigeration of juice products during storage.
Guidance on labeling of foods that need refrigeration by consumers, particularly for safety, is available at
http://www.cfsan.fda.gov/~lrd/fr970224.html.
Consumers with questions about juice safety also may call 1-800-SAFEFOOD.
FDA Statement on Foodborne E. coli O157:H7 Outbreak in Spinach
Update: Monday, September 18, 2006
The U.S. Food and Drug Administration (FDA) will continue to provide the public with regular updates on the E. coli O157:H7 outbreak each day until further notice.
Case Reports
To date, 114 cases of illness due to E. coli infection have been reported to the Centers for Disease Control and Prevention (CDC), including 18 cases of Hemolytic Uremic Syndrome (HUS), 60 hospitalizations, and one death. Illnesses continue to be reported to CDC. This is considered to be an ongoing investigation.
States Affected
There are now 21 confirmed states: California, Connecticut, Idaho, Illinois, Indiana, Kentucky, Maine, Michigan, Minnesota, Nebraska, Nevada, New Mexico, New York, Ohio, Oregon, Pennsylvania, Utah, Virginia, Washington, Wisconsin, and Wyoming.
Consumer Advice
FDA advises consumers not to eat fresh spinach or fresh spinach-containing products until further notice.
If individuals believe they may have experienced symptoms of illness after consuming fresh spinach or fresh spinach-containing products, FDA recommends that they seek medical advice.
Symptoms of E. coli O157:H7 Illness
E. coli O157:H7 causes diarrhea, often with bloody stools. Although most healthy adults can recover completely within a week, some people can develop a form of kidney failure called HUS. HUS is most likely to occur in young children and the elderly. The condition can lead to serious kidney damage and even death.
Two Recalls
On September 17, 2006, River Ranch, of Salinas, California, announced a recall of packages of spring mix containing spinach. River Ranch obtained bulk spring mix containing spinach from Natural Selections. The following brands are involved: Fresh N' Easy Spring Mix and Hy-Vee Spring mix containing baby spinach, distributed to retailers in Texas, Iowa and New Mexico. Product was packed in 5 oz. bags and 5 oz. plastic trays. Products that do not contain spinach are not part of this recall.
On September 15, 2006, Natural Selections Foods, LLC, of San Juan Bautista, California, announced a recall of all of its products containing spinach in all brands they pack with "Best if Used by Dates" of August 17, 2006 through October 1, 2006. These products include spinach and any salad with spinach in a blend, both retail and food service products. Products that do not contain spinach are not part of this recall.
Natural Selections Foods, LLC brands include: Natural Selections Foods, Pride of San Juan, Earthbound Farm, Bellissima, Dole, Rave Spinach, Emeril, Sysco, O Organic, Fresh Point, River Ranch, Superior, Nature's Basket, Pro-Mark, Compliments, Trader Joe's, Ready Pac, Jansal Valley, Cheney Brothers, Coastline, D'Arrigo Brothers, Green Harvest, Mann, Mills Family Farm, Premium Fresh, Snoboy, The Farmer's Market, Tanimura & Antle, President's Choice, Cross Valley, and Riverside Farms.
The affected products were also distributed to Canada, Mexico, and Taiwan. No illnesses from these countries have been reported. FDA continues to investigate whether other companies and brands are involved.
Lettuce Safety Initiative
The FDA developed the Lettuce Safety Initiative
www.cfsan.fda.gov/~dms/lettsafe.html in response to recurring outbreaks of E. coli O157:H7 in lettuce. As a result of this outbreak, the initiative has been expanded to cover spinach. The primary goals of the initiative are to reduce public health risks by focusing on the product, agents and areas of greatest concern and to alert consumers early and respond rapidly in the event of an outbreak. This initiative is based on the 2004 Produce Safety Action Plan, intended to minimize the incidence of food borne illness associated with the consumption of fresh produce.
FDA continues to work closely with the CDC and state and local agencies to determine the cause and scope of the E. coli outbreak in spinach. Please check
www.fda.gov for updates.