"The FDA and CDC have been tracking two multi-state romaine lettuce outbreaks. Today, federal health officials are declaring both multi-state romaine lettuce outbreaks over. One of the outbreaks sickened 167 people in 27 states. The other outbreak, linked to Fresh Express salad kits, sickened 10 people in five states."
However, little has been determined on how the contamination events occurred. The investigation continues.
https://www.fda.gov/food/outbreaks-foodborne-illness/outbreak-investigation-e-coli-romaine-salinas-california-november-2019
Outbreak Investigation of E. coli: Romaine from Salinas, California (November 2019)
Outbreak appears over; FDA investigation efforts continue
January 15, 2020
Recommendation
As of January 15, 2020, the CDC reports that the outbreak appears to be over. Contaminated romaine from the Salinas, CA growing region that made people sick in this outbreak is likely no longer available. Consumers need not avoid romaine lettuce, or any other produce, from the Salinas, CA growing area.
Case Counts
Total Illnesses: 167
Hospitalizations: 85
Deaths: 0
Last illness onset: December 21, 2019
States with Cases: AZ (4), CA (8), CO (6), DE (1), FL (4), IA (1), ID (4), IL (15), MD (5), MI (2), MN (7), MT (1), NE (2), NJ (9), NC (3), NM (2), NY (3), OH (12), OR (1), PA (21), SC (1), SD (1), TN (1), TX (6), VA (6), WA (6), WI (35)
https://www.fda.gov/food/outbreaks-foodborne-illness/outbreak-investigation-e-coli-salad-mix-december-2019
Outbreak Investigation of E. coli: Salad Mix (December 2019)
Outbreak linked to Fresh Express brand Sunflower Crisp Chopped Salad Kits appears over
January 15, 2020
Recommendation
As of January 15, 2020, the CDC reports that the outbreak appears to be over.
Contaminated Fresh Express Sunflower Crisp Chopped salad kits that made people sick in this outbreak are likely no longer available on the market.
Case Counts
Total Illnesses: 10
Hospitalizations: 4
Deaths: 0
Last illness onset: November 16, 2019
States with Cases: GA (1), IL (1), MN (4), ND (1), WI (3)
FDA will continue its investigation into the potential sources and contributing factors that led to the outbreak in order to inform future prevention efforts.
This outbreak, a Washington state outbreak potentially linked to leafy greens, and a larger multi-state outbreak linked to romaine lettuce from the Salinas, CA growing region with cases in the U.S. and CanadaExternal Link Disclaimer, all shared a common romaine lettuce supplier with ranches in Salinas, CA. Although this grower was determined to be a common supplier for all three outbreaks based on available supply chain information, the romaine lettuce from this grower does not explain all the illnesses seen in the three outbreaks.
FDA, CDC, and California partners investigated ranches used by the common grower in an attempt to identify the source of the contamination. When investigators arrived on the ranches there was no romaine lettuce in the ground and the fields had been plowed, as the growing season had already ended. Investigators collected water, soil, and compost samples and took them back to the lab for analysis. So far, sample results have come back negative for the three outbreak strains of E. coli. FDA did find a strain of E. coli that is unrelated to any illnesses in a soil sample. This strain of E. coli was determined to be of low risk to people.
As part of FDA’s ongoing efforts to understand and prevent foodborne illnesses linked to leafy greens, the FDA will conduct a root cause investigation. The investigation will be conducted throughout this year’s romaine lettuce planting, growing, and harvesting season. Results will be shared publicly when the investigation and analysis are concluded.
FDA Statement
https://www.fda.gov/news-events/press-announcements/statement-salinas-linked-romaine-lettuce-e-coli-o157h7-outbreak-and-status-update-investigation
Statement on the Salinas-linked romaine lettuce E. coli O157:H7 outbreak and status update on investigation
Outbreaks declared over, investigation advances, root cause analysis continues
For Immediate Release:January 15, 2020 Statement From:
The U.S. Food and Drug Administration, along with the U.S. Centers for Disease Control and Prevention and state and local partners, previously reported on Dec. 12 that public health experts were tracking three separate outbreaks linked to romaine lettuce caused by three different strains of E. coli O157:H7. We also reported that, through the FDA’s traceback investigation, we were able to identify a common grower between each of these outbreaks in Salinas, California based on available supply chain information.
Today, the FDA is providing an update on the status of the E. coli O157:H7 illnesses linked to romaine lettuce, along with recent findings based on our investigation of fields linked to a common grower, which was identified in our traceback. It should be noted that romaine from this grower does not explain all of the illnesses seen in these outbreaks.
Outbreaks declared over, consumer advisory lifted
The FDA is lifting the consumer advisory to avoid romaine lettuce from Salinas as the growing season for this region is over, and there is no longer a need for consumers to avoid it. There is also no need to avoid other produce products from Salinas.
The FDA and CDC have been tracking two multi-state romaine lettuce outbreaks. Today, federal health officials are declaring both multi-state romaine lettuce outbreaks over. One of the outbreaks sickened 167 people in 27 states. The other outbreak, linked to Fresh Express salad kits, sickened 10 people in five states.
There was also a third outbreak in Washington State that sickened 11 people. This outbreak has also been declared over.
The last reported illness onset date for all the outbreaks was Dec. 21. Based on this information, it appears that our Nov. 22 advisory to not eat romaine from Salinas played an important role in preventing illnesses and containing this outbreak because it prompted the removal of romaine lettuce from Salinas from the marketplace and warned consumers to throw away romaine from that growing region.
Common grower, multiple fields investigated
The FDA traceback investigation for these outbreaks required investigators to go through hundreds of supply chain records to find a commonality to a single grower with multiple fields. We were able to narrow this down further to at least 10 fields in the lower Salinas Valley.
Investigators from the FDA, CDC, the California Department of Food and Agriculture and the California Department of Public Health, visited several of these fields and took a variety of samples from water, soil and compost. So far, sample results have come back negative for all of the three outbreak strains of E. coli O157:H7. However, we did find a strain of E. coli that is unrelated to any illnesses in a soil sample taken near a run-off point in a buffer zone between a field where product was harvested and where cattle are known to occasionally graze. This could be an important clue that will be further examined as our investigation continues. However, this clue does not explain the illnesses seen in these outbreaks.
Our investigation is ongoing, and we are doing everything possible to find the source or sources of contamination. The investigation into how this contamination occurred is important, so romaine growers can implement measures that will prevent future contamination and illnesses.
The FDA is planning to conduct an additional, in-depth, root-cause investigation. The investigation will further characterize how contamination might have occurred and will inform what preventive controls are needed to prevent future outbreaks. Once complete, we plan to issue a prompt report and share lessons learned, so that growers can implement best practices to protect consumers from contaminated produce.
Investigation will inform future prevention
As we mentioned in our last update, it is important to remember that millions of servings of fresh leafy greens are safely eaten every day by consumers, although the repeat nature of these outbreaks linked to leafy greens – and more specifically to romaine lettuce – remains a concern.
We are doing our part by continuing our sampling assignment to monitor for pathogens in romaine lettuce across the nation. Industry can and must do their part too. Everyone across the romaine supply chain must do everything possible to fully understand why and how these outbreaks keep happening and continue to aggressively implement preventive measures to further protect consumers.
Outbreaks illustrate need to stay focused on prevention
It’s critical that all stakeholders, including growers, processors, distributors and retailers, stay laser-focused on prevention to help bend the curve of foodborne illness. We understand the importance of food safety, and we know there’s a human face to every foodborne illness.
The FDA remains committed to doing everything we can to prevent outbreaks, working with fellow regulators and the food industry to identify and address causes and keep consumers aware of potential risks.
Rest assured that we are working hard every day to try to prevent foodborne illness. We also know that food safety is a shared responsibility. It involves food producers, distributors, manufacturers, retailers and certainly regulatory officials at the federal, state, local, territorial and tribal levels. That’s why we work directly with our partners on things such as training and inspections. We also work closely with industry, so they understand our requirements and are educated on the latest scientific standards and good agricultural practices. Working together, we have and will continue to advance food safety.
A New Era of Smarter Food Safety
While we will always place emphasis on prevention, being able to promptly respond to an outbreak when it occurs is a critical part of our food safety mission.
As public health agencies have gotten better at detecting foodborne illnesses, our ability to trace back to the source of contaminated foods that may have caused the illnesses has lagged, due in part to the lack of modernized food traceability capabilities.
As part of the FDA’s New Era of Smarter Food Safety initiative, we plan to use advances in technology to improve our ability to track and trace products through the supply chain. We’ll be launching a New Era of Smarter Food Safety Blueprint in early 2020 that will outline how we will advance our work in this area. This blueprint will help consumers get information more quickly, enabling people to better protect themselves and their families.
We look forward to continuing our work with growers, processors, distributors and retailers in our shared efforts to protect consumers, and we will continue to provide updated information as it becomes available.
The FDA, an agency within the U.S. Department of Health and Human Services, protects the public health by assuring the safety, effectiveness, and security of human and veterinary drugs, vaccines and other biological products for human use, and medical devices. The agency also is responsible for the safety and security of our nation’s food supply, cosmetics, dietary supplements, products that give off electronic radiation, and for regulating tobacco products.
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