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Wednesday, July 1, 2020

CDC and FDA Update on Cyclospora Outbreak Linked to Bagged Salad

FDA and CDC released an update on the Cyclospora outbreak associated with bagged salad sold which is linked to a facility in Illinois.  As of June 29, 2020, there have been 206 reported cases of Cyclospora infection.  The previous update was on June 19, 2020.

"The FDA, along with CDC and state and local partners continue to investigate a multistate outbreak of Cyclospora infections potentially linked to salad products that were made by Fresh Express containing iceberg lettuce, red cabbage, and carrots and that were sold in several regions of the United States. The investigation includes Fresh Express branded products as well as products made by Fresh Express for retail store brands sold at ALDI, Giant Eagle, Hy-Vee, Jewel-Osco, ShopRite, and Walmart. Investigators continue to look into whether other retail brands may be impacted."

"Currently, the epidemiologic and traceback information collected by federal and state investigators indicates that a likely cause of this outbreak is product made at the Fresh Express production facility in Streamwood, Illinois."

FDA
https://www.fda.gov/food/outbreaks-foodborne-illness/outbreak-investigation-cyclospora-bagged-salads-june-2020
Outbreak Investigation of Cyclospora: Bagged Salads (June 2020)
Fresh Express recalls products made in its Streamwood, Illinois production facility with either iceberg lettuce, red cabbage or carrots

06/29/2020

The FDA, along with CDC and state and local partners continue to investigate a multistate outbreak of Cyclospora infections potentially linked to salad products that were made by Fresh Express containing iceberg lettuce, red cabbage, and carrots and that were sold in several regions of the United States. The investigation includes Fresh Express branded products as well as products made by Fresh Express for retail store brands sold at ALDI, Giant Eagle, Hy-Vee, Jewel-Osco, ShopRite, and Walmart. Investigators continue to look into whether other retail brands may be impacted.
Recommendations
On June 27, 2020, Fresh Express recalled products containing either iceberg lettuce, red cabbage or carrots and displaying the product code Z178, or a lower number. The “Best by” date on the products run through July 14, 2020. The product code is located in the upper right-hand corner of the front of each package. Consumers should not eat, and restaurants and retailers should not sell or serve any of the recalled products. These products may either be branded with the Fresh Express label, or they may be branded with a number of retail store brand labels. The recalled retail store brands are ALDI Little Salad Bar, Giant Eagle, Hy-Vee, Jewel-Osco Signature Farms, ShopRite Wholesome Pantry, and Walmart Marketside.
The recalled products displaying the product code Z178 or lower were sold in Arkansas, Connecticut, Delaware, Iowa, Illinois, Indiana, Kansas, Kentucky, Massachusetts, Maryland, Maine, Michigan, Minnesota, Missouri, Montana, North Carolina, North Dakota, Nebraska, New Hampshire, New Jersey, New York, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Dakota, Tennessee, Virginia, Vermont, Wisconsin, West Virginia, and the District of Columbia.
The recalled products were made in the Fresh Express production facility in Streamwood, Illinois and have the potential to be contaminated with Cyclospora. The recent Fresh Express recall also includes previously recalled store brands.
Investigation Update
June 29, 2020
Currently, the epidemiologic and traceback information collected by federal and state investigators indicates that a likely cause of this outbreak is product made at the Fresh Express production facility in Streamwood, Illinois.
FDA has begun an inspection at the Fresh Express production facility in Streamwood, Illinois and has begun a traceback investigation to find the cause and source of the outbreak. FDA has also been working with Fresh Express to identify other retailers it has supplied with products containing iceberg lettuce, red cabbage, or carrots.
Between June 20 and June 25, there were recalls of salad products containing these ingredients. These recalls included products sold at ALDI, Hy-Vee, Jewel-Osco, and Walmart.
On June 26, 2020, FDA and CDC discussed with Fresh Express concerns that additional products made in the Streamwood facility could also contain Cyclospora. The firm agreed to recall the products of concern. On June 27, 2020, Fresh Express recalled products containing either iceberg lettuce, red cabbage or carrots and displaying the product code Z178, or a lower number. The recalled products were made in the Fresh Express production facility in Streamwood, Illinois and have the potential to be contaminated with Cyclospora.
FDA is continuing to work with retailers to ensure the potentially adulterated products are effectively removed from the market place. As this outbreak investigation continues, the FDA will provide additional updates to this advisory.

CDC 
https://www.cdc.gov/parasites/cyclosporiasis/outbreaks/2020/index.html
Outbreak of Cyclospora Infections Linked to Bagged Salad Mix
At a Glance
Reported laboratory-confirmed cases: 206
States: 8
Deaths: 0
Hospitalizations: 23
Recall: Yes

Last Updated JUNE 29, 2020 3:00 PM EDT
CDC, public health and regulatory officials in several states, and the U.S. Food and Drug Administration
external icon
 (FDA) are investigating a multistate outbreak of Cyclospora infections linked to bagged salad mix containing iceberg lettuce, carrots, and red cabbage produced by Fresh Express.








https://www.fda.gov/safety/recalls-market-withdrawals-safety-alerts/fresh-express-issues-precautionary-recall-products-containing-iceberg-red-cabbage-and-carrots
Fresh Express Issues a Precautionary Recall of Products Containing Iceberg, Red Cabbage and Carrots Produced at Its Streamwood, IL Facility Due to a Potential Cyclospora Risk
Summary
Company Announcement Date:June 27, 2020 
FDA Publish Date:June 29, 2020 
Product Type:Food & Beverages 
Reason for Announcement: Possible Cyclospora Contamination
Company Name: Fresh Express
Brand Name: Fresh Express, Giant Eagle and more
Product Description: Old fashioned coleslaw, 3 color deli coleslaw and more

Company Announcement
Fresh Express, out of an abundance of caution, has issued a voluntary recall of branded and private label salad products produced at its Streamwood, IL facility that contain iceberg lettuce, red cabbage and/or carrot ingredients due to a possible health risk from Cyclospora. According to the Centers for Disease Control and Prevention, over 200 illnesses have been reported in connection with a current outbreak of Cyclospora occurring in primarily Midwest states.
Cyclosporiasis is an intestinal infection caused by the Cyclospora parasite. A person may become infected after ingesting contaminated food or water. Common symptoms include severe abdominal pain, diarrhea, nausea and vomiting, body aches and fatigue. The infection is treated with antibiotics and most people respond quickly to treatment.
The Fresh Express recall includes only those salads that are clearly marked with the letter Z at the beginning of the Product Code, which is located in the upper right-hand corner of the front of the package. Products containing the ingredients iceberg lettuce, red cabbage and/or carrots AND displaying the Product Code Z178, or a lower number, are recalled.
Recalled products were distributed to select retail stores between June 6 and June 26 in various states including, for example, Arkansas, Connecticut, Delaware, Iowa, Illinois, Indiana, Kansas, Kentucky, Massachusetts, Maryland, Maine, Michigan, Minnesota, Missouri, Montana, North Carolina, North Dakota, Nebraska, New Jersey, New York, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Dakota, Tennessee, Virginia, Vermont, Wisconsin, West Virginia, and the District of Columbia.
No other Fresh Express products are subject to recall.
Fresh Express customers have been notified of the recall and instructed to immediately remove recalled products from all store shelves, distribution, and other inventories to ensure they are no longer available for sale or consumption.
Consumers who may have a recalled salad should discard it immediately and not eat it. Consumers with questions, or to obtain refunds, may contact the Fresh Express Consumer Response Center toll-free at (800) 242-5472 on Monday through Saturday from 8 a.m. to 7 p.m. Eastern time and on Sunday from 11 a.m. to 7 p.m. Eastern time.
Fresh Express takes food safety matters very seriously, stringently follows all mandated regulations and implements preventive measures designed to minimize potential risks. Fresh Express is working in close coordination with FDA in its continuing investigation to identify a definitive source of the current Cyclospora outbreak.
Recalled Product Details
https://www.fda.gov/safety/recalls-market-withdrawals-safety-alerts/fresh-express-issues-precautionary-recall-products-containing-iceberg-red-cabbage-and-carrots




https://www.fda.gov/safety/recalls-market-withdrawals-safety-alerts/salad-supplier-recall-expanded-after-potential-cyclospora-contamination-hy-vee-pulls-additional
Salad Supplier Recall Expanded after Potential Cyclospora Contamination; Hy-Vee Pulls Additional Salads as a Result
Summary
Company Announcement Date: June 29, 2020 
FDA Publish Date: June 29, 2020 
Product Type: Food & Beverages Produce 
 Reason for Announcement:Possible Cyclospora Contamination 
Company Name: Hy-Vee Inc. 
Brand Name: Hy-Vee
Product Description:  Chopped Salad Kit, Shredded Iceberg and more

Company Announcement
Hy-Vee, Inc., based in West Des Moines, Iowa, is recalling an additional 12 salads across its eight-state region due to the potential that they may be contaminated with Cyclospora. The potential for contamination was brought to Hy-Vee’s attention when Fresh Express – which manufactures the product – announced that the U.S. Food and Drug Administration (FDA) and the Centers for Disease Control Prevention (CDC) expanded its investigation of an outbreak of Cyclospora in the upper Midwest section of the United States. The 12 salads are in addition to the 12 oz. Hy-Vee Bagged Garden Salad product that Hy-Vee pulled last week after initial notification of the investigation. Hy-Vee now has 13 private label bagged salad products (all expiration dates) that are being recalled as a result.
The products were distributed to Hy-Vee grocery stores across its eight-state region of Iowa, Illinois, Missouri, Kansas, Nebraska, South Dakota, Minnesota and Wisconsin.
The list below outlines the 13 products that have been recalled. No other Hy-Vee branded salads are impacted by today’s recall.
UPC
DESCRIPTION
SIZE
0-07450-24669
HY-VEE SOUTHWEST CHOPPED SALAD KIT
13.4 OZ
0-07545-12053
HY-VEE SHREDDED ICEBERG
8 OZ
0-75450-08530
HY-VEE VEGGIE DELUXE SALAD
12 OZ
0-75450-12046
HY-VEE GREENER SUPREME BLEND
12 OZ
0-75450-12047
HY-VEE AMERICAN BLEND SALAD
12 OZ
0-75450-12048
HY-VEE ITALIAN BLEND SALAD
10 OZ
0-75450-12051
HY-VEE COLESLAW MIX
16 OZ
0-75450-12058
HY-VEE ROMAINE GARDEN SALAD
12 OZ
0-75450-24668
HY-VEE ASIAN CHOPPED SALAD KIT
13.7 OZ
0-75450-24670
HY-VEE SUNFLOWER CHOPPED SALAD KIT
13.2 OZ
0-75450-24672
HY-VEE CHIPOTLE CHEDDAR CHOPPED KIT
11.4 OZ
0-75450-24674
HY-VEE GARDEN SALAD
12 OZ
0-75450-24715
HY-VEE AVOCADO RANCH CHOPPED KIT
12.8 OZ
Customers who purchased any of these products should discard them or return them to their local Hy-Vee store for a full refund.
Symptoms of cyclosporiasis begin an average of seven days after ingestion of Cyclospora. Symptoms of cyclosporiasis may include: watery diarrhea (most common), loss of appetite, weight loss, cramping, bloating, increased gas, nausea, fatigue, vomiting, and low-grade fever. If not treated, symptoms can persist for several weeks to a month or more. People who are in poor health or who have weakened immune systems may be at higher risk for severe or prolonged illness.
Consumers with questions may contact Hy-Vee Customer Care representatives 24 hours a day, seven days a week at 1-800-772-4098.
For more information, visit the FDA’s website at www.fda.gov.
Hy-Vee, Inc. is an employee-owned corporation operating more than 265 retail stores across eight Midwestern states with sales of $10 billion annually. The supermarket chain is synonymous with quality, variety, convenience, healthy lifestyles, culinary expertise and superior customer service. Hy-Vee ranks in the Top 10 Most Trusted Brands and has been named one of America’s Top 5 favorite grocery stores. The company’s 85,000 employees provide “A Helpful Smile in Every Aisle” to customers every day. For additional information, visit www.hy-vee.com.

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