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Friday, March 1, 2024

FDA Updates Investigation of Lead Contamination in Applesauce

FDA issued an update on lead contaminated applesauce.  FDA stated, "After additional analysis of the cinnamon collected from the manufacturer in Ecuador (Austrofoods), FDA has confirmed that the lead and chromium previously detected in the cinnamon are from lead chromate"

FDA goes on to state, "Historically, lead chromate has been illegally added to certain spices increase to their weight and enhance their color, which increases the monetary value of the adulterated spices. FDA’s leading hypothesis remains that this was likely an act of economically motivated adulteration."  This was an issue related to the supplier of the cinnamon, and not the facility that made the applesauce.

FDA reports 90 confirmed cases while CDC reports a total of 468 cases (Confirmed Cases: 111, Probable Cases: 320, Suspect Cases: 37)

The FDA reports follows a NY Times report that discusses this case as demonstrating a weak link in our food supply chain....the supply chain of foreign processors.


https://www.fda.gov/food/outbreaks-foodborne-illness/investigation-elevated-lead-chromium-levels-cinnamon-applesauce-pouches-november-2023
Investigation of Elevated Lead & Chromium Levels: Cinnamon Applesauce Pouches (November 2023)
Do not eat, sell, or serve multiple brands of recalled apple cinnamon fruit pouches. FDA’s investigation is ongoing.

Current Update
February 29, 2024

After additional analysis of the cinnamon collected from the manufacturer in Ecuador (Austrofoods), FDA has confirmed that the lead and chromium previously detected in the cinnamon are from lead chromate. People who ate recalled products, especially if they had elevated blood lead levels, may have been exposed to chromium and should inform their healthcare provider so they can monitor health and provide supportive care, as needed. Healthcare providers can refer to CDC’s Clinician Outreach and Communication Activity (COCA Now) announcement for information for additional guidance.

Historically, lead chromate has been illegally added to certain spices increase to their weight and enhance their color, which increases the monetary value of the adulterated spices. FDA’s leading hypothesis remains that this was likely an act of economically motivated adulteration.

Further, FDA has limited authority over foreign ingredient suppliers who do not directly ship product to the U.S. This is because their food undergoes further manufacturing/processing prior to export. Thus, the FDA has limited ability to take direct action with Negasmart (the supplier of cinnamon to Austrofoods) or Carlos Aguilera (the processor of the cinnamon sticks).

Ecuadorian officials in Agencia Nacional de Regulación, Control y Vigilancia Sanitaria (ARCSA) have reported that Carlos Aguilera of Ecuador, is the likely source of contamination and is not in operation at this time.

Previous updates not captured by the initial timeline below are in the Previous Updates section. FDA will update the advisory as information becomes available.

https://www.cdc.gov/nceh/lead/news/lead-poisoning-outbreak-linked-to-cinnamon-applesauce-pouches.html
Lead and Chromium Poisoning Outbreak Linked to Cinnamon Applesauce Pouches
Apple Cinnamon Fruit Puree Pouches & Cinnamon Apple Sauce

Data updated on February 23, 2024.

CDC has received the following reports from state and local health departments:

Total Cases: 468
Confirmed Cases: 111
Probable Cases: 320
Suspect Cases: 37
States: (44 total) AL, AR, AZ, CA, CO, CT, FL, GA, IA, ID, IL, IN, KS, KY, LA, MA, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NY, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, VT, WA, WI, WV
Recall: Yes
Investigation status: Active
Cases are reported to the CDC through state health departments. State health departments receive reports of potential cases from various sources, and then follow up to determine whether the case definition is met. In order to be considered in CDC’s case count, the person must have had a blood lead level of 3.5 ug/dL or higher measured within 3 months after consuming a recalled WanaBana, Schnucks, or Weis brand fruit purée product after November 2022.  Based on the amount of information available, CDC asks states to further classify cases as “suspect”, “probable”, and “confirmed”. As the investigation progresses, cases might be assigned to different case categories.

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