FDA issued a report on the E.coli outbreak associated with romaine lettuce from the Yuma AZ area that was first identified in April of 2018. This was the largest number of E. coli O157:H7 infections in the United States in the last decade with 210 reported illnesses from 36 states, resulting in 96 hospitalizations, 27 cases of hemolytic uremic syndrome (HUS) and five deaths.
The investigation found that there were no obvious deficiencies in the processing facility, but did have these findings for the growing area.
- The outbreak strain of E. coli O157:H7 was found in water from three locations along a 3.5 mile stretch in an irrigation canal near Wellton in Yuma County, Arizona.
- The outbreak strain was not found anywhere else in sampling done during the EA in the Yuma growing region of Imperial County, California, and Yuma County, Arizona, although other human pathogens were identified in collected samples.
- FDA has concluded that the water from the irrigation canal where the outbreak strain was found most likely led to contamination of the romaine lettuce consumed during this outbreak.
- FDA cannot rule out that other sources or means of romaine lettuce contamination with the outbreak strain of E. coli O157:H7 may have occurred.
- There are several ways that irrigation canal water may have come in contact with the implicated romaine lettuce including direct application to the crop and/or use of irrigation canal water to dilute crop protection chemicals applied to the lettuce crop, either through aerial or ground-based spray applications.
- How and when the irrigation canal became contaminated with the outbreak strain is unknown. A large animal feeding operation is nearby but no obvious route for contamination from this facility to the irrigation canal was identified. Other explanations are possible although the EA team found no evidence to support them.
With this, FDA makes recommendations (below) for helping to prevent these issues including putting measures in place to assure the safety of the irrigation water and to assess the risk of land use surrounding the water source.
The full investigative report can be found here.
LINK
It includes maps with sampling sites as well as test results. Worth the read if interest in the topic.
https://www.fda.gov/Food/RecallsOutbreaksEmergencies/Outbreaks/ucm624546.htm
Environmental Assessment of Factors Potentially Contributing to the Contamination of Romaine Lettuce Implicated in a Multi-State Outbreak of E. coli O157:H7
November 1, 2018
This document provides an overview of factors that potentially contributed to the contamination of romaine lettuce with
E. coli O157:H7 that was implicated in a 2018 multi-state foodborne illness outbreak.