395 people sickened in McDonald's salad outbreak

Federal health officials reported Thursday an additional 109 cases of cyclospora infection in an ongoing out...

Posted: Aug 3, 2018 11:05 AM
Updated: Aug 3, 2018 11:05 AM

Federal health officials reported Thursday an additional 109 cases of cyclospora infection in an ongoing outbreak linked to McDonald's salads that began in May.

The total number of laboratory-confirmed illnesses from this outbreak is now 395, according to a statement from the US Food and Drug Administration. At least 16 of the sick individuals have been hospitalized.

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The cyclospora parasite causes intestinal illness in people who consumed contaminated food or water. Symptoms can begin a week or more after consuming the parasite. They include diarrhea and frequent, sometimes explosive bowel movements, according to the Centers for Disease Control and Prevention. Those who are infected might also experience loss of appetite, weight loss, stomach cramps or pain, nausea, gas and fatigue. Vomiting, headache, fever, body aches and flu-like symptoms can also occur.

The illness can last a few days to a few months, and patients might feel better but then get worse again. Cyclosporiasis can be treated with antibiotics.

Illnesses have been reported in 15 states: Connecticut, Florida, Iowa, Illinois, Indiana, Kentucky, Michigan, Minnesota, Montana, Nebraska, Ohio, South Dakota, Tennessee, Virginia and Wisconsin. However, the patients in Connecticut, Michigan, Tennessee and Virginia bought their salads in Illinois while traveling, and the Florida patient bought the salad in Kentucky.

The FDA said an unused package of a Fresh Express salad mix of romaine lettuce and carrots that had been distributed to McDonald's tested positive for the presence of Cyclospora though it was past its July 19 expiration date.

"Epidemiologic evidence indicates that salads purchased from McDonald's restaurants are one likely source of these infections. The investigation is ongoing, and FDA is working to determine the sources of the ingredients that were in common to the salads served at McDonald's," the CDC said in an outbreak update posted on its website Thursday.

McDonald's said in a statement on July 13 that it had removed the salad mix from it's impacted restaurants and replaced it with a different supplier.

In a recall statement on the Fresh Express website, the company said it had launched a "precautionary recall" of the institutional food service product on July 27 of a "limited number of cases."

The statement said, "Fresh Express follows rigid food safety requirements and preventive controls throughout our supply chain that are carefully designed to mitigate against potential health risks."

The company's salad mix recall was connected with a public health alert issued Monday by the US Department of Agriculture's Food Safety and Inspection Service advising consumers that certain salad and wrap products might be contaminated with cyclospora. The products were sold by grocery stores including Kroger, Trader Joe's and Walgreens.

In the alert, the USDA said the issue was discovered when Indianapolis-based food distributor Caito Foods "received notification from their lettuce supplier, Fresh Express, that the chopped romaine that is used to manufacture some of their salads and wraps was being recalled."

The lettuce from McDonald's that tested positive for the cyclospora parasite was in the same lot as the lettuce distributed to Caito Foods, the CDC said Wednesday. "Fresh Express also reported that no romaine lettuce from the lot that was positive for cyclospora was packaged for direct retail sale to consumers," the CDC said.

Mississippi Coronavirus Cases

Data is updated nightly.

Cases: 250869

Reported Deaths: 5481
CountyCasesDeaths
DeSoto17010171
Hinds16091318
Harrison13250193
Rankin10629208
Jackson10216182
Lee8759141
Madison8186161
Jones6222109
Forrest5917118
Lauderdale5808180
Lowndes5309111
Lafayette491192
Lamar480465
Washington4770123
Bolivar3955106
Oktibbeha390380
Panola365076
Pontotoc361152
Monroe3521104
Warren344597
Union341458
Marshall339165
Neshoba3357152
Pearl River323295
Leflore2992105
Lincoln295685
Sunflower280469
Tate269560
Alcorn262653
Itawamba261159
Hancock260458
Pike259977
Scott244745
Prentiss244052
Yazoo242654
Tippah239749
Copiah239149
Simpson233967
Leake229564
Coahoma228554
Grenada217070
Covington210471
Marion208371
Adams203270
Winston199464
Wayne198730
George197938
Attala193158
Newton189142
Chickasaw182944
Tishomingo182159
Holmes168167
Jasper167735
Clay158233
Stone141520
Tallahatchie139234
Clarke137460
Calhoun135121
Smith119423
Yalobusha116134
Walthall111736
Noxubee110222
Greene109129
Montgomery109134
Carroll104121
Lawrence102117
Perry100531
Amite96825
Webster91924
Tunica86021
Claiborne85525
Jefferson Davis84025
Humphreys82624
Benton81023
Kemper76620
Quitman6838
Franklin65815
Choctaw60013
Wilkinson58325
Jefferson53419
Sharkey42417
Issaquena1596
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Alabama Coronavirus Cases

Cases: 420681

Reported Deaths: 6119
CountyCasesDeaths
Jefferson61755921
Mobile30058548
Madison26852186
Tuscaloosa20652266
Montgomery18876305
Shelby18421114
Baldwin16176182
Lee12393101
Morgan12175113
Etowah11687168
Calhoun11078200
Marshall10158107
Houston8556148
Cullman7999105
Limestone796274
Elmore7783101
DeKalb767197
Lauderdale752883
St. Clair7502120
Talladega6145108
Walker5880174
Jackson578841
Colbert529873
Blount529283
Autauga515455
Coffee438156
Dale394381
Franklin365248
Chilton335365
Covington326968
Russell326810
Escambia316142
Dallas302896
Chambers281869
Clarke279633
Tallapoosa2607107
Pike247629
Marion244650
Lawrence242547
Winston225535
Bibb214447
Geneva199535
Marengo197829
Pickens196231
Hale175442
Barbour172336
Butler168458
Fayette167126
Cherokee160030
Henry152721
Monroe145017
Randolph138835
Washington137026
Clay126145
Crenshaw118644
Lamar117519
Cleburne117223
Macon114335
Lowndes109535
Wilcox102621
Bullock98728
Perry96919
Conecuh94220
Sumter88826
Greene75723
Coosa60515
Choctaw51224
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