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FDA Statement on Foodborne E. coli O157:H7 Outbreak in Spinach
This statement is current as of September 26, 2006. The U.S. Food and Drug Administration (FDA) will continue to provide the public with regular updates on the E. coli O157:H7 outbreak each day until further notice.
To date, 183 cases of illness due to E. coli O157:H7 infection have been reported to the Centers for Disease Control and Prevention (CDC), including 29 cases of Hemolytic Uremic Syndrome (HUS), 95 hospitalizations and one death.
FDA is working closely with CDC and the state of California. FDA has determined that the spinach implicated in the outbreak was grown in three California counties: Monterey, San Benito, and Santa Clara. Spinach grown in the rest of the United States has not been implicated in the current E. coli O157:H7 outbreak. The public can be confident that spinach grown in the non-implicated areas can be consumed.
Consumers are advised not to purchase or consume fresh spinach if they cannot verify that it was grown in areas other than the three California counties implicated in the outbreak.
Other produce grown in these counties is not implicated in this outbreak. Processed spinach (e.g., frozen and canned spinach) is also not implicated in this outbreak.
Industry is working to get spinach from areas not implicated in the current E. coli O157:H7 outbreak back on the market.
Investigators from FDA, CDC and the state of California are working to narrow the area implicated in the current E. coli O157:H7 outbreak even further.
States Affected; Canadian case identified
The 26 affected states are: Arizona (7), California (1), Colorado (1), Connecticut (3) Idaho (4), Illinois (1), Indiana (9), Kentucky (8), Maine (3), Maryland (3), Michigan (4), Minnesota (2), Nebraska (9), Nevada (1), New Mexico (5), New York (11), Ohio (24), Oregon (6), Pennsylvania (8), Tennessee (1), Utah (18), Virginia (2), Washington (3), West Virginia (1), Wisconsin (47), and Wyoming (1).
In addition, Canada has confirmed that one case of E. coli O157:H7 has been positively matched to the outbreak strain in a person who ate bagged spinach.
The Pennsylvania Department of Health has confirmed that the strain of E. coli O157:H7 connected with the outbreak has been isolated from a bag of Dole baby spinach in that state.
The Utah Department of Health (UDOH) and the Salt Lake Valley Health Department (SLVHD) have confirmed that E. coli O157:H7, the same strain as that associated with the outbreak, has been found in a bag of Dole baby spinach purchased in Utah with a use by date of August 30, 2006. Laboratory tests were conducted by the Utah Public Health Laboratory (UPHL).
The New Mexico Department of Health announced on September 20, 2006, that it had linked a sample from a package of spinach with the outbreak strain of E. coli O157:H7. The spinach was eaten by one of New Mexico's patients before becoming sick. DNA fingerprinting tests determined that the strain from the spinach matches the strain from patients in the outbreak. The package of spinach that tested positive was "Dole Baby Spinach, Best if Used by August 30."
Five (5) Recalls
On September 22, 2006, Pacific Coast Fruit Company of Portland, Oregon initiated a voluntary recall of products that may include spinach supplied by Natural Selections Foods. Pacific Coast Fruit Company stopped making all products with spinach supplied from California on September 14, 2006. The recalled products are:
Baby Spring Mix Salad Kit (4.6 lbs), Chef on the Run- Bacon Spinach Salad (9 oz. plus 2 fl. oz. dressing), Chef on the Run - Spring Greens Salad (5 oz. plus 2 fl. oz. dressing), Chef on the Run - Willamette Valley Salad (10 oz. plus 2 fl. oz. dressing),Trader Joe's - Baby Spinach and Greens with Bleu Cheese, Candied Pecans and Cranberries with Raspberry Vinaigrette Dressing (10 oz.), Trader Joe's - Baby Greens and Spinach Salad with Wild Maine Blueberry Dressing (10 oz.), Mediterranean Veggie Blend Kit - 15 lbs, and My Brothers Pizza Spinach and Garlic - 15 oz. and 36 oz.
Most of the salad products can be identified by the labels Trader Joe's, My Brothers Pizza or Chef on the Run and are in clam shell containers. Pizza products are in round cardboard bottoms with a plastic over wrap. All salad products will have a "USE BY DATE" on or before Sept 20, 2006. Pizza products will have a "USE BY DATE" on or before September 23, 2006.
The products were distributed through various retail outlets in Alaska, Oregon, Washington and Idaho. There is no international distribution.
On September 22, 2006,Triple B Corporation, doing business as S.T. Produce, of Seattle, Washington, initiated a voluntary recall of its fresh spinach salad products with a "Use By" date of 8/22/2006 thru 9/20/2006. Spinach used in these products may have been supplied from Natural Selections Foods of California. The recalled products were distributed in Washington, Oregon, Idaho and Montana to retail stores and delis and sold in a hard plastic clamshell container.
The products recalled by S.T. Produce are: NWG Spinach Salad (5 oz.),Spinach Salad, QFC (5 oz.), Charlie's Spinach Salad (5 oz.), Charlie's Tabouli & Goat Cheese Salad (10 oz.), NWG Tabouli & Goat Cheese Salad (10 oz.),Tabouli & Goat Cheese Salad, QFC (10 oz.), T/H Spring Mix Salad (5.5 oz.), T/H Mozzarella Spring Mix Salad (5.5 oz.), T/H Baby Spinach Salad (5.5 oz.), Walnut and Blue Cheese Salad w/ Grilled Chicken Breast (6.5 oz.), Larry's Market Tabouli & Goat Cheese Salad (10 oz.), Charlie's Seasonal Greens Salad (2.5 oz.), Charlie's Seasonal Greens Salad (4 oz.), Charlie's Baby Spinach Salad (6 oz.), Charlie's Baby Spinach Salad (5 oz.) and Caesar Bowtie Noodle Salad Kit with Grilled Chicken Breast (6.9 lbs).
On September 19, 2006, RLB Food Distributors, L.P., West Caldwell, NJ, initiated a voluntary recall of certain salad products that may contain spinach with an 'Enjoy Thru' date of 9/20/06. See: http://www.fda.gov/oc/po/firmrecalls/rlb09_06.html. The products recalled by RLB are: Balducci's Mesclun Mix 5 oz., Balducci's Organic Baby Spinach 5 oz., Balducci's Mixed Greens 5 oz., FreshPro Mesclun Mix 5 oz., FreshPro Organic Baby Spinach 5 oz., FreshPro Mixed Greens 5 oz., FreshPro Salad Mix with Italian Dressing 4.75 oz., and FreshPro Salad Mix with Ranch Dressing 5.25 oz.
On September 17, 2006, River Ranch, of Salinas, California, announced a voluntary recall of packages of spring mix containing spinach. River Ranch obtained bulk spring mix containing spinach from Natural Selections. The following brands are involved: Fresh N' Easy Spring Mix and Hy-Vee Spring mix containing baby spinach, distributed to retailers in Texas, Iowa, New Mexico, Georgia and Ohio. Product was packed in 5 oz. bags and 5 oz. plastic trays. Products that do not contain spinach are not part of this recall.
On September 15, 2006, Natural Selection Foods, LLC, of San Juan Bautista, California, announced a voluntary recall of all products containing spinach in all brands they pack with "Best if Used by Dates" of August 17, 2006 through October 1, 2006. These products include spinach and any salad with spinach in a blend, both retail and food service products. Products that do not contain spinach are not part of this recall.
Natural Selection Foods, LLC brands include: Natural Selection Foods, Pride of San Juan, Earthbound Farm, Bellissima, Dole, Rave Spinach, Emeril, Sysco, O Organic, Fresh Point, River Ranch, Superior, Nature's Basket, Pro-Mark, Compliments, Trader Joe's, Ready Pac, Jansal Valley, Cheney Brothers, D'Arrigo Brothers, Green Harvest, Mann, Mills Family Farm, Premium Fresh, Snoboy, The Farmer's Market, Tanimura & Antle, President's Choice, Cross Valley, and Riverside Farms.
The affected products were also distributed to Canada, Mexico, Taiwan, Hong Kong and Iceland. No illnesses have been reported from these countries. FDA continues to investigate whether other companies and brands are involved.
Symptoms of E. coli O157:H7 Illness
E. coli O157:H7 causes diarrhea, often with bloody stools. Although most healthy adults can recover completely within a week, some people can develop a form of kidney failure called HUS. HUS is most likely to occur in young children and the elderly. The condition can lead to serious kidney damage and even death.
Lettuce Safety Initiative
The FDA developed the Lettuce Safety Initiative www.cfsan.fda.gov/~dms/lettsafe.html in response to recurring outbreaks of E. coli O157:H7 in lettuce. As a result of this outbreak, the initiative has been expanded to cover spinach. The primary goals of the initiative are to reduce public health risks by focusing on the product, agents and areas of greatest concern and to alert consumers early and respond rapidly in the event of an outbreak. This initiative is based on the 2004 Produce Safety Action Plan, intended to minimize the incidence of food borne illness associated with the consumption of fresh produce.
FDA continues to work closely with the CDC and state and local agencies to determine the cause and scope of the E. coli 0157:H7 outbreak in spinach. Please check www.fda.gov for updates.