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 12:05 PM
Updated: Aug 3, 2018 12:05 PM

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.

Accidents, disasters and safety

Business and industry sectors

Business, economy and trade

Companies

Consumer products

Epidemics and outbreaks

Food and drink

Food products

Food safety

Fruits and vegetables

Government organizations - US

Health and medical

Kinds of foods and beverages

McDonald's Corp

Product safety

Public health

Safety issues and practices

US Department of Health and Human Services

US federal departments and agencies

US Food and Drug Administration

Vegetables

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.

Indiana Coronavirus Cases

Data is updated nightly.

Cases: 728811

Reported Deaths: 13405
CountyCasesDeaths
Marion996911740
Lake53548966
Allen40529675
St. Joseph35596550
Hamilton35536408
Elkhart28470441
Tippecanoe22375218
Vanderburgh22293396
Porter18701307
Johnson17923378
Hendricks17199315
Clark12943191
Madison12612339
Vigo12437246
Monroe11873170
LaPorte11856210
Delaware10667186
Howard9895216
Kosciusko9390117
Hancock8260140
Bartholomew8058155
Warrick7777155
Floyd7653178
Wayne7035199
Grant7032174
Boone6687101
Morgan6557139
Dubois6150117
Marshall6016111
Dearborn580077
Cass5794105
Henry5699103
Noble559883
Jackson501172
Shelby490696
Lawrence4522120
Harrison435072
Gibson434792
DeKalb427185
Clinton427053
Montgomery423688
Whitley395239
Huntington390080
Steuben385557
Miami381166
Knox371890
Jasper364747
Putnam359660
Wabash353479
Adams341054
Ripley339170
Jefferson329281
White313554
Daviess296299
Wells291381
Decatur284792
Fayette279562
Greene277885
Posey271333
Scott265653
LaGrange265570
Clay259447
Washington240332
Randolph239781
Spencer232131
Jennings229849
Starke215953
Fountain212046
Sullivan211442
Owen198756
Fulton194840
Jay193630
Carroll188520
Orange182654
Perry182637
Rush173025
Vermillion168843
Franklin167835
Tipton162845
Parke146116
Blackford134632
Pike133734
Pulaski116645
Newton107734
Brown101941
Crawford99514
Benton98514
Martin88615
Warren81815
Switzerland7858
Union71010
Ohio56511
Unassigned0414

Ohio Coronavirus Cases

Data is updated nightly.

Cases: 1082815

Reported Deaths: 19428
CountyCasesDeaths
Franklin1258081400
Cuyahoga1119722115
Hamilton799721205
Montgomery514061014
Summit47145945
Lucas42119788
Butler38338584
Stark32273906
Lorain24997481
Warren24274298
Mahoning21546588
Lake20653369
Clermont19761238
Delaware18512133
Licking16418212
Fairfield16176199
Trumbull16032468
Medina15268264
Greene15063244
Clark13983299
Wood13080189
Portage12839203
Allen11639232
Richland11349199
Miami10670217
Muskingum8803133
Wayne8793211
Columbiana8778229
Pickaway8564121
Marion8523135
Tuscarawas8473244
Erie7888154
Hancock6914127
Ross6846155
Ashtabula6805170
Geauga6686148
Scioto6406101
Belmont5881167
Union570848
Lawrence5549102
Jefferson5525151
Huron5430119
Darke5355123
Sandusky5347120
Seneca5282121
Athens519158
Washington5155109
Auglaize490784
Mercer480385
Shelby469293
Knox4486110
Madison435661
Putnam4278100
Fulton422469
Ashland421789
Defiance419697
Crawford3975107
Brown394157
Logan381676
Preble379598
Clinton372163
Ottawa366679
Highland355062
Williams339275
Champaign331658
Guernsey315653
Jackson312551
Perry294950
Morrow284939
Fayette281950
Hardin270864
Henry268666
Coshocton265257
Holmes2603101
Van Wert243463
Adams237852
Pike237634
Gallia235349
Wyandot231055
Hocking215362
Carroll191547
Paulding172640
Meigs144840
Noble133337
Monroe132042
Morgan108423
Harrison108137
Vinton83115
Unassigned02
Fort Wayne
Cloudy
38° wxIcon
Hi: 46° Lo: 37°
Feels Like: 28°
Angola
Cloudy
34° wxIcon
Hi: 49° Lo: 34°
Feels Like: 28°
Huntington
Cloudy
38° wxIcon
Hi: 45° Lo: 38°
Feels Like: 29°
Decatur
Cloudy
38° wxIcon
Hi: 45° Lo: 38°
Feels Like: 28°
Van Wert
Cloudy
40° wxIcon
Hi: 44° Lo: 33°
Feels Like: 32°
Rain moves in overnight into Sunday morning and looks to hang around much of the day, likely forcing Mother's Day plans indoors
WFFT Radar
WFFT Temperatures
WFFT National

Community Events