Multistate Outbreak of Cyclosporiasis Linked To McDonald’s Fresh Express Salad Mix
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McDonald's logo, public domain, available at Wikipedia (presented at: WindermereSun.com) -
Cyclosporiasis, Case Count Map (Attribution: CDC, Presented at: WindermereSun.com) -
Cyclospora cayetanensis (presented at: WindermereSun.com)
Dear Friends & Neighbors,
McDonald’s logo, public domain, available at Wikipedia (presented at: WindermereSun.com)
Cyclosporiasis, Case Count Map (Attribution: CDC, Presented at: WindermereSun.com)
Cyclospora cayetanensis (presented at: WindermereSun.com)
(Please click on red links & note magenta)
Below, in italics, is the update from CDC (Centers for Disease Control and Prevention) on August 2, 2018, regarding recent multistate outbreak of Cyclosporiasis linked to McDonald’s fresh express salads:
At a Glance
- Case Count: 395
- States: 15
- Deaths: 0
- Hospitalizations: 16
- Recall: No
- On July 26, 2018, FDA completed analysis of an unused package of romaine lettuce and carrot mix distributed to McDonald’s by the Fresh Express processor in Streamwood, IL. The analysis confirmed the presence of Cyclospora in that mix. On July 27, 2018, FDA informed Fresh Express of these results.
- Fresh Express reported to FDA that the carrots in the mix went to McDonald’s restaurant locations only, and that the romaine lettuce was the only ingredient in the mix that was distributed to other locations. Romaine lettuce from the same lot that was positive for Cyclospora was distributed in pre-made salads and wraps distributed by Caito Foods LLC of
Indianapolis, IN. Fresh Express also reported that no romaine lettuce from the lot that wasMore Information
- Cyclospora Information
- Investigating Foodborne Outbreaks
- Advanced Molecular Detection for Cyclospora
- Time to Think About Cyclosporiasis(Medscape)
- CDC: 2017 Health Alert Network (HAN) Advisory (for health-care providers)
positive for Cyclospora was packaged for direct retail sale to consumers.
- Fresh Express reported to FDA that the carrots in the mix went to McDonald’s restaurant locations only, and that the romaine lettuce was the only ingredient in the mix that was distributed to other locations. Romaine lettuce from the same lot that was positive for Cyclospora was distributed in pre-made salads and wraps distributed by Caito Foods LLC of
- On July 30, 2018, The U.S. Department of Agriculture’s Food Safety and Inspection Service (FSIS) issued a public health alert about pre-made salads and wraps containing romaine lettuce that were distributed by Caito Foods LLC of Indianapolis, IN.
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- The pre-made salads and wraps were shipped to distribution centers nationwide.
- The pre-made salads and wraps were produced July 15 to July 18, 2018 and have a “Best By,” “Enjoy by,” “Best if Sold By,” or “Sell By” date ranging from July 18 through July 23, 2018. See the product labels here.
- The pre-made salads and wraps have establishment number “EST. 39985” or “P-39985” inside or next to the USDA mark of inspection. See the full list of products, product labels, UPC code numbers, and other identifying information here.
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- Important advice for consumers:
- If you purchased one of these pre-made salads or wraps, and have not yet eaten it, do not eat it.
Case Count Maps
Click map to view case count maps.Affected states are: NE, SD, MN, IA, IL, WI, OH, IN, KY, VA, TN, CT, MI, MO, FL
Throw it away or return it to the place of purchase.
- If you have eaten one of these pre-made salads or wraps and you developed diarrhea, see a healthcare provider to be tested for Cyclospora infection and to be treated if you are sick.
- If you purchased one of these pre-made salads or wraps, and have not yet eaten it, do not eat it.
- This investigation is ongoing. CDC will provide updates when more information is available.
- General advice for consumers about prevention of cyclosporiasis can be found here.
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Below, in italics, is the press release from CDC, on July 13, 2018:
A CDC investigation is being conducted of a new multistate cluster of Cyclospora infections linked to McDonald’s salads.
Consumers who developed diarrhea after eating McDonald’s salads should see their healthcare provider to be tested for cyclosporiasis and treated appropriately.
Initial Outbreak Investigation Information:
- As of July 13, 2018, 61 laboratory-confirmed cases of Cyclospora infection were reported in people who ate McDonald’s salads.
- The first reported case became ill on May 20, 2018 and the most recent reported case became ill on July 10, 2018, with a median illness onset date of June 28, 2018.
- We have not received complete information for approximately 60% of reported cases, but there are two people known to have been hospitalized.
- The 61 cases come from 7 states―Illinois (29), Iowa (16), Minnesota (3), Missouri (7), Nebraska (2), South Dakota (2), and Wisconsin (2). One of the Wisconsin case-patients dined at a McDonald’s in Illinois.
- The investigation is ongoing and we continue to get new information.
General Cyclospora Information:
- Cyclospora is a type of microscopic parasite. People can become infected with Cyclospora by consuming food or water contaminated with the parasite.
- Unlike other foodborne pathogens, Cyclospora is not transmitted directly from one person to another (e.g., by ill food handlers).
- Most people infected with Cyclospora develop diarrhea, but other symptoms can occur, including weight loss, loss of appetite, bloating, increased gas, nausea, fatigue, vomiting, fever, and abdominal cramps.
- These symptoms begin on average a week (range: 2 days to ≥2 weeks) after ingesting the parasite. In some people, diarrhea may be so severe that they need to be hospitalized.
- If untreated, symptoms can persist for several weeks or a month or more.
- Anyone can be infected with Cyclospora.
- Talk to your doctor if you have symptoms of a Cyclospora infection and report your illness to your local health department.
If you have further questions about this outbreak, please call the CDC media line at (404) 639-3286. If you have questions about cases in a particular state, please call that state’s health department.
Gathered, written, and posted by Windermere Sun-Susan Sun Nunamaker
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