Don't Eat These Alfalfa Sprouts, Officials Warn

Don't Eat These Alfalfa Sprouts, Officials Warn

The News

Throw them out

If you have alfalfa sprouts in your refrigerator sold under the Calco or Everything Sprouts brands, Minnesota health officials say do not eat them.

The sprouts were produced by Everything Sprouts, a Minnesota grower, and sold to restaurants and grocery stores under both brand names, according to Minnesota officials cited by the Associated Press.

So far the warning covers two states: Minnesota and Wisconsin. Officials have not named a wider distribution list.

The case count

Twenty-three people in Minnesota have gotten sick with either E. coli or salmonella infections, officials say. Two were hospitalized.

Wisconsin investigators have identified another 18 illnesses tied to alfalfa sprouts, according to Minnesota officials. That is 41 cases across the two states.

What makes this outbreak strange is that it involves several different germs at once. Three people had salmonella, and one of those also carried a strain of E. coli called STEC O168:H8. Seven more were sickened by a different strain, STEC O103:H25. Thirteen had yet another, STEC O26:H11.

A second, much bigger outbreak — and it is not the same one

The sprout warning is landing in the middle of a far larger food safety story, and the two are separate. The sprouts are tied to bacteria. The other outbreak is a parasite, cyclospora, and it has been tied to iceberg lettuce.

The Food and Drug Administration said Thursday that recalled iceberg lettuce from a Taylor Farms facility in central Mexico may have been distributed in nine more areas than previously reported, The Independent reported. Those are California, Delaware, North Dakota, Rhode Island, South Dakota, Vermont, Washington state, Washington, D.C., and Puerto Rico.

The FDA had already said the product went to restaurants and retail stores in nearly three dozen states from late June into July.

"The total case count associated with this multi-state outbreak is now 10,930 illnesses reported from 17 states," the FDA said.

Nationally, the numbers are bigger. More than 27,000 cases of cyclosporiasis have been reported across more than 40 states, according to the latest Centers for Disease Control and Prevention data cited by The Independent. Not all of those have been genetically linked to the lettuce.

Michigan is the hardest-hit state. Its health department reported 14,277 cases on Thursday, up 368 or about 3 percent from a week earlier — a slower rate of increase that officials say suggests the outbreak may be starting to ease, NTD reported. Michigan has recorded 335 hospitalizations and two deaths.

Some Michigan patients were sickened after eating at Taco Bell, which has pulled the lettuce from its restaurants.

In California, San Francisco has confirmed 10 cyclosporiasis cases, including one resident whose infection was genetically associated with the multistate outbreak, the San Francisco Chronicle reported.

The bottom line

Two things are true at once. If you are in Minnesota or Wisconsin, check your fridge for Calco and Everything Sprouts alfalfa sprouts and throw them out. And the cyclospora outbreak, which is a different pathogen in a different product, is still the largest of its kind the country has recorded — even as Michigan's numbers hint it may finally be slowing.

Reactions

Food poisoning outbreaks are normally defined by a single bug. "It's very unusual to have two bugs," Bill Marler, a Seattle lawyer who has worked food safety cases for decades, told the AP.

What's Next

Minnesota investigators say they are working with Wisconsin and federal health officials to pin down the source and the full scope of the contamination.

A spokesperson for the Department of Health and Human Services told The Independent this week that the administration is working with state and local officials to identify exposure sources.

More

Sprouts are a familiar suspect, Marler said: the seeds easily harbor contaminants, they are hard to clean, and contamination spreads readily because sprouts are grown in warm water.

What the symptoms look like

Shiga toxin-producing E. coli — STEC — can cause stomach cramps and bloody diarrhea. It can lead to hemolytic uremic syndrome, a severe complication involving acute kidney failure.

Salmonella poisoning can cause diarrhea, fever, severe vomiting, dehydration and stomach cramps.

The FDA is also tracking smaller cyclospora outbreaks with unknown origins. The largest of those grew from 172 to 201 infections in recent days.

What you can actually do about the lettuce

Not much, at this point, and that is the point. The recalled lettuce should no longer be on shelves or in restaurants, and the best-by dates on the recalled products have already passed.

Cyclospora spreads only through human waste, which can reach crops through contaminated water or through handling. Symptoms — vomiting, explosive diarrhea, nausea and dehydration severe enough to send people to the hospital — usually do not appear until about two weeks after exposure. By then the food is often gone and the patient has forgotten what they ate, which is a large part of why these outbreaks are so hard to trace.

Cooking food to 158 degrees Fahrenheit kills the parasite. Washing produce well, sometimes with a scrub brush, lowers the risk but does not eliminate it.

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