Outbreak of Cyclospora Infections Linked to Bagged Salad Mix

CDC, public health and regulatory officials in several states, and the U.S. Food and Drug Administration external icon (FDA) are investigating a multistate outbreak of Cyclospora infections linked to bagged salad mix containing iceberg lettuce, carrots, and red cabbage produced by Fresh Express.

On June 27, 2020, Fresh Express recalled external icon Fresh Express brand and private label brand salad products produced at its Streamwood, IL facility that contain iceberg lettuce, red cabbage, and/or carrots due to possible Cyclospora contamination.

How to identify recalled products:

Products were sold in many states under either the brand name Fresh Express or the store brand labels ALDI Little Salad Bar, Giant Eagle, Hy-Vee, Jewel-Osco Signature Farms, ShopRite Wholesome Pantry, and Walmart Marketside.

You can identify the recalled products by looking for the Product Code, located in the upper right-hand corner of the front of the package.The recall includes products marked with the letter “Z” at the beginning of the Product Code, followed by the number “178” or lower.
A full listing of recalled products is available on the Fresh Express recall page.

Outbreak of Cyclospora Infections Linked to Bagged Salad Mix: Epi Curves: www.cdc.gov

Latest Outbreak Information
509 people with laboratory-confirmed Cyclospora infections and who reported eating bagged salad mix before getting sick have been reported from 8 Midwestern states (Illinois, Iowa, Kansas, Minnesota, Missouri, Nebraska, North Dakota, and Wisconsin).Illnesses started on dates ranging from May 11, 2020 to July 1, 2020.

33 people have been hospitalized. No deaths have been reported.
The Public Health Agency of Canada external icon is investigating an outbreak of Cyclospora infections occurring in three Canadian provinces. Exposure to certain Fresh Express brand salad products containing iceberg lettuce, carrots and red cabbage, has been identified as a likely source of the outbreak.

Epidemiologic and traceback evidence indicates that bagged salad mix containing iceberg lettuce, carrots, and red cabbage produced by Fresh Express is a likely source of this outbreak.

CDC and FDA continue to investigate to determine which ingredient or ingredients in the salad mix was contaminated and whether other products are a source of illnesses.

CDC will provide updates when more information is available.
www.cdc.gov


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