A multi-state cyclospora outbreak has hospitalized 37 people and sickened over 600, federal health officials said on Saturday.
The product contains iceberg lettuce, red cabbage, and carrots. An investigation found that the mix, which is produced by Fresh Express, was sold at some Walmart stores. The mixes are under different brand names at different stores.
The cyclospora-infected cases have been reported in 11 states mostly in the Midwest, with illnesses being discovered from May 11, the Centers for Disease Control and Prevention (CDC) said. No deaths have been reported so far.
Health officials issued an alert late last month over the multi-state outbreak of the parasitic infection cyclospora—a diarrhea-causing microscopic parasite—that has sickened 641 people so far, the FDA said. They were in Georgia, Iowa, Illinois, Kansas, Minnesota, Missouri, Nebraska, North Dakota, Pennsylvania, South Dakota, and Wisconsin.
The FDA and CDC said the products were voluntarily recalled and go by the store brands of Aldi Little Salad Bar, Giant Eagle, Hy-Vee, Jewel-Osco Signature Farms, ShopRite Wholesome Pantry, and Walmart Marketside. The products were made in the Fresh Express production facility in Streamwood, Illinois.
The recalled products were sold in at least 30 states. They include Arkansas, Connecticut, Delaware, Iowa, Illinois, Indiana, Kansas, Kentucky, Massachusetts, Maryland, Maine, Michigan, Minnesota, Missouri, Montana, North Carolina, North Dakota, Nebraska, New Jersey, New York, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Dakota, Tennessee, Virginia, Vermont, Wisconsin, West Virginia, and the District of Columbia.
- Recalled Walmart Marketside brand Classic Iceberg Salad sold in Iowa, Michigan, Minnesota, Nebraska, North Dakota, South Dakota, and Wisconsin
- Recalled (pdf) Aldi Little Salad Bar brand Garden Salad sold in Arkansas, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, North Dakota, South Dakota, and Wisconsin
- Recalled Hy-Vee brand 12-ounce bagged Garden Salad sold in Illinois, Iowa, Kansas, Missouri, Minnesota, Nebraska, South Dakota, and Wisconsin
- Recalled Jewel-Osco Signature Farms brand 12-ounce bagged Garden Salad sold in Illinois, Indiana, and Iowa
The FDA said it is continuing its investigation as there “may be additional retailers and products impacted by this outbreak.”
The report alerted consumers to not eat the recalled salads and if they have a bag to throw it out immediately, even if nobody became sick after eating the recalled product.
Cyclospora is a single-celled parasite that is too small to be seen without a microscope. It causes watery diarrhea, vomiting, and nausea. Aching, fever, loss of appetite, and general fatigue are also symptoms.
“Previous U.S. outbreaks of cyclosporiasis have been linked to various types of imported fresh produce (e.g. basil, cilantro, mesclun lettuce, raspberries, and snow peas),” said the CDC.
Last year the CDC received reports of multiple outbreaks of the disease linked to various products. There were 2,408 laboratory-confirmed cases of cyclosporiasis in 37 states and at least 144 people were hospitalized.
The CDC and FDA had investigated multiple cases linked to restaurants and events.