CORE update of March 06, 2024: the CORE list of outbreaks and adverse events includes three activity cases. For the outbreak of E. coli O157:H7 linked to raw cheddar cheese (ref #1215), the advisory has been updated. As of February 28, 2024, a total of 11 confirmed infections have been reported from five states, including CA (4), CO (3), NJ (1), TX (1), and UT (2). WGS analysis of E. coli isolates from ill people shows they are all closely related genetically. Five patients have been hospitalized; two developed hemolytic uremic syndrome (HUS), a serious condition that can lead to kidney failure. No deaths have been reported. In the investigation of elevated lead & chromium levels in cinnamon applesauce pouches (ref #1198), the advisory has been updated. After additional analysis of the cinnamon collected from the manufacturer in Ecuador (Austrofoods), the FDA has confirmed that the lead and chromium previously detected in the cinnamon are from lead chromate. Lead chromate has been illegally added to certain spices, increasing their weight and enhancing their color. The FDA’s leading hypothesis remains that this was likely an act of economically motivated adulteration. @ https://www.fda.gov/food/outbreaks-foodborne-illness/investigations-foodborne-illness-outbreaks?utm_medium=email&utm_source=govdelivery
