Cyclospora Illnesses Linked to Fresh Express Salad Mix Served at McDonald’s are Being investigated by the FDA

As of August 9, 2018, a total of 436 laboratory-confirmed cases of Cyclospora infection were reported in people who consumed salads from McDonald’s restaurants. Cases were reported by 15 states (IL, IA, IN, WI, MI, OH, MN, NE, SD, MT, VA, TN, ND, KY, WV, and MO). Some out of state patients got ill while traveling in the affected states. The ordeal started on July 13, 2018, when McDonald's decided to voluntarily stop selling salads at impacted restaurants in IL, IA, IN, WI, MI, OH, MN, NE, SD, MT, ND, KY, WV, and MO. McDonald's has since replaced the supplier of salads in those states. On July 26, 2018, the FDA completed the final analysis of an unused package of Fresh Express salad mix containing romaine lettuce and carrots, which had been distributed to McDonald's. The analysis confirmed the presence of Cyclospora in that sample. On July 27, the FDA informed Fresh Express of the results. On July 30, 2018, the U.S. Department of Agriculture's Food Safety and Inspection Service (FSIS) Issued an alert relating to beef, pork and poultry salad and wrap products contaminated with Cyclospora that were distributed by Caito Foods LLC, of Indianapolis, IN. Caito Foods had received notification from Fresh Express that the chopped romaine in these products was being recalled. Fresh Express reported to FDA that the romaine from the same lot as the positive sample was not packaged for direct retail sale by Fresh Express and had already expired. @

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