Update on the outbreak due to Cyclospora Linked to Fresh Express Salad Mix Served at McDonald’s

The illness in this outbreak started after May 20, 2018, and seems to be ongoing. On July 13, 2018, 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. As of August 23, 2018, a total of 507 laboratory-confirmed cases of Cyclospora infection were reported in people who consumed salads from McDonald’s restaurants; the cases were reported by 15 states and New York City. The investigation is ongoing and the FDA is currently reviewing distribution and supplier information for romaine and carrots. McDonald's reports that they stopped using the Fresh Express salad mix at impacted restaurants in IL, IA, IN, WI, MI, OH, MN, NE, SD, MT, ND, KY, WV, and MO on July 13, 2018. No products have been recalled in association with this outbreak. At least 24 people have been hospitalized; no deaths have been reported. Illnesses that started after July 12, 2018, might not have been reported yet due to the time it takes between when a person becomes ill and when the illness is reported. For Cyclospora infections, this can take up to six weeks. @ https://www.fda.gov/Food/RecallsOutbreaksEmergencies/Outbreaks/ucm613513.htm?utm_campaign=Outbreak_08232018_Cyclospora&utm_medium=email&utm_source=Eloqua
FDA Investigation of a Multistate Outbreak of Cyclospora Illnesses Linked to Fresh Express Salad Mix Served at McDonald’s Ends

The FDA confirms the presence of Cyclospora in Fresh Express salad mix through new laboratory method; Fresh Express recalls expired products containing romaine lettuce.

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