FDA Investigates Multistate Outbreak of Cyclospora Illnesses Linked to Del Monte Vegetable Trays

FDA Investigates Multistate Outbreak of Cyclospora Illnesses Linked to Del Monte Vegetable Trays July 19, 2018 What is the Problem and What is Being Done About It? FDA, CDC, state, and local partners are currently investigating several Cyclospora illnesses associated with recalled Del Monte 6oz and 12oz vegetable trays containing broccoli, cauliflower, carrots and dill dip that were sold by Kwik Trip/Kwik Star locations in IA, IN, MI, MN, and WI. Additionally, Del Monte is recalling “small veggie trays,” which are 28oz and include broccoli, cauliflower, carrots, celery and dill dip that were distributed to Illinois and Indiana. As of July 19, 2018, CDC has reported 237 laboratory-confirmed cases of cyclosporiasis in persons from IA, MN, WI and MI who reportedly consumed the vegetable trays. Seven of these people have been hospitalized and no deaths have been reported. The two cases from Michigan reportedly purchased the vegetable tray in Wisconsin and therefore Michigan is not impacted from this outbreak. Read the full Update

Multistate Outbreak of Cyclosporiasis Linked to Del Monte Fresh Produce Vegetable Trays — United States, 2018

LAST UPDATED JULY 19, 2018 7:30 PM EDT

Highlights

More Information

• Cyclospora Information
• Investigating Foodborne Outbreaks
• Advanced Molecular Detection for Cyclospora
• Time to Think About Cyclosporiasis(Medscape)
• CDC: 2017 Health Alert Network (HAN) Advisory (for health-care providers)

• Read the related statement from the U.S. Food and Drug Administration.
• Cyclospora cayetanensis is a single-celled parasite that causes an intestinal infection called cyclosporiasis.
• Important advice for consumers and retailers in Illinois, Indiana, Iowa, Michigan, Minnesota, and Wisconsin:
  • On June 15, 2018, Del Monte Fresh Produce recalled 6 oz., 12 oz., and 28 oz. vegetable trays containing fresh broccoli, cauliflower, celery sticks, carrots, and dill dip. Recalled products were sold in clear, plastic clamshell containers.
  • • • Recalled products were distributed to the following stores: Kwik Trip, Kwik Star, Demond’s, Sentry, Potash, Meehan’s, Country Market, FoodMax Supermarket, and Peapod.
      • Recalled products have a “Best If Enjoyed By” date of June 17, 2018.
      • The recalled 6 oz. Del Monte Fresh Produce vegetable tray has a UPC code of 7 1752472715 2 found on the package label.

    Case Count Maps

    

    Click map to view case count maps.
    • The recalled 12 oz. Del Monte Fresh Produce vegetable tray has a UPC code of 7 1752472518 9 found on the package label.
    • The recalled 28 oz. Del Monte Fresh Produce small vegetable tray has a UPC code of 7 1752478604 3 found on the package label.

• • Do not eat or sell recalled vegetable trays. Throw them away.

• CDC, public health and regulatory officials in several states, and the U.S. Food and Drug Administration are investigating a multistate outbreak of Cyclospora infections.
  • • As of July 19, 2018 (1pm EDT), CDC has been notified of 237 laboratory-confirmed cases of cyclosporiasis in persons who reportedly consumed pre-packaged Del Monte Fresh Produce vegetable trays containing broccoli, cauliflower, carrots, and dill dip. The reports have come from four states.

  Epi Curves

  

  Click graph to view epi curve graphs.
  • Seven (7) of these people have been hospitalized, and no deaths have been reported.

• Epidemiologic evidence indicates that pre-packaged Del Monte Fresh Produce vegetable trays containing broccoli, cauliflower, carrots, and dill dip are the likely source of these infections.
  • Most ill people reported eating pre-packaged Del Monte Fresh Produce vegetable trays containing broccoli, cauliflower, carrots, and dill dip.
  • Most ill people reported buying pre-packaged Del Monte Fresh Produce vegetable trays containing broccoli, cauliflower, carrots, and dill dip in the Midwest. Most people reported buying the trays at Kwik Trip convenience stores.
  • The investigation is ongoing. CDC will provide updates when more information is available.

• General advice for consumers about prevention of cyclosporiasis can be found here.

Progression of the Outbreak Investigation

July Updates expanded

July 19, 2018

As of July 19, 2018 (1pm EDT), a total of 237 laboratory-confirmed cases of Cyclospora infection were reported in people who consumed pre-packaged Del Monte Fresh Produce vegetable trays containing broccoli, cauliflower, carrots, and dill dip from 4 states. A list of the states and the number of cases reported from each state can be found on the Case Count Maps page.

The median illness onset date among patients is June 1, 2018 (range: May 14 to June 13). Ill people range in age from 13 to 79 years old, with a median age of 46. Fifty-three percent (53%) are female and 7 people have been hospitalized. No deaths have been reported.

Illnesses that began after June 7, 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.

July 12, 2018

As of July 12, 2018 (1pm EDT), a total of 227 laboratory-confirmed cases of Cyclospora infection were reported in people who consumed pre-packaged Del Monte Fresh Produce vegetable trays containing broccoli, cauliflower, carrots, and dill dip from 4 states. A list of the states and the number of cases reported from each state can be found on the Case Count Maps page.

The median illness onset date among patients is May 31, 2018 (range: May 14 to June 13). Ill people range in age from 13 to 79 years old, with a median age of 47. Fifty-three percent (53%) are female and 7 people have been hospitalized. No deaths have been reported.

Illnesses that began after May 31, 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.

July 5, 2018

As of July 5, 2018 (9am EDT), a total of 212 laboratory-confirmed cases of Cyclospora infection were reported in people who consumed pre-packaged Del Monte Fresh Produce vegetable trays containing broccoli, cauliflower, carrots, and dill dip from 4 states. A list of the states and the number of cases reported from each state can be found on the Case Count Maps page.

The median illness onset date among patients is May 31, 2018  (range: May 14 to June 13). Ill people range in age from 13 to 79 years old , with a median age of 47 . Fifty-four percent (54%) are female and 7  people have been hospitalized. No deaths have been reported.

Illnesses that began after May 24, 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.