Outbreak Update from FDA

FDA Investigates Multistate Outbreak of Cyclospora Illnesses Likely Linked to Salads from Fast Food Chain The U.S. Food and Drug Administration (FDA) along with the Centers for Disease Control and Prevention (CDC) and state and local officials have been investigating a cluster of cyclosporiasis illnesses likely linked with salads from McDonald’s. Fast Facts The FDA, CDC, along with state and local officials are investigating a multi-state outbreak of cyclosporiasisillnesses likely linked to salads from McDonald’s restaurants. The CDC report that 61 people in 7 states have become ill. There have been 2 hospitalizations and no deaths. As this is an ongoing investigation, the FDA will update this page as more information becomes available, such as product information, epidemiological results, and recalls. The FDA is working with McDonald’s to identify the common ingredients in the salads identified by those who became sick and to trace back those ingredients through the supply chain. As of July 13, 2018, McDonald’s has 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 until they are able to switch to another salad supplier. More information can be found in McDonald’s Statement. Consumers who have symptoms of cyclosporiasis should contact their health care provider to report their symptoms and receive care. Most people infected with Cyclospora develop diarrhea, with frequent, sometimes explosive, bowel movements. Other common symptoms include loss of appetite, weight loss, stomach cramps/pain, bloating, increased gas, nausea, and fatigue. Vomiting, body aches, headache, fever, and other flu-like symptoms may be noted. Some people who are infected with Cyclospora do not have any symptoms. If not treated, the illness may last from a few days to a month or longer. Symptoms may seem to go away and then return one or more times (relapse). At this time, we do not have evidence to suggest that this cluster of illnesses is related to the ongoing Cyclospora outbreak linked to Del Monte vegetable trays. 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 McDonald’s locations in IA, IL, MN, MO, NE, SD, and WI. CDC has reported 61 laboratory-confirmed cases of cyclosporiasis in persons from IA, IL, MN, MO, NE, SD, and WI who reportedly consumed salad products from several McDonald’s locations. FDA has not identified which of the ingredients used in the salads is the vehicle for this outbreak; multiple components of these salads are under consideration. The investigation is ongoing and the FDA is currently reviewing distribution and supplier information. Consumers who have symptoms of cyclosporiasis should contact their health care provider to report their symptoms and receive care. Most people infected with Cyclospora develop diarrhea, with frequent, sometimes explosive, bowel movements. Other common symptoms include loss of appetite, weight loss, stomach cramps/pain, bloating, increased gas, nausea, and fatigue. Vomiting, body aches, headache, fever, and other flu-like symptoms may be noted. Some people who are infected with Cyclospora do not have any symptoms. If not treated, the illness may last from a few days to a month or longer. Symptoms may seem to go away and then return one or more times (relapse). At this time, we do not have evidence to suggest that this cluster of illnesses is related to the ongoing Cyclospora outbreak linked to Del Monte vegetable trays.Read the full update