USA -CDC – It’s Over -Multistate Outbreaks of Shiga toxin-producing Escherichia coli O26 Infections Linked to Chipotle Mexican Grill Restaurants (Final Update)

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Highlights

  • Read the Advice to Food Industries & Consumers »(http://www.cdc.gov/ecoli/2015/o26-11-15/advice-consumers.html)
  • These two outbreaks appear to be over. The most recent illness reported to CDC started on December 1, 2015.
  • CDC, the U.S. Food and Drug Administration, the U.S. Department of Agriculture’s Food Safety and Inspection Service, and public health officials in several states investigated two separate outbreaks of Shiga toxin-producing Escherichia coli O26 (STEC O26) infections.
    • In the initial, larger outbreak, 55 people infected with the outbreak strain of STEC O26 were reported from 11 states. Twenty-one ill people were hospitalized.
    • In the second, smaller outbreak, 5 people infected with a different strain of STEC O26 were reported from 3 states. One ill person was hospitalized.
    • There were no reports of hemolytic uremic syndrome and no deaths in either outbreak.
  • Investigators used whole genome sequencing (WGS), an advanced laboratory technique(http://www.cdc.gov/amd/), to get more detailed information about the DNA fingerprints of the STEC O26 bacteria that caused illness.
    • Isolates tested from ill people in the second, smaller outbreak were not related genetically to isolates from ill people in the initial, larger outbreak.
  • The epidemiologic evidence collected during this investigation suggested that a common meal item or ingredient served at Chipotle Mexican Grill restaurants was a likely source of both outbreaks. The investigation did not identify a specific food or ingredient linked to illness.
    • Most ill people in these outbreaks ate many of the same food items at a Chipotle Mexican Grill restaurant. When a restaurant serves foods with several ingredients that are mixed or cooked together and then used in multiple menu items, it can be more difficult for epidemiologic studies(http://www.cdc.gov/foodsafety/outbreaks/investigating-outbreaks/investigations/hypotheses.html) to identity the specific ingredient that is contaminated.
    • Testing of multiple food items collected from Chipotle restaurant locations did not identify STEC O26.
    • A review of Chipotle’s distribution records by state and federal regulatory officials was unable to identify a single food item or ingredient that could explain either outbreak.
  • Food industries are an important partner in making food safer for everyone. They can help stop outbreaks and lessen their impact by keeping detailed records(http://www.cdc.gov/vitalsigns/foodsafety-2015/index.html) to allow faster tracing of individual shipments of foods from source to destination and to help investigators identify what made people sick.
  • Take action(http://www.cdc.gov/vitalsigns/foodsafety-2015/index.html) if you think you have a foodborne illness, such as talking to your healthcare provider, writing down what you ate in the week before you got sick, and answering questions about your illness when public health investigators contact you.

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