USA – FDA issues final report on E coli in Arizona-grown romaine

CIDRAP

kswfoodworld E.coli O157

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An environmental investigation in an Arizona romaine-growing area near Yuma that was linked to a large Escherichia coli O157:H7 outbreak earlier this year confirmed the outbreak strain in samples of irrigation canal water, which probably contaminated the lettuce.

The US Food and Drug Administration (FDA) yesterday released a report that detailed findings from federal and Arizona officials who visited the area several times over the summer. The event marked the nation’s largest E coli outbreak since 2006, with reports of 210 illnesses from 36 states. Ninety-six patients were hospitalized, 27 had hemolytic uremic syndrome (HUS), a potentially fatal kidney complication, and five people died.

FDA Commissioner Scott Gottlieb, MD, said in a statement yesterday that the agency is committed to taking steps to prevent similar outbreaks in the future and improve the safety of leafy greens. “Since the next romaine growing season for the Yuma region is underway, it’s critical for all of us to understand what happened so we can identify the changes that can prevent future outbreaks and reduce the scope of any problems that could arise,” he said.

Water contamination source still a mystery

The investigation team, led by the FDA, visited the Yuma growing area several times from June through August and collected numerous environmental samples. However, the only ones that tested positive for the outbreak strain were collected in early June from a 3.5-mile stretch of an irrigation canal near Wellton in Yuma County that delivers water to farms. The growing season had ended weeks before the probe, so no leafy greens samples could be tested.

Besides testing irrigation water, the team visited farms to look at other possible factors, including soil amendments, growing and harvesting practices, animal intrusion, adjacent land use, and employee health and hygiene practices. They also examined potential contamination sources at manufacturing and processing operations.

Despite extensive environmental sampling, only the three irrigation water samples were positive. There was a large concentrated animal feeding operation (CAFO) adjacent to the stretch of canal where water tested positive, but investigators didn’t find an obvious route for contamination, and a limited number of samples from the operation didn’t yield the outbreak strain.

The team wasn’t able to determine how the water may have contaminated the lettuce, though they said possibilities include direct application of irrigation water or use of the water to dilute chemicals applied to crops during aerial and land-based spraying. They also said they couldn’t rule out other possible contamination sources that didn’t turn up during the investigation.

Recommendations for growers and processors

Along with its investigation report, the FDA included a list of recommendations for leafy-greens producers, including assuring that agricultural water is safe for its intended use and assessing potential direct or indirect contamination risks near growing fields.

Officials also urged government and nongovernmental groups, including those in Imperial and Yuma counties, to explore other possible sources or routes of contamination. “This information is critical to developing and implementing short- and long-term remediation measures to reduce the potential for another outbreak associated with leafy greens or other fresh produce commodities,” the authors wrote.

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