Category Archives: Cyclospora

Research -Cyclospora: A Long-term Challenge for Food Suppliers

World Aware

Outbreaks of cyclosporiasis, an illness caused by the parasite Cyclospora cayetanensis, occur almost every year in the US, and this summer is no exception. People can become infected with Cyclospora by consuming food or water contaminated with the parasite. Since May 1, more than 206 laboratory-confirmed cases of cyclosporiasis have been reported across 8 states in the Midwest.

Based on interviews with patients, investigators traced the outbreak back to bagged salad mix. The recent outbreak of Cyclospora infections highlights the importance of compliance with the Food and Drug Administration Produce Safety Rule and specifically worker health and hygiene principles.

The Centers for Disease Control and Prevention (CDC) and the Food and Drug Administration (FDA) have made attempts to better understand the factors contributing to Cyclospora infections.  However, many cases of cyclosporiasis cannot be directly linked to an outbreak, in part because of the lack of validated molecular typing tools for Cyclospora cayetanensis.

It is likely, in the future, new analysis methods will be developed to differential strains of Cyclospora, if there is enough genetic diversity. This will allow a way to focus more quickly on illness clusters and more rapid traceback of food vehicles to production sites. This should allow for environmental assessments at production sites to determine routes of contamination and prevention option.

In the meantime, the best we can do is to emphasize the importance of compliance with the Food and Drug Administration Produce Safety Rule, and specifically worker health and hygiene principles.

 

 

USA – If You Have Cyclospora Symptoms, Please Get Tested For the Parasite

Food Poisoning Bulletin cardcyclosporasme

For many reasons, probably including the ongoing coronavirus pandemic, these days many people are reluctant to go to the doctor if they are sick. This can lead to disastrous consequences. In the field of food poisoning, these patients may be misdiagnosed, go undiagnosed, and may suffer permanent lifelong health consequences if not treated. If you have cyclospora symptoms, please get tested for the parasite.

Canada – Correction – Food Recall Warning – Fresh Express brand salad products recalled due to Cyclospora

CFIA

Advisory details

Ottawa, June 29, 2020 – The food recall warning issued on June 28, 2020 has been amended to correctly identify the affected products. The corrections for these products are marked by an asterisk (*).

Fresh Express is recalling Fresh Express brand salad products from the marketplace due to possible Cyclospora contamination. Consumers should not consume the recalled products described below.

Recalled products

Brand Product Size UPC Production Code Best Before Date
Fresh Express Chopped Kit Chipotle Cheddar 323 g 0 71279 30931 6* All packages bearing a lot code beginning with “Z177” or a lower number All best before dates up to and including Jul 08*
Fresh Express American 312 g 0 71279 24100 5* All packages bearing a lot code beginning with “Z177” or a lower number All best before dates up to and including Jul 11*
Fresh Express Chopped Kit Thai ‘N’ Cashews 332 g 0 71279 30925 5* All packages bearing a lot code beginning with “Z177” or a lower number All best before dates up to and including Jul 11*
Fresh Express Veggie Lover’s 312 g* 0 71279 28106 3* All packages bearing a lot code beginning with “Z177” or a lower number All best before dates up to and including Jul 11*
Fresh Express Chopped Kit Sunflower Crisp 315 g 0 71279 30933 0* All packages bearing a lot code beginning with “Z177” or a lower number All best before dates up to and including Jul 11*
Fresh Express Iceberg Garden 680 g 0 71279 10411 9* All packages bearing a lot code beginning with “Z177” or a lower number All best before dates up to and including Jul 12*
Fresh Express Iceberg Garden 340 g 0 71279 10302 0* All packages bearing a lot code beginning with “Z177” or a lower number All best before dates up to and including Jul 12*
Fresh Express Shreds Iceberg* 227 g* 0 71279 15101 4* All packages bearing a lot code beginning with “Z177” or a lower number All best before dates up to and including Jul 12*
Fresh Express Green & Crisp 312 g 0 71279 10813 1* All packages bearing a lot code beginning with “Z177” or a lower number All best before dates up to and including Jul 12*
Fresh Express Chopped Kit Asian 340 g 0 71279 30929 3* All packages bearing a lot code beginning with “Z177” or a lower number All best before dates up to and including Jul 13*
Fresh Express Chopped Kit Southwest 326 g 0 71279 30930 9* All packages bearing a lot code beginning with “Z177” or a lower number All best before dates up to and including Jul 12*
Fresh Express 3 Colour Deli Cole Slaw* 397 g 0 71279 12302 8* All packages bearing a lot code beginning with “Z177” or a lower number All best before dates up to and including Jul 14*

What you should do

If you think you became sick from consuming a recalled product, call your doctor.

Check to see if you have the recalled products in your home. Recalled products should be thrown out or returned to the store where they were purchased.

Food contaminated with Cyclospora may not look or smell spoiled but can still make you sick. People infected with Cyclospora can experience a wide range of symptoms, including watery diarrhea, stomach cramps, and nausea. Some people do not get sick at all, while others suffer from a severe upset stomach. Few people get seriously ill.

Background

This recall was triggered by the company. The Canadian Food Inspection Agency (CFIA) is conducting a food safety investigation, which may lead to the recall of other products. If other high-risk products are recalled, the CFIA will notify the public through updated Food Recall Warnings.

The CFIA is verifying that industry is removing the recalled products from the marketplace.

Illnesses

There have been no reported illnesses associated with the consumption of these products in Canada.

Product photos

Printer ready version of photos

  • Fresh Express - Chopped Kit Chipotle Cheddar
  • Fresh Express - Chopped Kit Chipotle Cheddar (universal product code)
  • Fresh Express- American
  • Fresh Express- American (universal product code)
  • Fresh Express - Chopped Kit Thai 'N' Cashews
  • Fresh Express - Chopped Kit Thai 'N' Cashews (universal product code)
  • Fresh Express - Veggie Lover's
  • Fresh Express - Veggie Lover's (universal product code)
  • Fresh Express - Chopped Kit Sunflower Crisp
  • Fresh Express - Chopped Kit Sunflower Crisp (universal product code)
  • Fresh Express - Iceberg Garden 680g
  • Fresh Express - Iceberg Garden 680g (universal product code)
  • Fresh Express - Iceberg Garden 340g
  • Fresh Express - Iceberg Garden 340g (universal product code)
  • Fresh Express - Shreds  Iceberg
  • Fresh Express - Shreds  Iceberg (universal product code)
  • Fresh Express - Green & Crisp
  • Fresh Express - Green & Crisp (universal product code)
  • Fresh Express - Chopped Kit Asian
  • Fresh Express - Chopped Kit Asian (universal product code)
  • Fresh Express - Chopped Kit Southwest
  • Fresh Express - Chopped Kit Southwest (universal product code)
  • Fresh Express - 3 Colour Deli Cole Slaw
  • Fresh Express - 3 Colour Deli Cole Slaw (universal product code)

Public enquiries and media

Company information
Fresh Express
Consumer Service Centre: 1-866-709-8410
Media Inquiries: Barbara Hines 972-677-8127
Public enquiries
Toll-free: 1-800-442-2342 (Canada and U.S.)
Telephone: 1-613-773-2342 (local or international)
Email: cfia.enquiries-demandederenseignements.acia@canada.ca

USA – Salad Supplier Recall Expanded after Potential Cyclospora Contamination; Hy-Vee Pulls Additional Salads as a Result

FDA

Summary

Company Announcement Date:
FDA Publish Date:
Product Type:
Food & Beverages
Produce
Reason for Announcement:
Possible Cyclospora Contamination
Company Name:
Hy-Vee Inc.
Brand Name:
Hy-Vee
Product Description:
Chopped Salad Kit, Shredded Iceberg and more

Company Announcement

Hy-Vee, Inc., based in West Des Moines, Iowa, is recalling an additional 12 salads across its eight-state region due to the potential that they may be contaminated with Cyclospora. The potential for contamination was brought to Hy-Vee’s attention when Fresh Express – which manufactures the product – announced that the U.S. Food and Drug Administration (FDA) and the Centers for Disease Control Prevention (CDC) expanded its investigation of an outbreak of Cyclospora in the upper Midwest section of the United States. The 12 salads are in addition to the 12 oz. Hy-Vee Bagged Garden Salad product that Hy-Vee pulled last week after initial notification of the investigation. Hy-Vee now has 13 private label bagged salad products (all expiration dates) that are being recalled as a result.

The products were distributed to Hy-Vee grocery stores across its eight-state region of Iowa, Illinois, Missouri, Kansas, Nebraska, South Dakota, Minnesota and Wisconsin.

The list below outlines the 13 products that have been recalled. No other Hy-Vee branded salads are impacted by today’s recall.

USA – Fresh Express Issues a Precautionary Recall of Products Containing Iceberg, Red Cabbage and Carrots Produced at Its Streamwood, IL Facility Due to a Potential Cyclospora Risk

FDA

Summary

Company Announcement Date:
FDA Publish Date:
Product Type:
Food & Beverages
Reason for Announcement:
Possible Cyclospora Contamination
Company Name:
Fresh Express
Brand Name:
Fresh Express, Giant Eagle and more
Product Description:
Old fashioned coleslaw, 3 color deli coleslaw and more

Company Announcement

Fresh Express, out of an abundance of caution, has issued a voluntary recall of branded and private label salad products produced at its Streamwood, IL facility that contain iceberg lettuce, red cabbage and/or carrot ingredients due to a possible health risk from Cyclospora. According to the Centers for Disease Control and Prevention, over 200 illnesses have been reported in connection with a current outbreak of Cyclospora occurring in primarily Midwest states.

Cyclosporiasis is an intestinal infection caused by the Cyclospora parasite. A person may become infected after ingesting contaminated food or water. Common symptoms include severe abdominal pain, diarrhea, nausea and vomiting, body aches and fatigue. The infection is treated with antibiotics and most people respond quickly to treatment.

The Fresh Express recall includes only those salads that are clearly marked with the letter Z at the beginning of the Product Code, which is located in the upper right-hand corner of the front of the package. Products containing the ingredients iceberg lettuce, red cabbage and/or carrots AND displaying the Product Code Z178, or a lower number, are recalled.

Recalled products were distributed to select retail stores between June 6 and June 26 in various states including, for example, Arkansas, Connecticut, Delaware, Iowa, Illinois, Indiana, Kansas, Kentucky, Massachusetts, Maryland, Maine, Michigan, Minnesota, Missouri, Montana, North Carolina, North Dakota, Nebraska, New Jersey, New York, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Dakota, Tennessee, Virginia, Vermont, Wisconsin, West Virginia, and the District of Columbia.

No other Fresh Express products are subject to recall.

Fresh Express customers have been notified of the recall and instructed to immediately remove recalled products from all store shelves, distribution, and other inventories to ensure they are no longer available for sale or consumption.

Consumers who may have a recalled salad should discard it immediately and not eat it. Consumers with questions, or to obtain refunds, may contact the Fresh Express Consumer Response Center toll-free at (800) 242-5472 on Monday through Saturday from 8 a.m. to 7 p.m. Eastern time and on Sunday from 11 a.m. to 7 p.m. Eastern time.

Fresh Express takes food safety matters very seriously, stringently follows all mandated regulations and implements preventive measures designed to minimize potential risks. Fresh Express is working in close coordination with FDA in its continuing investigation to identify a definitive source of the current Cyclospora outbreak.

USA – Cyclospora Recall Expands: Fresh Express, Giant Eagle, Hy-Vee, Walmart, Jewel-Osco, and ALDI Salads Recalled

Outbreak News Today

Citing potential Cyclospora risk, today Fresh Express expanded its recall of products containing iceberg lettuce, red cabbage and carrots.  The salad products were produced at Fresh Express’ Streamwood, IL facility.  Here is a list of recalled products.  This expands the Fresh Express recall of June 18, 2020.  The recalled salad products were sold at Giant Eagle, Hy-Vee, Walmart, Jewel-Osco, and ALDI.

 

Canada – Food Recall Warning – Salad products recalled due to Cyclospora

CFIA Cyclospora_LifeCycle201

Recall details

Ottawa, June 28, 2020 – Fresh Express is recalling Fresh Express brand salad products from the marketplace due to possible Cyclospora contamination. Consumers should not consume the recalled products described below.

Recalled products

Brand Product Size UPC Production Code Best Before Date
Fresh Express Chopped Kit Chipotle Cheddar 323 g 0 71279306049 8 All packages bearing a lot code beginning with “Z 177” or a lower number Jul 08
Fresh Express American 312 g 0 71279241036 2 All packages bearing a lot code beginning with “Z 177” or a lower number Jul 11
Fresh Express Chopped Kit Thai ‘N’ Cashews 332 g 0 71279309255 0 All packages bearing a lot code beginning with “Z 177” or a lower number Jul 11
Fresh Express Veggie Lover’s 340 g 0 71279281063 6 All packages bearing a lot code beginning with “Z 177” or a lower number Jul 11
Fresh Express Chopped Kit Sunflower Crisp 315 g 0 71279309330 4 All packages bearing a lot code beginning with “Z 177” or a lower number Jul 11
Fresh Express Iceberg Garden 680 g 0 71279104119 2 All packages bearing a lot code beginning with “Z 177” or a lower number Jul 12
Fresh Express Iceberg Garden 340 g 0 71279103020 2 All packages bearing a lot code beginning with “Z 177” or a lower number Jul 12
Fresh Express SHREDS 226 g 0 71279151014 8 All packages bearing a lot code beginning with “Z 177” or a lower number Jul 12
Fresh Express Green & Crisp 312 g 0 71279108131 0 All packages bearing a lot code beginning with “Z 177” or a lower number Jul 12
Fresh Express Chopped Kit Asian 340 g 0 71279309293 2 All packages bearing a lot code beginning with “Z 177” or a lower number Jul 13
Fresh Express Chopped Kit Southwest 326 g 0 71279309309 0 All packages bearing a lot code beginning with “Z 177” or a lower number Jul 12
Fresh Express 3 Color Deli Cole Slaw 397 g 0 71279123028 2 All packages bearing a lot code beginning with “Z 177” or a lower number Jul 14

What you should do

If you think you became sick from consuming a recalled product, call your doctor.

Check to see if you have the recalled products in your home. Recalled products should be thrown out or returned to the store where they were purchased.

Food contaminated with Cyclospora may not look or smell spoiled but can still make you sick. People infected with Cyclospora can experience a wide range of symptoms, including watery diarrhea, stomach cramps, and nausea. Some people do not get sick at all, while others suffer from a severe upset stomach. Few people get seriously ill.

Background

This recall was triggered by the company. The Canadian Food Inspection Agency (CFIA) is conducting a food safety investigation, which may lead to the recall of other products. If other high-risk products are recalled, the CFIA will notify the public through updated Food Recall Warnings.

The CFIA is verifying that industry is removing the recalled products from the marketplace.

Illnesses

There have been no reported illnesses associated with the consumption of these products.

USA – Outbreak of Cyclospora Infections in the Midwestern U.S. Linked to Bagged Salad Mix

CDC

CDC, public health and regulatory officials in several states, and the U.S. Food and Drug Administrationexternal icon (FDA) are investigating a multistate outbreak of Cyclospora infections linked to bagged salad mix containing iceberg lettuce, carrots, and red cabbage produced by Fresh Express and purchased at ALDI, Hy-Vee, Jewel-Osco, and Walmart stores in the Midwestern United States.

Advice to Consumers, Restaurants, Retailers, and Suppliers/Distributors

CDC has important advice for consumers and retailers in Arkansas, Illinois, Indiana, Iowa, Kansas, Michigan, Minnesota, Missouri, Nebraska, North Dakota, South Dakota, and Wisconsin:

  • Do not eat, sell, or serve:
    • Recalled Marketside brand Classic Iceberg Salad
      • Sold at Walmart stores in Iowa, Michigan, Minnesota, Nebraska, North Dakota, South Dakota, and Wisconsin
      • 12-ounce and 24-ounce bags
      • Use-by dates of 05/19/2020 through 07/04/2020
    • Recalled Little Salad Bar brand Garden Salad
      • Sold at ALDI stores in Arkansas, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, North Dakota, South Dakota and Wisconsin
      • 12-ounce bags
      • Use-by dates of 05/01/2020 through 06/29/2020
    • Recalled Hy-Vee brand Garden Salad
      • Sold at Hy-Vee stores in Illinois, Iowa, Kansas, Minnesota, Missouri, Nebraska, South Dakota, and Wisconsin
      • 12-ounce bags
      • Any use-by date
    • Recalled Jewel-Osco Signature Farms brand Garden Salad
      • Sold at Jewel-Osco stores in Illinois, Indiana, and Iowa
      • 12-ounce bags
      • Use-by dates of 05/16/2020 through 07/04/2020
  • Check your home for any of these recalled salads. Throw any remaining salad away, even if some of it has been eaten and no one has gotten sick.
  • If you live in Arkansas, Illinois, Indiana, Iowa, Kansas, Michigan, Minnesota, Missouri, Nebraska, North Dakota, South Dakota, or Wisconsin and don’t know whether the bagged salad mix you have in your home is one of these recalled salads, do not eat it. Throw it away.

Take action if you have symptoms of a Cyclospora infection:

  • Talk to your healthcare provider.
  • Write down what you ate in the two weeks before you started to get sick.
  • Report your illness to the health department.
  • Assist public health investigators by answering questions about your illness.

Latest Outbreak Information

  • 206 people with laboratory-confirmed Cyclospora infections and who reported eating bagged salad mix before getting sick have been reported from 8 Midwestern states (Illinois, Iowa, Kansas, Minnesota, Missouri, Nebraska, North Dakota, and Wisconsin).
    • Illnesses started on dates ranging from May 11, 2020 to June 17, 2020.
    • 23 people have been hospitalized. No deaths have been reported.
  • Epidemiologic and traceback evidence indicates that bagged salad mix containing iceberg lettuce, carrots, and red cabbage produced by Fresh Express is a likely source of this outbreak.
  • Bagged salad mixes purchased at ALDI, Hy-Vee, Jewel-Osco, and Walmart do not explain all of the illnesses in this outbreak. CDC and FDA continue to investigate to determine whether other products are a source of illnesses.
  • CDC will provide updates when more information is available.

Investigation Details

June 26, 2020

Since the last update on June 23, 2020, 84 new laboratory-confirmed Cyclospora infections have been reported, including 6 from a new state, North Dakota.

Health officials in North Dakota interviewed ill people in their state. In interviews, all six ill people reported eating a salad purchased from a single restaurant location in North Dakota. Health officials determined that the restaurant used Marketside brand bagged garden salad mix purchased from Walmart.

On June 25, 2020, Fresh Express recalled Marketside brand Classic Iceberg Salad sold in 12-ounce and 24-ounce bags at Walmart stores in Iowa, Michigan, Minnesota, Nebraska, North Dakota, South Dakota, and Wisconsin.

As of June 25, 2020, a total of 206 people with laboratory-confirmed Cyclospora infections associated with this outbreak have been reported from 8 states: Illinois (57), Iowa (74), Kansas (1), Minnesota (25), Missouri (10) Nebraska (20), North Dakota (6), and Wisconsin (13).

Illnesses started on dates ranging from May 11, 2020 to June 17, 2020. Ill people range in age from 16 to 92 years with a median age of 60 and 57% are female. Of 198 people with available information, 23 people (12%) have been hospitalized. No deaths have been reported.

Illnesses might not yet be reported due to the time it takes between when a person becomes ill and when the illness is reported. This takes an average of 4 to 6 weeks. If the number of cases reported by CDC is different from the number reported by state or local health officials, data reported by local jurisdictions should be considered the most up to date. Any differences may be due to the timing of reporting and website updates.

There are typically multiple clusters of Cyclospora infections that occur each summer. CDC is working to determine if other recent cases of Cyclospora infection are linked to contaminated ingredients in these bagged salad mixes. This investigation is ongoing.

USA – Walmart salad served by restaurant linked to parasitic infections; grocery store bagged salads still involved

Food Safety News 220px-Cyclospora_cayetanensis_stained

With another 84 patients confirmed and an eighth state involved, an outbreak of Cyclospora infections linked to Fresh Express bagged salads sold by grocery stores is now being blamed for sickening restaurant patrons.

As of an update today, federal officials are reporting 206 patients have been confirmed as infected by the Cyclospora parasite in the outbreak. The microscopic organism is often found on fresh produce that is eaten raw, especially lettuces and herbs such as cilantro. 

Public health officials are concerned that consumers may have unused portions of the implicated salads in their homes. Four bagged salad mixes have been recalled so far. Some of the salad products have use-by dates into July.

USA -In Association with Fresh Express Inc., ALDI Voluntarily Recalls Little Salad Bar Garden Salad

FDA cardcyclosporasme

Company Announcement

In cooperation with Fresh Express Inc., and out of an abundance of caution, ALDI has removed Little Salad Bar Garden Salad from select stores as a precautionary measure due to possible Cyclospora infection.

The recall affects all product codes of ALDI Little Salad Bar Garden Salads with use-by dates of May 16 to July 04 and distributed in the states of Arkansas, Illinois, Iowa, Indiana, Michigan, Minnesota, Missouri, North Dakota, South Dakota and Wisconsin between May 1 and June 19.

If customers have the affected Little Salad Bar Garden Salad, they should discard it immediately.

Customers with additional questions can contact Fresh Express Consumer Response Center toll-free at (800) 242-5472 Monday – Friday during the hours of 8 a.m. to 7 p.m. Eastern time.

ALDI sincerely regrets any inconvenience and concern this voluntary recall may cause.