FDA Fast Facts: FDA works with partners to investigate a Cyclospora outbreak potentially associated with McDonald’s salads

SILVER SPRING, Md., July 13, 2018 /PRNewswire/ -- The U.S. Food and Drug Administration (FDA) and the Centers for Disease Control and Prevention, along with state and local officials, are investigating a multi-state outbreak of Cyclospora infections. Yesterday, the Illinois and Iowa Health Departments identified McDonald's salads as being potentially linked to cases of Cyclospora in both states. McDonald's has voluntarily stopped selling salads at affected restaurants across 14 states and the CDC reports that 61 people across seven states have gotten sick.

"We understand how important it is to quickly identify the cause of this foodborne outbreak to help reduce additional illness and we're working closely with our colleagues at CDC and state partners to get more answers. There's still a lot to learn about this outbreak, and we appreciate that McDonald's has removed salads from the menu in impacted restaurants while we work to determine whether they are in fact linked to the outbreak. We will continue to share our progress toward these goals and provide updates as we learn more," said FDA Commissioner Scott Gottlieb, M.D. "It's early in the investigation, but we are taking steps now to help ensure consumers know about the potentially contaminated product so that they can better protect themselves or seek treatment, especially if they have signs or symptoms of a Cyclospora infection. This is especially important as Cyclospora is not commonly tested for in a health care setting, so consumers who may think they have been exposed should raise their concerns with their health care professional."

As part of this emerging investigation, the FDA is actively 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.

Cyclospora is a parasite that can cause severe intestinal illness, but can be treated. Although it's unknown exactly how food and water become infected with Cyclospora, people should be aware that rinsing or washing food is not likely to remove it.

The following is an update on the FDA's ongoing investigation into this outbreak.

       Outbreak Investigation Summary            Advice for Consumers
       ------------------------------            --------------------

    --The FDA and CDC are working with
     state partners to investigate an       have symptoms of a Cyclospora
     outbreak of Cyclospora infections      infection should consult their
     possibly associated with               health care professional.
     McDonald's salads.                     --People who think they might
    --CDC reports that 61 people have       -- Common symptoms include
     gotten sick.                           loss of appetite, weight loss,
                                            stomach cramps/pain, bloating,
                                            increased gas, nausea, and
                                            fatigue. People may also
                                            experience vomiting, body
                                            aches, headache, low-grade
                                            fever, and other flu-like
                                            symptoms.
    --Two people have been                  --Some people who are infected
     hospitalized.                          with Cyclospora do not have any
                                            symptoms.
    --To date, no deaths have been          --If not treated, the illness
     reported.                              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).
                                            It's common to feel very tired.
    --At this time, the cases are           People with questions about food
     spread across seven states: IA,        safety can call the FDA at
     IL, MN, MO, NE, SD, and WI.            1-888-SAFEFOOD.
    --McDonald's has identified that
     potentially contaminated product
     was distributed to some 3,000
     stores to 14 states: IL, IA, IN,
     WI, MI, OH, MN, NE, SD, MT, ND,
     KY, WV, and MO.
    --FDA is working with McDonald's
     to investigate the ingredients of
     the salads and trace them through
     the supply chain.
    --McDonald's voluntarily stopped
     selling salads at affected
     restaurants in their supply chain,
     so potentially contaminated
     product should not be available
     for consumers to purchase.
    --At this time, FDA has no
     evidence to connect this
     Cyclospora outbreak to those
     associated with Del Monte
     vegetable trays.

The FDA is continuing to investigate this outbreak and will share more information as it becomes available. For more information on this investigation:

• FDA website on Cyclospora
• CORE outbreak investigations
• McDonald’s Statement
• Illinois Department of Public Health Press Release
• Iowa Department of Public Health Press Release

The FDA, an agency within the U.S. Department of Health and Human Services, protects the public health by assuring the safety, effectiveness, and security of human and veterinary drugs, vaccines, and other biological products for human use, and medical devices. The agency also is responsible for the safety and security of our nation's food supply, cosmetics, dietary supplements, products that give off electronic radiation, and for regulating tobacco products.

Media Inquiries: Peter Cassell, 240-402-6537, peter.cassell@fda.hhs.gov
Consumer Inquiries: 888-INFO-FDA

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SOURCE U.S. Food and Drug Administration