2006 United States E. coli outbreak
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In 2006, there were several outbreaks of
foodborne illness Foodborne illness (also foodborne disease and food poisoning) is any illness resulting from the spoilage of contaminated food by pathogenic bacteria, viruses, or parasites that contaminate food, as well as prions (the agents of mad cow disease) ...
from spinach and lettuce contaminated by ''E. coli'' O157:H7.


Spinach

The initial outbreak occurred in September 2006 and its probable origin was an Angus cattle ranch that had leased land to a spinach grower (growing under organic practices). At least 205 consumer illnesses and three deaths have been attributed to the tainted produce.


Lettuce


Taco Bell

In December 2006,
Taco Bell Taco Bell is an American-based chain of fast food restaurants founded in 1962 by Glen Bell (1923–2010) in Downey, California. Taco Bell is a subsidiary of Yum! Brands, Inc. The restaurants serve a variety of Mexican-inspired foods, includi ...
restaurants in four Northeastern states emerged as a common link among 71 sickened people across five states, 52 of whom were ultimately confirmed by the Centers for Disease Control to have tested positive the same ''E. coli'' strain.CDC , ''E. coli'' Outbreak - Update: Dec. 14, 2006 , CDC Foodborne and Diarrheal Diseases Branch
A total of 33 people in New Jersey, 22 in New York, 13 in Pennsylvania, 2 in Delaware, and 1 in South Carolina fell ill, according to the CDC. The four states with Taco Bell restaurants where these consumers were confirmed to have eaten were in New Jersey, New York, Pennsylvania, and Delaware. (The patient from South Carolina ate at a Taco Bell restaurant in Pennsylvania). Of the 71 reported cases, 53 were hospitalized and 8 developed a type of kidney failure called
hemolytic–uremic syndrome Hemolytic–uremic syndrome (HUS) is a group of blood disorders characterized by low red blood cells, acute kidney failure, and low platelets. Initial symptoms typically include bloody diarrhea, fever, vomiting, and weakness. Kidney problems and ...
. According to the CDC, illness onset dates ranged from November 20 to December 6. On December 7, 2006, an initial investigation attributed the outbreak to green
onion An onion (''Allium cepa'' L., from Latin ''cepa'' meaning "onion"), also known as the bulb onion or common onion, is a vegetable that is the most widely cultivated species of the genus ''Allium''. The shallot is a botanical variety of the onion ...
s, which had been supplied to the Taco Bell restaurants by a single
McLane Company McLane is an American wholesale supply chain services company which distributes grocery and non-food to convenience stores, discount retailers, wholesale clubs, drug stores, military bases, quick service restaurants, and casual dining restaurants ...
distribution center in Burlington Township, New Jersey.''2 N.J. food distributors aid contamination probe'', ''The Star-Ledger'' (Newark, New Jersey), December 7, 2006. Tainted green onions may have proven a ready culprit in part because of their involvement in at least one widely reported prior outbreak of ''E. coli''. In 2003, green onions were suspected as the cause of a foodborne illness involving the
Chi-Chi's Chi-Chi's can either refer to a Mexican food restaurant chain founded in the United States in 1975, which continued in Europe only (as a Tex-Mex restaurant, under different ownership) after the North American owner declared bankruptcy and fol ...
restaurant chain in western
Pennsylvania Pennsylvania (; ( Pennsylvania Dutch: )), officially the Commonwealth of Pennsylvania, is a state spanning the Mid-Atlantic, Northeastern, Appalachian, and Great Lakes regions of the United States. It borders Delaware to its southeast, ...
that killed 4 people and sickened 660. After further investigation, Taco Bell determined that the cause of the problem was with
lettuce Lettuce (''Lactuca sativa'') is an annual plant of the family Asteraceae. It is most often grown as a leaf vegetable, but sometimes for its stem and seeds. Lettuce is most often used for salads, although it is also seen in other kinds of food, ...
, not green onions, and switched produce suppliers in the New York, New Jersey, Pennsylvania, and Delaware area. Company president Greg Creed stated in a press release that Taco Bell was cooperating with the CDC and the FDA in the controversy and he also stated that two of the people who claimed they got sick from eating Taco Bell actually did not eat there. Even though green onions were proven to not be the source of Taco Bell's ''E. coli'' outbreak, Taco Bell has no plans to put them back on the menu. By mid-December 2006, both green onions and
McLane Company McLane is an American wholesale supply chain services company which distributes grocery and non-food to convenience stores, discount retailers, wholesale clubs, drug stores, military bases, quick service restaurants, and casual dining restaurants ...
had been eliminated as possible sources of the Taco Bell contamination. Taco Bell's tainted lettuce was later traced, via packaging, to farms in the Central Valley of California, although no specific sources have been made public.


Taco John's

Later in December 2006, Iowa and Minnesota health officials investigated an ''E. coli'' outbreak that was traced to foods served at
Taco John's Taco John's International, Inc. is an American fast food restaurant founded in 1969 by John Turner. The chain serves Cuisine of Mexico#Mexican cuisine outside of Mexico, Mexican-inspired fast-food, fast food (which it calls "West-Mex") as well a ...
restaurants in Cedar Falls, Iowa and Albert Lea and Austin, Minnesota. As of December 13, 2006, the Iowa Department of Health had confirmed that at least 50 Iowans had become ill with ''E. coli'' infections after eating at Taco John's. On December 18, 2006, the Minnesota Department of Health reported that 37 probable ''E. coli'' cases had been reported in connection with the Taco John's ''E. coli'' outbreak, nine people were confirmed ill with ''E. coli'', eight people were hospitalized, and one person had developed hemolytic-uremic syndrome. The Taco John's ''E. coli'' outbreak was traced to contaminated lettuce sold in foods at Taco John's restaurants that were supplied by a Minneapolis lettuce supplier. In response to the Taco John's ''E. coli'' outbreak, Taco John's agreed to reimburse ill individuals for medical expenses, and hired a new fresh produce supplier. Taco John's president and CEO Paul Fisherkeller stated in an open letter that their restaurant food was safe to eat in the wake of the ''E. coli'' outbreak that closed three of their restaurants in
Iowa Iowa () is a state in the Midwestern region of the United States, bordered by the Mississippi River to the east and the Missouri River and Big Sioux River to the west. It is bordered by six states: Wisconsin to the northeast, Illinois to the ...
and
Minnesota Minnesota () is a state in the upper midwestern region of the United States. It is the 12th largest U.S. state in area and the 22nd most populous, with over 5.75 million residents. Minnesota is home to western prairies, now given over to ...
.


Other reported 2006 outbreaks

A report of a viral outbreak at an
Olive Garden Olive Garden is an American casual dining restaurant chain specializing in Italian-American cuisine. It is a subsidiary of Darden Restaurants, Inc., which is headquartered in Orange County, Florida. As of 2012, Olive Garden restaurants accounted ...
restaurant in
Indianapolis Indianapolis (), colloquially known as Indy, is the state capital and most populous city of the U.S. state of Indiana and the seat of Marion County. According to the U.S. Census Bureau, the consolidated population of Indianapolis and Marion ...
, Indiana, occurred in mid-December.


Regulatory and industry response

Since the 2006 outbreaks, various legislative proposals have emerged and the state and federal levels to require stricter food production, processing and handling. Industry participants have also taken voluntary measures to improve food safety. Following the outbreak in 2006, th
California Leafy Greens Handler Marketing Agreement (LGMA)
was established in the spring of 2007. The LGMA, operating with oversight from the
California Department of Food and Agriculture The California Department of Food and Agriculture (CDFA) is a cabinet-level agency in the government of California. Established in 1919 by the California State Legislature and signed into law by Governor William Stephens, the Department of Food a ...
, provides a mechanism for verifying that farmers follow established food safety practices for lettuce, spinach and other leafy greens. Farmers, shippers and processors in California have demonstrated their willingness to follow a set of food safety practices by signing onto the LGMA. Once a company joins the LGMA, it becomes mandatory for that member company to sell and ship produce only from farmers who comply with the LGMA accepted food safety practices. The grocery stores and restaurants who buy California leafy greens products support the food safety program by only purchasing these products from th
LGMA member companies who passed mandatory government inspections
The California LGMA has now become a model program for farmers in other states.


See also

*
Spinach in the United States Driven by fresh-market use, the consumption of spinach (''Spinacia oleracea'') has been on the rise in the United States. Per capita use of fresh-market spinach averaged during 2004–06, the highest since the mid-1940s. The fresh market now acco ...


References

{{DEFAULTSORT:2006 North American E. Coli Outbreak 2006 disease outbreaks North American E Coli Outbreak, 2006 North American E Coli Outbreak Agriculture in California Disasters in New Jersey Escherichia coli outbreaks Food and drink in Canada Food recalls Health disasters in Canada Disease outbreaks in the United States Health disasters in North America Spinach Lettuce