Adhering to an E. coli outbreak in 16 nations, officials are expanding their own caution, telling folks to stay away from buying "all sorts of romaine lettuce" increased in Arizona. An earlier warning did not include whole heads or hearts; the latest warning covers everything.
Restaurants and retailers are also being urged not to serve or sell any romaine lettuce from the Yuma growing region and to check with suppliers about the source of their romaine lettuce.
No grower or distributor has been identified as the source of the outbreak, which has been traced to the Yuma, Ariz., area where California's major produce companies cultivate winter lettuce, according to the CDC.
Consumers as well as restaurants and retailers are advised to throw away any lettuce if they can't confirm where it's from.
Officials say it is best to throw out all romaine lettuce.
More cases of E. Coli infection may be reported in the coming weeks, since some people may not immediately report the illness. Most develop diarrhea that can be bloody, severe stomach cramps and vomiting.
The initial outbreak was reported April 10, with 17 people from seven states affected. Even if someone has already eaten some and not gotten sick, the lettuce should still be thrown away to be on the safe side, as USA Today notes.
The CDC is actively investigating the development of this outbreak.
Most people get sick from E. coli three to four days after consuming the bacteria.
HUS can occur in people of any age but is most common in children younger than 5 years, adults aged 65 years and older, and people with weakened immune systems. Of these, 31 have been hospitalized, and five had developed a serious condition called hemolytic uremic syndrome, which is a type of kidney failure, the CDC said.
McDonald's in Nogales and Green Valley said Friday they are not serving salads because of the outbreak. Infections start when someone swallows a tiny amount of human or animal feces through a variety of ways, including contaminated food, consumption of unpasteurized (raw) milk, unclean water or contact with the feces of infected people.
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Police return stolen Senate mace
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