A California natural foods company was linked to a nationwide E. coli outbreak that has killed one person and sickened nearly 100 others. Supermarkets across the country pulled spinach from shelves, and consumers tossed out the leafy green.
Food and Drug Administration officials said Friday that they had received reports of illness in 19 states. Twenty-nine people have been hospitalized, 14 of them with kidney failure.
The outbreak was traced to Natural Selection Foods, a holding company based in San Juan Bautista, Calif., known for Earthbound Farm and other brands. The company has voluntarily recalled products containing spinach.
FDA officials stressed that the bacteria had not been isolated in products sold by Natural Selection Foods but that the link was established by patient accounts of what they had eaten before becoming ill.
An investigation was continuing.
“It is possible that the recall and the information will extend beyond Natural Selection Foods and involve other brands and other companies, at other dates,” said Dr. David Acheson, the chief medical officer with the FDA’s Center for Food Safety and Applied Nutrition.
Natural Selection Foods LLC said in a statement that it was cooperating with federal and state health officials to identify the source of the contamination and had stopped shipping all fresh spinach products. They are sold under many brand names, including Earthbound Farm, Dole, Green Harvest, Natural Selection Foods, Rave Spinach, Ready Pac and Trader Joe’s.
State health officials received the first reports of illness on Aug. 25, and the FDA was informed on Wednesday, Acheson said.
The FDA warned people nationwide not to eat the spinach. Washing won’t get rid of the tenacious bug, though thorough cooking can kill it.
Each year, consumers buy hundreds of millions of pounds of bagged spinach — triple-washed and packaged in cellophane bags and clamshell boxes.
“We are very, very upset about this,” Natural Selection Foods spokeswoman Samantha Cabaluna said Friday night. “What we do is produce food that we want to be healthy and safe for consumers, so this is a tragedy for us.”
Wisconsin accounted for 29 illnesses, about one-third of the cases, including the lone death. The victim’s son identified her Friday night as Marion Graff, 77, of Manitowoc, who died of kidney failure on Sept. 7.
Other states reporting cases were: California, Connecticut, Idaho, Indiana, Kentucky, Maine, Michigan, Minnesota, New Mexico, Nevada, New York, Ohio, Oregon, Pennsylvania, Utah, Virginia, Washington and Wyoming, according to the Centers for Disease Control and Prevention.
“We are telling everyone to get rid of fresh bagged spinach right now. Don’t assume anything is over,” Wisconsin Governor Jim Doyle said.
FDA officials said they issued the nationwide consumer alert without waiting to identify the source of the tainted spinach.
More than half the nation’s 500 million-pound spinach crop is grown in California’s Monterey County, according to the Agriculture Department.
“We’re trying to get to the bottom of this and figure out what happened. Everybody is terribly concerned,” said Dave Kranz, a spokesman for the California Farm Bureau Federation.
The FDA’s top food expert stressed the importance of stopping the bacterium at its source, since rinsing spinach won’t eliminate the risk. “If you wash it, it is not going to get rid of it,” said Robert Brackett, director of the agency’s Center for Food Safety and Nutrition.
E. coli lives in the intestines of cattle and other animals and typically is spread through contamination by fecal material. Brackett said the use of manure as a fertilizer for produce typically consumed raw, such as spinach, is not in keeping with good agricultural practices.
Meanwhile, Wal-Mart Stores Inc., Safeway Inc., SuperValu Inc. and other major grocery chains stopped selling spinach, removing it from shelves and salad bars.
Not all strains of E. coli cause illness: E. coli O157:H7, the strain involved in the current outbreak, was first recognized as a cause of illness in 1982. That strain causes an estimated 73,000 cases of infection, including 61 deaths, each year in the United States, according to the CDC.
When ingested, the bug can cause diarrhea, often with bloody stools. Most healthy adults can recover completely within a week, although some people — including the very young and old — can develop a form of kidney failure that often leads to death.
Sources of the bacterium include uncooked produce, raw milk, unpasteurized juice, contaminated water and meat, especially undercooked or raw hamburger.
Associated Press writer Jordan Robertson in San Juan Bautista, California, contributed to this report.
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