CDC Issues Final Romaine Lettuce Update [US]

US FlagUS/Atlanta: Centers for Disease Control and Prevention ("CDC") LogoThe US Centers for Disease Control and Prevention (“CDC”), an Atlanta, Georgia based health promotion and disease prevention authority, issues its final update on the outbreak of E. coli O157:H7 infections linked to Romaine Lettuce due to Escherichia coli (E. coli) O157:H7 infections linked to Romaine.


Direct link:

Additional information:
The Centers for Disease Control and Prevention (“CDC”) reports this E. coli O157:H7 outbreak appears to have begun in October with cases reported from October 8, 2018 to December 13, 2018. As of January 9, 2019, this outbreak appears to be over.


The CDC, public health and regulatory officials in several US states as well as Canada, with the US Food and Drug Administration (“FDA”) and Health Canada investigated a multi-state and multi-province outbreak of E. coli O157:H7 infections.

  • Three (3) additional cases were reported since the last update on December 13, 2018. This brings the total number to 62 cases from 16 states and the District of Columbia.
  • The original warning extends to ALL types and uses of Romaine Lettuce, such as whole heads of Romaine, hearts of Romaine, and bags and boxes of pre-cut Lettuce and salad mixes that contain Romaine, including Baby Romaine, Spring Mix or and Caesar Salad.
  • At least twenty-five (25) people were hospitalized, including two people who developed a type of kidney failure called Hemolytic Uremic Syndrome (“HUS”). No deaths were reported.
  • If you have symptoms of an E. coli infection, including severe stomach cramps, diarrhea (often bloody) or vomiting, and think you might have gotten sick from eating Romaine Lettuce, please notify your physician and report your illness to the local health department.
  • The FDA, along with CDC and state partners, investigated farms and cooling facilities in California that were identified in traceback. CDC identified the outbreak strain of E. coli O157:H7 in sediment collected within an agricultural water reservoir on an Adam Bros, Inc. farm in Santa Barbara County, which was identified in the traceback investigation.

Important reminders for physicians and other healthcare providers:

  • Antibiotics are not recommended for patients with E. coli O157 infections. Antibiotics are also not recommended for patients in whom E.coli O157 infection is suspected, until diagnostic testing rules out this infection. You can find out more here:

==> To see other recalls and notifications caused by contaminated, adulterated or mislabeled Romaine Lettuce please search for “romaine” or more generically, “salad” using the Search Box at the top of this page.

==> To see other recalls and notifications caused by suspected E. coli O157:H7 contamination, please search for “E. coli” using the Search Box at the top of this page.


More information about this recall:
Recalls Direct RIN: 11022-2018
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