The Food and Drug Administration (FDA) identified the cause of the illnesses as the Cyclospora parasite, a foodborne contamination associated with fecal matter. Health officials noted that the Florida victim purchased a salad while traveling in Kentucky.
Last week, the number of cases was 61 people in seven states - 29 in IL, 16 in Iowa, seven in Missouri, three in Minnesota and two each in Nebraska, South Dakota and Wisconsin.
McDonald's has stopped selling those salads at some 3,000 restaurants, all located in Midwest states: Illinois, Iowa, Indiana, Wisconsin, Michigan, Ohio, Minnesota, Nebraska, North Dakota, South Dakota, Montana, West Virginia and Missouri.
The number of cyclospora infections linked to McDonald's salads has ballooned to over 160, and spread to a total of 10 states, the Centers for Disease Control and Prevention announced. The chain said in a release that will resume selling these items once it's able to switch to another lettuce supplier.
Following initial reports of the outbreak, McDonald's said it was voluntarily removing salads from some locations and distribution centers "out of an abundance of caution", with plans to restock restaurants with salads from other suppliers.
According to the FDA, cyclospora cayetanensis is a microscopic parasite of humans. It takes around a week after exposure for symptoms to appear, and while some people experience no symptoms, others may have "watery diarrhea, with frequent, sometimes explosive, bowel movements", the CDC explains. Additionally, Del Monte is recalling "small veggie trays", which are 28oz and include broccoli, cauliflower, carrots, celery and dill dip that were distributed to IL and Indiana.
"Some water had to become contaminated and then used to irrigate the crops that become salad", said Martin Bucknavage, a Pennsylvania State University food safety expert. If you ate at a McDonald's restaurant since mid-May 2018 and have been sick with these symptoms, you may be part of this McDonald's cyclospora outbreak.
If not treated, the illness often lasts for months.
"The health and safety of our customers and the people who work in McDonald's restaurants is always our top priority", the firm said in a statement on July 20.
For example, deaths in Kentucky rose almost seven percent, six percent in New Mexico and almost six percent in Arkansas. As a result, the growth in cirrhosis has largely come from alcoholic liver disease and non-alcoholic liver disease.
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