Iowa Reports Alfalfa Sprout Illness as Multi-State E. coli, Salmonella Outbreak Grows

At least one Iowan has fallen ill in a multi-state outbreak of E. coli and Salmonella linked to alfalfa sprouts, federal health officials confirmed. The outbreak has sickened 55 people across 15 states, with the majority of cases concentrated in Minnesota and Wisconsin.

The U.S. Food and Drug Administration (FDA) reported that 46 people were infected with Shiga toxin-producing E. coli (STEC), seven with Salmonella, and two with both pathogens. Four people have been hospitalized, and no deaths have been reported.

What is the source of the alfalfa sprout outbreak?

Traceback investigations at grocery stores and restaurants identified alfalfa sprouts distributed by Minnesota-based Everything Sprouts LLC as a likely source of the illnesses, according to the FDA. The company has issued a voluntary recall of certain lots of its alfalfa sprouts due to potential contamination with STEC and Salmonella.

The recall covers Everything Sprouts Alfalfa sprouts sold in 5-ounce plastic containers with lids, distributed from May 27 through Aug. 21. Products were shipped to retail grocery stores in Minnesota and Wisconsin, as well as to certain third-party distributors. The CDC also linked illnesses to the company's Calco-branded sprouts in an Aug. 21 food-safety alert.

How many cases are in Iowa and other states?

Minnesota reported the most infections with 21 cases, followed by Wisconsin with 17. Florida, North Carolina, North Dakota, and New York each reported two cases. Iowa, Indiana, Kansas, Michigan, New Hampshire, Pennsylvania, South Carolina, South Dakota, and Washington each reported one case.

According to the Centers for Disease Control and Prevention (CDC), illnesses began on May 31, with the most recent case beginning on Aug. 8. State and local health officials interviewed 37 sick people, and 26 reported eating alfalfa sprouts in the week before becoming ill.

What is Everything Sprouts saying about the recall?

In an Aug. 21 statement, Everything Sprouts said it was coordinating with the FDA and CDC to recall certain lots of alfalfa sprouts because of potential contamination. The company said it had tested its products daily during the outbreak and had not received a positive laboratory result. It also said it had received no direct reports of illnesses involving the recalled products.

“We are continuing to work with public-health officials to investigate the potential problem and will provide updates as more information becomes available,” the company said. The FDA began an inspection at the company on Wednesday and collected product samples to determine the source of contamination and whether other products or companies are connected to the outbreak.

What are the symptoms of E. coli and Salmonella infections?

STEC infection can cause acute diarrheal illness within several days of ingesting the bacteria. Most people recover within about a week, but those with weakened immune systems can experience more severe or prolonged illness and may develop complications requiring medical attention.

Salmonella infections can become especially serious in frail people, older adults, young children, and those with weakened immune systems. Symptoms can include fever, vomiting, nausea, abdominal pain, and diarrhea, which can sometimes be bloody. In rare cases, Salmonella can enter the bloodstream and cause more serious complications.

What should Iowans do if they have recalled sprouts?

The CDC advises people who bought the affected products not to eat them. Instead, throw them away or return them to the place of purchase. Clean any items and surfaces that may have contacted the sprouts using a dishwasher or hot, soapy water.

Health officials urge people to contact a health care provider promptly if they develop warning signs, including diarrhea accompanied by a fever above 102 degrees Fahrenheit, bloody diarrhea, vomiting severe enough that liquids cannot be kept down, diarrhea lasting more than two days without improvement, or signs of dehydration.

Frequently Asked Questions

What should I do if I ate recalled alfalfa sprouts?

If you have eaten the recalled sprouts and feel fine, no action is needed. Monitor your health for symptoms like diarrhea, fever, or vomiting. If symptoms develop, contact your health care provider.

Where can I find more information about the recall?

Visit the FDA or CDC websites for the latest updates. You can also contact Everything Sprouts directly for questions about the recalled products.