At least 767 people in 36 states are now part of the Salmonella outbreak linked to imported cucumbers. Since the last update on October 6, the outbreak has expanded to a new state, Florida, and 35 new cases from 14 states have been added.
There have been four deaths and 157 hospitalizations. About 50 percent of those sickened are children under 18.
The Centers for Disease Control and Prevention (CDC) and the U.S. Food and Drug Administration (FDA) say the outbreak, which they have linked to cucumbers imported from Mexico and distributed by Andrew & Williamson Fresh Produce, is ongoing.
Two cucumber recalls have been issued. The first, on September 4, 2015, by Andrew & Williamson Fresh Produce for cucumbers sold under the “Limited Edition” brand label during the period from August 1, 2015 through September 3, 2015.
The second on September 11, 2015 by Custom Produce Sales for all cucumbers sold under the Fat Boy label starting August 1, 2015. Those unlabeled cucumbers, which were sold in Nevada, were sent to Custom Produce Sales from Andrew & Williamson.
Public health officials used DNA “fingerprinting” to identify three outbreak strains of Salmonella Poona associated with this outbreak. Those strains were also found in cucumbers collected from retail locations and in samples taken from the Andrew & Williamson facility.
The recalled cucumbers, dark green in color, between 7 and 10 inches long were sold unlabeled in bulk displays at grocery stores. A list of retailers that sold the recalled cucumbers has not been provided by health officials. But Walmart, Winco, Food 4 Less, Ralphs, and Savemart stores all carried them.
The case patients, who range in age from from less than 1 year to 99, reported onset of illness dates ranging from July 3, 2015 to September 29, 2015. About 42 percent of all the cases were reported from Arizona, and California. Utah, Wisconsin and Minnesota were also hard hit.
As of October 13, 2015, 767 people were infected with the outbreak strains of Salmonella Poona associated with this outbreak. By state, the case count is as follows: Alabama (1), Alaska (16), Arizona (118), Arkansas (11), California (205), Colorado (18), Florida (1), Hawaii (1), Idaho (24), Illinois (9), Indiana (4), Iowa (6), Kansas (2), Kentucky (1), Louisiana (5), Maryland (1), Minnesota (38), Missouri (12), Montana (15), Nebraska (7), Nevada (14), New Mexico (31), New York (6), North Dakota (6), Ohio (3), Oklahoma (12), Oregon (21), Pennsylvania (2), South Carolina (9), South Dakota (3), Texas (38), Utah (53), Virginia (1), Washington (24), Wisconsin (42), and Wyoming (7). The deaths occurred in Arizona, California, Oklahoma and Texas.
Symptoms of a Salmonella infection include fever, chills, muscle aches, headache, abdominal cramps, nausea, vomiting, and diarrhea that may be bloody. Those most at risk for Salmonella poisoning are children, senior and those with compromised immune systems. These groups are also at elevated risk for severe complications of infections.
After initial symptoms resolve, long term complications are possible including reactive arthritis, which causes eye irritation and painful swelling of the joints; irritable bowel syndrome, and heart problems. Anyone with symptoms of an infections should see a doctor.