Rushville Republican

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September 20, 2006

Beware of bagged spinach!

Deadly E-Coli present, one life lost

Over the weekend the FDA expanded its warning for consumers to avoid spinach due to a potentially lethal presence of E-coli, although officials have primarily focused on the packaged greens that came from a large San Juan Bautista-based operation, Natural Selection Foods.

The products are sold under the brand names Rave Spinach, Natural Selection Foods, Dole, Earthbound Farm, Trader Joe's, Ready Pac and Green Harvest.

The recommendation does not extend to frozen and canned spinach.

Twenty-one states have now reported E. coli cases. At least 60 people have been hospitalized, and 16 have developed hemolytic uremic syndrome, a condition that can lead to kidney failure.

At least one death has occurred—a 77-year-old woman from Wisconsin. Investigators were determining whether another death in Ohio was connected to the national outbreak.

Individuals who believe they may have experienced symptoms of illness after consuming bagged spinach are urged to contact their health care provider.

“Given the severity of this illness and the seriousness of the outbreak, FDA believes that a warning to consumers is needed. We are working closely with the U.S. Centers for Disease Control and Prevention (CDC) and state and local agencies to determine the cause and scope of the problem,” said Dr. Robert Brackett, director of FDA’s Center for Food Safety and Applied Nutrition (CFSAN).

E. coli causes diarrhea, often with bloody stool. Although most healthy adults can recover completely within a week, some people can develop a form of kidney failure called Hemolytic Uremic Syndrome (HUS).

HUS is most likely to occur in young children and the elderly. The condition can lead to serious kidney damage and even death.

To date, 50 cases of illness have been reported to the Centers for Disease Control and Prevention, including eight cases of HUS and one death.

At this time, the investigation is ongoing and states that have reported illnesses to date include Connecticut, Idaho, Indiana, Michigan, New Mexico, Oregon, Utah and Wisconsin.

Three in four of those sickened have been women, which authorities say is because women are more likely to eat fresh greens. Many more people may have been sickened in the outbreak but weren't ill enough to seek treatment or be tested.

“Washing it does not help according to our district epidemiologist,” Larry Abrams, bio-terrorism coordinator for the Rush County LPHC said. “She also said it is a really bad strain.”

During a recent bio-terrorism training exercise in Alabama, Abrams was educated on the thinking patterns of terrorists in using bacteria to infect their enemies.

“One of my instructors said that E-coli is easy to obtain, and that that is what he would use to infect people if he were a terrorist,” Abrams said. “He said he would contaminate the water supply with it, and he said, ‘It would be so easy.’ Maybe this time the terrorists listened. It is impossible to say what caused this outbreak yet, but I can assure you that the CDC and others are working on it day and night. And, they have some great people there.”

Since 1995, there have been 20 cases nationally of E. coli outbreaks linked to lettuce or spinach, and nine of them, including this one, have been traced to the Salinas Valley. Officials began an investigation several weeks ago to evaluate the growing and processing practices of lettuce in the region; that was expanded to include spinach.



Rushville Republican staff writer Elizabeth Gist can be contacted at (765) 932-2222 or via e-mail at elizabeth.gist@cnhimedia.com. To add a comment visit our Website at www.rushvillerepublican.com.

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