Three people have been admitted to hospital, according to the CDC, which is investigating the outbreak of cyclosporiasis in conjunction with the US Food and Drug Administration and state health officials.
On July 13, McDonald's voluntarily stopped selling the salads at 3,000 locations across the Midwest-including Illinois, Indiana, Iowa, Kentucky, Michigan, Minnesota, Missouri, Montana, Nebraska, North Dakota, Ohio, South Dakota, West Virginia, and Wisconsin.
Another cyclosporiasis outbreak has been linked to Del Monte vegetable trays, but the FDA says there is no evidence that the two are related.
"McDonald's is committed to the highest standards of food safety and quality and we continue to cooperate and support regulatory and public health officials in their investigations", the company said. "Many restaurants already have a new lettuce blend supply, while we expect all identified restaurants will have new supply in the next few days", the company said in a statement regarding the outbreak.
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Some people who are infected with Cyclospora do not have any symptoms.
Cyclospora cayetanensis is a microscopic parasite of humans. 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.
Cycolspora is a single-celled parasite that causes an intestinal illness called cyclosporiasis.
According to the Centers for Disease Control and Prevention (CDC), Cyclospora infects the small intestine and usually causes watery diarrhea, with frequent, sometimes explosive, bowel movements. "Therefore, it is unlikely that Cyclospora is passed directly from one person to another". Other common symptoms include loss of appetite, weight loss, stomach cramps/pain, bloating, increased gas, nausea, and fatigue. Additionally, they are often met with headaches, fevers, and other "flu-like symptoms". Symptoms may seem to go away and then return one or more times.
"FDA has not identified which of the ingredients used in the salads is the vehicle for this outbreak; multiple components of these salads are under consideration", it said in an online statement.