McDonald’s E. coli O157:H7 outbreak grows. Taylor Farms recalls slivered onions

The E. coli O157:H7 outbreak linked to consumption of McDonald’ Quarter Pounder hamburgers has spread to three more states.

The CDC reports that 75 outbreak cases have now been confirmed in 13 states. A second patient has developed hemolytic uremic syndrome (HUS). Twenty-two people have been hospitalized.

The death toll remains at one resident of Colorado.

Cases have now been reported in Colorado (26), Iowa (1), Kansas (1), Michigan (2), Missouri (4), Montana (13), Nebraska (11), New Mexico (5), Oregon (1), Utah (5), Washington (1), Wisconsin (1), and Wyoming (4).

Victims range in age from 13 to 88 years old, with a median age of 29 years. Sixty percent of the victims are male.

Of the 42 people interviewed, all 42 (100%) reported eating at McDonald’s, and 39 people reported eating a beef hamburger. Of 36 people who remembered the specific beef hamburger they ate at McDonald’s, 31 (86%) reported eating a Quarter Pounder hamburger. Some people in this outbreak reported traveling to other states before their illness started. At least three people ate at McDonald’s during their travel.

The USDA-FSIS is investigating whether beef patties supplied to McDonalds may be behind the outbreak.

Concurrently, the FDA is investigating whether slivered onions supplied by Taylor Farms is the source of the outbreak.

Although the investigation is still in progress, Taylor Farms has recalled some onions supplied to McDonald’s and to additional food service customers.

McDonald’s stores in Colorado, Kansas, Utah, Wyoming, and portions of Idaho, Iowa, Missouri, Montana, Nebraska, Nevada, New Mexico, and Oklahoma have temporarily stopped using Quarter Pounder slivered onions and beef patties.

  • Consumers who have already eaten at McDonald’s and have symptoms of E. coli infection should contact their health care provider to report their symptoms and receive care immediately.
  • McDonald’s stores in affected states have temporarily stopped using Quarter Pounder slivered onions and beef patties. Diced onions and other types of beef patties used at McDonald’s have not been implicated in this outbreak.
  • Food service customers should not eat, sell, or serve Taylor Farms recalled yellow onions and should follow FDA’s safe handling and cleaning advice and use extra care in cleaning and sanitizing any surfaces and containers that may have come in contact with recalled product to reduce the risk of cross-contamination. Customers should also ensure that they did not freeze recalled onions or foods containing recalled onions.

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Recalls and Alerts: October 22–23, 2024

Here is today’s list of food safety recalls, product withdrawals, allergy alerts and miscellaneous compliance issues. The live links will take you directly to the official recall notices and company news releases that contain detailed information for each recall and alert.

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Outbreak/Illness Investigations

USA: CDC and FDA report an outbreak of E. coli O157:H7 illnesses linked to McDonald’s Quarter Pounders. Forty-nine people in 10 states have been infected. One person has died, and one other person has developed hemolytic uremic syndrome. FDA and USDA-FSIS are investigating slivered onions and beef patties, respectively as the ingredients most likely to be the source of the pathogen.

USA: FDA has initiated traceback and an onsite inspection in the investigation of a new outbreak of 3 cases of Listeria monocytogenes linked to a not yet identified product

United States

Food Safety Recall Update: TreeHouse Foods, Inc. recalls all products manufactured at one facility and still within their shelf-life, including frozen toaster waffle, Belgian waffle and pancake products due to potential Listeria monocytogenes contamination. Please refer to the recall notice for an updated list of affected products.

Pet Treat Safety Recall: Carolina Prime Pet, Inc. recalls Hollywood Feed Carolina Made Dog Treat – Chicken Chips (4-oz pkg; Lot #20082724; Expiry date 02/27/26; Bulk product lot #20072924-7) due to potential Salmonella contamination. The recalled product was supplied to a distributor in Tennessee.

Canada

Food Safety Recall Update: Multiple companies recall various brands of Ham in Jelly (Jelly Pork) due to possible Listeria monocytogenes contamination. Please refer to the recall notice for an updated list of affected products.

Food Safety Recall Update: Treehouse Foods recalls Various brands of frozen waffles and pancakes due to possible Listeria monocytogenes contamination. Please refer to the recall notice for an updated list of affected products.

United Kingdom and Ireland

Allergy Alert Update (UK): FGS Ingredients Ltd recalls a number of spice products that contain mustard due to undeclared peanuts. Please refer to the recall notice for an updated list of affected products.

Hong Kong and Singapore

No Alerts

Australia and New Zealand

Allergy Alert (New Zealand): Foodstuffs Own Brands Ltd recalls Gilmours brand Jalapeno Flavoured Corn Chips (1.5 kg bags; Best before 12JAN2025, 02FEB2025, 09FEB2025, 28FEB2025, 20MAR2025) due to undeclared soy.

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Deadly E. coli O157:H7 outbreak linked to McDonald’s

The FDA, CDC, USDA-FSIS, and various state and local public health agencies are working to track and contain a fast-moving outbreak of E. coli O157:H7 illnesses that has sickened forty-nine individuals in ten states.

Epidemiological data based on interviews of eighteen patients revealed all eighteen of the interviewees ate at a McDonald’s in the week before falling ill. Sixteen of the eighteen remembered having consumed a beef hamburger. Of the sixteen, twelve reported eating a Quarter Pounder.

The first victim became ill on September 27, 2024; the most recent victim developed symptoms on October 11th. Ten of the forty-nine confirmed outbreak victims have been hospitalized, including one who has developed hemolytic uremic syndrome (HUS).

One person—an older adult from Colorado who did not develop HUS— has died.

Outbreak victims have been reported in Colorado (26), Iowa (1), Kansas (1), Missouri (1), Montana (1), Nebraska (9), Oregon (1), Utah (4), Wisconsin (1), and Wyoming (4).

Victims range in age from 13 to 88 years of age, with a median age of 26. Nearly two-thirds (63%) of the victims are male.

Although the specific ingredient behind the contaminated Quarter Pounders has not yet been identified, FDA and USDA-FSIS appear to be focused on either the slivered onions or the beef patties. McDonald’s stores in Colorado, Kansas, Utah, Wyoming, and portions of Idaho, Iowa, Missouri, Montana, Nebraska, Nevada, New Mexico, and Oklahoma have temporarily stopped using Quarter Pounder slivered onions and beef patties.

The FDA is investigating the slivered onions, while the USDA-FSIS is concentrating on tracing back hamburger patties served at McDonald’s in affected states.

McDonald’s has issued the following statement:

Across the McDonald’s System, serving customers safely in every single restaurant, each and every day, is our top priority and something we’ll never compromise on.

It is why we are taking swift and decisive action following an E. Coli outbreak in certain states. The initial findings from the investigation indicate that a subset of illnesses may be linked to slivered onions used in the Quarter Pounder and sourced by a single supplier that serves three distribution centers. As a result, and in line with our safety protocols, all local restaurants have been instructed to remove this product from their supply and we have paused the distribution of all slivered onions in the impacted area.

Out of an abundance of caution, we are also temporarily removing the Quarter Pounder from restaurants in the impacted area, including Colorado, Kansas, Utah and Wyoming, as well as portions of Idaho, Iowa, Missouri, Montana, Nebraska, Nevada, New Mexico, and Oklahoma. We take food safety extremely seriously and it’s the right thing to do. Impacted restaurants are receiving a stock recovery notice today and should reach out to their field supply chain manager or distribution center with any questions.

We are working in close partnership with our suppliers to replenish supply for the Quarter Pounder in the coming weeks (timing will vary by local market). In the meantime, all other menu items, including other beef products (including the Cheeseburger, Hamburger, Big Mac, McDouble and the Double Cheeseburger) are unaffected and available. We will continue to work with the Centers for Disease Control and Prevention (CDC) and are committed to providing timely updates as we restore our full menu.

McDonald’s has stopped using fresh slivered onions and quarter pound beef patties in several states to protect their customers while a source of illness is confirmed. 

Call your healthcare provider if you ate a McDonald’s Quarter Pounder hamburger and have severe E. coli symptoms:

  • Diarrhea and a fever higher than 102°F
    • Diarrhea for more than 3 days that is not improving
    • Bloody diarrhea
  • So much vomiting that you cannot keep liquids down
  • Signs of dehydration, such as:
    • Not peeing much
    • Dry mouth and throat
    • Feeling dizzy when standing up

Symptoms of E. coli O157:H7

  • Most people infected with Shiga toxin-producing E. coli experience severe stomach cramps, diarrhea (often bloody), and vomiting.
    • Symptoms usually start 3 to 4 days after swallowing the bacteria.
    • Most people recover without treatment after 5 to 7 days.
  • Some people may develop serious kidney problems (hemolytic uremic syndrome, also called HUS) and would need to be hospitalized
  • For more information about E. coli, see the CDC’s E. coli Questions and Answers page.

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Interested in learning more about food safety and the history of foodborne disease outbreaks and investigations?

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Chapter 6. Birth of a Pathogen

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