News, Alerts and Recall Information

Investigation of E. coli Outbreak Linked to Romaine Lettuce from Salinas, CalifornRomaine Lettuceia

FDA, CDC, and state health authorities are investigating an outbreak of illnesses caused by E. coli O157:H7 in the United States.

Consumers: Consumers should not eat romaine lettuce harvested from Salinas, California. Additionally, consumers should not eat products identified in the recall announced by the USDA on November 21, 2019.

Romaine lettuce may be voluntarily labeled with a harvest region. If romaine lettuce has “Salinas” on the label in any form (whether alone or with the name of another location) do not eat it. Throw it away or return it to the place of purchase. If romaine lettuce does not have information about harvest region or does not indicate that it has been grown indoors (i.e., hydroponically- and greenhouse-grown), throw it away or return it to the place of purchase. Consumers ordering salad containing romaine at a restaurant or at a salad bar should ask the staff whether the romaine came from Salinas. If it did, or they do not know, do not eat it.

At this time, romaine lettuce that was harvested outside of the Salinas region has not been implicated in this outbreak investigation. Hydroponically- and greenhouse-grown romaine, which is voluntarily labeled as “indoor grown,” from any region does not appear to be related to the current outbreak. There is no recommendation for consumers to avoid using romaine harvested from these other sources.

Outbreak of Lung Disease Associated with E-Cigarette/Vaping Use 

CDC, the U.S. Food and Drug Administration (FDA), state and local health departments, and other partners are investigating a multistate outbreak of lung disease associated with e-cigarette product use (devices, liquids, refill pods, and/or cartridges).


Consumer Alert: The USFDA and the CDC  issued an alert to not use vaping products containing tetrahydrocannabinol (THC), the primary psychoactive component of the cannabis plant.  People who choose to use vaping products should not change or add anything like THC, or other oils, to products purchased in stores and should not purchase vaping products off the street or any other illegal channels.

What you should know:Electronic smoking devices

  • Electronic cigarettes – or e-cigarettes — are also called vapes, e-hookahs, vape pens, and electronic nicotine delivery systems (ENDS).
  • Using an e-cigarette product is commonly called vaping.
  • E-cigarettes work by heating a liquid to produce an aerosol that users inhale into their lungs.
  • The liquid can contain: nicotine, THC and cannabinoid (CBD) oils, and other substances and additives.


What the CDC recommends:

  • Until we know more, if you are concerned about the health risks, CDC recommends that you not use e-cigarette or vaping products.
  • If you are an adult who used e-cigarettes to quit cigarette smoking, do not return to smoking cigarettes.
  • If you have recently used an e-cigarette or vaping product and you have symptoms like those reported in this outbreak, see a healthcare provider.

Symptoms of Severe Lung Disease Reported by Some Patients in This Outbreak
Patients in this investigation have reported symptoms such as:

  • Cough, shortness of breath, or chest pain
  • Nausea, vomiting, or diarrhea
  • Fatigue (tiredness), fever, or abdominal pain
  • Some patients have reported that their symptoms developed over a few days, while others have reported that their symptoms developed over several weeks. A lung infection does not appear to be causing the symptoms.

Regardless of the ongoing investigation: 

Anyone who uses an e-cigarette or vaping product should not buy these products (e.g., e-cigarette or vaping products with THC, other cannabinoids) off the street, and should not modify or add any substances to these products that are not intended by the manufacturer.

How to Quit

Additional Resources:

For Teens:

Visit teenhealthmatters for more information and resources.

For Providers:

As this investigation continues, CDC encourages clinicians to report possible cases of e-cigarette or vaping-associated lung injury to their local or state health department for further investigation.

If e-cigarette or vaping product use is suspected as a possible cause for a patient’s lung injury, a detailed history of the substances used, the sources, and the devices used should be obtained, as outlined in the Health Alert Network (HAN), and efforts should be made to determine if any remaining product, devices, and liquids are available for testing.

State of Maryland Guidance

Maryland Department of Health (MDH) Secretary Robert R. Neall today issued the following clinical reporting order as the investigation of severe lung illnesses in Maryland continues (click below):


For additional information and guidance, visit:

(Information and resources courtesy of the Centers for Disease Control and Prevention)

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Food Safety Recalls and Alerts
Alerts & Recalls


Date Recall
11-22-2019 FSIS Issues Public Health Alert for Romaine Lettuce Products from Salinas, California due to possible E. coli

Consumers advised not to eat Ready Pac Bistro® Bowl Chicken Caesar Salad, lot #255406963, “Best By” date Oct. 31, 2019

8-1-2019 Entenmann's Little Bites Cookies Due to Possible Presence of Plastic Pieces
7-16-2019 Various Pita Pal Hummus and Dips Due to Possible Listeria Contamination
6-14-2019 Pillsbury Best Bread Flour Recalled Due to Possible E. coli Contamination
6-7-2019 Kroger Recalls Select Frozen Private Selection Berries Due to Possible Hepatitis A Contamination
5-23-2019 Aurora Packing Company, Inc. Recall Beef Products Due to Possible E. coli Contamination
4-13-2019 Chewy Chips Ahoy Due to Presence of Unexpected Solidified Ingredient
3-21-2019 Tyson Foods Chicken Strips Due to Possible Metal Contamination
1-29-2019 Tyson Foods Chicken Nuggets Due to Possible Rubber Contamination
1-28-2019 Perdue Fun Shapes Chicken Nuggets Due to Undeclared Milk Allergen
1-23-2019 General Mills Gold Medal Unbleached Flour Due to Possible Salmonella Contamination
12-18-2018 Wegmans Recalls Fresh Cauliflower Products Due to Possible E. Coli Contamination
12-11-2018 Del Monte Canned Fiesta Corn Seasoned with Red & Green Peppers Due to Under Processing
12-10-2018 Jimmy Dean Heat 'n Serve Original Sausage Links Due to Possible Foreign Matter Contamination
12-5-2018 Tris Pharma Recalls Infant's Ibuprofen Due to Potential Higher Concentrations of Ibuprofen
11-15-2018 Jennie-O Raw Ground Turkey Products Due to Possible Salmonella Contamination
11-5-2018 Conagra Brands Recalls Duncan Hines Cakes Mixes Due to Possible Salmonella Contamination
11-2-2018 Barcelona Nut Company Roasted and Salted in Shell Pistachios Due to Possible Salmonella Contamination
10-29-2018 Fit & Active Southwest Veggie Stuffed Sandwiches Due to Possible Listeria and Salmonella Contamination
10-3-2018 Johnson County Hams Recalls Ready-to-Eat Ham Products Due to Possible Listeria Contamination
9-25-2018 Harris Teeter Recalls Low Fat Cookies & Cream Frozen Yogurt Due to Undeclared Peanut Product
9-25-2018 Whole Foods Recalls 365 Everyday Value White Corn Tortilla Chips Due to Undeclared Milk
8-2-2018 HP Hood LLC Recalls Blue Diamond Vanilla Almond Breeze Almond Milk Due to Possible Milk Allergen
7-23-2018 Pepperidge Farms Recalls Certain Goldfish Cracker Varieties Due to Possible Salmonella Contamination
7-21-2018 Mondelez Global LLC Recalls Certain Ritz Cracker Products Due to Possible Salmonella Contamination
7-20-2018 Food Lion Brand Dill Pickle Flavored Potato Chips Due to Undeclared Allergen
6-28-2018 Wish Bone House Italian Salad Dressing Due to Undeclared Allergens
6-14-2018 Sprouts Farmers Market Pre-Cut Melon Due to Possible Salmonella Contamination
6-14-2018 Kellogg's Honey Smacks Cereal Due to Possible Salmonella Contamination
5-2-2018 Utz and Weis Brand Tortilla Chips Due to Possible Milk Allergen
4-13-2018 Rose Acre Farms Recalls Shell Eggs Due to Possible Salmonella Contamination
3-20-2018 Chris’s Cookies Recalls Chocolate Chip Cookies Due to Undeclared Peanuts
2-2-2018 Kanan Enterprises Recalls Southern Grove Unsalted Almonds Due to Undeclared Allergens
1-28-2018 Panera Bread Recalls Cream Cheese Products Due to Possible Listeria Contamination
1-23-2018 Perdue Foods LLC Recalls Chicken Products Due to Misbranding and Undeclared Allergens
1-9-2018 Fieldbrook Foods Corp. Recalls Certain Ice Cream Bars Due to Possible Listeria Contamination