2019 Multi-province Outbreak of E. coli O157:H7 Infections Linked to Fresh Express brand Sunflower Crisp Chopped Salad Kits, Canada

Concurrent to a U.S. outbreak of E. coli O157:H7 infections linked to Fresh Express brand Sunflower Crisp Chopped Salad Kits, Canadian officials investigated an outbreak of 28 outbreak associated cases of E. coli O157:H7 infections reported by 7 Eastern provinces (Ontario, Quebec, New Brunswick, Nova Scotia, Prince Edward Island, Newfoundland and Laborador. Individuals in Canada became ill between November 5 and December 10, 2019. Eight individuals were hospitalized including one person who developed hemolytic uremic syndrome (HUS). No deaths were reported. The outbreak was declared over on January 16, 2020.

Overview

Outbreak began:November 2019
Affected country:Canada
States/territories:NA
Pathogen:E. coli O157:H7
Vehicle(s):Leafy greens
Location(s):Retail, Private Home
Brand name(s):Fresh Express Sunflower Crisp Chopped Salad Kit
Molecular test results:Not reported

Health impact

Total ill:28
Number hospitalized:8

Sources & documents

Recall notices
Report / reference links
Outbreak documents