Marler Clark has been retained by a dozen sickened in this outbreak and has filed two lawsuits to date.

According to the FDA, there are presently three outbreaks under investigation.  These outbreaks are each caused by strains that are different from each other and different. One of the additional outbreaks, in Washington state (13 sick), is potentially linked to romaine lettuce. The other outbreak, with cases in the U.S. and Canada, is linked to Fresh Express Sunflower Crisp Chopped Salad Kits (8 sick in US and 25 sick in Canada).

Note:  According to the FDA“The FDA, CDC and our state partners have identified a common grower between each of the outbreaks, which is a notable development.”

At least 583 sickened with E. coli linked to leafy greens in the US and Canada since 2017.

According to the CDC, since the previous update on December 4, an additional 36 ill people have been reported. As of December 17, 2019, a total of 138 people infected with the outbreak strain of E. coli O157:H7 have been reported from 25 states.  States with Cases: AZ (3), CA (4), CO (6), FL (2), IA (1), ID (3), IL (10), MD (5), MI (1), MN (5), MT (1), NE (2), NJ (9), NC (2), NM (2), OH (12), OR (1), PA (17), SC (1), SD (1), TN (1), TX (6), VA (6), WA (4), WI (33).  Two have been reported in Canada.

Note: According to the CDC, as there are an estimated 26 unreported illnesses for every STEC O157 case reported to PulseNet, the true size of this outbreak is likely much larger than the 140 illnesses reported through PulseNet to date, suggesting that thousands of people (3,640) have been actually sickened in this outbreak thus far.

Illnesses started on dates ranging from September 20, 2019, to December 1, 2019. Ill people range in age from less than 1 to 89 years, with a median age of 26. Sixty-two percent of ill people are female. Of 136 ill people with information available, 72 hospitalizations have been reported, including 13 people who developed hemolytic uremic syndrome (HUS), a type of kidney failure. No deaths have been reported.

Epidemiologic, laboratory, and traceback evidence indicate that romaine lettuce from the Salinas, California, growing region is the likely source of this outbreak.

The Wisconsin Department of Health Services recently reported that they identified the outbreak strain of E. coli O157:H7 in an unopened bag of Fresh Express ® brand Leafy Green Romaine collected from an ill person’s home. Salinas, California was the source of the romaine identified in the bag.

FDA and states continue to trace the source of the romaine lettuce eaten by ill people. FDA posted an update on on their investigation on December 12, 2019. The investigation is ongoing to determine the source of contamination and if additional products are linked to illness.

CDC continues to advise that consumers not eat and retailers not sell any romaine lettuce grown in Salinas, California. CDC will provide more information as it becomes available.

This outbreak is caused by the same strain of E. coli O157:H7 that caused outbreaks linked to leafy greens in 2017 and to romaine lettuce in 2018.

E. coli O157:H7 outbreaks associated with lettuce and other leafy greens are by no means a new phenomenon. Outlined below is a list of E. coli outbreaks involving contaminated lettuce or leafy greens in the past decade:

Date Vehicle Etiology Confirmed Cases States/Provinces
Sept. 2009 Lettuce: Romaine or Iceberg E. coli O157:H7 29 Multistate
Sept. 2009 Lettuce E. coli O157:H7 10 Multistate
April 2010 Romaine E. coli O145 33 5:MI, NY, OH, PA, TN
Oct. 2011 Romaine E. coli O157:H7 60 Multistate
April 2012 Romaine E. coli O157:H7 28



June 2012 Romaine E. coli O157:H7 52 Multistate
Sept. 2012 Romaine E. coli O157:H7 9 1:PA
Oct. 2012 Spinach and Spring Mix Blend E. coli O157:H7 33 Multistate
Apr. 2013 Leafy Greens E. coli O157:H7 14 Multistate
Aug. 2013 Leafy Greens E. coli O157:H7 15 1:PA
Oct. 2013 Ready-To-Eat Salads E. coli O157:H7 33 Multistate
Apr. 2014 Romaine E. coli O126 4 1:MN
Apr. 2015 Leafy Greens E. coli O145 7 3:MD, SC, VA
June 2016 Mesclun Mix E. coli O157:H7 11 3:IL, MI, WI
Nov. 2017 Leafy Greens E. coli O157:H7 67 Multistate and Canada
Mar. 2018 Romaine E. coli O157:H7 219 Multistate and Canada
Nov. 2018 Romaine E. coli O157:H7 88 Multistate and Canada
Sept. 2019 Romaine E. coli O157:H7 23 Multistate
Nov. 2019 Romaine E. coli O157:H7 140 Multistate and Canada

Marler Clark, The Food Safety Law Firm, is the nation’s leading law firm representing victims of E. coli outbreaks and hemolytic uremic syndrome (HUS). The E. coli lawyers of Marler Clark have represented thousands of victims of E. coli and other foodborne illness infections and have recovered over $700 million for clients. Marler Clark is the only law firm in the nation with a practice focused exclusively on foodborne illness litigation.  Our E. coli lawyers have litigated E. coli and HUS cases stemming from outbreaks traced to ground beef, raw milk, lettuce, spinach, sprouts, and other food products.  The law firm has brought E. coli lawsuits against such companies as Jack in the Box, Dole, ConAgra, Cargill, and Jimmy John’s.  We have proudly represented such victims as Brianne Kiner, Stephanie Smith and Linda Rivera.

If you or a family member became ill with an E. coli infection or HUS after consuming food and you’re interested in pursuing a legal claim, contact the Marler Clark E. coli attorneys for a free case evaluation.