Certain circumstances surrounding the National Steak and Poultry E. coli O157:H7 outbreak have me worried.  The pathogen is incredibly dangerous; the vehicle (non-ground beef products) is often not cooked to a high enough temperature to kill E. coli; many of the beef products recalled are frozen, thus extending the shelf-life, putting more people at risk over a longer time frame, and frustrating public health detection efforts; and perhaps most concerning, the list of products is really long: 

4-ounce “NATIONAL STEAK AND POULTRY BONELESS BEEF SIRLOIN STEAK,” with an identifying case code of “SC68408.”

6-ounce “NATIONAL STEAK AND POULTRY BONELESS BEEF SIRLOIN STEAK,” with an identifying case code of “SP680608.”

8-ounce “NATIONAL STEAK AND POULTRY BONELESS BEEF SIRLOIN STEAK,” with an identifying case code of “SC68808”

9-ounce “NATIONAL STEAK AND POULTRY BONELESS BEEF SIRLOIN STEAK,” with an identifying case code of “SC68908.”

“NATIONAL STEAK AND POULTRY BONELESS BEEF TIPS,” with an identifying case code of “69108.”

“NATIONAL STEAK AND POULTRY BONELESS BEEF SIRLOIN STEAK” with an identifying case code of “XXSP68008.”

“NATIONAL STEAK AND POULTRY SAVORY SIRLOIN TIPS” with an identifying case code of “XX69008.”

5-ounce “NATIONAL STEAK AND POULTRY BACON WRAPPED BEEF FILLET,” with an identifying case code of “23508.”

“NATIONAL STEAK AND POULTRY USDA SELECT BEEF SHOULDER MARINATED TENDER MEDALLIONS” with an identifying case code of “23289.”

“NATIONAL STEAK AND POULTRY 75% BONELESS BEEF TRIMMINGS,” with an identifying case code of “33575.”

"NATIONAL STEAK AND POULTRY BEEF TRIMMINGS,” with an identifying case code of “36545.”

“NATIONAL STEAK AND POULTRY BEEF SIRLOIN PHILLY STEAK,” with an identifying case code of “88008.”

4-ounce “EGN BONELESS BEEF SIRLOIN STEAK,” with an identifying case code of “680425.”

7-ounce “EGN BONELESS BEEF SIRLOIN TRI TIP STEAK,” with an identifying case code of “69725.”

9-ounce “EGN BONELESS BEEF SIRLOIN TRI TIP STEAK,” with an identifying case code of “680925.”

7-ounce “KRM BONELESS BEEF SIRLOIN STEAK,” with an identifying case code of “680715.”

9-ounce “KRM BONELESS BEEF SIRLOIN STEAK,” with an identifying case code of “680915.”

12-ounce “KRM BONELESS BEEF SIRLOIN STEAK,” with an identifying case code of “680215.”

8-ounce “CARINO’S BONELESS BEEF OUTSIDE SKIRT STEAK,” with an identifying case code of “130874.”

“CARINO’S BONELESS BEEF OUTSIDE SKIRT STEAK PIECES,” with an identifying case code of “13074.”

“MOE’S BEEF STEAK,” with an identifying case code of “78027.”

I suppose that only time, and the CDC, will tell how many people since September have been sickened, or died, in this outbreak.  We already know that there are victims in six states, including Washington, Michigan, South Dakota, Iowa, Colorado, and Kansas.  Maybe the final destructive tally will not be as large as the circumstances of this outbreak suggest that they could be.  But it certainly seems like a perfect storm, of sorts, to me.