I am sure we’ve all seen the jokes surfacing around the internet related to the recent E.
coli outbreak found in romaine lettuce. My favorite one to date, “Right now chocolate is good
for you and romaine lettuce can kill you: I’ve been training my whole life for this moment.” In
any case, the outbreak did result in illnesses among 43 people in the United States and 22
people in Canada as well as a mass disposal of romaine lettuce from homes and restaurants.
The FDA has finally tracked down the source of the outbreak, which appears to be lettuce
harvested in the Central Coast growing regions of central and northern California.
Symptoms of E. coli infection are similar to a stomach virus and include abdominal
cramping, diarrhea, nausea, and fatigue. They can begin as soon as 2 days after exposure to E.
coli or as late as 5 days after exposure. The infection is typically self-limiting and resolves on its
own. The best thing you can do is drink plenty of fluids and get lots of rest. Persons infected
with E. coli should also avoid taking anti-diarrheal medications because these can lengthen the
infection. On occasion E. coli infections may cause a more serious complication known as
hemolytic uremic syndrome. This can lead to kidney failure. Symptoms of hemolytic uremic
syndrome include decreased urination, bloody diarrhea and urine, abdominal pain, and
unexplained bruising. These symptoms should be evaluated by a physician immediately.
Prevention is key to avoiding E. coli infections. Always be aware of warnings put forth
by the FDA and avoid eating affected foods. In recent years, E. coli infections have been linked
to unpasteurized milk, undercooked ground beef, alfalfa sprouts, and lettuce. When cooking,
always use a meat thermometer and make sure you follow recommendations for the type of
meat you are cooking (https://www.foodsafety.gov/keep/charts/mintemp.html). Always wash
your hands before preparing food, after using the bathroom or changing a diaper, or after
contact with any animal including household pets. Fruits and vegetables should be stored
above raw meat in the refrigerator/freezer to prevent contaminated juices from dripping onto
them. Always wash your fruits and veggies at home and scrub with a veggie brush. Finally, use
separate cutting boards, one for fruits and vegetables and one for raw meat and seafood.
