Bagged leafy greens from a few California and Arizona valleys keep causing multistate E. coli outbreaks. The episode covers why raw greens are inherently risky, the watershed 2006 spinach outbreak, the romaine outbreaks of 2018 and 2019, and the whole-genome sequencing that now traces a few far-flung illnesses back to a single field.
Fall 2019Salinas Valley romaine outbreak: 167 ill in 27 states
March 2020FDA releases its Leafy Greens Shiga-toxin E. coli Action Plan
Still debated
Figures vary slightly, such as 3 to 5 deaths in 2006 and 34 versus 36 states in 2018. How much the apparent frequency of outbreaks reflects real change versus better sequencing since 2019 is also unsettled.