The difference between the way the two nations are handling the outbreak is that Canada decided almost three weeks ago to warn people not to eat romaine lettuce, which it has identified as the likely vector.
The U.S. agencies in charge of public health and food safety, the Food and Drug Administration (FDA) and the CDC, are so far unwilling to spread a warning.
“Because we have not identified a source of the infections, CDC is unable to recommend whether U.S. residents should avoid a particular food.”
Canada saw its first case on Dec. 11. At that point, the Canadian government said romaine lettuce was the likely source of the infection.
Three days later one of the infected people died. The Canadian government then warned people in the Eastern provinces, saying people there should “consider consuming other types of lettuce, instead of romaine lettuce.”
On Dec. 28, the Canadian government reported that some of the infected romaine might still be in stores or in restaurant refrigerators and that the risk of infection persisted.
While Canada has been warning its citizens, the CDC has been doing DNA testing to see if the romaine lettuce infecting people in Canada carries the same strain of E. coli that has sickened and killed people in America.
It does.
Genome sequencing shows that the same strain of E. coli “O157:H7” has afflicted people in both countries, the CDC reports, adding that this makes it likely that there is a single source for the outbreak.
So—why not warn Americans about romaine lettuce?
American consumers are asking the same question.
Mary Cates Ballard posted on the Consumer Reports Facebook page, after reading about the infected romaine:
“Just went out to eat and had a salad that had romaine in it. Later that evening I had excruciating stomach pains. I threw up and felt somewhat better. But the soreness in my stomach is still with me 4 days later. For the first 2 days it hurt to the touch.
Linda Pulice commented, “Well fantastic, been eating it all week....why isn’t this on the news?? No restaurants are following the CDC?”
Maryann Russell responded: “Worrisome. How come I haven’t seen this on the news?”
Consumer Reports’ Food Safety Director, James Roger, notes that “Even though we can’t say with 100 percent certainty that romaine lettuce is the cause of the E. coli outbreak in the U.S., a greater degree of caution is appropriate given that romaine lettuce is almost always consumed raw.”
Consumers Union, the policy wing of Consumer Reports, has also called for stronger warnings in the U.S.
“The available data strongly suggest that romaine lettuce is the source of the U.S. outbreak. If so, and people aren’t warned, more may get sick.”
Most people can survive an E. coli infection with nothing more than a few days’ discomfort. Symptoms can include, vomiting, diarrhea, bloody diarrhea, and stomach cramps.
Severe cases can lead to hemolytic uremic syndrome (HUS), a type of kidney failure.
Young children, the elderly, and anyone who has a condition that weakens the immune system, such as cancer or diabetes, are at a greater risk.
Consumers Union recommends throwing away any romaine people might have in their refrigerators, and holding off on buying any more until the infected crops are identified and eliminated.
No one, neither consumer groups or either involved government, is calling for widespread recalls at this time.