### Fatal E. Coli Outbreak Linked to Recalled Organic Carrots

An outbreak of E. coli connected to several brands of recalled bagged organic carrots has resulted in one death and over a dozen hospitalizations, stated the US Centers for Disease Control and Prevention (CDC). Consumers who purchased these carrots are strongly advised not to eat them, instead disposing of them and thoroughly cleaning any items or surfaces they may have contacted with hot, soapy water.

The bacteria involved is E. Coli O121:H19, a dangerous Shiga toxin-producing strain, or STEC, which has previously been associated with contaminated ground beef, romaine lettuce, and water, according to the CDC. The Shiga toxin can cause significant tissue damage by penetrating and killing cells.

While most E. coli strains are benign and even beneficial for digestion, some can lead to severe health issues such as urinary tract infections, pneumonia, sepsis, and serious kidney problems like hemolytic uremic syndrome. E. coli infections typically occur from consuming contaminated food or water or through contact with infected feces from humans or animals.

Research indicates that roughly half of organic food-related outbreaks are linked to produce, potentially due to the farming methods used. The USDA's certification for organic produce requires avoiding synthetic ingredients for pest, weed, and soil management. Dr. Nicole Iovine, an infectious disease expert at the University of Florida Health, noted that organic farms often have less oversight compared to traditional farms and are more likely to use compost or manure, which can lead to soil contamination if not processed correctly.

Dr. Iovine highlighted that symptoms of E. coli infection—such as vomiting, diarrhea, and stomach cramps—are common to many foodborne illnesses, making it challenging to diagnose. Symptoms typically appear three to four days after ingestion. Young children and older adults are particularly vulnerable to severe infections.

Dr. Leana Wen, an emergency physician and clinical associate professor at George Washington University, advised that most E. coli infections resolve without specific treatment, requiring supportive care like hydration. However, certain strains like O157:H7 can worsen with antibiotic treatment. Patients experiencing severe symptoms like intense stomach cramps, bloody diarrhea, or the inability to retain fluids should seek medical attention.

To minimize the risk of E. coli infection, the CDC advises frequent hand washing, following safe food preparation guidelines, and washing all fruits and vegetables thoroughly—even those labeled as pre-washed. Dr. Iovine emphasized the importance of washing produce: "Always wash your vegetables. It's the last chance to remove harmful bacteria. For items like onions and carrots, removing the outer layer or peeling them is recommended to ensure cleanliness."

Additionally, the CDC stresses drinking water only from safe sources, especially when hiking, camping, or traveling. Water should be purified before consumption, and individuals should avoid swallowing water while swimming or playing in outdoor water sources like lakes, ponds, or pools.