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    After an E. Coli Outbreak, CR's Experts Warn Against Eating All Wendy's Sandwiches and Salads With Romaine Lettuce

    The fast-food chain is removing the lettuce from its sandwiches in some states, but CR urges greater caution until more is known about the source of the outbreak

    Wendy's Restaurant Sign Photo: Getty Images

    The Centers for Disease Control and Prevention says that it’s received more reports of illnessses in an outbreak caused by a dangerous strain of E. coli, known as E. coli O157:H7. As of Aug. 31, a total of 97 people have gotten sick and 10 have been hospitalized. The illnesses have occurred in six states: Indiana, Kentucky, Michigan, New York, Ohio, and Pennsylvania. No deaths have been reported. Illnesses started on dates ranging from July 26 to Aug. 15.

    While the agency says no specific food has been confirmed as the cause, most of the people ate Wendy’s sandwiches.

    Wendy’s hasn’t confirmed that its sandwiches are the source of the E. coli, but when the outbreak was first announced on Aug. 19, the company said that it has removed the romaine lettuce from its sandwiches in the original four states where people became ill: Indiana, Michigan, Ohio, and Pennsylvania. It did so, it said, as a precaution and that the lettuce used in its salads is different. Wendy’s did not immediately respond to an inquiry about whether the lettuce has been removed from its sandwiches in Kentucky and New York.

    More on Food Safety

    While the investigation is underway, Consumer Reports’ food safety experts say to avoid consuming any Wendy’s sandwich or salad with romaine lettuce until the company can confirm the source of the pathogen, disclose the cause of the problem, and say how it plans to address it.

    “E. coli can be especially harmful to young children, infants, older persons, and those with a compromised immune system,” says James E. Rogers, PhD, director of food safety and testing at Consumer Reports. “The goal is to minimize your risk of getting it, and until we know more about its source, it’s safest to avoid consuming Wendy’s sandwiches served with lettuce and any Wendy’s salad containing romaine lettuce.”

    The CDC says that romaine lettuce served on burgers and sandwiches is the most common ingredient eaten among those who became ill.

    The actual number of sick people in the outbreak is likely to be higher than the number reported, says the CDC, and the outbreak may not be limited to the states with known illnesses. 

    Wendy’s said in a statement that the company is “fully cooperating with public health authorities on their ongoing investigation of the regional E. coli outbreak reported in certain midwestern states,” and that it is “committed to upholding our high standards of food safety and quality.”

    Between 2006 and 2019, romaine lettuce and other leafy greens, such as spinach and bags of spring mix, were involved in at least 46 multistate E. coli outbreaks, according to the CDC. (See CR’s leafy greens safety guide.) CR food safety experts, including Rogers, have long supported efforts to give the Food and Drug Administration more authority to pinpoint the source of these outbreaks and be able to take the necessary steps to prevent future ones.

    Symptoms of E. Coli

    Symptoms of E. coli can appear three to five days after eating contaminated food. They include diarrhea and a fever of 102° F or higher, diarrhea for three days that’s not improving, bloody diarrhea, vomiting that prevents you from keeping liquids down, and severe dehydration, which can include dry mouth and throat, feeling dizzy when you stand up, and not urinating much or at all. 

    Up to 10 percent of people who become ill with E. coli can develop a kidney complication known as hemolytic uremic syndrome, which can damage the kidneys to the point that it causes death, according to the CDC. Symptoms include decreased frequency of urination, feeling very tired, and losing pink color in cheeks and inside the lower eyelids.

    Editor’s Note: This article has been updated with new information from the CDC.


    Lisa L. Gill

    Lisa L. Gill is an award-winning investigative reporter. She has been at Consumer Reports since 2008, covering health and food safety—heavy metals in the food supply and foodborne illness—plus healthcare and prescription drug costs, medical debt, and credit scores. Lisa also testified before Congress and the Food and Drug Administration about her work on drug costs and drug safety. She lives in a DIY tiny home, where she gardens during the day and stargazes the Milky Way at night.