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    McDonald's Quarter Pounders Are Linked to an E. Coli Outbreak in 13 States

    The company has stopped selling the burgers in some states while an investigation continues

    McDonald's Quarter Pounder Source: CDC

    The Centers for Disease Control and Prevention is continuing its investigation into an E. coli outbreak linked to people eating McDonald’s Quarter Pounders, which was first announced on Oct. 22. In an Oct. 30 update, the agency said that 90 people had been sickened, 27 people were hospitalized, and one person died across 13 states.

    The CDC said in its update that testing shows that fresh slivered onions, not ground beef, are the source of the contamination. Taylor Farms, the supplier of the slivered onions, has recalled its onions. Diced onions, used at some McDonald’s locations, aren’t involved in this outbreak.

    More on food safety

    The state with the most illnesses identified so far is Colorado, with 26 cases. Others have become ill in Iowa, Kansas, Michigan, Missouri, Montana, Nebraska, New Mexico, Oregon, Utah, Washington, Wisconsin, and Wyoming. The person who died was in Colorado. The onset of illness has ranged from Sept. 27 to Oct. 16. More recent illnesses may not have been reported yet because it can take weeks to connect individual cases to a larger outbreak, and most people who fall ill aren’t tested.

    While E. coli can be eliminated from burger patties and other food if they’re cooked until they reach 160° F, “onions or lettuce, or any other fresh produce that’s contaminated and not cooked, could make you ill,” says James E. Rogers, PhD, director of food safety and testing at CR.

    McDonald’s had stopped selling Quarter Pounders in Colorado, Kansas, Utah, and Wyoming, as well as in parts of Idaho, Iowa, Missouri, Montana, Nebraska, Nevada, New Mexico, and Oklahoma. But with the new information about the source of the contamination, the company says it will soon begin selling the burgers again. In the restaurants that had been using Taylor Farms slivered onions, the burgers will be sold without them.

    The Risks of E. Coli

    Symptoms of E. coli usually appear three to four days after ingesting contaminated food, the CDC says. But they can show up anywhere between one to 10 days after. Common symptoms include vomiting, stomach cramps, fatigue, nausea, a low fever, and diarrhea. 

    About 97,000 people are infected with E. coli O157:H7 each year in the U.S., according to the CDC. That strain—which is implicated in the current outbreak—releases a toxin that can damage the intestinal lining, leading to bloody diarrhea and, in more severe cases, a life-threatening form of kidney failure known as hemolytic uremic syndrome. Signs of HUS after a bout of diarrhea include little or no urination, the loss of pink coloring in the cheeks and inside the lower eyelids, or unexplained bruising. 

    Children under the age of 5, adults 65 and older, and those with a weakened immune system are the most susceptible to infection, the agency says.

    Most people will get better without any treatment other than rest and hydration. But the CDC warns people to avoid anti-diarrheal medication, which can slow their digestive system and prevent their bodies from getting rid of the toxin. Antibiotics are also not recommended because they won’t help treat the infection and could actually increase the risk of serious complications. 

    If your symptoms don’t get better after a week or so or they worsen, contact your healthcare provider. In severe cases, hospitalization may be needed to provide IV fluids, blood transfusions, or even kidney dialysis.

    Because most people with E. coli don’t require hospitalization, “many, many more people may be sickened than what’s being reported,” Rogers says.

    Editor’s Note: This article, originally published on Oct. 23, 2024, was updated on Oct. 25, Oct. 30, and Oct. 31 with information from the Centers for Disease Control and Prevention and the Food and Drug Administration.


    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.