While it can in cases be life-threatening, most people recover within a week.
He suspects the USA has gone a step further than Canada in part because US authorities reported 32 cases of E. coli, 13 of which involved a person who was hospitalized. It has not caused any deaths yet, but did send 13 people to the hospital. One person developed hemolytic uremic syndrome, a type of kidney failure.
It can take a week for symptoms to appear in some cases and by then, asking someone to recall everything they ate the week before might be hard and thus, impact a health agency's comfort in taking action against a particular source of the outbreak, Neumann said. This takes an average of two to three weeks.
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Epidemiologic evidence from the United States and Canada indicates that romaine lettuce is a likely source of the outbreak.
In interviews, ill people answered questions about the foods they ate and other exposures in the week before they became ill.
Dillons stores said late Tuesday it will fully refund shoppers who have bought romaine lettuce from one of its stores following an E. coli outbreak in 11 states tied to the leafy green.
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The Canadian Food Inspection Agency did not immediately respond to a request for comment about why it had stopped short of instructing grocery stores to stop selling romaine lettuce and restaurants to cease serving it.
People infected with E. coli can have a wide range of symptoms, which include nausea, vomiting, headache, mild fever, severe stomach cramps, watery or bloody diarrhea. At this time, no common grower, supplier, distributor, or brand of romaine lettuce has been identified.
The agency is working with the U.S. FDA to determine the source of the romaine lettuce that the ill individuals were exposed to.
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The Centers for Disease Control is advising consumers, restaurants, and retailers not to eat, serve, or sell any romaine lettuce as it investigates an outbreak of E. coli O157:H7 infections linked to romaine.