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Home»Food Safety Updates»E. Coli Outbreak Continues to Puzzle Health Officials in Missouri – 106 Now Sickened as Search for Answers Continues
E. Coli Outbreak Continues to Puzzle Health Officials in Missouri – 106 Now Sickened as Search for Answers Continues
Food Safety Updates

E. Coli Outbreak Continues to Puzzle Health Officials in Missouri – 106 Now Sickened as Search for Answers Continues

Kit RedwineBy Kit RedwineNovember 27, 2024No Comments3 Mins Read
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A large-scale E. coli outbreak in St. Louis County, Missouri has sickened at least 106 people, up from the 94 first reported, who attended various events catered by Andre’s Banquets & Catering, leaving health officials and community members searching for answers. Despite recent testing, the source of the contamination remains unconfirmed, according to ksdk.com.

The Missouri Department of Health and Senior Services conducted tests on an unopened package of iceberg lettuce from the catering, which returned negative results. However, health officials cautioned that this does not conclusively rule out the lettuce as the outbreak’s source. Bacteria like E. coli can exist in isolated pockets within food products, potentially escaping detection during sampling.

The majority of E. coli strains are not harmful and play a crucial role in maintaining a healthy gut ecosystem by assisting in breaking down the food, contributing to the production of essential vitamins, and acting as a defense mechanism against more dangerous microorganisms.

However, not all E. coli are benign. Certain strains can cause a range of health issues in humans, including gastrointestinal distress resulting in diarrhea, infections of the urinary tract, respiratory ailments like pneumonia, and even severe systemic infections such as sepsis. Symptoms generally appear two to five days after exposure but can emerge anywhere from one to eight days later. Most people recover within 5-10 days.

The outbreak has affected attendees of multiple events, including school band gatherings, funerals, and a veterans event. So far, two individuals have developed hemolytic uremic syndrome (HUS), a rare but serious complication of E. coli infection that impacts the kidneys and blood clotting system.

HUS occurs in less than 10% of E. coli O157:H7 cases but can be extremely severe, typically requiring hospitalization.

In a statement, Andre’s Banquets & Catering owner John Armengol Jr. expressed relief at the negative test results while committing to continued cooperation with state and local health departments. The investigation has already sparked legal action, with three parents of high school students and an additional adult filing lawsuits against the catering company.

The investigation continues to focus on identifying the precise source of contamination. Health departments are carefully examining available evidence, including tracking lot numbers of potentially affected ingredients and interviewing those who became ill. People who attended events catered by Andre’s Banquets & Catering are advised to monitor their health closely and contact medical professionals if they experience any concerning symptoms.

Commenting on this article, one national E. coli lawyer said, “This outbreak really highlights the complexities of identifying and containing food-related bacterial outbreaks and demonstrates the challenges faced by public health professionals when trying to protect the health of the community.”

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Kit Redwine

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January 14, 2026

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