A recent E. coli outbreak in the United Kingdom (previously covered by Food Poisoning News here and here), traced to contaminated lettuce, has claimed its first life in England. The UK Health Security Agency (UKHSA) reported that while two individuals died within 28 days of infection, one death is likely connected to the Shiga toxin-producing Escherichia coli (STEC) infection. Both deceased individuals had underlying medical conditions and passed away in May, according to Sky News.
The outbreak has affected 275 people across the UK, with England reporting 182 cases, Scotland 58, Wales 31, and Northern Ireland 4. At least 122 people have required hospitalization for treatment. While new infections are declining, health officials expect more cases to emerge as testing and genome sequencing continue.
Lettuce has been identified as the probable source of the outbreak, leading to the recall of various sandwiches, wraps, and salads from major retail chains. The specific strain involved, E. coli O145 t5:206, is particularly virulent and associated with more severe illness, including an increased risk of Hemolytic Uremic Syndrome (HUS), which can lead to kidney failure.
E. coli is typically a harmless bacteria found in human and animal intestines. However, certain strains like STEC can produce toxins causing severe sickness. Symptoms include severe diarrhea (sometimes bloody), stomach cramps, vomiting, and fever.
To prevent infection, health officials recommend thorough hand washing with soap and warm water, using disinfectants on surfaces, and avoiding food preparation when unwell. Those experiencing symptoms should not return to work, school, or nursery until 48 hours after symptoms subside. Visiting hospitals or care homes is also discouraged during this time.
The Food Standards Agency continues to investigate the outbreak, working with businesses and local authorities to protect consumers. While lettuce is the likely source, efforts are ongoing to confirm this and identify the root cause to prevent future occurrences.
While the number of new cases is decreasing, with no new infections reported since June 24, the outbreak cannot be declared over until the exact source of contamination is confirmed and addressed.
Commenting on this story, one national food safety attorney said, “Tragically, one person has died linked to this E. coli outbreak. I strongly recommend that the public remain cautious and follow health guidelines to minimize the risk of infection.”
