Flour Contaminated with E. Coli May Still Be in Your Home

CDC Final Investigation Notice: E. coli O26 outbreak linked to flour

This outbreak appears to be over, but the recalled flour products have long shelf lives and may still be in people's homes. Consumers who don't know about the recalls could continue to eat the products and get sick. A list of the recalled products and how to identify them is available below.

CDC, public health and regulatory officials in several states, and the U.S. Food and Drug Administration (FDA) investigated a multistate outbreak of Shiga toxin-producing Escherichia coli (E. coli) O26 infections linked to flour.

Recalls and Advice to Consumers, Restaurants, and Retailers
 
At A Glance
  • Reported Cases: 21
  • States: 9
  • Hospitalizations: 3
  • Deaths: 0
  • Recall: Yes

Several brands and types of flour were recalled because they may be contaminated with E. coli. Consumers should not use recalled products. The following products were recalled:

Brand Castle Mixes

  • On June 21, 2019, Brand Castle, LLC, of Bedford Heights, Ohio, recalled several brands of cookie and brownie mix because flour used in them was potentially contaminated with E. coli. The following Brand Castle mixes, sold in 25-oz and 32-oz glass jars, were recalled:
    • Brand Castle Arctic Chill Chocolate Mint Cookie Mix: UPC 6-54448-01035-2, Lot L6112618
    • Brand Castle Hot Cocoa Cookie Mix: UPC 6-54448-01036-9, Lot L5111918
    • Sisters Gourmet Million Dollar Cookie Mix: UPC 6-54448-00002-5, Lot L2121818
    • Sisters Gourmet Billion Dollar Brownie Mix: UPC 6-54448-00017-9, Lot 31OCT2019BC8324
    • In the Mix Chocolate Mint Chip Cookie Mix: UPC 6-54448-01081-9, Lot LM101518
    • Brand Castle The Grinch Sugar Cookie Mix with Sprinkles: UPC 6-54448-01038-3, Lot 25JUL2019BC8324

Pillsbury Best Bread Flour

  • On June 14, 2019, Hometown Food Company, a customer of ADM Milling Co., announced a recall of 5-lb. bags of Pillsbury Best Bread Flour with UPC Code 0 5150020031 5 and the following lot codes and use-by dates:
    • Lot Code: 8 342, Use-By Date: JUN 08 2020
    • Lot Code: 8 343, Use-By Date: JUN 09 2020

King Arthur Flour

  • On June 13, 2019, King Arthur Flour, Inc., a customer of ADM Milling Co., announced a recall of 14,218 cases of 5-lb. bags of King Arthur Unbleached All-Purpose Flour. You can identify recalled flour by looking for the following best-used-by dates and lot codes on the bag's side panel, below the nutrition facts box:
    • Best Used By 12/07/19 , Lot: L18A07C
    • Best Used By 12/08/19,  Lots: L18A08A, L18A08B
    • Best Used By 12/14/19,  Lots: L18A14A, L18A14B, L18A14C

ALDI Baker's Corner All Purpose flour

  • On May 23, 2019, ALDI, in association with ADM Milling Co., recalled all 5-lb. bags of Baker's Corner All Purpose Flour.
  • Recalled flour was sold at retail locations in the following states: Connecticut, Delaware, Massachussetts, New Hampshire, New Jersey, New York, Ohio, Pennsylvania, Rhode Island, Vermont, and West Virginia.

Consumers should not use any of the recalled flour. Throw it out.

  • If you stored flour in another container without the packaging and don't remember the brand or "use by" date, throw it away.
  • Thoroughly wash the container before using it again.

Eating raw dough can make you sick.

  • Any flour or raw eggs used to make dough or batter might be contaminated with harmful germs.
  • Bake or cook food made with raw dough or batter before eating it. Follow the recipe or instructions on the package. Do not use recalled flour in cooking or baking.
  • Do not taste raw dough or batter. Even tasting a small amount could make you sick.

Clean up thoroughly after baking.

  • Wash any bowls, utensils, and other surfaces that were used when baking with warm water and soap.
  • Wash your hands with water and soap before and after baking.

Contact your healthcare provider if you think you may have become ill from eating raw dough.

Restaurants and other retailers should not use, sell, or serve any of the recalled flour.

  • If you stored flour in another container without the packaging and don't remember the brand or "use by" date, throw it away.
  • Restaurants and retailers should thoroughly wash flour storage containers before using them again.

Restaurants and other retailers should always be safe with raw dough.

  • Do not give customers raw dough to play with or eat. It is not safe to eat or play with raw dough, whether made from recalled flour or any other flour.
  • Bake or cook food made with raw dough or batter before serving or selling it. Follow the recipe or instructions on the package. Do not use recalled flour in cooking or baking.
Latest Outbreak Information
  • As of July 11, 2019, this outbreak appears to be over.
  • A total of 21 people infected with the outbreak strain of E. coli O26 were reported from 9 states.
    • Illnesses started on dates ranging from December 11, 2018, to May 21, 2019.
    • Three hospitalizations and no deaths were reported.
  • Epidemiologic and laboratory evidence, supported by product distribution records, indicated flour was the likely source of this outbreak.
  • Several products were recalled because they may be contaminated with E. coli. Those products include 5-lb. bags of Baker's Corner All Purpose Flour sold at ALDI, some 5-lb. bags of King Arthur Unbleached All-Purpose Flour, certain 5-lb. bags of Pillsbury Best Bread Flour, and several brands of cookie and brownie mix produced by Brand Castle.
Symptoms of E. coli Infection
  • People usually get sick from Shiga toxin-producing E. coli (STEC) 3 to 4 days after swallowing the germ.
  • Symptoms often include severe stomach cramps, diarrhea (often bloody), and vomiting, and usually lasts 5 to 7 days.
  • Some people with a STEC infection may get a type of kidney failure called hemolytic uremic syndrome.
Advice to Clinicians

Antibiotics are not recommended for patients with suspected E. coli infections until diagnostic testing can be performed and E. coli infection is ruled out. Some studies have shown that administering antibiotics to patients with E. coli infections might increase their risk of developing hemolytic uremic syndrome (HUS), and a benefit of treatment has not been clearly demonstrated.

For Immediate Release: Thursday, July 11, 2019
Contact: Media Relations
(404) 639-3286

CDC Final Investigation Notice: E. coli O26 outbreak linked to flour

This outbreak appears to be over, but the recalled flour products have long shelf lives and may still be in people's homes. Consumers who don't know about the recalls could continue to eat the products and get sick.


A list of the recalled products and how to identify them is available below.

CDC, public health and regulatory officials in several states, and the U.S. Food and Drug Administration (FDA) investigated a multistate outbreak of Shiga toxin-producing Escherichia coli (E. coli) O26 infections linked to flour.

Recalls and Advice to Consumers, Restaurants, and Retailers
 
At A Glance
  • Reported Cases: 21
  • States: 9
  • Hospitalizations: 3
  • Deaths: 0
  • Recall: Yes

Several brands and types of flour were recalled because they may be contaminated with E. coli. Consumers should not use recalled products. The following products were recalled:

Brand Castle Mixes

  • On June 21, 2019, Brand Castle, LLC, of Bedford Heights, Ohio, recalled several brands of cookie and brownie mix because flour used in them was potentially contaminated with E. coli. The following Brand Castle mixes, sold in 25-oz and 32-oz glass jars, were recalled:
    • Brand Castle Arctic Chill Chocolate Mint Cookie Mix: UPC 6-54448-01035-2, Lot L6112618
    • Brand Castle Hot Cocoa Cookie Mix: UPC 6-54448-01036-9, Lot L5111918
    • Sisters Gourmet Million Dollar Cookie Mix: UPC 6-54448-00002-5, Lot L2121818
    • Sisters Gourmet Billion Dollar Brownie Mix: UPC 6-54448-00017-9, Lot 31OCT2019BC8324
    • In the Mix Chocolate Mint Chip Cookie Mix: UPC 6-54448-01081-9, Lot LM101518
    • Brand Castle The Grinch Sugar Cookie Mix with Sprinkles: UPC 6-54448-01038-3, Lot 25JUL2019BC8324

Pillsbury Best Bread Flour

  • On June 14, 2019, Hometown Food Company, a customer of ADM Milling Co., announced a recall of 5-lb. bags of Pillsbury Best Bread Flour with UPC Code 0 5150020031 5 and the following lot codes and use-by dates:
    • Lot Code: 8 342, Use-By Date: JUN 08 2020
    • Lot Code: 8 343, Use-By Date: JUN 09 2020

King Arthur Flour

  • On June 13, 2019, King Arthur Flour, Inc., a customer of ADM Milling Co., announced a recall of 14,218 cases of 5-lb. bags of King Arthur Unbleached All-Purpose Flour. You can identify recalled flour by looking for the following best-used-by dates and lot codes on the bag's side panel, below the nutrition facts box:
    • Best Used By 12/07/19 , Lot: L18A07C
    • Best Used By 12/08/19,  Lots: L18A08A, L18A08B
    • Best Used By 12/14/19,  Lots: L18A14A, L18A14B, L18A14C

ALDI Baker's Corner All Purpose flour

  • On May 23, 2019, ALDI, in association with ADM Milling Co., recalled all 5-lb. bags of Baker's Corner All Purpose Flour.
  • Recalled flour was sold at retail locations in the following states: Connecticut, Delaware, Massachussetts, New Hampshire, New Jersey, New York, Ohio, Pennsylvania, Rhode Island, Vermont, and West Virginia.

Consumers should not use any of the recalled flour. Throw it out.

  • If you stored flour in another container without the packaging and don't remember the brand or "use by" date, throw it away.
  • Thoroughly wash the container before using it again.

Eating raw dough can make you sick.

  • Any flour or raw eggs used to make dough or batter might be contaminated with harmful germs.
  • Bake or cook food made with raw dough or batter before eating it. Follow the recipe or instructions on the package. Do not use recalled flour in cooking or baking.
  • Do not taste raw dough or batter. Even tasting a small amount could make you sick.

Clean up thoroughly after baking.

  • Wash any bowls, utensils, and other surfaces that were used when baking with warm water and soap.
  • Wash your hands with water and soap before and after baking.

Contact your healthcare provider if you think you may have become ill from eating raw dough.

Restaurants and other retailers should not use, sell, or serve any of the recalled flour.

  • If you stored flour in another container without the packaging and don't remember the brand or "use by" date, throw it away.
  • Restaurants and retailers should thoroughly wash flour storage containers before using them again.

Restaurants and other retailers should always be safe with raw dough.

  • Do not give customers raw dough to play with or eat. It is not safe to eat or play with raw dough, whether made from recalled flour or any other flour.
  • Bake or cook food made with raw dough or batter before serving or selling it. Follow the recipe or instructions on the package. Do not use recalled flour in cooking or baking.
Latest Outbreak Information
  • As of July 11, 2019, this outbreak appears to be over.
  • A total of 21 people infected with the outbreak strain of E. coli O26 were reported from 9 states.
    • Illnesses started on dates ranging from December 11, 2018, to May 21, 2019.
    • Three hospitalizations and no deaths were reported.
  • Epidemiologic and laboratory evidence, supported by product distribution records, indicated flour was the likely source of this outbreak.
  • Several products were recalled because they may be contaminated with E. coli. Those products include 5-lb. bags of Baker's Corner All Purpose Flour sold at ALDI, some 5-lb. bags of King Arthur Unbleached All-Purpose Flour, certain 5-lb. bags of Pillsbury Best Bread Flour, and several brands of cookie and brownie mix produced by Brand Castle.
Symptoms of E. coli Infection
  • People usually get sick from Shiga toxin-producing E. coli (STEC) 3 to 4 days after swallowing the germ.
  • Symptoms often include severe stomach cramps, diarrhea (often bloody), and vomiting, and usually lasts 5 to 7 days.
  • Some people with a STEC infection may get a type of kidney failure called hemolytic uremic syndrome.
Advice to Clinicians

Antibiotics are not recommended for patients with suspected E. coli infections until diagnostic testing can be performed and E. coli infection is ruled out. Some studies have shown that administering antibiotics to patients with E. coli infections might increase their risk of developing hemolytic uremic syndrome (HUS), and a benefit of treatment has not been clearly demonstrated.

For Immediate Release: Thursday, July 11, 2019
Contact: Media Relations
(404) 639-3286