Vermont Livestock Slaughter and Processing, LLC, a Ferrisburg, Vt., establishment, is recalling approximately 133 pounds of ground beef products that may be contaminated with E. coli O157:H7, the U.S. Department of Agriculture’s Food Safety and Inspection Service (FSIS) announced today.

The ground beef was produced on July 24 and 25, 2017.  The following products are subject to recall: [View Labels (PDF Only)]

  • 1-lb. vacuum sealed packages containing “Bread & Butter Farm Ground Beef” with lot codes #072517BNB and #072417BNB.

The products subject to recall bear establishment number “EST. 9558” inside the USDA mark of inspection. These items were sold at Bread & Butter farm in Shelburne, Vt.

On September 30, 2017, FSIS was notified of an investigation of E. coli O157:H7 illnesses. Working in conjunction with the Vermont Department of Health and the Centers for Disease Control and Prevention, FSIS determined the cooked beef burgers that were served at an event at Bread & Butter Farm was the probable source of the reported illnesses. Based on the epidemiological investigation, two case-patients were identified in Vermont with illness onset dates ranging from September 18, 2017, to September 23, 2017. Traceback information indicated that both case-patients consumed ground beef products at Bread & Butter Farm which was supplied by Vermont Livestock Slaughter & Processing. Vermont Livestock Slaughter and Processing, LLC is recalling the products out of an abundance of caution. FSIS continues to work with public health partners on this investigation and will provide updated information as it becomes available.

E. coli O157:H7 is a potentially deadly bacterium that can cause dehydration, bloody diarrhea and abdominal cramps 2–8 days (3–4 days, on average) after exposure to the organism. While most people recover within a week, some develop a type of kidney failure called hemolytic uremic syndrome (HUS). This condition can occur among persons of any age, but is most common in children under 5-years old and older adults. It is marked by easy bruising, pallor, and decreased urine output. Persons who experience these symptoms should seek emergency medical care immediately.

Consumers who have purchased these products are urged not to consume them.

FDA Reminds Public that All I.M. Healthy Soy Nut Butter Products Are Recalled

The U.S. Food & Drug Administration has become aware that recalled I.M Healthy Soy Nut Butter products are being offered for sale through online vendors and in storefront locations. All flavors of I.M. Healthy Soy Nut Butter spreads and granolas were recalled in March 2017 after the product was found to be the source of a multistate Shiga toxin-producing Escherichia coli (E. colioutbreak that sickened 32 people in 12 states.

Retailers cannot legally offer for sale and consumers should not purchase any flavors of I.M. Healthy Soy Nut Butter products, including spreads and granolas.

The FDA learned that some distributors are still selling the products in their possession and these products are being sold through online retailers and in storefront locations. As it learns of these products being offered for sale, the FDA notifies the retailer that these products cannot legally be sold. The agency is working swiftly to locate any remaining products to ensure they are no longer available to consumers.

The SoyNut Butter Company, distributor of I.M. Healthy products, has ceased to operate. On March 30, 2017, the FDA suspended the food facility registration of Dixie Dew, Inc., the manufacturer of the products, meaning that no food may leave the facility for sale or distribution.

The FDA will continue to monitor this situation closely and follow up with retailers as we become aware of recalled products being offered for sale. Additionally, the public is urged to report any product being offered for sale to the FDA Consumer Complaint Coordinator in their region. More information about the recall can be found at FDA.gov.

For more information:

After sickening over 30 with E. coli O157:H7 – several kids with acute kidney failure – you would think that all this tainted product would be off the market – but no.  So, FDA, companies, what are you doing?

I just received this from a hero:

“Well because you asked – I just checked Shop.com and now I am truly pissed off.

I ordered a 6-pack of chocolate from Shop.com several weeks ago (and received it) and notified authorities.  The only flavor available then was chocolate.  Now chunky, original, honey, unsweetened – all 6 varieties including original. And 3 varieties of granola. Damm. (attached one of many screenshots I took).

I have just notified OCI again (minutes ago and they have responded) as well as FDA.

I told OCI I wouldn’t order anything more.”

https://www.shop.com/search/soynut+butter

And there is more:

“Not the only place you can get it; I didn’t try to order it, but you can also get IM Healthy Soy Nut Butter (in theory anyway) from an internet marketing place out of Milpitas, California:”

https://www.mercadomagico.com/grocery/cooking-and-baking/im-healthy-unsweetened-creamy-soynut-butter-15-oz/?gclid=EAIaIQobChMIvOmKmrrs1gIVFJF-Ch3dLQdsEAkYAiABEgJARfD_BwE

On March 7, 2017, The SoyNut Butter Company recalled all varieties of I.M. Healthy SoyNut Butters and all varieties of I.M. Healthy Granola products. On March 10, 2017, The SoyNut Butter Company expanded its recall to include Dixie Diner’s Club brand Carb Not Beanit Butter.  This after poisoning over 30 people – mostly kids – several that suffered from acute kidney failure.

The recall notice, drafted by I.M. Healthy, on the FDA website did not mention where the tainted product was sold.  Nearly six months later Food Safety News reported on September 5: “Earlier today, Amazon.com was still selling I.M. Healthy soy nut butter that was recalled in March when federal officials traced an E. coli outbreak to the product.”  Then on September 26 a friend of a client whose son nearly died from consuming the soy nut butter found the product on “Close Out” at Lucky’s Market on 200 Woodside Rd, Redwood City, CA 94061.

So, why does the FDA not release the names of retailers to retailers and consumers during a recall and/or an outbreak?

Caitlin Dewey of the Washington Post asked the same question in March of this year – “Why the FDA hides the names of grocery stores that sell contaminated food.”  I reread it today and it still makes my head hurt.

According to Caitlin: The FDA does not specify, however, which stores, centers or schools — because that would violate its interpretation of an obscure trade secret rule. 

This interpretation differs from that of other agencies in the federal food safety system, an overlapping and often illogical network of regulatory fiefdoms. The system, which is responsible for keeping food free of bacteria and other pathogens, frequently has to weigh the very real interests of private food companies against potential risks to the public. In the case of releasing retailer lists during major outbreaks, the FDA has historically sided with business, ruling that such lists constitute “confidential commercial information” and thus should not be available for public consumption. 

Critics say that the agency’s unwillingness to share this information poses a clear danger to public health, particularly in cases like the current E. coli outbreak, where parents may not know if their child consumed the recalled product.

 “Our mantra is that a more transparent food system is a safer food system,” said Thomas Gremillion, the director of food policy at the Consumer Federation of America. “And there are lots of instances where having that distribution list would help victims of food-borne illness.”

The FDA’s current recall process has been in effect for years, though the agency did gain more recall authority under the FDA Food Safety Modernization Act of 2011. It is, for the most part, a voluntary system — which means there’s some variance in how quickly recalls happen. While most companies are highly motivated to clean up any contamination, it takes time to evaluate and respond to possible threats. And that time can be multiplied several times over if a product has moved through the hands of several distributors, manufacturers or other middlemen, an issue that the FDA was faulted for in a June 2016 alert by the Inspector General’s Office.

When a company does issue a recall, it has wide latitude over the amount of information it shares; in some cases, a recall will never be made public. Recalls that are made public typically contain a description of the product and an explanation of the problem. But companies are not required to reveal where the product was sold — whether to a store, a school, a restaurant or another manufacturer that put it in other products.

The recall for SoyNut Butter, for instance, says that “products were distributed in multiple states and may have been purchased in stores or through mail order. They were also distributed to childcare centers and schools in multiple states.” Those states include Virginia and Maryland, where two people have fallen ill. I.M. Healthy did not respond to a phone call or email requesting comment, though a statement on its website called the contamination “deeply concerning” and said that the company had immediately issued a recall. A list compiled by the site eFoodAlert claims that the product was sold at a number of major grocery chains, including Kroger, Giant and Whole Foods.

“Industry argues that they don’t want to turn over who they sell to, because competition will know and try to undercut them,” said Bill Marler, a prominent food safety lawyer who is representing the parents of one of the children sickened in the SoyNut outbreak. “That’s all well and good under normal circumstances. But those rules should not and do not apply to a product that could cause people to become ill.”

In a statement to The Washington Post, the FDA affirmed that it believes its disclosure measures are sufficient and blamed the lack of downstream recall information on federal disclosure rules. Federal regulations do limit the sort of information that can be released to the public. Under the Freedom of Information Act and Title 21 of the Code of Regulations, government agencies — and specifically, the FDA — are told to exempt trade secrets and commercial information from any of their releases.

“Examples of [confidential consumer information] include raw material supplier lists, finished product customer lists, trace back information, etc.,” said Peter Cassell, a spokesman for the FDA. “CCI is exempt from Freedom of Information Act requests, but can be shared through certain information sharing agreements (including with other Federal agencies).”

“The FDA publicizes recall notices, including pictures of affected products, and uses social media accounts to reach consumers as swiftly as possible,” he later added. “In some cases, the FDA can release certain information that is otherwise exempt from disclosure if it is necessary to effectuate a recall. In many cases, it is most efficient for the company to directly notify its distributors so they can take appropriate action.”

Cassell declined to make an agency lawyer available for comment or explain how the FDA had arrived at its definitions. But it’s probably worth noting that when another agency considered similar precedents, it came to different conclusions.

In the early 2000s, the Food Safety and Inspection Service — the branch of the U.S. Department of Agriculture that regulates meat, poultry and egg products — decided to revisit its own interpretation of the trade secrets rule. During a lengthy comments period, industry groups concerned with protecting their distribution lists from competitors faced off against consumer advocates. In 2008, after several years of debate, FSIS’s final rule concluded that it would “not cause substantial harm to the competitive position of any business” to disclose retailer names.

“FSIS now routinely posts these lists,” said Deirdre Schlunegger, the chief executive of STOP Foodborne Illness, an advocacy group for patients that lobbied FSIS 10 years ago. “We obviously believe consumers should have as much information as possible to make safe food decisions.”

Today, when FSIS issues a Class I recall — those that seem “reasonably” likely to cause health problems — it also issues a list of all the retail locations that have, or have had, the product. During last month’s massive cheese recall, for instance, FSIS published a list of every Safeway, Albertsons and Pak ’n’ Save that sold Taylor Farms salads containing Sargento pepperjack. But because FDA regulates the cheese itself, there was no such list of stores that sold the cheese outside salads.

“It does makes me wonder why the FDA can’t do the same,” said Sandra Eskin, the director of the Safe Food Project at Pew Charitable Trusts. “The fundamental issue is — is this information important to consumers during a recall? I would argue yes.”

But the man who led the effort to reform FSIS’s traded secrets rule has his own suspicions as to why the FDA hasn’t followed his lead. Richard Raymond, who was the undersecretary of agriculture for food safety under President George W. Bush, says that the fiercest opposition to the change came from the food industry. Raymond, who had been the chief medical officer in his home state of Nebraska, came to Washington, D.C., determined to change the rules on confidential information. He found himself surprised by the level of resistance.

“They were scared to death it would hurt their business,” Raymond said. “The retail stores want to protect their brand. … When you ask why FDA hasn’t done it, I suspect they don’t want that fight themselves.”

The FDA did not respond to Raymond’s comment by press time. But Gremillion, of the Consumer Federation, would like to see the agency take action.

“Why do confidential business interests trump public health in some cases and not others?” he asked. “We need more transparency around this.

I think it is past time for the FDA and the industries it oversees to be transparent – willingly or not.

When you still can buy recalled product, that sickened dozens and nearly killed children, at Lucky’s Market on 200 Woodside Rd, Redwood City, CA 94061

Legal note:  It is against federal law for anyone to sell or resell recalled products in any setting, including yard sales and thrift shops.

Of course, this follows on Food Safety News reporting on September 5: “Earlier today, Amazon.com was still selling I.M. Healthy soy nut butter that was recalled in March when federal officials traced an E. coli outbreak to the product.”

And, for anyone who forgot the outbreak , the CDC reported on May 4, 2017, that thirty-two people infected with the outbreak strains of STEC O157:H7 were reported from 12 states. Arizona 4, California 5, Florida 2, Illinois 1, Massachusetts 1, Maryland 1, Missouri 1, New Jersey 1, Oregon 11, Virginia 2, Washington 2 and Wisconsin 1. Twelve people were hospitalized. Nine people developed hemolytic uremic syndrome. Twenty-six (81%) of the 32 ill people in this outbreak were younger than 18 years.

Epidemiological, laboratory, and traceback evidence indicated that I.M. Healthy brand SoyNut Butter was the likely source of this outbreak. Several soy nut products were recalled:

On March 7, 2017, The SoyNut Butter Company recalled all varieties of I.M. Healthy SoyNut Butters and all varieties of I.M. Healthy Granola products. On March 10, 2017, The SoyNut Butter Company expanded its recall to include Dixie Diner’s Club brand Carb Not Beanit Butter.

On March 28, 2017, the FDA issued a Suspension of Food Facility Registration Order to Dixie Dew of Erlanger, Ky., after an inspection revealed insanitary conditions at the firm that could affect the safety of finished products. Dixie Dew is the contract manufacturer for SoyNut Butter Company’s soy nut butter products. The close out of the outbreak investigation does not affect the suspension order.

Dear readers, anyone else find this product for sale at grocery stores, online or other wise?

So, anyone else up at I.M. Healthy, FDA or the US Attorney’s office?

The La Crosse County Health Department is conducting a disease investigation on reported cases of E. coli among La Crosse County residents.

Children under age 5 and the elderly are most susceptible to infection. To date, there have been 8 cases of E. coli O157, a particularly nasty form, which produces a toxin that can be harmful to the body organs such as the kidneys. This form of E. coli is also called STEC- Shiga Toxin-Producing Escherichia coli. Of the 8 cases, 6 children have been hospitalized for HUS – Hemolytic Uremic Syndrome.

The Health Department is working with the Wisconsin Division of Health to complete disease investigation to contain the outbreak. At this time, the investigation is ongoing, and a single source of infection or contamination has not be identified.

E. coli is a bacterial infection that is more common during the summer months. Cases can be linked or stand alone. It is transmitted by eating contaminated food or water and by contact with fecal material from infected persons or animals. Person to person spread of bacteria is possible and may occur in family settings, daycare centers and nursing homes.

Signs and symptom of E. coli O157 infection or STEC include severe abdominal cramps and loose and bloody diarrhea. Symptoms occur an average of 3-5 days after swallowing the germ. Some individuals become infected but do not develop symptoms. People do not develop immunity to E. coli.

Parents and caregivers whose children have persistent diarrhea (2-3 days) should consult their child’s doctor, keep the child out of daycare and school and follow extreme hand hygiene to prevent the spread of the bacteria. Testing for E- coli is done by sampling the stool and culturing the bacteria in a laboratory. Testing can take several days for results to be completed.

Precautions for the public at this time consist of:

  • Hand hygiene – hand washing with plenty of soap and water. Special attention should be given to hand washing after using the bathroom, when changing diapers, before preparing food and eating and after coming in from outside activities.
  • Parents need to supervise handwashing for their young children to ensure that hands have been appropriately washed.
  • Parents and caregivers should keep their ill children out of school and daycare until advised to return by their medical provider. The Health Department recommends children stay home until they have been symptom free for 48 hours (2 days).

Persons with E. coli infection usually feel better over a few days without specific treatment. Rest and fluids to prevent and treat dehydration are recommended. For more information on E. coli (O157), STEC or HUS and hand washing techniques, please visit the La Crosse County Health Dept. website at www.lacrossecounty.org/health/

In March 2017, the Centers for Disease Control and Prevention (CDC) and several state health departments attributed a multistate outbreak of Shiga toxin-producing Escherichia coli O157:H7 to I.M. Healthy brand SoyNut Butter manufactured by Dixie Dew and sold at retail on online outlets.[1]

Outbreak investigators collected open containers of SoyNut Butter from the homes of sick people, and unopened containers from retail locations. Containers of SoyNut Butter from lots #243162 and 244161 tested positive for E. coli. Whole genome sequencing revealed that the same strain of E. coli was found in clinical isolates from sick people and containers of I.M. Healthy SoyNut Butter. Epidemiologic investigation determined that 32 people ill with this strain of E. coli had been infected by eating or attending a facility that served I.M. Healthy SoyNut Butter. This included residents of Arizona (4), California (5), Florida (2), Illinois (1), Massachusetts (1), Maryland (1), Missouri (1), New Jersey (1), Oregon (11), Virginia (2), Washington (2), and Wisconsin (1).

The damage caused by this outbreak has been considerable. Twelve people were hospitalized due to their infection, and nine developed hemolytic uremic syndrome (HUS). HUS is a debilitating condition caused by E. coli that is commonly characterized by kidney failure, but may also lead to brain damage, seizures, and diabetes. Children less than 10 years of age are particularly at risk for developing HUS.

I.M. Healthy brand SoyNut Butter has been recalled, but given its long shelf life, it may still be in some people’s homes. This product, therefore, may continue to pose a threat to people’s health.  Several online retailers continued to sell the recalled product at least well into August 2017.

It is not as if in 2017, contaminated nut butters should not have been an issue for manufacturers, suppliers and retailers.

In November 2006, public health officials detected a substantial increase in reports of Salmonella Tennessee isolates. In February 2007, a multistate, case-control study linked the consumption of either Peter Pan or Great Value Peanut Butter brands with infection[2]. 715 people were sickened with 129 hospitalized.  Subsequently the same strain of Salmonella Tennessee was isolated from unopened jars of peanut butter and from environmental samples collected from the processing plant. The product was recalled, and new illness reports declined. Unsanitary conditions at the Sylvester, Georgia, processing plant were known about since 2004. On April 5, 2007, ConAgra announced inadvertent moisture from a leaking roof and sprinkler system could have promoted bacteria growth in the plant. Great Value brand was sold at Walmart stores.[3]

Beginning in November 2008, CDC PulseNet staff noted a small and highly dispersed, multistate cluster of Salmonella Typhimurium isolates. The outbreak consisted of two pulsed field gel electrophoresis (PFGE) defined clusters of illness. The first cluster displayed a unique primary enzyme (XbaI) restriction pattern and an uncommon secondary enzyme (BlnI) pattern. The second cluster had two closely related XbaI patterns that were very similar to the first cluster and a BlnI pattern that was indistinguishable from the first cluster. Illnesses continued to be revealed through April 2009, when the last CDC report on the outbreak was published. A total of 714 were sickened, with 171 hospitalized and at least nine deaths. Peanut butter and peanut butter containing products produced by the Peanut Corporation of America plant in Blakely, Georgia, were implicated. King Nut brand peanut butter was sold to institutional settings. Peanut paste was sold to many food companies for use as an ingredient. Implicated peanut products were sold widely throughout the USA, 23 countries and non-U.S. territories.[4]

On September 22, 2012, the CDC announced a multistate outbreak of Salmonella serotype Bredeney linked to Trader Joe’s Valencia Creamy Salted Peanut Butter. Collaborative efforts by local, state and federal public health and regulatory officials traced the product to Sunland, Inc. a Portales, New Mexico company. Sunland issued a recall of multiple nut butters and products made with nut butters. When the outbreak was declared over, a total of 42 people infected with the outbreak strain of Salmonella serotype Bredeney had been reported by 20 states. Among persons for whom information was available, illness onset dates ranged from June 14, 2012 to September 21, 2012. Ill persons ranged in age from less than 1 year to 79 years, with a median age of 7 years. Sixty-one percent of ill persons were children less than 10 years old. Among 36 persons with available information, 10(28%) patients had been hospitalized. The FDA confirmed that environmental samples collected at the Sunland facility had an DNA fingerprint that was indistinguishable to the DNA fingerprint found in outbreak associated patients.[5]

On August 21, 2014, the CDC announced a multistate outbreak of Salmonella Braenderup involving 6 people residing in Connecticut (1), Iowa (1), New Mexico (1), Tennessee (1), and Texas (2). Almond and peanut butter manufactured by nSpired Natural Foods, Inc. was named as the likely source of this outbreak. The outbreak was declared over on October 16, 2014. Illness onset dates range from January 22, 2014 to May 16, 2014. Among 5 ill persons with available information, one person reported being hospitalized. During inspections at the nSpired Natural Food facility in Ashland, Oregon, between January 2014 and August 2014, the FDA isolated Salmonella Braenderup from environmental samples. A search of the PulseNet database linked ill patients to the environmental isolates taken from the nSpired production plant. On August 19, 2014 nSpired Natural Foods issued a voluntary recall of certain lots of almond and peanut butters because of potential contamination with Salmonella. The recalled brands include Arrowhead Mills, MaraNatha, and specific private label almond and peanut butters.[6]

On December 2, 2015 JEM Raw Chocolate LLC (JEM Raw) of Bend, Oregon announced a recall of its full line of all nut butter spreads due to possible contamination with Salmonella. Health authorities at the FDA, Oregon Health Authority, Oregon Department of Agriculture and the CDC had linked illnesses in 13 persons who consumed nut spreads. Dates of onset ranged from July 18, 2015 to November 22, 2015. Cases were reported from California, Colorado, Georgia, Hawaii, Idaho, Illinois, Maine, North Carolina, New Jersey and Oregon.[7]

Dixie Dew and I.M. Healthly, and the entire supply chain, should have been aware of these outbreaks and taken precautions.

[1]           https://www.cdc.gov/ecoli/2017/o157h7-03-17/index.html

[2]           A 1996 Salmonella Mbandaka outbreak linked to peanut butter sickened at least 15 in Australia – Aust N Z J Public Health 1998 Scheil

[3]           https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5621a1.htm

[4]           https://www.cdc.gov/mmwr/preview/mmwrhtml/mm58e0129a1.htm

[5]           https://www.cdc.gov/salmonella/bredeney-09-12/

[6]           https://www.cdc.gov/salmonella/braenderup-08-14/

[7]           https://www.cdc.gov/salmonella/paratyphi-b-12-15/

Food Safety News just reported that

Earlier today, Amazon.com was still selling I.M. Healthy soy nut butter that was recalled in March when federal officials traced an E. coli outbreak to the product.

No one from Seattle-based Amazon immediately responded to mid-morning requests for comment from Food Safety News, but by 11 a.m. Pacific time, the recalled peanut butter substitute had been pulled from the retailer’s website.

Officials with the Food and Drug Administration are investigating the situation, but were not able to provide details as of mid-afternoon.

Although the outbreak was declared over in May by the Centers for Disease Control and Prevention, that agency’s “final” report indicated additional illnesses were expected to be confirmed in relation to consumption of recalled soy nut butter products. The CDC cited the products’ long shelf life and the likelihood that some consumers still have unopened product in their homes as contributing factors to the lingering nature of the outbreak.

As of early May, the outbreak had sickened a confirmed 32 people across a dozen states. A variety of products made with soy nut butter produced by Dixie Dew Products Inc. remain under recall, including all varieties of I.M. Healthy “SoyNut Butter” products.

As of 9:45 a.m. Pacific time today, recalled I.M. Healthy brand “SoyNut Butter” was still available for purchase.

It is against federal law for anyone to sell or resell recalled products in any setting, including yard sales and thrift shops. The Consumer Product Safety Improvement Act, which became law in 2008, was used earlier this year by the Consumer Product Safety Commission against Home Depot. The big box home improvement retailer agreed to pay $5.7 million in relation to charges it sold recalled smoke detectors, light fixtures and other products.

The Amazon.com website does not appear to offer a list of recalled products that it has offered for sale, as do many retailers. Amazon provides a list of government recall links and a “recall policy” that includes the following statement:

“Amazon monitors public recalls alert websites and also learns of recalls directly from manufacturers and vendors. When we learn of a recall, we suspend all impacted product offerings from our website and quarantine any related inventory in our fulfillment centers. We also reach out to any customers that previously purchased impacted products (and any seller that may have offered such products) to inform them about the recall.”

Linda Harris, chair of the world renown Food Science and Technology Department at the University of California-Davis, said Monday that she ordered recalled I.M. Healthy SoyNut Butter from Amazon.com during Labor Day weekend. She received the $50 shipment of three jars of the recalled product in less than 24 hours.

“The story really is about recalls and the ability in today’s world of recovering all product when you have a recall,” said Harris, who is the immediate past president of the International Association for Food Protection.

“They have sophisticated programs that set prices and figure out complicated delivery schemes – they should be able to make sure recalled product isn’t available for sale.”

As of today, there are eighteen cases linked to the recent E. coli O157:H7 outbreak. Of the eighteen cases, twelve are children and six are adults. All reported illnesses are associated with playing in the water at Commodore Beach in Lake Wildwood or taking care of someone who is infected. The best method of prevention when caring for an ill person is frequent washing and drying of your hands.

There have been a total of ten hospitalizations and of those, nine have been discharged home. To date, of those with laboratory-confirmed E. coli O157:H7, the onset of symptoms has ranged from July 20-29, 2017. The Public Health Department will continue to follow up on reports of illness received from health care providers.

The five public beaches at Lake Wildwood remain closed, and the no swimming advisory remains in effect for the lake. The Environmental Health Department continues to take samples from around the lake for testing; however, the cause of the outbreak remains under investigation.

The Columbian reports that Spanish Sonrise Dairy is recalling whole raw milk because it may be contaminated with E. coli.

The Yacolt dairy announced the recall on Tuesday, after routine sampling by the state Department of Agriculture found E. coli in the raw cream processed from whole raw milk, according to a news release issued by Spanish Sonrise Dairy.

The recall affects raw milk with a “best by” date of Aug. 23. The milk, which was bottled in half-gallon glass containers, was sold directly to private customers and at one retail store, Camas Produce.

E. coli infections may cause severe diarrhea, stomach cramps and bloody stool. Symptoms generally appear three to four days after exposure but can take as long as nine days to appear, according to the news release.

This isn’t the first recall for the Yacolt dairy. Spanish Sonrise issued a recall of raw milk and cream products in April 2015 after routine testing revealed listeria monocytogenes contamination. At the time of the first recall, the owners said they planned to close the dairy.