This outbreak includes four different types of Salmonella: Thompson, Kiambu, Agona, and Gaminara. The same strain of these types of Salmonella were found in samples collected from papayas and from ill people.
A total of 201 people infected with the outbreak strains of Salmonella Thompson (131), Salmonella Kiambu (57), Salmonella Agona (8), or Salmonella Gaminara (5) have been reported from 23 states.
Sixty-five ill people have been hospitalized. One death was reported from New York City.
Epidemiologic and laboratory evidence indicates that Maradol papayas from the Carica de Campeche farm in Mexico are the likely source of this multistate outbreak.
Two additional outbreaks of Salmonella infections linked to imported papayas from two other farms in Mexico, Caraveo Produce and El Zapotanito, have been identified. Available information indicates that illnesses in these two outbreaks are not linked to papayas from the Carica de Campeche farm and are being investigated separately.
CDC recommends that consumers not eat, restaurants not serve, and retailers not sell Maradol papayas from the Carica de Campeche, Caraveo Produce, or El Zapotanito farms in Mexico.
Because three separate outbreaks linked to papayas from different farms have been identified, CDC is concerned that papayas from several other farms in Mexico might be contaminated with Salmonella and have made people sick.