Here's why lettuce keeps getting contaminated with E. coli

The U.S. Food and Drug Administration believesit has traced the source of the latest E. colioutbreak linked to romaine lettuce. It says based on shipping records and invoices, the lettuceappears to have come from California specifically the Central Coast growing regions of northern and central California

Earlier this month, the Public Health Agency of Canada advised Canadiansin Ontario, Quebecand now New Brunswicknot to eat romaine lettuce while the investigation was underway.

This was the third outbreak in North America suspected to be linked to romaine in the past year. According to the Microbiology Society, 20 to 30 per cent of outbreaks of E. coli poisoning are caused by people eating contaminated vegetables. Lettuce and other leafy greens areoften the culprits. Here's why:

How it's grown

Lettuce needsa lot of irrigation water during cultivation. And sometimes the root of the problemis as simple as cross-contamination on the farm where it's being grown.

"You can get contamination from animal production facilities, it gets into the sediment, it gets into the water, which gets irrigated onto the crops, which are then harvested within 40 to 80 days," saysKeithWarriner, amicrobiologist specializing in food safety at the University of Guelph.

The bacteria can also come from birds flying overheador other wild animals walking through fields. And, short of moving all production into greenhouses, it's just very difficult to avoid that kind of contamination. It's equally hard to pinpoint the source.

"By the time public health officials arenotified, people have been sickened for a long time," said Lawrence Goodridge, professor of food safety at McGill University." And he said, since the shelf life of lettuce is quite short about five weeks it may not even be in circulation any longer.

Raw versus cooked

But it's not just lettuce and leafy greens. There is currently a salmonella outbreak in western Canada linked to cucumbers. What do these all have in common? Consider this: when was the last time you cooked your lettuce or cucumbers?

That's another basic reason why people more often get sick from eating contaminated lettuce andother salad greens. Unlike many other vegetables, they are rarely cooked before being consumed. Cooking kills E. coliO157 and other bacteria. So other vegetables may be getting contaminated just as lettuce is, butbecause the vegetables are mostly being cooked, there is no widespread outbreak of illness.

What about washing?

Washing the produce at home is not a reliable way to remove bacteria.

"The bacteria can be stuck on the surface of the lettuce, it can even get inside the lettuce," Goodridge says. "So if you wash it, you might remove some of the bacteria, but you're not removing 100 per cent. And we know in some cases, when we look at historical outbreaks of E.coli,even ingesting one single bacterial cell was enough to cause illness."

What about pre-washed packaged lettuce?

If you tend to reach for the convenience of pre-washed, pre-cut greens, you've probably seen on the packaging that it saysthey've been double- or even triple-washed. But Goodridge says, again, when it comes to E. coli, that means nothing.

"It's washed to remove dirt, and chlorinated water is used, but really, that doesn't domuch. In fact, studies have shown it tends to spread the contamination around." And what's worse, he suggests, when the lettuce is cut in theprocessing plant, the leafreleases sugars that the bacteria like to grow on. So the bacteria can multiply even faster.

Consider, too, he says, that to get to that bag or box, the lettucehas gone through a lot of hands and a lot of machinery, all of which could be harbouring bacteria, too.

Why is lettuce contaminationso hard to prevent?

It's a question being asked by many scientists.

"Those of us who work in this area, we have much work to do to try to figure out why this apparently seems to keephappening," Goodridgesays. "Is there something specific about romaine lettuce that perhaps now suddenly in the past year has elevated it, or is it just a coincidence?"

At the University of Guelph, there may be the beginnings of some answers to that.

'We've actually got some current research going on here that suggests, of all the different lettuce types, E.coliO157 likes romaine lettuce," Warrinersays, "especially if it is breaking out of its dormant state. So there is an association withleafy greens and E. coliO157. People suggest it's a pathogen-vegetable interaction going on, where they're actually adapted to living on lettuce."

Minus any conclusive findings, though, both scientists agree it'snot worth the risk to eat romaine lettuce right now. If you have it, they say, throw it out. And don't buy anyor order it in a restaurant for the time being.

The National's health panel talked about the latest lettuce contamination this week:

The National's health panel talks lettuce

6 years ago

Duration 2:44

If you fear your lettuce might be contaminated with E. coli, there is no point in trying to wash the bacteria away - just throw it out, say the doctors on the National's heath panel. And then clean your fridge.