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Shiga toxin–producing Escherichia coli (STEC) was first recognized from outbreaks linked to contaminated ground beef in the 1980s and 1990s as a significant human pathogen that can cause both severe hemorrhagic colitis and the hemolytic uremic syndrome (Emerg Infect Dis 2005; 11:603). Multiple other outbreaks have since been identified as being caused by other food products contaminated with this pathogen, including produce and dairy products. As a low-moisture ingredient generally used in baked products, raw flour has been considered an atypical source for foodborne disease. Nonetheless, the Centers for Disease Control and Prevention (CDC) has now confirmed a large STEC outbreak linked to contaminated flour.
In February 2016, state and CDC …