K2D Foods Recalls Raw Ground Beef Products Due to Possible E. coli O103 Contamination

WASHINGTON, April 23, 2019 – K2D Foods, doing business as (DBA) Colorado Premium Foods, a Carrolton, Ga. establishment, is recalling approximately 113,424 pounds of raw ground beef products that may be contaminated with E. coli O103, the U.S. Department of Agriculture’s Food Safety and Inspection Service (FSIS) announced April 23. Read full news release.

The raw ground beef items were produced on March 26, March 29, April 2, April 5, April 10, and April 12, 2019.  The following products are subject to recall: [View Labels (PDF only)]

  • Two 24-lb. vacuum-packed packages in cardboard boxes containing raw “GROUND BEEF PUCK” with “Use Thru” dates of 4/14/19, 4/17/19, 4/20/19, 4/23/19, 4/28/19, and 4/30/19.

The products subject to recall bear establishment number “EST. 51308” inside the USDA mark of inspection on the boxes. These items were shipped to distributors in Ft. Orange, Fla. and Norcross, Ga. for further distribution to restaurants.

FSIS and its public health partners, including the Centers for Disease Control and Prevention (CDC) and the Tennessee Department of Health, have been investigating an outbreak of E. coli O103. Unopened, intact ground beef collected as part of the ongoing investigation from a restaurant location, where multiple case-patients reported dining, tested positive for E. coli O103. At this time, there is no definitive link between this positive product and the ongoing E. coli O103 outbreak. Further traceback and product analysis continues to determine if the recalled products are related to the E. coli O103 outbreak.

Most people infected with STEC O103 develop diarrhea (often bloody) and vomiting. Some illnesses last longer and can be more severe. Infection is usually diagnosed by testing of a stool sample. Vigorous rehydration and other supportive care is the usual treatment; antibiotic treatment is generally not recommended. Most people recover within a week, but, rarely, some develop a more severe infection. Hemolytic uremic syndrome (HUS), a type of kidney failure, is uncommon with STEC O103 infection. HUS can occur in people of any age but is most common in children under 5 years old, older adults and persons with weakened immune systems. It is marked by easy bruising, pallor and decreased urine output. Persons who experience these symptoms should seek emergency medical care immediately.

Consumers with questions regarding the recall can contact Ashley Barnes, Customer Service Director, Colorado Premium Foods, at (970) 313-4400.  Media with questions can contact Bernie Ruesgen, Vice President, Colorado Premium Foods, at (970) 313-4400.

Consumers with food safety questions can “Ask Karen,” the FSIS virtual representative available 24 hours a day at AskKaren.gov or via smartphone at m.askkaren.gov. The toll-free USDA Meat and Poultry Hotline 1-888-MPHotline (1-888-674-6854) is available in English and Spanish and can be reached from 10 a.m. to 6 p.m. (Eastern Time) Monday through Friday. Recorded food safety messages are available 24 hours a day. The online Electronic Consumer Complaint Monitoring System can be accessed 24 hours a day at: http://www.fsis.usda.gov/reportproblem.

CDC and several states are investigating a multistate outbreak of Listeria infections linked to deli-sliced meats and cheeses

April 17, 2019 at 4:30 PM ET – CDC and several states are investigating a multistate outbreak of Listeria infections linked to deli-sliced meats and cheeses. The U.S. Department of Agriculture’s Food Safety and Inspection Service and the U.S. Food and Drug Administration are monitoring the outbreak. Read CDC Investigation Notice in full.

Latest Outbreak Information:

  • A total of 8 people infected with the outbreak strain of Listeria monocytogenes have been reported from 4 states.
    • All 8 people have been hospitalized, and one death has been reported from Michigan.
  • Epidemiologic and laboratory evidenceindicates that meats and cheeses sliced at deli counters might be contaminated with Listeria monocytogenes and could make people sick.
  • In interviews, ill people report eating different types and brands of products, including meats and cheeses, purchased from and sliced at deli counters in many different retail locations.
  • The outbreak strain has been identified in samples taken from meat sliced at a deli and from deli counters in multiple stores.
  • A single, common supplier of deli products has not been identified.
  • CDC is not advising that consumers avoid eating products prepared at delis, or that retailers stop selling deli-sliced products.
  • Retailers should clean and sanitize deli slicers frequently and other areas where deli products are prepared, stored, or served to avoid cross contamination.
  • This outbreak is a reminder that people at higher risk for severe Listeria infection should handle deli-sliced meats and cheeses carefully to prevent illness. Pregnant women and their newborns, adults age 65 and older, and people with weakened immune systems are more likely to get sick with listeriosis.

NPHW Friday: Climate Change

Today is the fifth day of National Public Health Week, the day’s theme melds with one of our newer initiatives – the Public Health impacts of Climate Change.

Friday’s Theme is Climate Change

Friday,. April 5. National Public Health Week. Climate Change. NPHW 2019 Virginia. Virginia Department of Health. Group of people cleaning up a beach.

Last fall, Dr. Oliver conducted a “Listening Tour” across the state, meeting with local health officials and community members to better understand the health needs and concerns of those we serve.  As the tour progressed, it became apparent that the public health impacts of climate change are of high concern for Virginians.

In response to those concerns, Dr. Oliver requested a VDH internal working group be established to assess the public health impacts of climate change and to outline our agency data and resources to address this issue.  In January of 2019, the VDH Climate Change Committee, or “C-3,” was formed. The C-3 includes representatives from VDH’s offices of Environmental Health, Drinking Water, Epidemiology, Emergency Preparedness and Health Equity.

View our Toolkit for more information about National Public Health Week.

Kingston Pharma, LLC RECALLS ” DG™/health NATURALS baby Cough Syrup + Mucus” Because of Possible Health Risk

March 20, 2019 – Kingston Pharma, LLC of Massena, NY is recalling Lot KL180157 of its 2-fluid ounce (59 mL) bottles of DG™/health NATURALS baby Cough Syrup + Mucus” because it has the potential to be contaminated with Bacillus cereus/ Bacillus circulansBacillus cereus in food products has the potential to produce two forms of gastrointestinal illness, one being a syndrome primarily of vomiting, and the other of diarrhea.  Most often, illnesses are mild and self-limiting, although more serious and even lethal cases have occurred.  Individuals at risk for more severe forms of illness include infants, young children, and others with weakened immune systems. No illnesses have been reported to date in connection with this problem with the use of DG™/health NATURALS baby Cough Syrup + Mucus. Read recall  in full at: https://www.fda.gov/Safety/Recalls/ucm634052.htm

The recalled DG™/health NATURALS baby Cough Syrup + Mucus” bottles were distributed nationwide in Dollar General retail stores.  The product comes in a carton labeled DG™/health baby Cough Syrup + Mucus in 2-fluid ounce bottles marked with Lot KL180157 Expiration date 11/20 on the bottom of the carton and back of the bottle label; UPC Code 8 54954 00250 0.

The potential for contamination was noted after audit testing revealed the presence of Bacillus cereus /Bacillus circulans in some bottles of this lot of the product. One in ten bottles showed low levels of Bacillus cereus and two in ten bottles showed low levels of Bacillus circulans.

Production of the product has been suspended while FDA and the company continue their investigation as to the source of the problem.

Consumers who have purchased Lot KL180157 of DG™/health NATURALS baby Cough Syrup + Mucus” may return them to the place of purchase for a full refund. Consumers with questions may contact the company at 1-844-724-7347 8:30 a.m. to 6:00 p.m. EST or e-mail at Christina.Condon@SciRegs.com.

Claire’s Stores, Inc., Announces Voluntary Recall of Three Make-Up Products

Out of an abundance of caution, Claire’s Stores, Inc., announced a voluntary recall of three cosmetic products: Claire’s Eye Shadows, Claire’s Compact Powder and Claire’s Contour Palette. We initiated this voluntary recall after testing by the U.S. Food and Drug Administration indicated the possible presence of asbestos fibers in product samples from one lot of each product. Inhalation of asbestos over time has been linked to serious adverse health consequences.

The products are no longer available in our stores, but may still be in the homes of consumers. The SKUs/Lots being recalled are:

  • Claire’s Eyeshadows, UPC #888711847165, SKU #84716, Lot No. 08/17
  • Claire’s Compact Powder, UPC #888711839153, SKU #83915, Lot No. 07/15
  • Claire’s Contour Palette, UPC #888711401947, SKU #40194, Lot No. 04/17

The SKUs and UPCs can be found on the price tickets affixed to the products, and all batch numbers are shown on the back panels below the ingredient lists.

All three products were offered for sale between October 2016 and March 2019 and have been removed from the marketplace. They were sold in Claire’s stores nationwide and on www.claires.com. Any consumers who have purchased these products should discontinue use and return them to a Claire’s store for a full refund.

Read complete recall at: https://www.fda.gov/Safety/Recalls/ucm633237.htm?utm_campaign=Claire%E2%80%99s%20Stores%2C%20Inc.%2C%20Announces%20Voluntary%20Recall%20of%20Three%20Make-Up%20Products&utm_medium=email&utm_source=Eloqua 

FDA has received reports of adverse reactions to some “decal,” henna, and “black henna” temporary tattoos

FDA has received reports of adverse reactions to some “decal,” henna, and “black henna” temporary tattoos. Here is information about the safety of these products and how they are regulated. Learn more: https://www.fda.gov/Cosmetics/ProductsIngredients/Products/ucm108569.htm

“Decal” Temporary Tattoos

Decal temporary tattoos are used to decorate any part of the body, including areas of the face and around the eyes, and may last for a day or up to a week or more. They are especially popular with children and at Halloween.

There are two kinds of decal tattoos:

  • Some are images attached to a removable backing. The decal image is removed from the backing by wetting, and the image is then applied directly to the skin.
  • Others have a backing that adheres to the skin, creating a partial or complete barrier between the skin and the dyes used in the image.

The difference is important, because not all dyes are known to be safe for use on the skin. While an adhesive backing may protect the skin from unapproved colors, there may be other ingredients on or in the decal to help the image adhere better either to the backing or to the skin that may cause problems for some people.

FDA has received reports of reactions to some decal-type temporary tattoos. Before using a temporary tattoo on your face, it may be a good idea to try it on a less conspicuous part of your body.

Henna, or Mehndi, and “Black Henna”

Henna, a coloring made from a plant, is approved only for use as a hair dye. It is not approved for direct application to the skin, as in the body-decorating process known as mehndi. This unapproved use of a color additive makes these products adulterated. It is unlawful, for example, to introduce an adulterated cosmetic into interstate commerce.

Because henna typically produces a brown, orange-brown, or reddish-brown tint, other ingredients must be added to produce other colors, such as those marketed as “black henna” and “blue henna.” Even brown shades of products marketed as henna may contain other ingredients intended to make them darker or make the stain last longer on the skin.

The extra ingredient used to blacken henna is often a coal-tar hair dye containing p-phenylenediamine (PPD), an ingredient that can cause dangerous skin reactions in some people. That’s the reason hair dyes have a caution statement and instructions to do a “patch test” on a small area of the skin before using them. Sometimes, the artist may use a PPD-containing hair dye alone. Either way, there’s no telling who will be affected. By law, PPD is not permitted in cosmetics intended to be applied to the skin.

FDA has received reports of injuries to the skin from products marketed as henna and products marketed as “black henna.” For more information on Henna, see the consumer update: Temporary Tattoos May Put You at Risk.

Child and Adult Care Food Program Week

Virginia will celebrate its CACFP week on March 17-23, 2019. The CACFP brings healthy foods to tables across the country for children in childcare centers, homes, afterschool programs and adults in day care. Last year the program raised awareness with hundreds visiting the site and on social. Don’t miss out on the fun, follow the program and share along with these hashtags #VACACFP #CACFPWeek #QualityChildCare. For more information, visit here.

Download a free children’s activity book.

March is Colorectal Cancer Awareness Month

March is Colorectal Cancer Awareness Month. The VDH Cancer Prevention and Control Program works to decrease the burden of colorectal and other cancers through helping to develop and promote evidence-based strategies shown to prevent and control cancer. Colorectal cancer (CRC) is the second leading cause of cancer death. However, CRC screening makes dying from this disease preventable. During this month, we want to continue to spread the message that CRC is “Preventable. Treatable. Beatable!”

Colorectal cancer is cancer that occurs in the colon or rectum. It is also called colon cancer, for short. Sometimes abnormal growths, called polyps, form in the colon or rectum. Over time, some polyps may turn into cancer. Screening tests can find polyps so they can be removed before turning into cancer. Screening also helps find colorectal cancer at an early stage, when treatment works best.

To learn more about decreasing CRC risks, visit this page at the Centers for Disease Control and Prevention (CDC): http://bit.ly/2Fjfs7t.

Statement from FDA Commissioner on New Data Demonstrating Rising Youth Use of Tobacco Products and the Agency’s Ongoing Actions to Confront the Epidemic of Youth E-cigarette Use

Feb. 11, 2019 – In his statement below that was released by U.S. Food and Drug Administration (FDA) Commissioner Scott Gottlieb, M.D., he discusses new data demonstrating rising youth use of tobacco products and the Agency’s ongoing actions to confront the epidemic of youth e-cigarette use.

“Today, the U.S. Centers for Disease Control and Prevention (CDC) released additional data from our joint FDA/CDC 2018 National Youth Tobacco Survey. These data are a sobering reminder of the initial results we shared last fall indicating a rampant rise of youth e-cigarette use, which has prompted the FDA to take a series of escalating regulatory actions as part of our Youth Tobacco Prevention Plan. We are advancing those actions, and committing to some new steps. The epidemic use of e-cigarettes among children is one of the biggest public health challenges currently facing the FDA.

According to the data released today, approximately 4.9 million middle and high school students were current users (used in the past 30 days) of some type of tobacco product in 2018, up from 3.6 million in 2017. This increase is driven by an alarming surge in e-cigarette use. More than 3.6 million middle and high school students were current (past 30 day) e-cigarette users in 2018, a dramatic increase of more than 1.5 million students in one year. The study authors suggest — as the FDA also noted at the time of the initial release of this data in the fall – that the rise in e-cigarette use in the last year is likely due to the recent popularity of certain types of e-cigarettes, such as JUUL. Further, youth who use e-cigarettes also are using them more frequently and using flavored products more often than last year. Many youth tobacco product users are also using multiple products. Among current tobacco users, about 2 in 5 (1.68 million) high school students and 1 in 3 (270,000) middle school students used two or more tobacco products in 2018. The most commonly used tobacco product combination was e-cigarettes and conventional cigarettes among both middle and high school students.

Similarly, data from the recent National Institutes of Health’s Monitoring the Future study found comparable trends: From 2017 to 2018, current (past 30-day) e-cigarette use reportedly increased from 6.6 percent to 10.4 percent among 8th grade students; 13.1 percent to 21.7 percent among 10th grade students; and 16.6 percent to 26.7 percent among 12th grade students. In other words, more than a quarter of 12th graders in the U.S. are using e-cigarettes—exposing them to harmful effects of nicotine and other chemicals and putting them at risk of transitioning to other tobacco products.

These risks were further reinforced in research recently published in JAMA Network Open, which showed that, compared with non-users, youth who use e-cigarettes are more likely to transition to conventional cigarettes ‒ risking a lifetime of addiction to smoking and resulting smoking-attributable disease and erasing the reductions in youth smoking rates that we’ve achieved in America. The bottom line is that kids using e-cigarettes aren’t kids who “would have smoked cigarettes.” Quite the opposite. As a society, we’ve made great strides in stigmatizing cigarette use among kids. The kids using e-cigarettes are children who rejected conventional cigarettes, but don’t see the same stigma associated with the use of e-cigarettes. But now, having become exposed to nicotine through e-cigs, they will be more likely to smoke. I will not allow a generation of children to become addicted to nicotine through e-cigarettes. We must stop the trends of youth e-cigarette use from continuing to build and will take whatever action is necessary to ensure these kids don’t become future smokers.

Based on a growing body of evidence, I fear the youth trends will continue in 2019, forcing us to make some tough decisions about the regulatory status of e-cigarettes. The signs that we’re seeing are not encouraging. They point to continued growth in youth use of these products. No child should be using any tobacco or nicotine-containing product. We’ll continue to take steps to try to investigate the root causes of this spike in youth e-cigarette use and arrest the momentum of these trends, in particular, by ensuring these products are sold in ways that make them less accessible and appealing to youth. But, if these youth use trends continue, we’ll be forced to consider regulatory steps that could constrain or even foreclose the opportunities for currently addicted adult smokers to have the same level of access to these products that they now enjoy. I recognize that such a move could come with significant impacts to adult smokers. The FDA has repeatedly affirmed our collective view that e-cigarettes may have promise as a tool for helping currently addicted adult smokers quit smoking. But, with the staggering data on youth trends, we’re struggling to preserve these opportunities for adults while addressing the youth epidemic. I simply won’t allow their sale to come at the expense of addicting a generation of kids to nicotine.

To help address this growing use among kids, over the past year, the FDA has taken a rigorous enforcement stance, including a number of actions to combat the illegal sales of e-cigarettes to youth through our enforcement efforts at brick-and-mortar and internet storefronts, as well as taken steps to target companies engaged in kid-friendly marketing that increases the appeal of these products to youth. I’ve also appealed to the companies responsible for many of these products, and met with senior executives from five of the largest manufacturers of e-cigarette products. In addition, last week, I sent letters to the chief executive officers of Altria Group Inc. and JUUL Labs Inc. asking to meet with them to discuss my concerns that they don’t seem fully committed to their written promises about the steps they’d take to stop youth use of their products.

Just last week, the FDA escalated enforcement action against certain local Walgreens and Circle K retail locations for repeatedly selling tobacco products to minors by filing a complaint seeking to bar the two specific retail locations from selling tobacco products for 30 days. As part of that effort we’re also writing the corporate management of a number of large, national retail chains to discuss whether there is a corporate-wide issue related to their stores’ non-compliance and put them on notice that the FDA is considering additional corporate-wide enforcement avenues to address violative tobacco sales to youth, which have also included illegal sales of e-cigarettes to kids. This past fall, we marked a historic milestone of conducting a total of one million tobacco retailer inspections since we began doing so in 2010. To commemorate this, we’re sending letters to governors and agencies across the country thanking them for their work to support our efforts to protect youth – and reminding them of the need for continued vigilance to make sure retailers aren’t selling tobacco products to minors.

Beyond enforcement and social responsibility, we’ve committed to meaningful policy changes. Notably, in November, I announced proposed new steps to protect youth by preventing access to flavored tobacco products, including e-cigarettes. This policy framework will both address the disturbing trend of youth e-cigarette use and advance the historic declines we’ve achieved in recent years in the rates of combustible cigarette use among kids. This framework reflects a re-doubling of the FDA’s efforts to protect kids from all nicotine-containing products. It also reflects a very careful public health balance between steps to enable the opportunities to transition to non-combustible products to be available for adults; and our solemn mandate to make nicotine products less accessible and less appealing to children. In other words – a balance between closing the on-ramp for kids to become addicted to nicotine through combustible and non-combustible products, while maintaining the off ramp for adults through access to potentially less harmful forms of nicotine delivery for adult smokers seeking to transition away from combustible tobacco products.

Evidence shows that minors are especially attracted to flavored e-cigarette products, and that youth access these products from both brick and mortar retailers as well as online. With that in mind, we’re revisiting our compliance policy that has resulted in certain e-cigarettes, including flavored e-cigarettes, remaining on the market until 2022 while their manufacturers submit applications for premarket authorization. In particular, as I announced on Nov. 15, 2018, the FDA is revisiting the compliance policy on premarket tobacco product application authorization for all flavored e-cigarette products other than tobacco, mint, and menthol, sold in physical locations where people under the age of 18 are permitted. For example, this would include e-cigarettes or electronic nicotine delivery system (ENDS) products, such as e-liquids, cartridge-based systems, and cigalikes, in fruit and candy flavors like cherry, vanilla, crème, tropical, melon and others. In addition, we will seek to curtail the sale of applicable flavored ENDS products that are sold online without heightened age verification processes.

We’ll be providing further information on these policies soon. If data continue to show upwards trends in youth use of tobacco products, we’ll continue to refine our policies as necessary, taking additional steps to strengthen our response.

More recently, we’ve undertaken efforts to further the discussion and understanding around how we can help aid those kids who are already addicted to the nicotine in e-cigarettes quit. This includes holding a public hearing to discuss efforts to eliminate youth e-cigarette use as well as other tobacco product use, with a focus on the potential role of drug therapies to support cessation and the issues impacting the development of such therapies for youth. Already, I’ve heard too many troubling stories from parents of teenagers, pediatricians, and young people themselves about the effects of this epidemic. The stories make clear that, for many young e-cigarette users, addiction has already taken hold.

We’ve also launched “The Real Cost” Youth E-Cigarette Prevention Campaign – a new, comprehensive effort targets nearly 10.7 million youth, aged 12-17, who have used e-cigarettes or are open to trying them. The new campaign features hard-hitting advertising on digital and social media sites popular among teens, as well as posters with e-cigarette prevention messages in high schools across the nation. The new e-cigarette prevention effort builds off the FDA’s first youth tobacco prevention campaign, “The Real Cost,” which launched in 2014 to reduce teen cigarette smoking. In its first two years, the youth smoking prevention campaign prevented nearly 350,000 teens from initiating cigarette smoking and resulted in savings of more than $31 billion for youth, their families and society at large by reducing smoking-related costs like early loss of life, costly medical care, lost wages, lower productivity and increased disability. The success of “The Real Cost” campaign suggests that our other tobacco prevention campaigns, including our campaign on youth use of e-cigarettes, can build on this success as we strive to reduce the number of kids who use tobacco products.

As part of the youth e-cigarette prevention campaign, we also joined forces with Scholastic to expand distribution of youth e-cigarette prevention posters to every public and private high school in the U.S. and released new resources for doctors, youth groups, churches, state and local public health agencies, and others on the dangers of youth e-cigarette use. Additionally, our work with Scholastic to provide educators with resources to help them engage with students about e-cigarette use has helped reach more than 2.7 million students so far. We’ve also received very positive teacher feedback on the helpfulness of these resources. Vaping remains a top issue at some schools, but teachers are reporting that vaping on campus has declined after using these resources on the dangers of youth e-cigarette use.

While these efforts are a good start, we recognize they’re not enough. This is an exploding epidemic. We’ll continue to put the full scope of our regulatory tools against this mounting public health crisis. We’re considering some new steps for 2019.

Moving forward, the FDA has a number of actions planned and we’ll have more to say on these and other actions very soon. We’re continuing our stepped-up enforcement actions with a sustained campaign to monitor, penalize and prevent e-cigarette sales to minors in retail locations, including manufacturers’ internet storefronts. The agency is also exploring action under both its civil and criminal enforcement tools to target potentially violative sales and marketing practices by manufacturers as well as retailers. We’re also investigating counterfeit e-cigarette products. In addition to our meeting with Altria and JUUL, we also plan to meet with state attorneys general to discuss how they can help combat youth e-cigarette use in their states. We’re also exploring how we can partner with others to look at opportunities to work together around these shared goals. These are just some of the additional steps that we’re taking.

The numbers are clear – we’re experiencing epidemic-level rises in youth e-cigarette use, which is threatening the progress we’ve made toward reducing youth tobacco use. These trends require forceful and sometimes unprecedented action among regulators, public health officials, manufacturers, retailers and others to address this troubling problem. Our commitment to stemming the epidemic of youth e-cigarette use has not waivered, but we know there’s more to be done by all parties.”

The FDA, an agency within the U.S. Department of Health and Human Services, protects the public health by assuring the safety, effectiveness, and security of human and veterinary drugs, vaccines and other biological products for human use, and medical devices. The agency also is responsible for the safety and security of our nation’s food supply, cosmetics, dietary supplements, products that give off electronic radiation, and for regulating tobacco products.”

This message is broadcasted by the Division of Communications in FDA’s Office of Regulatory Affairs (ORA).

 

People in 19 states exposed to Brucella bacteria from drinking raw milk

Food Safety News
Feb. 11, 2019
By Coral Beach
QUARRYVILLE, Pa. — Although it’s illegal to sell unpasteurized milk across state lines, federal officials say people in 19 states have been exposed to drug-resistant Brucella after consuming raw milk from Miller’s Biodiversity Farm in Pennsylvania. In a nationwide food safety alert, the Centers for Disease Control and Prevention warned that anyone who has consumed raw dairy products from the farm in the past three years should check in with their doctors. The outbreak strain of Brucella — RB51 — is resistant to rifampin, one of the antibiotics that is typically be used to prevent or treat brucellosis. The CDC and state officials are urging consumers to throw away any raw dairy products from Miller’s Biodiversity Farm that they have in their homes.  … Investigators have discovered people in 19 states bought or consumed raw milk from the Pennsylvania farm. The CDC alert did not report how the unpasteurized, raw milk had been illegally transported or sold across state lines. The 19 states are Alabama, California, Connecticut, Florida, Georgia, Iowa, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Rhode Island, South Carolina, and Virginia.

Learn more: https://www.cdc.gov/media/releases/2019/s0211-brucellosis-raw-milk.html