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Federal health officials reported Thursday an additional 109 cases of cyclospora infection in an ongoing outbreak linked to McDonald's salads that began in May.The total number of laboratory-confirmed illnesses from this outbreak is now 395, according to a?statement from the US Food and Drug Administration. At least 16 of the sick individuals have been hospitalized.The cyclospora parasite causes intestinal illness in people who consumed contaminated food or water. Symptoms can begin a week or more after consuming the parasite. They include diarrhea and frequent, sometimes explosive bowel movements, according to the Centers for Disease Control and Prevention. Those who are infected might also experience loss of appetite, weight loss, stomach cramps or pain, nausea, gas and fatigue. Vomiting, headache, fever, body aches and flu-like symptoms can also occur.The illness can last a few days to a few months, and patients might feel better but then get worse again. Cyclosporiasis can be treated with antibiotics.Illnesses have been reported in 15 states: Connecticut, Florida, Iowa, Illinois, Indiana, Kentucky, Michigan, Minnesota, Montana, Nebraska, Ohio, South Dakota, Tennessee, Virginia and Wisconsin. However, the patients in Connecticut, Michigan, Tennessee and Virginia bought their salads in Illinois while traveling, and the Florida patient bought the salad in Kentucky.The FDA said an unused package of a Fresh Express salad mix of romaine lettuce and carrots that had been distributed to McDonald's tested positive for the presence of Cyclospora though it was past its July 19 expiration date."Epidemiologic evidence indicates that salads purchased from McDonald's restaurants are one likely source of these infections. The investigation is ongoing, and FDA is working to determine the sources of the ingredients that were in common to the salads served at McDonald's," the CDC said in an outbreak update posted on its website Thursday.McDonald's said in a?statement on July 13 that it had removed the salad mix from it's impacted restaurants and replaced it with a different supplier.In a?recall statement?on the Fresh Express website, the company said it had launched a "precautionary recall" of the institutional food service product on July 27 of a "limited number of cases."The statement said, "Fresh Express follows rigid food safety requirements and preventive controls throughout our supply chain that are carefully designed to mitigate against potential health risks."The company's salad mix recall was connected with a?public health alert issued Monday by the US Department of Agriculture's Food Safety and Inspection Service advising consumers that certain salad and wrap products might be contaminated with cyclospora. The products were sold by grocery stores including Kroger, Trader Joe's and Walgreens.In the alert, the USDA said the issue was discovered when Indianapolis-based food distributor Caito Foods "received notification from their lettuce supplier, Fresh Express, that the chopped romaine that is used to manufacture some of their salads and wraps was being recalled."The lettuce from McDonald's that tested positive for the cyclospora parasite was in the same lot as the lettuce distributed to Caito Foods, the CDC said Wednesday. "Fresh Express also reported that no romaine lettuce from the lot that was positive for cyclospora was packaged for direct retail sale to consumers," the CDC said. 3474

Fast food sandwich chain Subway expects to close about 500 stores in North America this year.But it's also hoping to open as many as 1,000 stores overseas.The company has 44,000 locations globally -- more than any other retailer. The National Retail Federation put its US store count at nearly 27,000 as of 2016, compared to 17,500 for Yum Brands, which runs Pizza Hut, Taco Bell and KFC, and the 14,000 locations for McDonald's.The company said Wednesday it expects stores to close after it rolls out a revitalization plan, announced last summer, that will require franchise owners to invest more in their operations. All Subway stores are franchise owned, rather than owned by the company. The plans to revamp locations include adding self-service kiosks, more comfortable seating and Wi-Fi and USB charging ports. In February, Subway also announced plans for a loyalty program to win back customers and stem slumping sales.Store closings are new for Subway. It had a net loss of more than 350 US stores in 2016, the first year in the company's history that it trimmed rather than increased its number of stores. The privately held company has yet to disclose its 2017 store count, but there were reports of hundreds of store closings."Looking out over the next decade, we anticipate having a slightly smaller, but more profitable footprint in North America and a significantly larger footprint in the rest of the world," the company said on Wednesday.Many of Subway's locations are smaller compared to other fast food rivals. That's one of the reasons there are so many of them -- it's much less expensive for a franchisee to open a Subway storefront rather than one for McDonald's or Burger King.Many traditional brick-and-mortar stores have been closing locations in recent years, as people buy more goods online. But that hasn't been the case for fast food, where there is virtually no competition from online competitors.Fast food sales on the other hand are getting hit by the drop in retail foot traffic in the places like malls, as well as the growing demand for healthier food.Subway also took a public relations hit in 2015 when Subway spokesman Jared Fogle pleaded guilty to charges of child pornography and crossing state lines to pay for sex with minors. He was sentenced to more than 15 years in prison. The company had not used him in a television commercial since 2013, and it quickly cut ties with him when his legal problems became public. 2512

Ensa Cosby, daughter of embattled comedian Bill Cosby, has died at the age of 44, TMZ reported and the Associated Press confirmed on Monday. Ensa Cosby reportedly died Friday night in Massachusetts. The cause of her death is unknown as of Monday afternoon. Ensa Cosby was a steadfast supporter of her father, who has been battling accusations of sexual misconduct. Bill Cosby faced a sexual assault trial in 2017, which ended in a mistrial. Ensa Cosby issued a statement on last year on "The Breakfast Club" radio show backing her father. "The accusations against my father have been one-sided from the beginning. When he tried to defend himself, he was sued in civil court," she said. "I've seen the accusations become more horrific and extreme with time and I've witnessed my father's reputation and legendary works be dismissed without any proof."I strongly believe my father is innocent of the crimes that are alleged against him and I believe that racism has played a big role in all aspects of this scandal. How the charges came against him, how people believed them before they were ever scrutinized or tested, how people who questioned the claims were shut down and ignored."Ensa Cosby did not follow her father into show business. Her only acting credit came in 1989, appearing in one episode of "The Cosby Show."Ensa is the second of Bill Cosby's five children to have died. In 1997, Cosby's son Ennis died during an armed robbery.  1510

ERIE, Penn. - President Donald Trump said Tuesday to the crowd during his Make America Great Again rally that the state of Pennsylvania has been "shut down long enough." "Get your governor to open up Pennsylvania," Trump said during the rally.WATCH recap: Trump's rally in Pennsylvania comes just a day after the US Supreme Court upheld a ruling by the state's Supreme Court that allows election officials to count ballots received up to three days after the election.Trump also added that the pandemic is ending and normal life is returning."We’re rounding the turn on the pandemic," Trump said on Tuesday. "56% and it’s a record. Epic job growth. Safe vaccines that quickly end the pandemic. It’s ending. Normal life. That’s all we want. Do you know what we want? Normal life.”The New York Times reports that Democratic nominee Joe Biden leads Trump by an estimated eight percentage points.According to the Associated Press, First Lady Melania Trump will not accompany her husband due to a "lingering cough after contracting COVID-19."On Monday, Trump made two stops in Arizona to speak to supporters at rallies, where he took swings at Dr. Anthony Fauci, by calling him "a disaster."Trump also spoke about calling ExxonMobil executives if he needed to raise millions, which the oil and gas company categorically denied in a response on Twitter. 1355

FBI agents who raided the home, office and hotel of Donald Trump's personal lawyer sought communications that Trump had with attorney Michael Cohen and others regarding the infamous "Access Hollywood" tape that captured Trump making lewd remarks about women, which surfaced a month before the election, according to sources familiar with the matter.The warrant's specific reference to Trump is the first known direct mention of the President in a search warrant, and sources said it appeared in connection with "Access Hollywood."One of the sources said the warrant also referenced an investigation into wire fraud and bank fraud. CNN previously reported FBI agents removed Cohen's computer, cellphone, business files and financial documents, according to the source.The search warrant also sought communications between then-candidate Trump and his associates regarding efforts to prevent disclosure of the tape, according to one of the sources. In addition, investigators wanted records and communications concerning other potential negative information about the candidate that the campaign would have wanted to contain ahead of the election. The source said the warrant was not specific about what this additional information would be.The warrant is the first indication that investigators suspect there was any effort to suppress the tape. It is not clear Cohen played any role in the Access Hollywood controversy.Another source familiar with the matter confirmed to CNN that agents sought information regarding the Access Hollywood tape, as The New York Times first reported.An attorney for Cohen didn't respond immediately to request for comment. Cohen's attorney has said the search was carried out on behalf of the US attorney's office in Manhattan in part because of a referral from special counsel Robert Mueller.The warrant itself also tracks very closely to information already known about efforts by Trump's team to suppress negative information about Stormy Daniels, a porn star who alleges a sexual encounter with Trump in 2006, and Karen McDougal, a former Playboy model who says she had an affair with Trump between 2006 and 2007, the source said. There were no other women beyond Daniels and McDougal named in the warrant in regard to the President, the source said.Three sources with knowledge believe that the information sought was not just to target Cohen but was also clearly aimed at discovering what Trump knew, if anything, about these efforts and any potential involvement he may have had in keeping the information from going public.Trump has denied relationships with both Daniels and McDougal.A source with knowledge of the matter said NBCUniversal, which produces "Access," has not been contacted by Mueller's office or the Southern District of New York. There has been no subpoena, the source said.An NBC spokesman declined to comment.The circumstances of the leaked Access Hollywood tape remain something of a mystery. NBC has long held that it was about to broadcast the tape when The Washington Post obtained and published it. 3085