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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

FALLBROOK (CNS) - Four residents were displaced Tuesday when a fire broke out in the garage and damaged part of their Fallbrook home, authorities said.The blaze was reported shortly before 6:30 a.m. at a home in the 2000 block of Pomegranate Lane, off South Stage Coach Lane north of Fallbrook High School, according to North County Fire Protection District spokesman John Choi.Firefighters from the Oceanside and Camp Pendleton fire departments responded to the scene along with Cal Fire San Diego personnel to help douse the blaze, which fully engulfed the garage and extended into portions of the home and the attic, Choi said.Crews knocked down the flames within 35 minutes, but the fire caused extensive damage to the garage and minimal damage to the home, he said.No injuries were reported.The American Red Cross was called to the scene to help the displaced residents -- four adults and one pet -- arrange for temporary lodging.The cause of the fire was under investigation. 989

ESCONDIDO, Calif. (KGTV) - The third fire in two weeks broke out Monday along San Pasqual Valley Road in Escondido.Firefighters had previously battled flames at the Rangeland and Pasqual fires east of the San Diego Zoo Safari Park.The third fire started west of the park.RELATED: Third fire in two weeks breaks out in San Pasqual?Valley / SR-78 closed near fire 379

Facebook announced today it is removing hundreds of pages and accounts run by people in the U.S. who are spreading misinformation.The social media platform's staff identified 559 pages and 251 accounts, and among those is Right Wing News, which has more than 3 million followers, the New York Times reports. Left-wing pages identified in the group include the Resistance and Reverb Press (816,000 followers).It's the most domestic accounts and pages Facebook has removed, officials with the platform said. They violate the rules about online spam, and are financially motivated, according to the NY Times report.False narratives on social media were once known as something mostly done by Russian-linked operatives. It's now become something created more in the U.S., the Times said.Researchers said it's harder to root out false information that's from the U.S. than foreign countries. That's because it "mirrors genuine networks of Americans engaging in free speech online," the Times reports. 1003

Federal Communications Commission Chairman Ajit Pai, a Republican, says he is leaving the telecommunications regulator on Inauguration Day. President-elect Joe Biden will choose a new Democratic head for the agency. A new administration typically picks a new chairman. The FCC typically has three commissioners of the majority party and two in the minority party. It currently has two Democratic commissioners, Jessica Rosenworcel and Geoffrey Starks, one of whom Biden could choose to elevate to chairman or choose someone from outside the agency.Pai and another Republican commissioner, Michael O’Rielly, are leaving the agency. O’Rielly is leaving because the White House pulled his nomination after he said he wasn’t sure the agency had authority on Section 230. Congress is weighing the nomination of another Republican, Nathan Simington.Pai has presided over a contentious FCC. He undid net neutrality rules that barred internet service providers like Comcast and AT&T from favoring some types of online traffic over others in 2017 and championed other deregulatory efforts. The incoming FCC is likely to try to reinstate net neutrality rules and focus on getting internet service to more Americans.They will likely not act on a recent directive from the Trump administration to look at Section 230 in an effort to regulate social media companies like Facebook and Twitter. Section 230 shields internet companies from lawsuits about posts by users. The Trump administration has gone after the law, alleging with no evidence that social networks censor conservatives. Pai had recently said the FCC could move forward making rules around Trump's directive about looking at Section 230. 1702

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