• Home
  • Latest
  • Fortune 500
  • Finance
  • Tech
  • Leadership
  • Lifestyle
  • Rankings
  • Multimedia
HealthMcDonald's

Everything you need to know about E. coli and the McDonald’s outbreak

By
Jonel Aleccia
Jonel Aleccia
and
The Associated Press
The Associated Press
Down Arrow Button Icon
By
Jonel Aleccia
Jonel Aleccia
and
The Associated Press
The Associated Press
Down Arrow Button Icon
October 24, 2024, 4:53 AM ET
Customers pass in the Drive Thru lane during breakfast hours at a McDonald’s restaurant
What to know about E. coli and the McDonald's outbreak Mario Tama/Getty Images

A food poisoning outbreak tied to McDonald’s Quarter Pounders was caused by a common type of E. coli bacteria that can cause serious illness and death.

Particularly vulnerable are young children, older people or those with weakened immune systems.

About 50 people have fallen ill in the McDonald’s outbreak, and one has died, with ages ranging from 13 to 88, according to the Centers for Disease Control and Prevention.

A preliminary investigation suggests raw slivered onions served on Quarter Pounders are a likely source of the outbreak.

Here’s what to know about the dangerous germ:

What is E. coli?

E. coli is a type of bacteria found in the environment, including water, food and in the intestines of people and animals. There are many kinds of harmless E. coli, but a few types can make people seriously ill. The McDonald’s outbreak is caused by E. coli O157:H7, which produces a toxin that causes dangerous diarrhea and can lead to kidney failure and other serious problems, according to the CDC.

How is it spread?

People can get sick from E. coli poisoning when they consume contaminated foods or through contact with animals, the environment or other people who are infected. Health officials initially focused on fresh slivered onions and beef patties as the possible sources of the McDonald’s outbreak. But the beef patties are an unlikely source because of federal requirements for testing meat and McDonald’s protocols that call for cooking it to a temperature that kills the bacteria. The onions are served raw.

What are the symptoms of E. coli poisoning?

Symptoms occur quickly, within a day or two of eating contaminated food, and typically include fever, vomiting, diarrhea or bloody diarrhea and signs of dehydration — little or no peeing, increased thirst and dizziness. The infection can cause a type of serious kidney injury, especially in kids younger than 5. E. coli poisoning in young children requires immediate medical attention.

How often does E. coli make people sick?

The type of bacteria implicated in this outbreak causes about 74,000 infections in the U.S. annually, leading to more than 2,000 hospitalizations and 61 deaths each year, according to the CDC. In general, E. coli infections were lower in 2023 than in recent years and cases of severe kidney injury caused by the bacteria remained stable, according to latest federal data.

What other germs can cause food poisoning?

Food poisoning sickens at least 48 million people in the U.S. each year, including 128,000 who are hospitalized and 3,000 who die. E. coli poisoning is only one cause of such infections. Other germs can make people sick, too. The most common is norovirus, a group of viruses that cause between 19 million and 21 million cases of food poisoning in the U.S. each year, according to the CDC. Salmonella bacteria in food sickens about 1.3 million people. Listeria bacteria cause fewer illnesses, about 1,600 each year, but are responsible for about 260 deaths.

The Fortune 500 Innovation Forum will convene Fortune 500 executives, U.S. policy officials, top founders, and thought leaders to help define what’s next for the American economy, Nov. 16-17 in Detroit. Apply here.
About the Authors
By Jonel Aleccia
See full bioRight Arrow Button Icon
By The Associated Press
See full bioRight Arrow Button Icon

Latest in Health

Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025

Most Popular

Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Fortune Secondary Logo
Rankings
  • 100 Best Companies
  • Fortune 500
  • Global 500
  • Fortune 500 Europe
  • Most Powerful Women
  • World's Most Admired Companies
  • See All Rankings
  • Lists Calendar
Sections
  • Finance
  • Fortune Crypto
  • Features
  • Leadership
  • Health
  • Commentary
  • Success
  • Retail
  • Mpw
  • Tech
  • Lifestyle
  • CEO Initiative
  • Asia
  • Politics
  • Conferences
  • Europe
  • Newsletters
  • Personal Finance
  • Environment
  • Magazine
  • Education
Customer Support
  • Frequently Asked Questions
  • Customer Service Portal
  • Privacy Policy
  • Terms Of Use
  • Single Issues For Purchase
  • International Print
Commercial Services
  • Advertising
  • Fortune Brand Studio
  • Fortune Analytics
  • Fortune Conferences
  • Business Development
  • Group Subscriptions
About Us
  • About Us
  • Press Center
  • Work At Fortune
  • Terms And Conditions
  • Site Map
  • About Us
  • Press Center
  • Work At Fortune
  • Terms And Conditions
  • Site Map
  • Facebook icon
  • Twitter icon
  • LinkedIn icon
  • Instagram icon
  • Pinterest icon

Latest in Health

Tired woman trying to sleep, life difficulties, feeling lonely and frustrated
Healthsleep
The dark side of the American work ethic: widespread sleep deprivation, linked to obesity, depression, even early death
By Tristan BoveMay 4, 2026
12 hours ago
The 5 Best Food Sensitivity Tests of 2026: How to Test at Home
HealthDietary Supplements
The 5 Best Food Sensitivity Tests of 2026: How to Test at Home
By Christina SnyderMay 4, 2026
13 hours ago
nyse
HealthInflation
Goldman: AI will save the economy someday. First, it has to stop inflating it
By Nick LichtenbergMay 4, 2026
14 hours ago
doctor
AITech
A Harvard study just found AI can now out-diagnose physicians in the ER: ‘We’re already at the ceiling’
By Jake AngeloMay 4, 2026
14 hours ago
A decade after the ‘Godfather of AI’ said radiologists were obsolete, their salaries are up to $571K and demand is growing fast
AIthe future of work
A decade after the ‘Godfather of AI’ said radiologists were obsolete, their salaries are up to $571K and demand is growing fast
By Marco Quiroz-GutierrezMay 4, 2026
1 day ago
Former NYC Mayor Giuliani in critical condition, Trump says
PoliticsRudy Giuliani
Former NYC Mayor Giuliani in critical condition, Trump says
By Maria Paula Mijares Torres and BloombergMay 3, 2026
1 day ago

Most Popular

Diary of a CEO founder says he hired someone with 'zero' work experience because she 'thanked the security guard by name' before the interview
Success
Diary of a CEO founder says he hired someone with 'zero' work experience because she 'thanked the security guard by name' before the interview
By Emma BurleighMay 3, 2026
2 days ago
As economic despair mounts, Russian official admits the country has had enough of Putin's war on Ukraine. 'We can’t even take one region'
Economy
As economic despair mounts, Russian official admits the country has had enough of Putin's war on Ukraine. 'We can’t even take one region'
By Jason MaMay 3, 2026
1 day ago
America got rich and got sad. A top economist says 2020 broke something that hasn't healed
Economy
America got rich and got sad. A top economist says 2020 broke something that hasn't healed
By Nick LichtenbergMay 3, 2026
2 days ago
Scott Bessent on financial literacy: 'it drives me crazy' to see young men in blue-collar construction jobs playing the lottery
Personal Finance
Scott Bessent on financial literacy: 'it drives me crazy' to see young men in blue-collar construction jobs playing the lottery
By Fatima Hussein and The Associated PressMay 1, 2026
4 days ago
Current price of silver as of Monday, May 4, 2026
Personal Finance
Current price of silver as of Monday, May 4, 2026
By Joseph HostetlerMay 4, 2026
17 hours ago
I spent a decade selling homes to the ultra-wealthy. What I saw explains the housing market's nepo problem
Commentary
I spent a decade selling homes to the ultra-wealthy. What I saw explains the housing market's nepo problem
By Blake O'ShaughnessyMay 3, 2026
2 days ago

© 2026 Fortune Media IP Limited. All Rights Reserved. Use of this site constitutes acceptance of our Terms of Use and Privacy Policy | CA Notice at Collection and Privacy Notice | Do Not Sell/Share My Personal Information
FORTUNE is a trademark of Fortune Media IP Limited, registered in the U.S. and other countries. FORTUNE may receive compensation for some links to products and services on this website. Offers may be subject to change without notice.