(CNN) — General Mills on Monday announced another expansion of its flour recall. The move was prompted by an announcement from the U. S. Centers for Disease Control and Prevention that four more individuals from two different states (Minnesota and Wisconsin) have developed E. coli illness linked to the flour.
One of those individuals is suffering from a type of kidney failure called hemolytic uremic syndrome. This results from E. coli illnesses that last longer and are more severe, according to the CDC.
There are now 46 cases of E. coli infection linked to this outbreak, which began in December. The most recent illness reported began on June 25.
There have been no cases in Hawaii.
Symptoms can include stomach cramps, diarrhea, vomiting and fever that can last five to seven days. Individuals who are very old or very young and those with compromised immune systems have an increased risk of becoming ill.
The youngest patient in this outbreak is just 1 year old and the oldest is 95. Most of those who have become ill, 80%, are female.
Gold Medal, Wondra and Signature Kitchens flour are included in the updated recall announcement. (Click here for a list of recalled items)
“The expansion announced today includes select production dates through February 10, 2016,” according to the company. Previously, the recall was for products produced between November 4, 2015, and December 4, 2015. The specific items recalled, including some previously identified Betty Crocker cake mixes, are listed on the General Mills website. None of the recalled flour should be used, sold or consumed.
General Mills initially announced a recall of 10 million pounds of flour in June, which it said at the time was “out of an abundance of caution” because it was possibly linked to the outbreak. Earlier this month, the company expanded that recall. It says consumers should not eat uncooked dough or batter made with raw flour.
General Mills says that illnesses have not come from properly baked or cooked flour. The company reminds consumers not to eat uncooked dough or batter made with raw flour.
“Flour is made from wheat that is grown outdoors where bacteria are often present. Flour is typically not treated to kill bacteria during the normal milling process.”
On their website, General Mills says you should take the following actions:
- Do not eat or taste dough or batter made with raw flour.
- Properly cook or bake food made with flour. Bacteria (such as E. coli) that might be found in the raw flour will be eliminated.
- Check your pantry and throw away any products that match the recalled products listed below. If possible, save the product name, UPC (bar code) and Better if Used By Date to help our Consumer Relations team assist you with a replacement coupon. If you no longer have the flour package or have any doubts, throw away the flour.
- If you have any questions about this recall or need a replacement coupon for any product included in this recall, complete this form or call our Consumer Relations team at 1-800-230-8103.