Investigation Update: E. Coli Outbreak, March 2026

Key points

CDC, FDA, and public health officials in three states are investigating a multistate outbreak of E. coli infections linked to raw cheese and raw milk sold by Raw Farm, LLC.

  • Two additional illnesses have been reported from California. One of these illnesses occurred in 2025.
  • This outbreak has illnesses dating back to 2025. Sick people in 2026 reported eating Raw Farm brand raw cheese and two sick people in 2025 reported drinking Raw Farm brand raw milk.
  • Over half of the illnesses continue to be in children under 5.
Raw milk cheese product image

Latest Update: March 25, 2026

CDC, the U.S. Food and Drug Administration (FDA), and public health and regulatory officials in three states are collecting different types of data to investigate a multistate outbreak of E. coli infections.

Epidemiologic data show that Raw Farm brand raw cheese and raw milk may be contaminated with E. coli O157:H7 and may be making people sick.

Epidemiologic Data

Illnesses

Since the last update on March 15, 2026, 2 additional illnesses have been reported from California. A total of 9 people infected with the outbreak strain of E. coli have been reported from 3 states. Illnesses started on dates ranging from September 1, 2025, to February 20, 2026. Of 8 people with information available, 3 have been hospitalized and 1 person developed hemolytic uremic syndrome, a serious condition that can cause kidney failure. No deaths have been reported.

The true number of sick people in this outbreak is likely much higher than the number reported, and this outbreak may not be limited to the states with known illnesses. This is because many people recover without medical care and are not tested for E. coli. In addition, recent illnesses may not yet be reported as it usually takes 3 to 4 weeks to determine if a sick person is part of an outbreak.

Demographics

Public health officials collect many different types of information from sick people, including their age, race, ethnicity, other demographics, and the foods they ate in the week before they got sick. This information provides clues to help investigators identify the source of the outbreak.

The table below has information about sick people in this outbreak ("n" is the number of people with information available for each demographic).

Age

(n=9)

Range from 1 to 28 years

Median age of 2

Over half are under 5

Sex

(n=9)

33% female

67% male

Race

(n=6)

83% White

17% African American/Black

Ethnicity

(n=8)

87% non-Hispanic

13% Hispanic

Foods consumed

State and local public health officials are interviewing people or their caregivers about the foods they ate in the week before they got sick. Of the 8 people interviewed, all 8 (100%) in this outbreak reported consuming or being served unpasteurized milk or cheese. This percentage was significantly higher than the 6.4% of respondents who reported eating any raw or unpasteurized milk or cheese in the FoodNet Population Survey, a survey that helps estimate how often people eat various foods linked to diarrheal illness. This difference suggests that people in this outbreak got sick from eating raw dairy products.

Of the 8 people interviewed, 7 had brand information available. One person drank raw milk but didn't know the brand. Of the 7 people interviewed who knew a brand, 7 (100%) reported Raw Farm brand dairy products. In 2026, 5 people reported consuming or being served Raw Farm brand raw cheddar cheese. In 2025, 2 sick people reported consuming Raw Farm brand raw milk.

Public health actions

Consider not eating raw cheddar cheese produced by Raw Farm, LLC while this investigation is ongoing. Choosing pasteurized milk and dairy products is the best way to safely enjoy the nutritional benefits of milk.

Previous updates

CDC, the U.S. Food and Drug Administration (FDA), and public health and regulatory officials in several states are collecting different types of data to investigate a multistate outbreak of E. coli infections.

Epidemiologic data show that Raw Farm brand raw cheddar cheese may be contaminated with E. coli O157:H7 and may be making people sick.

Epidemiologic data

As of March 13, 2026, 7 people infected with the outbreak strain of E. coli have been reported from 3 states. Illnesses started on dates ranging from September 1, 2025 to February 13, 2026. Of 7 people with information available, 2 have been hospitalized. No deaths have been reported.

The true number of sick people in this outbreak is likely much higher than the number reported, and this outbreak may not be limited to the states with known illnesses. This is because many people recover without medical care and are not tested for E.coli. In addition, recent illnesses may not yet be reported as it usually takes 3 to 4 weeks to determine if a sick person is part of an outbreak.

Demographics

Public health officials collect many different types of information from sick people, including their age, race, ethnicity, other demographics, and the foods they ate in the week before they got sick. This information provides clues to help investigators identify the source of the outbreak.

The table below has information about sick people in this outbreak ("n" is the number of people with information available for each demographic).

Age

(n=7)

Range from 1 to 28 years

Median age of 3

Sex

(n=7)

29% female

71% male

Race

(n=4)

75% white

25% African American/Black

Ethnicity

(n=7)

86% non-Hispanic

14% Hispanic

Products consumed

State and local public health officials are interviewing people about the foods they ate in the week before they got sick. Of the 3 people interviewed, all 3 (100%) reported eating Raw Farm brand raw cheddar cheese.

Laboratory and traceback data

Public health investigators are using the PulseNet system to identify illnesses that may be part of this outbreak. CDC PulseNet manages a national database of DNA fingerprints of bacteria that cause foodborne illnesses. DNA fingerprinting is performed on bacteria using a method called whole genome sequencing (WGS).

WGS showed that bacteria from sick people's samples are closely related genetically. This suggests that people in this outbreak got sick from the same food.

Public health actions

Consider not eating affected raw cheddar cheese produced by Raw Farm, LLC, while this investigation is ongoing.