Key points
- CDC, public health officials in several states, and FDA investigated a multistate outbreak of extensively drug-resistant Salmonella infections linked to Rosabella brand moringa powder capsules.
- If you have any of these capsules in your home, throw them out or return them. This outbreak is over.
- This outbreak was not related to CDC's other investigation from January 2026 of a Salmonella outbreak linked to dietary supplements containing moringa leaf powder.
Latest update - April 1, 2026
CDC, public health and regulatory officials in several states, and the U.S. Food and Drug Administration (FDA) collected different types of data to investigate a multistate outbreak of extensively drug-resistant Salmonella Newport and Salmonella Kentucky infections.
Epidemiologic, laboratory, and traceback data showed that Rosabella brand moringa powder capsules were contaminated with Salmonella and made people sick.
Epidemiologic data
Cases
A total of 10 people infected with one of two outbreak strains of Salmonella were reported from 8 states.
Illnesses started on dates ranging from September 26, 2025, through January 8, 2026.
The true number of sick people in this outbreak was 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 Salmonella.
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=10)
Range from 61 to 78 years
Median age of 70
Sex
(n=10)
90% female
10% male
Race
(n=10)
100% White
Ethnicity
(n=10)
100% non-Hispanic
Products consumed
State and local public health officials interviewed people about the food they ate in the week before they got sick. Of the 8 people interviewed, 7 (88%) reported eating Rosabella brand moringa powder capsules.
Laboratory and traceback data
Public health investigators used 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 suggested that people in this outbreak got sick from the same food.
FDA worked with state partners to collect product samples to determine a source of contamination. The Indiana Department of Health collected unopened product samples from a sick person's home. This sample tested positive for Salmonella Newport and according to WGS analysis, it was the same strain of Salmonella Newport causing illnesses in this outbreak.
Antimicrobial resistance
Urgent
The Salmonella strain associated with this outbreak is resistant to all first-line and alternative antibiotics commonly recommended for the treatment of Salmonella infections.
Learn more about this resistance and how to treat these infections.
WGS analysis of Salmonella Newport bacteria from 8 people's samples and 1 product sample predicted the following resistance patterns:
All 9 samples
Resistance or nonsusceptibility to amoxicillin-clavulanic acid, ampicillin, azithromycin, cefoxitin, ceftiofur, ceftriaxone, chloramphenicol, ciprofloxacin, gentamicin, hygromycin, kanamycin, meropenem, streptomycin, sulfisoxazole, and tetracycline
7 people’s samples
Testing of Salmonella Newport bacteria from five sick people's samples using standard antibiotic susceptibility testing methods by CDC's National Antimicrobial Resistance Monitoring System (NARMS) confirmed these results.
Ceftiofur, hygromycin, kanamycin, and streptomycin were not tested by this method; clinical breakpoints are not established for azithromycin for nontyphoidal Salmonella, but isolates showed decreased susceptibility with minimum inhibitory concentrations ≥32 µg/mL.
Salmonella Kentucky bacteria
WGS analysis of Salmonella Kentucky bacteria from 2 people's samples predicted resistance to ampicillin, azithromycin, ceftiofur, ceftriaxone, chloramphenicol, ciprofloxacin, fosfomycin, gentamicin, hygromycin, kanamycin, streptomycin, sulfisoxazole, tetracycline, and trimethoprim-sulfamethoxazole.
Most people with Salmonella infection recover without antibiotics. However, if antibiotics are needed, Salmonella infections with these strains may not be treatable with commonly recommended antibiotics and may require a different antibiotic choice.
FDA also conducted traceback investigations and was not able to determine a source of contamination. However, FDA did identify a single supplier of moringa powder and all Rosabella brand moringa products manufactured with moringa powder supplied by this firm were recalled.
Public health actions
In response to this investigation, Ambrosia Brands, LLC recalled certain lots of Rosabella brand moringa powder capsules on February 13, 2026. The recalled product was available for sale nationwide and internationally. The product that tested positive for Salmonella was included in the recall. This product should no longer be for sale.
This outbreak is over, but the recalled products have a long shelf-life and may still be in people's homes. Check your home for these products and throw them away.
Previous updates
February 13, 2026
CDC, public health and regulatory officials in several states, and the U.S. Food and Drug Administration (FDA) are collecting different types of data to investigate a multistate outbreak of multidrug-resistant Salmonella Newport infections.
Epidemiologic data show that Rosabella brand moringa powder capsules may be contaminated with Salmonella Newport and may be making people sick.
Epidemiologic data
Cases
Illnesses started on dates ranging from November 7, 2025, through January 8, 2026.
Total reported cases
States
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 Salmonella. 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 61 to 78 years
Median age of 66
Sex
(n=7)
86% female
14% male
Race
(n=7)
100% White
Ethnicity
(n=7)
100% non-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, 3 (100%) reported eating Rosabella brand moringa powder capsules.
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.
FDA is conducting a traceback investigation and working with state partners to collect product samples to determine a source of contamination.
Antimicrobial resistance
Urgent
The Salmonella strain associated with this outbreak is resistant to all first-line and alternative antibiotics commonly recommended for the treatment of Salmonella infections.
Learn more about this resistance and how to treat these infections.
Based on WGS analysis of 7 samples collected:
- All 7 samples had predicted resistance or nonsusceptibility to amoxicillin-clavulanic acid, ampicillin, azithromycin, cefoxitin, ceftiofur, ceftriaxone, chloramphenicol, ciprofloxacin, gentamicin, hygromycin, kanamycin, meropenem, streptomycin, sulfisoxazole, and tetracycline.
- 6 of the 7 samples had predicted resistance to trimethoprim-sulfamethoxazole.
- 1 sample had predicted resistance to colistin.
CDC's National Antimicrobial Resistance Monitoring System (NARMS) laboratory is currently conducting standard antimicrobial susceptibility testing.
Most people with Salmonella illness recover without antibiotics. However, if antibiotics are needed, Salmonella illnesses with this predicted resistance may not be treatable with commonly recommended antibiotics and may require a different antibiotic choice.
Public health actions
Do not eat, serve, or sell affected Rosabella brand moringa powder capsules.