Update to Cinnamon Applesauce Pouches Recall

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Current Update

As of November 7, 2023, there are 22 cases, in states including Alabama, Arkansas, Louisiana, Maryland, Missouri, New Mexico, New York, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, and Washington, ages 1 to 3 years, with BLLs ranging from 4 to 29 micrograms per deciliter (µg/dL). Cases experienced signs and symptoms including headache, nausea, vomiting, diarrhea, change in activity level, and anemia.

No safe level of lead in children’s blood has been identified. Children who have eaten the recalled products or have other suspected sources of lead exposure should be tested.

Recommendations for the Public (Parents, Caregivers, Guardians)

1. Do not buy, eat, sell, or serve recalled cinnamon-containing applesauce pouch products because they may contain lead.
2. Parents and caregivers of children who may have consumed recalled products should contact the child’s healthcare provider about getting a blood test for lead.

Recommendations for Public Health Professionals

1. Know that individuals with high BLLs may not be symptomatic. Case finding may be mainly from reporting by clinicians who recognize risks of exposure and perform screening.
2. Consider conducting case-finding activities that leverage existing data sources such as medical encounter and hospital discharge data, electronic syndromic surveillance systems, your local poison center, and other applicable surveillance systems.

See attached articles for additional information and resources.

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This information has been broadcast to: Always Include (Monmouth County); Local Health Agencies; Recreational Facilities; Recreational Bathing Pools (Monmouth County); Community Health Centers(FQHCs); First Responders/Emergency Medical Services; Health Care Facilities/Other; Behavioral Health Services; Home Care Services; Long Term Care Facilities/Assisted Living; Health Care Providers; Cardiologists (Monmouth County); Clinics (Monmouth County); Dentists (Monmouth County); Dermatologists (Monmouth County); Family Practice (Monmouth County); General Surgery (Monmouth County); Hematologists/Oncologists (Monmouth County); Infectious Disease (Monmouth County); Internal Medicine (Monmouth County); Neurologists (Monmouth County); Obstetricians/Gynecologists (Monmouth County); Ophthalmologists (Monmouth County); Pediatricians (Monmouth County); Plastic Surgery (Monmouth County); Podiatrists (Monmouth County); Psychiatrists (Monmouth County); Urgent Care (Monmouth County); Hospitals/Acute Care; Hospital CEO; Hospital Emergency Department Director; Hospital Emergency Preparedness Coordinator; Hospital ICU Director; Hospital Infection Control Practitioner; Hospital Medical Director; Hospital Nursing Director; Hospital Quality Liaison; Hospital Safety Officer; Hospital Security Director; Hospitals/Other; Hospitals/Veterans; Labs/Non-Sentinel; Labs/Sentinel; Labs (Monmouth County); Pharmaceutical Suppliers; Pharmacists; Educational Institutions; Colleges/Universities; School Nurse Association; School Nurses (Monmouth County Health Dept.); School Nurses (Monmouth LHD Jurisdiction); School Principals (Monmouth County Health Dept.); School Principals (Monmouth LHD Jurisdiction); School Superintendents (Monmouth County Health Dept.); School Superintendents (Monmouth LHD Jurisdiction); Local & County Government; Administrators (Monmouth County Health Dept.); Administrators (Monmouth LHD Jurisdiction); Clerks (Monmouth County Health Dept.); Clerks (Monmouth LHD Jurisdiction); Code Enforcement/Construction (Monmouth County Health Dept.); Correctional Facilities; Local OEM Coordinators; Mayors (Monmouth County Health Dept.); Mayors (Monmouth LHD Jurisdiction); Local Businesses; Local Media; Animal Health Professionals; Animal Control Officers; Veterinarians;