Create a Website Account - Manage notification subscriptions, save form progress and more.
The Centers for Disease Control and Prevention (CDC) has shared updated information related to this advisory. The full update from CDC can be reviewed in the January 5 Clinician Outreach and Communication Activity (COCA) message here.
In summary, FDA product testing has identified high levels of chromium in cinnamon samples and recalled apple cinnamon puree pouches. Chromium is a naturally occurring element with trace levels normally found in the diet and comes in different forms, including one that is considered an essential nutrient. Another form, however, is a known carcinogen. Chronic, prolonged inhalational and skin exposure to this form – chromium(VI) – has been associated with chronic lung disease and ulceration of skin and mucous membranes. Lead chromate, which contains chromium(VI), has been used to adulterate turmeric and other spices. While harm resulting from ingesting lead-contaminated food is relatively well researched, the effects of eating food contaminated with chromium(VI), as a constituent of lead chromate, are not well understood. Recommended actions for clinicians can be found in the full COCA message.
November 20, 2023
Full CDC HAN Alert
The FDA, along with CDC and state and local partners, is investigating reports of elevated blood lead levels in individuals with reported exposure to Apple Cinnamon Fruit Puree pouches manufactured in Ecuador and sold under WanaBana, Weis, and Schnucks brands.
As of November 16, 2023, there have been 34 reports of illness potentially linked to recalled product submitted to FDA. FDA is continuing to evaluate incoming adverse reports of illnesses.
FDA and other state partners collected and analyzed additional product samples of fruit puree and applesauce pouches. FDA detected elevated levels of lead in one finished product sample of WanaBana Apple Cinnamon Puree collected from Dollar Tree. The level detected in the FDA sample of WanaBana apple cinnamon puree is 2.18 parts per million (ppm), which, for context, is more than 200 times greater than the action level the FDA has proposed in draft guidance for fruit purees and similar products intended for babies and young children.
To date, sample analysis of WanaBana, Weis, and Schnucks fruit puree pouches that do not contain cinnamon and are not part of the recall, have not shown elevated levels of lead.
As a reminder, there are other avenues of lead exposure aside from recalled products. Parents and caregivers who work in jobs, hobbies, or other activities that expose them to lead can bring lead-containing dust home with them. Lead-containing dust can be tracked onto carpets, floors, furniture, and other surfaces that a child may touch, and expose other family members without knowing. Known risk-factors for lead exposure include the following:
More information from the FDA.