A multistate outbreak of E. coli O157:H7 infections has been traced to RAW FARM-brand raw cheddar cheese, with 7 confirmed cases reported across California, Florida, and Texas as of March 2026. The outbreak is particularly concerning because most of the affected individuals are young children; 4 of the 7 cases involve children age 3 or younger. Two patients have required hospitalization, though no deaths or cases of hemolytic uremic syndrome (HUS), a serious kidney condition, have been reported yet. Why Is Raw Cheese Risky for Young Children? Raw cheddar cheese made from unpasteurized milk can harbor dangerous bacteria like E. coli O157:H7, a strain that produces Shiga toxin. This particular pathogen is especially hazardous because it can cause severe complications beyond typical food poisoning. Symptoms typically appear between a few days and up to nine days after consuming contaminated food and include severe stomach cramps, diarrhea, fever, nausea, and vomiting. In vulnerable populations like infants and toddlers, the infection can progress to hemolytic uremic syndrome, a life-threatening condition that damages the kidneys and can lead to chronic kidney disease, high blood pressure, and neurological problems. The outbreak investigation began when state and local health officials interviewed ill people about their food exposures. All 3 people interviewed (100 percent) reported eating RAW FARM-brand raw cheddar cheese, establishing a clear epidemiological link. Whole genome sequencing analysis confirmed that the E. coli isolates from all sick individuals are genetically closely related, meaning they almost certainly share a common source of infection. What Has the FDA Done, and Why Is RAW FARM Refusing to Cooperate? The FDA and CDC, in collaboration with state and local health partners, have been actively investigating this outbreak since cases began appearing in September 2025. The agency has recommended that RAW FARM, LLC voluntarily remove their raw cheese products from the market. However, the company has declined to do so, leaving contaminated products potentially still available for purchase. This refusal to voluntarily recall the product puts consumers at continued risk, particularly families with young children. As of mid-March 2026, no RAW FARM-brand cheddar cheese products from the outbreak time period have tested positive for E. coli in FDA testing, though state partners are still collecting and analyzing product samples. The investigation remains ongoing to determine the exact source of contamination and whether additional products beyond raw cheddar cheese may be linked to illnesses. Steps to Protect Your Family From This Outbreak - Check Your Refrigerator: If you have purchased RAW FARM-brand raw cheddar cheese in block or shredded form, do not consume it. Discard the product safely or contact RAW FARM for guidance on returns. - Clean Contaminated Surfaces: If RAW FARM raw cheddar cheese touched any surfaces, cutting boards, utensils, or containers in your kitchen, carefully clean and sanitize them following FDA safe handling guidelines to prevent cross-contamination to other foods. - Monitor for Symptoms: If you or anyone in your household consumed RAW FARM-brand raw cheddar cheese and develops symptoms such as severe stomach cramps, bloody diarrhea, fever, or vomiting, contact your healthcare provider immediately and mention the potential E. coli exposure. - Report Illness to the FDA: If you believe you or a family member became ill from consuming this product, you can report it to the FDA by calling a Consumer Complaint Coordinator, completing an electronic MedWatch form online, or submitting a paper MedWatch form by mail. - Consider Pasteurized Alternatives: If you enjoy cheddar cheese, opt for pasteurized versions from established brands with strong food safety records. Pasteurization kills harmful bacteria while preserving the cheese's flavor and nutritional value. The outbreak timeline reveals that illness onset dates range from September 1, 2025 to February 13, 2026, meaning some people became sick months ago. This extended timeline suggests the contamination may have affected multiple production batches or that the product remained on shelves for an extended period. Consumers who purchased RAW FARM cheese during this window should take immediate action. Raw milk and raw milk cheeses have been linked to foodborne illness outbreaks for decades. While some consumers believe raw dairy products offer superior nutritional or probiotic benefits, the FDA and CDC consistently warn that the risks, especially for vulnerable populations like young children, pregnant women, elderly individuals, and immunocompromised people, outweigh any potential benefits. Pasteurization, a heat treatment that kills harmful pathogens without significantly altering the nutritional profile of cheese, remains the gold standard for food safety in dairy products. This outbreak underscores a critical gap in food safety enforcement: when a company refuses to voluntarily recall a product linked to illness, consumers are left to police their own kitchens. The FDA can issue warnings and recommendations, but without mandatory recall authority in this case, the burden falls on individual families to identify and discard potentially dangerous products. If you have questions about whether a specific product in your home is affected, check the FDA's outbreak advisory page or contact your local health department for guidance.