Washington state public health officials are warning consumers not to eat raw clover sprouts from Evergreen Fresh Sprouts LLC  of Moyie Springs, ID, since the product has been linked to seven confirmed and three probably cases of E. coli O121 illnesses in Washington and Idaho. Five of the patients were hospitalized, and there are no reports of deaths. Five of the cases were reported in Spokane County, two in King County, and three in Kootenai County, ID. The sprouts were eaten in sandwiches at several food establishments, including Jimmy John’s Gourmet Sandwiches locations in King and Spokane counties, as well as two Pita Pit locations in Spokane County, and Daanen’s Deli as well as a Jimmy John’s location in Kootenai County. The restaurants where the cases reported eating raw clover sprouts have voluntarily suspended serving sprouts. Health officials said that Evergreen Fresh Sprouts has distributed sprouts to other restaurants in the Northwest, as well as to retail grocery stores where consumers may buy them for home consumption. “We advise people not to eat raw clover sprouts from Evergreen Fresh Sprouts until further notice,” said Washington State Health Officer Dr. Kathy Lofy. “If you have these products at home, you should throw them out.” While the outbreak appears to be linked to clover sprouts from Evergreen Fresh Sprouts, the source of the sprout seed hasn’t yet been determined and remains under investigation. The owner of the company is refusing to recall his sprouts until tests prove that they are contaminated. The type of E. coli in this outbreak is a strain of Shiga toxin-producing E. coli (STEC O121) similar to E. coli O157:H7. It can cause bloody diarrhea, abdominal cramps, fever and vomiting. It can sometimes result in severe, life-threatening illness and may be fatal. “Anyone who thinks they may have become ill from eating contaminated sprouts should consult their health care provider,” said Lofy. “The elderly and very young children are more likely to become severely ill from Shiga toxin-producing E. coli infection.” Local and state health officials in Washington and Idaho are investigating, working with the U.S. Food and Drug Administration and the U.S. Centers for Disease Control and Prevention. Sprouts are a known source of foodborne illness. Seeds and beans need warm and humid conditions to sprout and grow. These conditions are ideal for bacteria growth. Since 1996, at least 30 nationally reported outbreaks of foodborne illness associated with different types of raw and lightly cooked sprouts have occurred. Most of these outbreaks were caused by E. coli and Salmonella. Officials said that, in most sprout outbreaks, the restaurant is not the source of the contamination, which usually happens when the seeds are grown or harvested and is often impossible to wash off. It’s important to store sprouts in a refrigerator to inhibit bacterial growth. Thorough cooking will kill the bacteria.