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Lead poisoning cases associated with recalled pouches of applesauce in 2023 to 2024

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Reported number of cases of lead poisoning associated with consumption of recalled cinnamon-containing applesauce products packaged in pouches, by jurisdiction (N = 566) — United States, November 2023–April 2024. Abbreviations: BLL = blood lead level; DC = District of Columbia; PR = Puerto Rico. Includes the total number of confirmed, probable, and suspected cases. At a minimum, cases were reported to have a BLL 3.5 μg/dL or higher detected through venous, capillary, or unspecified testing 3 or fewer months after consuming a recalled WanaBana, Schnucks, or Weis brand fruit puree product after November 2022. Some states have a routine threshold for investigation of BLLs higher than the CDC’s blood lead reference value of 3.5 μg/dL and would not have done routine investigations for some potential cases before the call for cases. States also had differences in resources available for investigating and reporting cases (especially cases that occurred before the recall in October 2023). In addition, guidelines for routine blood lead testing for children not enrolled in Medicaid and policies encouraging blood lead testing vary by state, with some states recommending universal screening and others recommending targeted screening. For these reasons, the distribution of the number of reported cases across states does not necessarily reflect the true public health impact of the contamination event across states. (From: Troeschel AN, Buser MC, Winquist A, et al. Investigation of lead and chromium exposure after consumption of contaminated cinnamon-containing applesauce - United States, November 2023-April 2024. MMWR Morb Mortal Wkly Rep 2025;74[14]:239-44. Public domain.)