Most of the cases have been in Colorado, which has 26 reported cases, and Montana, which has 13 reported cases, according to the CDC.
Cases have also been reported in Iowa, Kansas, Michigan, Missouri, Nebraska, New Mexico, Oregon, Utah, Washington, Wisconsin and Wyoming, according to the CDC, which further notes that illnesses have occurred between Sept. 27 and Oct. 10 of this year.
Of the 61 people about whom the CDC has information, 22 have been hospitalized, and two developed hemolytic uremic syndrome, a serious, potentially fatal complication of E. coli infection that can cause kidney failure, according to the CDC.
One death has been reported in Colorado in connection with the outbreak. The person was a resident of Mesa County in the western part of the state, according to the Mesa County department of health.
“The true number of sick people in this outbreak is likely much higher than the number reported, and the outbreak may not be limited to the states with known illnesses,” the CDC said in its update. “This is because many people recover without medical care and are not tested for E. coli. In addition, recent illnesses may not yet be reported as it usually takes 3 to 4 weeks to determine if a sick person is part of an outbreak.”
McDonald’s says either fresh, slivered onions or beef patties used for the Quarter Pounder may be behind the outbreak.
Following the initial announcement of the outbreak on Tuesday, the fast-food company announced it had proactively removed two ingredients from stores across two affected regions. The company’s leadership team said that a majority of other menu items are not impacted, according to the CDC investigation.
McDonald’s confirmed in a statement to ABC News that Taylor Farms is the supplier of the sliced onions the fast-food chain removed, but it is unclear whether Taylor Farms provides its products directly to McDonald’s or through an intermediary.
Taylor Farms issued a voluntary recall on Wednesday for its raw onions.
The U.S. Food and Drug Administration has said that raw slivered onions and the beef patties are the focus of their investigation as potential E. coli sources, but also indicated that preliminary data suggests the onions are “a likely source of contamination.”
ABC News’ Kelly McCarthy and Taylor Dunn contributed to this report.
(NEW YORK) — For the first time in its history, Instagram on Tuesday announced the launch of accounts designed specifically for teenage users with built-in privacy protections.
The new accounts, called “Teen Accounts,” will be automatic for all Instagram users under the age of 18, both for teens already using the app and for those signing up.
By default, Instagram users younger than 16 will need a parent’s permission to change their account settings.
The changes — expected to impact tens of millions of users — were announced by Instagram head Adam Mosseri in a live interview on ABC News’ Good Morning America.
“They’re an automatic set of protections for teens that try to proactively address the top concerns that we’ve heard from parents about teens online,” Mosseri said on GMA. “Things like who can contact them, what content they see and how much time they spend on their device … all without requiring any involvement from the parent.”
Mosseri said the rollout of Teen Accounts starts Tuesday with new users signing up for the app, while existing teen users will see their accounts switch to the new Teen Accounts model within 60 days.
Among the changes put in place by Instagram include a new privacy setting that, by default, places all teen users in private accounts. In order to switch to a public account, teens under age 16 will need a parent’s permission.
Under the private account setting, teens will need to accept new followers and only people whom they accept as followers can see their content and interact with them.
In addition, teen users will now automatically only be able to message with people they follow, or are already connected to, and parents will have a new tool in their settings that allows them to see with whom their teen has recently been messaging.
With the new accounts, teens will have the power to choose the age-appropriate topics they want to see more of on Instagram, like sports or art, and parents will also be able to see the topics their teens choose.
In order to limit the amount of time spent on Instagram, all Teen Accounts will be placed in “sleep mode” between 10 p.m. and 7 a.m., while parents can also adjust their child’s time settings — including limiting access completely overnight — in the parental supervision tool.
Another change for Teen Accounts is that they will automatically be placed in more restrictive content settings, which will limit the content they see in search functions like Reels or Explore from accounts they don’t follow, according to Instagram.
Antigone Davis, vice president and global head of safety for Meta, the parent company of Instagram, told GMA the company is also implementing new ways to verify users’ ages.
“We are building technology to try to identify if you’ve lied about your age and then move you into those stricter settings,” Davis said. “This is a challenging area for industry, which is why, on top of building that technology that will try to identify age liars and put them into those protective settings, we also will have moments where, if we get a strong signal, we will ask you to age verify.”
Davis said that parents will be able to monitor their teens’ account and adjust their settings from their own Instagram accounts.
“The idea is to really make it simpler, so they [parents] have their own center that they can go and look and see what the privacy setting is for their teen,” she said.
Changes spurred by parents and teens
The changes for teen Instagram users come amid mounting evidence showing the dangers of social media for young users.
Social media use is linked with symptoms of depression and anxiety, body image issues, and lower life satisfaction for some teens and adolescents, research shows. Heavy social media use around the time adolescents go through puberty is linked with lower life satisfaction one year later, one large study found.
U.S. Surgeon General Dr. Vivek Murthy, who previously issued an advisory highlighting a crisis in youth mental health, has said he believes being on social media “does a disservice” to kids early in their teen years. Noting the crisis among kids, the American Psychological Association last year issued the first guidance of its kind to help teens use social media safely.
In January, while testifying at a Senate hearing, Mark Zuckerberg, the CEO of Meta, publicly apologized to parents, caregivers and loved ones of young people who they say were harmed due to social media use, telling them, “It’s terrible. No one should have to go through the things that your families have suffered.”
In his apology, Zuckerberg also emphasized Meta’s efforts on safety, adding, “This is why we invest so much and are going to continue doing industry-leading efforts to make sure that no one has to go through the things your families have had to suffer.”
Davis said the newly-announced changes to Instagram for teen users came after conversations with parents and teenagers around the world.
She said the company focused on making it simpler for parents to know how, when, and with whom their teens are engaging on Instagram.
“We’ve had these incremental changes along the way as we’ve been working back and forth with parents and experts,” Davis said of previous safety changes for teen users. “What we’re really trying to do here is standardize a lot of this approach.”
She added of the new features, “There are these broad protections that we have in place, and if your teen wants to change them, and they’re under the age of 16, they have to come to you for permission, they’ve got to invite you in. It’s just a different way of thinking about things.”
Parents and caregivers as well as teens can learn more about Teen Accounts by visiting Instagram.com/teenaccounts.