Federal health officials are tracking three intertwined Salmonella outbreaks tied to moringa dietary supplements that together account for 147 confirmed cases and 42 hospitalizations as of late May 2026 — a figure summed across the Centers for Disease Control and Prevention’s three separate outbreak investigations. (CDC has not published a single combined total.)

The largest investigation — reopened after new brands were implicated — has reached 119 confirmed cases and 32 hospitalizations across 36 states. A separate, smaller probe linked to Mogo brand moringa capsules has added 18 cases and 7 hospitalizations across 14 states.

A third, now-closed outbreak of 10 cases involving Rosabella brand moringa powder capsules carries a more alarming distinction: CDC confirmed it is the first outbreak in the United States in which Salmonella harbors the NDM-1 carbapenemase gene — a resistance mechanism that can defeat nearly all standard and backup antibiotics used to treat serious Salmonella infections. Three people in that cluster were hospitalized.

What NDM-1 means — and what it does not

NDM-1 (New Delhi metallo-beta-lactamase-1) renders bacteria resistant to carbapenems, a class of last-resort antibiotics. The Rosabella strain resisted all first-line and alternative antibiotics commonly used for Salmonella.

Critically, the NDM-1 resistance applies only to the Rosabella strain. The 119-case and 18-case moringa outbreaks involve different serotypes without NDM-1, and those infections can still be treated with standard antibiotics.

What consumers should do right now

The FDA has issued recalls covering multiple moringa-containing products. Consumers should:

  • Check the FDA recall list at FDA.gov for affected brands, including Rosabella, Mogo, TNVitamins, Doctor’s Pride, Live it Up, and Why Not Natural moringa products.
  • Do not eat, sell, or serve recalled products. Throw them away or return them to the place of purchase, even if no one has gotten sick.
  • See a doctor if you have eaten moringa supplements and develop diarrhea with fever above 102°F, bloody diarrhea, or symptoms lasting more than two days.
  • Recalled products may still be in homes — moringa capsules have a long shelf life.

CDC, FDA, and state health departments are continuing to investigate all three outbreaks. Updates are posted at cdc.gov/salmonella.