Criminal - Poisoned
Episode Date: May 1, 2026In January 1993, a lot of children started showing up at Seattle Children’s Hospital with the same unusual symptoms. Doctors didn't know what was going on – until they realized that most of the ch...ildren had recently eaten at the same restaurant: Jack in the Box. Jeff Benedict’s book is Poisoned: The True Story of the Deadly E. coli Outbreak That Changed the Way Americans Eat. Say hello on Facebook, Instagram and TikTok. Sign up for our occasional newsletter. Follow the show and review us on Apple Podcasts. Sign up for Criminal Plus to get behind-the-scenes bonus episodes of Criminal, ad-free listening of all of our shows, invitations to virtual events, special merch deals, and more. We also make This is Love and Phoebe Reads a Mystery. Artwork by Julienne Alexander. Check out our online shop. Episode transcripts are posted on our website. Learn more about your ad choices. Visit podcastchoices.com/adchoices
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This episode discusses the death of several children.
Please use discretion.
We saw some blood in a stool, and we were also noticing decreased urine output.
But the bloody diarrhea was, I mean, that was, as you can imagine, that was alarming.
This is Darren Detweiler.
In early 1993, he was living just north of Seattle with his wife and their two children.
In late January, their 16-month-old, Riley, got sick, and they took him to the hospital.
They started on my V fluids and, you know, just sitting there in that hospital,
which strangely was across a street from his daycare center, sitting there,
with him holding him on my lap for much of this when he was, you know, with his IV.
And there was a sense of, oh, this is going to be fine.
We're just going to pump him full of fluids and it'll be fine.
But everything escalated so quickly.
Riley wasn't getting any better.
The doctors decided that he should be airlifted to Seattle Children's Hospital.
I wanted to go up to the helicopter pad and they wouldn't, you know, our protocols won't allow this, you know, and I could, I could, I could understand that. Believe me, I can understand that. But the craziest thing was that by this time the local news had been notified of this. And him being taken on a stretcher on the helicopter pad and loaded onto the helicopter was being covered live on the television.
And so his mother and I are still down in his hospital room
where the nurses were basically processing us out so we could leave to drive down.
It's about an hour and a half drive down to the children's hospital.
And we turn around and we're watching this being covered live on the local news.
And there's my son.
He's under a silver space blanket.
I could see his face.
He's dwarfed by this huge teddy bear,
but I could see this tuft of hair,
and I can see his eyes wider than you would ever imagine
as he's being loaded onto this helicopter.
Earlier that month, within a span of 24 hours,
nine kids had shown up at Seattle Children's Hospital
with symptoms just like Riley's.
And one of the primary...
primary doctors at Children's Hospital in Seattle,
when he saw that there were a number of children
that had come in with these symptoms,
mainly in their stomach and the throwing up,
the diarrhea, the bloody diarrhea,
he was immediately alarmed because of the number,
and they kept coming.
This is writer Jeff Benedict.
The doctor at the hospital got in touch
with the State Health Department
and reported that he'd never seen anything like this before.
Nine sick kids with E. coli in 24 hours
made him worry that there were going to be a lot more.
This was on a Tuesday, and by Friday, the number was up to 37.
A few of the children had been moved to the ICU.
Doctors were trying to figure out what was going on.
One of the things that helped them early
was the recognition
that the victims who were showing up at the hospital were all children.
And that tells you something.
And it's like trying to solve a puzzle, and you start looking backwards.
Okay, where did these children eat?
And it didn't take them long to start turning their focus to fast food restaurants
in the Pacific Northwest, particularly around the greater Seattle area.
And step by step, they got to Jack in the Box.
Jack in the Box is one of the oldest fast food chains in the country.
27 of the 37 sick children had eaten there.
The top public health official in the state, a man named John Kobayashi,
contacted Jack in the Box headquarters and said they had a problem,
a potential E. coli outbreak.
At that time, what is known about E. coli?
Very little.
If you took a poll at that time on any public street in any major city in the U.S.
and asked, what is E. coli, most people would just look at you like, what?
They'd never even heard the term.
E. coli is a kind of bacteria that can be found in the intestines of people and animals.
There are many different strains of E. coli, and many don't cause any harm.
but some can be deadly, including one called E. coli 0157.
Back then, there hadn't really been a national outbreak of E. coli.
There'd been a few very small cases that had been studied by the medical profession,
but most people, including the medical establishment, were unfamiliar with this.
And so the hospital is sort of scrambling around,
but they don't really know what they're dealing with.
One of the few things that they did know
was that most people, at the time, got E. coli from eating undercooked ground beef.
State epidemiologist John Kobayashi
asked Jack in the box how they cook their hamburgers.
They said that they made sure to cook them to an internal temperature of 140 degrees,
which was the federal regulation.
But one year earlier, John Kobayashi had raised the Washington State-required cooking temperature for ground beef from 140 degrees to 155 degrees.
And Jack in the Box had just admitted that they hadn't been doing that.
At the time, what was the USDA doing in terms of food safety?
Not much.
If you think about it in today's terms, you can go to a grocery store in any state,
in America, and if you buy meat or poultry, there's stickers on the outside that warn you to cook them
to the proper temperature and handling instructions and all that. I mean, at Thanksgiving, when you
buy a turkey, there's warnings on the outside about the, you know, the things that can make you
sick if you don't store it and cook it properly. That's, the federal government does that well now,
But then those things didn't exist.
Jack in the Box temporarily shut down their 66 locations in the state,
and John Kobayashi issued a statement,
officially naming Jack in the Box as the source of the outbreak.
I'm Phoebe Judge. This is criminal.
By January 28, two children at Seattle Children's Hospital had died from E. coli,
And there were over 200 confirmed cases.
Jack in the Box's CEO, Bob Nugent,
was called to Washington, D.C., to testify in front of the Senate.
He was a, you know, relatively young CEO,
and he had two children, he had two daughters.
And he felt guilty.
He actually wanted to testify.
He wanted to talk against,
you know, the better judgment of his attorneys.
And he said things that were essentially incriminating
because he was, I don't know that he thought about it this way,
but he was basically acknowledging that Jack in the Box had screwed up.
Bob Nugent acknowledged that their Washington restaurants
hadn't been meeting the state mandatory cooking temperature
and said, quote,
I wish I had known about the Washington state regulation when it was established.
I didn't.
He also said, it is important to note that the contaminated meat that was infected with the E. coli bacteria
before delivery to our restaurants had passed all USDA inspections.
But his intention was he was trying to take responsibility,
and he was also trying to protect his own company, but he just, you know, he just,
When I say as a journalist, he was too honest.
What I mean by that is he was pretty raw.
I think by that point he knew that his company had made an enormous mistake.
And the only thing he was really focused on at that point was trying to figure out how to make sure that it never happened again.
Darren Detweiler had heard about the outbreak before his 16-month-old son, Riley, got sick.
Their family hadn't eaten at Jack in the Box.
But they later learned that it was possible to get E. coli
just from being in contact with someone who had it.
When Riley was airlifted to Seattle Children's Hospital,
Darren Detweiler and his wife followed by Carr.
It took us about, I would say, two hours in all
to get down to Children's Hospital, and it was a very quiet drive.
We got there and we weren't initially able to go in
because the doctors weren't ready for us to go in and see him.
And we're talking about a full-blown pediatric intensive care unit in Children's Hospital.
And by the time a doctor and a nurse brought us into that room, you almost couldn't even see him.
And he was completely dwarfed by wires and tubes and monitors.
And you can't explain that.
How do you explain this to a 60-month-old?
you can't and I'll never forget when he kind of looked up and he pointed at the ivy bag hanging from a pole
and he said baba because in a way with the markings and there was liquid in it it kind of looked like a bottle I could see that
and you know we were able to kind of brush his hair a little bit until we're here for him
but they ultimately
proceeded to say,
we need to get him into surgery immediately,
calling it exploratory surgery
and warning us
that the longer they wait,
the more damage could take place.
And they took him in
for the surgery.
When he came out,
he was on a ventilator,
and the first thing they did
is explained to us
how he was,
medically induced into a coma.
And then finally
a surgeon came in and
explained that they had to remove
the majority
of his intestines because they were completely
destroyed by
this pathogen.
And we spent the next
two to three weeks
as we were being explained what every single
monitor was and what was being measured
and what this number meant and that they wanted
this number to go up or they wanted this number to go down
or whatever.
it was watching them get worse day after day after day. And what started as we're worried about
these numbers became a, now we're worried about the oxygen deprivation to his brain. And there was a
day where they came in and said that there was no turning back in terms of the oxygen deprivation
to his brain. And that they had already continued beyond
what they normally would have in terms of keeping him on life support,
and that essentially he was not going to survive.
Darren and his wife consulted as many doctors as they could,
but everyone came to the same conclusion.
So they agreed to take Riley off life support.
And the nurses and the doctors removed him from every.
everything and they wrapped them up in a blanket and I'll never ever forget being asked to sit in a rocking chair and having him put into my arms and hold him and I could smell his hair again and hold him tight and in my eyes and in my mind his chest was rising and falling
but it wasn't.
Riley Detweiler died on February 20th, 1993,
after over 20 days in the hospital.
We'll be right back.
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In the same hospital where Riley Detweiler had been treated,
a 10-year-old named Brienne Kiner had been in the ICU for weeks in a coma
with similar symptoms as the other sick kids.
writer Jeff Benedict.
And from everything that they were seeing with the way that the ecoli had attacked her,
unfortunately, it was that her chances of survival were very low.
And the doctors felt like she was one of the ones that they weren't going to be able to save.
Here's lawyer Bill Marler.
You know, I remember the media was covering,
day 37 of Brian Kiner's coma.
The doctors were telling the Kiner's that there was no hope
that they should actually remove her from life support.
Brian's mother, Suzanne, wanted to speak with her pastor
before she signed the forms, authorizing the hospital
to take Brianne off life support.
She left her daughter's room to find a pay phone,
During her phone conversation, Suzanne heard her name being called on the public address system.
And as she was hanging up, doctors ran towards her.
Brianne was awake.
And at the time, it was portrayed as a miracle.
Because, you know, from the doctor's perspective, they didn't really have any precedent for this.
And granted, there hadn't been a lot of cases to look back on,
but this was a big abnormality in the, you know, in the outbreak for sure.
But the damage to her was pretty catastrophic.
Like, they knew at that point that, you know, a couple of her vital organs were,
she was, she'd already lost, and that there would be things like she'd never be able to have children.
I mean, she's a child at this point, and you already,
know things like that, that her physical growth is going to be stunted.
She's going to be under medical care for the rest of her life.
Brian's mother, Suzanne, realized she should get a lawyer.
She met with several, including Bill Marler, who came to meet her and Brian in the hospital.
She'd been, you know, in a hospital bed by then probably three and a half months.
So she was incredibly weak, and you could kind of hardly see her because she was so small and shriveled.
I mean, this is, you know, her body was a pin cushion.
It was a very, as a father, it was a really frightening experience to see a kid like that.
And it was so overwhelming.
I just sort of backed up, walked out the door, and, you know, I was pretty emotional.
And I wound up still talking to the Mrs. Kiner afterwards,
but I was pretty confident that they weren't going to hire me
because how many times you're going to hire a lawyer that breaks into tears.
Bill also knew that he didn't have as much experience as some of the other lawyers
Suzanne was considering.
So he was surprised when she called him and said she wanted to hire him.
Suzanne later told Jeff Benedict, quote,
I wanted someone who'd come in and spend 15 minutes just absorbing her.
Bill was the only one that could look at her.
Bill Marler began looking into Brian's case.
Yeah, I was working up damages, you know,
what is the long-term impacts of somebody with no large intestine,
or who's a diabetic, or who was on dialysis for as long as she was,
or suffered a brain injury.
All that had to be put together.
with complex medical experts who could opine about what happened to her,
but also what the future held for her, which is obviously very complex.
Brienne stayed in the hospital for months.
She had to have another surgery and had to relearn almost everything,
her colors, how to read, how to walk.
Suzanne later told a reporter that Brian's muscles all over her body had atrophied,
so much, she struggled to chew food. As Bill read about food safety standards, he learned that
jack-in-the-box hadn't been the only restaurant that didn't follow the new Washington State
cooking temperature rule, to cook ground beef to 155 degrees. Most counties in the state weren't
enforcing it. There were a number of restaurant inspection reports from the weeks before the outbreak
where state health inspectors wrote things like, Remember to Cook
to 140.
Bill sent Jack in the box as lawyers,
a formal request for any internal documents
that had to do with how the restaurant stored,
prepared, and cooked its meat.
And I got, you know,
hundreds and hundreds of boxes of paper.
You know, this was long before the Internet,
long before computers,
long before, you know, the ability to do databases
and, you know, a truck rolled up to my office and dumped off literally several hundred boxes of paper.
And I think they felt that I never would go through them.
And so we started, you know, myself, my staff, the other lawyers, started going through all the documents,
and we started to see things like, you know, we knew that the state of Washington had increased
cook times, but we didn't know for sure whether or not that information had gotten to Jack in the
box.
Bill spent weeks pouring over the documents.
While going through the files from their Quality Assurance Department, he found a notice
from the Washington State Department of Health describing the new mandatory cooking temperature
for beef.
According to the date on the document, Jack in the Box had received it seven months before
the outbreak began.
Jack in the Box chose to continue to cook their hamburgers at the lower level because increasing the temperature would require increasing the amount of time the hamburger cooked from two minutes to two minutes and 15 seconds.
And that would have made their hamburgers less a fast food.
And so they made the decision to essentially ignore the Washington State regulation
and stick with the nationwide regulation.
Bill found something else.
Before the outbreak, a Jack-in-the-box employee sent a complaint to corporate headquarters.
Quote, I think regular patties should cook longer.
They don't get done, and we have customer complaints.
Jack in the Box management replied,
We would like to acknowledge the time and effort
you have taken to contribute to the success of Jack in the Box
by enclosing this pen.
Usually you don't find smoking guns in these kinds of cases.
Bill found, basically found two of them.
Jack in the Box's lawyer was a man named Bob Piper.
In early 1995, he and Bill met
at a hotel in Seattle, along with representatives from Jack in the Box's insurance company,
to try and negotiate a settlement for Brian Kiner's family.
What's interesting about Bill is he didn't have a lot of experience negotiating.
And, you know, the insurance companies have, they have powerful lawyers, and they have a lot of them.
And they do settlement stuff all the time.
So, again, he's negotiating against or with.
people that are also older than him, more experienced in him,
they're backed by big companies.
Bill's kind of out there.
He's really kind of on his own.
But Bill was armed with information.
You know, he knew more than they did about every aspect of the case.
He knew more about E. coli.
He knew how it worked.
At the time, the biggest personal injury settlement in the state
was $10 million. Bill was hoping to settle Brianne's case for even more, in part because he thought
Brion deserved it, and also he wanted the food industry to finally start taking E. coli and food safety
seriously, and he thought this would set a precedent they couldn't ignore. His opening demand was $100 million.
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Heinz is inseparable from both football and the city of Pittsburgh.
It's an iconic staple that simply can't be replaced.
And just like football fandom, Heinz is fueled by a kind of irrational love,
the same unwavering loyalty Heinz fans have for the brand.
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After lawyer Bill Marler made his opening demand of $100 million, Jack in the Box countered with an offer for $2 million.
They went back and forth for a few days.
And we got to a point where they had offered $14 million, and that's in 1995, and that's frankly real money.
back then. And I rejected it. And I remember the mediator thinking, looking at me is like, Mr. Marler, Bill,
can I talk to you for a moment? And so he was a 65-year-old, you know, former federal judge
looking at me like, what are you doing, you idiot? And, you know, it was pretty frightening.
So I went back to the room where the kinders were
and talked to them about that
and I just told them they needed to trust me
that I was confident that they would come up with more money.
Bill told the mediator, the former judge,
that he wouldn't accept anything less than $16 million.
That night, Bill decided to go directly
to Jack in the Box's lawyer.
Bob Biper.
And I went to where they were still in their conference room,
and I knocked on the door.
And I just, and like, who is it?
I said, Bill, like, what the hell you want?
And I said, hey, there's this bar in the hotel called Torchies.
I said, I'll meet you, Torchies, I'll buy cocktails.
So, of course, you know, this was the 90s.
People still did that more often than they do now.
And we all met in the bar.
And after a few drinks, some of the insurance guys were yelling at me like I was like,
you're a greedy bastard.
Ra, rah, rah, rah.
And I had my, you know, the cell phones, they were much bigger and different than they are today.
And my cell phone rang.
And so I thought it was my wife.
And I picked up and said, hi, honey.
And it was the judge.
And he says, he goes, where are you?
I'm like, I'm in the bar with all the insurance guys.
And he was like, he goes, Bill, you can.
not tell them this, but he goes, I can't get you $16 million, but I can get you $15.6 million.
Will you take it?
Bill said yes.
It was officially the largest personal injury settlement in Washington State history.
Why did you push for such a big number?
Primarily because I was, she deserved it.
You know, she was going to face, you know, lifetime complications.
And a lot of it is you just didn't know what you didn't know.
And I had a fear of, like, waking up 20 years from now
with Brie Ann not having enough money and needing it.
After graduating from high school,
Brian spent some time working as a clerk for Bill's law practice.
Today, she's 43, and Bill says she's doing well.
In all, over 700 people got sick in the Jack-in-the-Box outbreak, mostly children.
Four kids died.
Riley Detweiler was the fourth.
Darren Detweiler and his then-wife filed a wrongful death lawsuit against Jack-in-the-box's parent company.
It was settled in March of 1993 for an undisclosed amount.
Darren Detweiler eventually became a food safety expert.
He got a doctorate degree in law and policy, focusing on food policy,
and he's been called one of America's leading food safety advocates.
No criminal charges were ever brought against Jack in the Box Management.
They paid around $100 million total in settlements to victims.
Following the outbreak, they implemented a new food safety system in all of their restaurants.
Their sales had dropped about 30%.
Jack in the Box took some pretty aggressive steps in revamping their entire protocol for how they purchased, processed,
distributed and cooked their meat.
That came out of this case,
and they hired people from the meat industry
to come over to their side
and work with them
and figure out ways to, you know,
they'd love to eliminate this kind of thing ever happening again.
And so I think that Jack in the Box,
in the aftermath of this was probably one of the safer places
to eat because of what happened in Seattle.
And there were a bunch of things that we now take for granted
in our food safety experience that were started
as a result of this case.
Some of Jack in the Box's new food safety protocols
were eventually adopted by the federal government.
The USDA raised the federal mandatory cooking temperature.
Now all states had to cook beef.
to 155 degrees.
And in 1994,
E. coli was officially classified
as a contaminant when found in food.
Prior to that,
it was completely legal
to sell E. coli-contaminated hamburger
to the consumer.
You could have tested for it, found it,
and still sold it.
The USDA also implemented new rules
for meat processing plants
to be more proactive
about preventing contaminant.
Bill Marler kept practicing law and made a niche for himself in food safety law.
Back in the late, you know, in the mid-90s, late 90s, e- coli outbreaks linked to hamburger
and recalls of hamburger were super common occurrences. They were happening all the time.
And it just took a while for sort of the cost of that to, you know, get absorbed.
into the system to the point where the system finally just said, okay, we'll fix it. And so
they started doing a variety of interventions to make hamburgers safer. They developed the
vaccine that is sometimes used by some cattlemen. And essentially, what used to be 90-plus percent of
my work became in the early 2000s just absolutely disappeared.
And most of the E. coli cases that we see now are leafy greens, romaine lettuce.
That's kept us, unfortunately, really busy.
This pathogen, E. coli 0157, has become an environmental pathogen.
It is in the environment, and you see it in outbreaks linked to romaine lettuce and sprouts
and even, you know, flour.
And, you know, we seldom have e-coli outbreaks linked to hamburger.
We seldom have recalls of hamburger linked to e-coli.
They just don't happen.
And, you know, it's one of those rare instances where, you know,
humans saw a disaster, did something about it,
and it actually has turned out better than you could have expected.
Bill Marler has represented thousands of clients over the past 30 years,
cases dealing with E. coli, salmonella, Listeria, and hepatitis.
Bill often says he begs the food industry to, quote,
put me out of business.
In our next episode, the story of how a group of young men
volunteered to eat food laced with things like formaldehyde, borax,
and salicylic acid every day for breakfast, lunch, and dinner,
and how they paved the way for the first major food safety laws in America.
They were called The Poison Squad.
Jeff Benedict's book is Poisoned,
the true story of the deadly E. coli outbreak that changed the way Americans eat.
We'll have a link in the show notes.
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Heinz is inseparable from both football and the city of Pittsburgh.
It's an iconic staple that simply can't be replaced.
And just like football fandom, Heinz is fueled by a kind of irrational.
love the same unwavering loyalty Heinz fans have for the brand. So the next time you want to gather
with friends to talk about how this is the year for your team, remember to add Heinz to the menu.
It has to be Heinz. Stock up on Heinz, available at retailers nationwide.
