McDonald’s, the leading fast-food chain, experienced a notable decrease in sales in the United States during the last quarter, marking the largest drop since the onset of the COVID-19 pandemic in 2020. This decline is largely due to cautious consumer spending and an unfortunate E. coli outbreak affecting the chain.

The E. coli bacteria was found at several McDonald’s locations, resulting in over a hundred illnesses and one death. In response, McDonald’s temporarily removed the popular Quarter Pounder from menus in certain states, negatively impacting overall sales.

Even with increased customer visits, U.S. sales dropped by 1.4% in the fourth quarter compared to the same period the previous year, as consumers spent less per visit.

In contrast, the company saw a sales increase in the Middle East. Historically, McDonald’s has faced boycotts in the region due to its perceived pro-Israel stance during the Gaza conflict. However, these political tensions seem to have eased recently, boosting sales figures.

Similarly, McDonald’s outlets in China and Japan reported higher sales of hamburgers and other products, indicating positive growth in these markets.