Research – Multistate Outbreak of Listeria monocytogenes Infections Linked to Fresh, Soft Hispanic-Style Cheese — United States, 2021



What is already known about this topic?

Listeriosis outbreaks are frequently associated with consumption of fresh, soft Hispanic-style cheeses.

What is added by this report?

In early 2021, a multistate outbreak of listeriosis involving 13 cases in four states occurred, resulting in 12 hospitalizations and one death. The outbreak was linked to Hispanic-style cheese within 19 days of cluster detection. Rapid food testing by regulatory agencies in response to the investigation identified the implicated cheese.

What are the implications for public health practice?

To prevent severe health outcomes among persons at increased risk for listeriosis, public health agencies should improve communications, including implementing new methods of dissemination to emphasize the risk from eating fresh, soft Hispanic-style cheeses, even those made with pasteurized milk. 

Listeriosis is a serious infection usually caused by eating food contaminated with the bacterium Listeria monocytogenes. An estimated 1,600 persons become ill with listeriosis each year, among whom approximately 260 die. Persons at higher risk for listeriosis include pregnant persons and their newborns, adults aged ≥65 years, and persons with weakened immune systems. Persons with invasive listeriosis usually report symptoms starting 1–4 weeks after eating food contaminated with L. monocytogenes; however, some persons who become infected have reported symptoms starting as late as 70 days after exposure or as early as the same day of exposure (1). On January 29, 2021, PulseNet, the national molecular subtyping surveillance network coordinated by CDC, identified a multistate cluster of three L. monocytogenes infections: two from Maryland and one from Connecticut (2). CDC, the Food and Drug Administration (FDA), and state and local partners began an investigation on February 1, 2021. A total of 13 outbreak-related cases were eventually identified from four states. All patients reported Hispanic ethnicity; 12 patients were hospitalized, and one died. Rapid food testing and record collection by regulatory agencies enabled investigators to identify a brand of queso fresco made with pasteurized milk as the likely source of the outbreak, leading to an initial product recall on February 19, 2021. Fresh, soft Hispanic-style cheeses made with pasteurized milk are a well-documented source of listeriosis outbreaks. These cheeses can be contaminated with L. monocytogenes unless stringent hygienic controls are implemented, and the processing environment is monitored for contamination (3). U.S. public health agencies should establish or improve communications, including new methods of disseminating information that also effectively reach Hispanic populations, to emphasize the risk from eating fresh, soft Hispanic-style cheeses, even those made with pasteurized milk.

USA – BEAM Dashboard


The BEAM (Bacteria, Enterics, Amoeba, and Mycotics) Dashboard is an interactive tool to access and visualize data from the System for Enteric Disease Response, Investigation, and Coordination (SEDRIC). The BEAM Dashboard provides timely data on pathogen trends and serotype details to inform work to prevent illnesses from food and animal contact. Currently, the dashboard focuses on data for Salmonella bacteria, but it will eventually include additional pathogens, antimicrobial resistance data, and epidemiologic data from outbreak investigations.

Frequently Asked Questions (FAQ)

For additional questions, please contact

Kenya – Aflatoxins link in Kenya cancer burden

Business Daily Africa

Known as a family of toxins produced by certain fungi, aflatoxins have been established to be highly harmful to human beings.

Of late they have also been linked to the high cases of cancer. The best-known one is Aspergillus flavus, that attacks crops such as maize, pulses and groundnuts while in the field and in storage when they are not dried and stored properly.

Aflatoxins also lower the body’s immunity and cause permanent and irreversible stunting in children. And in cases of acute poisoning, they can lead to instant death. But in cases of long-time exposure, they are known to provoke liver cancer.

A study conducted in February this year by James Kibugu, of the Kenya Agricultural and Livestock Research Organisation (Kalro) and four others shows that these poisonous chemicals are becoming a major burden on Kenya’s health care system.

But Kenya could reduce the cancer burden if food safety standards are strictly enforced.

Kibugu’s paper published in the African Journal of Food, Agriculture, Nutrition and Development notes that common cereals like maize and wheat have total aflatoxin levels higher than Kenyan, USA, and EU standards.

USA – FDA Core Outbreak Table


Ref Pathogen

Product Total
Case Count


1067 Salmonella 
Peanut Butter See Outbreak Advisory Ongoing
See Advisory


1064 Not Yet
Dry Cereal 558 adverse
event reports
See Advice


1057 Listeria
Not Yet
20 Ongoing
See Advice


1060 Not Yet
Meal Replacement
6 adverse
event reports
See Advice


1055 Salmonella
Not Identified 60 Ended
See Advice


1056 Cronobacter


1040 Listeria
Not Identified 20 Ongoing
See Advice


1054 Enteroinvasive
E. coli
16 Ended
See Advice


1050 E. coli
Romaine 4 Ended


1052 E. coli
See Outbreak
See Outbreak


1039 Listeria
See Outbreak
See Outbreak


1048 Listeria
See Outbreak
See Outbreak

USA – Bix Produce Company Recalls “Egg and Cheese Curds Power Box” Because of Possible Health Risk – Salmonella



Company Announcement Date:
FDA Publish Date:
Product Type:
Food & Beverages
Peanut Butter
Foodborne Illness
Reason for Announcement:
Company Name:
Bix Produce Company
Brand Name:
Jack & Olive and Created Fresh!
Product Description:
Egg and Cheese Curds snack and power boxes

Company Announcement

Bix Produce Company of Little Canada, MN, is recalling its 5 ounce packages of “Egg and Cheese Curds Power Box” and “Egg and Cheese Curds snack box” because they have the potential to be contaminated with Salmonella, an organism which can cause serious and sometimes fatal infections in young children, frail or elderly people, and others with weakened immune systems. Healthy persons infected with Salmonella often experience fever, diarrhea (which may be bloody), nausea, vomiting and abdominal pain. In rare circumstances, infection with Salmonella can result in the organism getting into the bloodstream and producing more severe illnesses such as arterial infections (i.e., infected aneurysms), endocarditis and arthritis.
The recalled products have a 7-days shelf life and were distributed regionally in retail settings.



Pack Size


Use By Dates Range

Included States

Jack&Olive Egg and Cheese Curds Power Box 5 oz. 8 46709 00570 6 04/18/2022-05/31/2022 MN, WI, IA, SD, ND
Created Fresh! Egg and Cheese Curds Snack Box 5 oz. 8 46709 00570 6 04/18/2022-05/31/2022 MN, WI, IA, SD, ND

The product comes in a 5 ounce, clear plastic package marked with a “Sell By” date ranging from 04/18/22 to 05/31/2022 printed on the bottom of the individual packages.

Bix Produce Company initiated this recall because it contains the Jif Creamy Peanut Butter To Go 1.5 oz. cup that has been recalled by JM Smucker Co.

Consumers who have purchased 5 ounce packages of either item are urged to not consume and immediately discard them or return them to the place of purchase for a full refund. Consumers with questions may contact the company at 1-651-478-8000.

Company Contact Information


Product Photos

USA – Outbreak Investigation of Salmonella: Peanut Butter (May 2022) – Update


The FDA, along with CDC and state and local partners, are investigating a multistate outbreak of Salmonella Senftenberg infections linked to certain Jif brand peanut butter products produced at the J.M. Smucker Company facility in Lexington, Kentucky.

J.M. Smucker Company has voluntarily recalled certain Jif brand peanut butter products that have the lot codes described below. Photo examples are included below.

FDA has posted a list of additional recalls being conducted by companies that have used the recalled Jif peanut butter as an ingredient in the manufacturing of a new product (e.g., chocolate products) or in repackaging the product (e.g., snack cups). This list will be updated as the agency receives notification of new recalls.

As of May 25, 2022, CDC reports that of the 10 people interviewed, 10 (100%) reported eating peanut butter prior to becoming ill. Nine people reported brand information, and all nine (100%) reported eating different varieties of Jif brand peanut butter.

FDA’s investigation is ongoing and more information will be provided as it becomes available.


Consumers, restaurants, and retailers should not eat, sell, or serve any recalled Jif brand peanut butter, including recalled products that contain the recalled Jif peanut butter. Consumers should also avoid feeding recalled peanut butter to pets or other animals, including wild birds.

For Consumers

Follow these steps:

  1. Check if you have Jif peanut butter in your home.
  2. Locate the lot code on the back of the jar, under the Best If Used By Date (the lot code may be next to the Best If Used By Date for cups or squeeze pouches).
  3. In the lot code, if the first four digits are between 1274 and 2140, and if the next three numbers after that are ‘425’, this product has been recalled and you should not consume this product. An example is below.

If you are unsure what to do with your recalled product, you can call or email J.M. Smucker Company for more information:

The J.M. Smucker Co. Hotline: 800-828-9980
Website: Link Disclaimer

FDA recommends that if you have used the recalled Jif brand peanut butter that have lot code numbers 1274425 through 2140425 and the first seven digits end with 425, you should wash and sanitize surfaces and utensils that could have touched the peanut butter. If you or someone in your household ate this peanut butter and have symptoms of salmonellosis, please contact your healthcare provider.

For Retailers, Re-packers, and Manufacturers

In addition to the steps above, FDA recommends referring to the firm’s recall press for the UPC codes and other retailer information. Do not sell or serve recalled peanut butter or products containing recalled peanut butter.

Product Images

Outbreak Investigation of Salmonella in Peanut Butter (May 2022) - Sample Recalled Product Label
Outbreak Investigation of Salmonella in Peanut Butter (May 2022) - Sample Label

Case Count Map Provided by CDC

Outbreak Investigation of Salmonella in Peanut Butter (May 2022) - CDC Case Count Map as of May 25, 2022

Case Counts

Total Illnesses: 16
Hospitalizations: 2
Deaths: 0
Last Illness Onset: May 2, 2022
States with Cases: AR (1), GA (2), IL (1), MA (1), MO (2), OH (1), NC (2), NY (1), SC (1), TX (2), VA (1), WA (1)
Product Distribution: Nationwide and International (see below)

Quebec – Notice not to consume gravlax sold by the company Nita Tout Garni


Gravlax (CNW Group/Ministry of Agriculture, Fisheries and Food)

QUEBEC CITY, May 26, 2022 /CNW Telbec/ – The Ministry of Agriculture, Fisheries and Food (MAPAQ), in collaboration with the Food Inspection Division of the City of Montreal and the company Nita Tout Garni , located at 5687 suite B, Avenue du Parc in Montreal, advises the public not to consume the product indicated in the table below, because it has not been packaged in such a way as to ensure its safety.

Product name


Affected batch



Units sold until
May 26, 2022

The product that is the subject of this warning was offered for sale until May 26, 2022, and only at the establishment mentioned above. The product was placed on a golden carton covered with transparent plastic wrap and offered refrigerated. Its label bears the mention “Nita Tout Garni”.

The operator is voluntarily recalling the product in question. It has agreed with MAPAQ and the Food Inspection Division of the City of Montreal to issue this warning as a precautionary measure. In addition, people who have this product in their possession are advised not to consume it. They must return it to the establishment where they bought it or throw it away. Even if the affected product shows no signs of tampering or suspicious odors, its consumption may represent a health risk. It should be noted that no case of illness associated with the consumption of this food has been reported to MAPAQ to date.

Australia – The Little Big Dairy Company Double Cream 300mL and 1L – Listeria monocytogenes


Product information

The Little Big Dairy Company Pty Ltd is conducting a recall of their Double Cream 300mL and 1L. The product has been available for sale at independent food retailers including IGA in NSW & ACT.

Date markings

Use By 27 JUN 22

The Little Big Dairy Company Pty Ltd Double Cream 300mL and 1L


The recall is due to potential microbial (Listeria monocytogenes) contamination.

Food safety hazard

Listeria may cause illness in pregnant women and their unborn babies, the elderly and people with low immune systems.

Country of origin


What to do​

Consumers should not eat this product and should return the products to the place of purchase for a full refund. Any consumers concerned about their health should seek medical advice.

For further information please contact:

The Little Big Dairy Company Pty Ltd

(02) 6887 3443​​

Related links:

RASFF Alerts – Salmonella – Dried Fenugreek Leaves- Gelatine Sheets – Mexican Pimento


Salmonella in dried fenugreek leaves from Pakistan in Austria, Czech Republic, Hungary, Serbia, Slovakia and UK


Presence of Salmonella in gelatine sheets from Germany in Spain

There is also the following recall but the RASFF link does not work so there is no further information.

Salmonella spp. in mexican pimento packed in Poland with raw material from Mexico

RASFF Alerts – Aflatoxin – Groundnuts – Dried Figs – Paprika Powder – Husked Brown Rice


Aflatoxin in Indian groundnuts in the Netherlands and Finland


Aflatoxins in dried figs from Turkey via Croatia in Slovenia


Aflatoxin in USA groundnuts in the Netherlands


Aflatoxins in paprika powder from Morocco in France and Belgium


Aflatoxin limit exceedance in dried figs from Turkey in Finland, Portugal, Spain, Ukraine,


Aflatoxin in Indian groundnuts from India in the Netherlands and Switzerland


Aflatoxins in husked brown rice from Pakistan in the Netherlands


Aflatoxin in Argentine groundnuts in the Netherlands


Aflatoxin in Argentine groundnuts in the Netherlands

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