The United States and Canada are part of an outbreak affecting Europe because of Salmonella in tahini and halva from Syria.
The United States has reported six Salmonella Mbandaka cases, one in 2020 and the rest this year.
Interviews were conducted with two people: both report shopping at international markets that stock mostly Arabic and Middle Eastern foods and ingredients, and ate items containing tahini. Interviews are pending on the remaining ill people. Two have traveled to Syria and have not been reachable by public health officials.
Ill people range from less than one to 57 years old, with a median age of 19.5 years. Illness onset dates are from Nov. 19, 2020 to Sept. 5, 2021.
Canada has eight confirmed cases: five of Salmonella Mbandaka, two of Salmonella Havana and one of Salmonella Orion from 2019 to 2021.