Category Archives: Cyclospora

USA – Update – FDA Investigates Multistate Outbreak of Cyclospora Illnesses Linked to Fresh Express Salad Mix Served at McDonald’s

FDA 220px-Cyclospora_cayetanensis_stained

The FDA, CDC, along with state and local officials are investigating a multi-state outbreak of cyclosporiasis illnesses likely linked to salads from McDonald’s restaurants.

Update – August 23, 2018

As of August 23, 2018, a total of 507 laboratory-confirmed cases of Cyclospora infection were reported in people who consumed salads from McDonald’s restaurants; the cases were reported by 15 states and New York City. The investigation is ongoing and the FDA is currently reviewing distribution and supplier information for romaine and carrots.

Recommendations

Consumers who have symptoms of cyclosporiasis should contact their health care provider to report their symptoms and receive care.

UK Scotland – Cyclospora in travellers returning from Mexico

HPS Cyclospora_LifeCycle201

Public Health England (PHE), Public Health Wales (PHW), Health Protection Scotland (HPS) and the Health Protection Service Northern Ireland (HPSNI) are investigating an increase in cases of Cyclospora cayetanensis infection in travellers who have recently returned from Mexico. This is the fourth successive year since 2015 that cases of the infection have been reported in travellers returning from Mexico.

As of 3 August 2018, 63 laboratory-confirmed cases of Cyclospora cayetanensis have been reported in England, Scotland and Wales. Where information is available, 55 (87%) report travel outside the UK, of which 49 (89%) report recent travel to Mexico. Where information is available, cases have stayed at several different hotels in the Cancun and Riviera Maya region suggesting the source is likely to be a foodstuff that has been distributed to hotels throughout the region.

Cyclospora cayetanensis is a protozoan parasite that infects humans and other primates. Infection can cause diarrhoea, abdominal cramping, nausea, flatulence, loss of appetite, fatigue, low-grade fever and weight loss. Infection without symptoms is also reported. Infections in HIV positive people and those with other immune deficiencies can be more severe.

Infection is commonly derived from food or water contaminated by human faeces. The foods commonly involved are soft fruits such as raspberries and salad products such as coriander, basil and lettuce. The risk of infection presented by imported foods is considered to be low.

Advice for travellers on the prevention of Cyclospora is available from Health Protection Scotland: https://www.fitfortravel.nhs.uk/news/newsdetail.aspx?id=22743.

USA – FDA Investigates Multistate Outbreak of Cyclospora Illnesses Linked to Fresh Express Salad Mix Served at McDonald’s

FDA

The FDA, CDC, along with state and local officials are investigating a multi-state outbreak of cyclosporiasis illnesses likely linked to salads from McDonald’s restaurants.

Update – August 16, 2018

As of August 16, 2018, a total of 476 laboratory-confirmed cases of Cyclospora infection were reported in people who consumed salads from McDonald’s restaurants; the cases were reported by 15 states. The investigation is ongoing and the FDA is currently reviewing distribution and supplier information for romaine and carrots.

Recommendations

Consumers who have symptoms of cyclosporiasis should contact their health care provider to report their symptoms and receive care.

Case Counts

Total Illnesses: 476
Hospitalizations: 21
Deaths: 0
Last illness onset: 7/20/2018
States with Cases: CT, FL, IA, IL, IN, KY, MI, MN, MO, NE, OH, SD, TN, VA, WI

Note: The Connecticut, Tennessee, and Virginia case-patients purchased salads while traveling in Illinois; the Florida case-patient purchased a salad while traveling in Kentucky

USA – Cyclospora Outbreak Expands plus Oklahoma Outbreak

Food Poison Journal 

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The CDC, public health and regulatory officials in several states, and the U.S. Food and Drug Administration are investigating a multistate outbreak of Cyclospora infections. As of August 9, 2018 (11am EDT), a total of 436 laboratory-confirmed cases of Cyclospora infection were reported in people who consumed salads from McDonald’s restaurants; the cases were reported by 15 states. Note, the Connecticut, Tennessee, and Virginia case-patients purchased salads while traveling in Illinois; the Florida case-patient purchased a salad while traveling in Kentucky.

Food Poison Journal

The Tulsa Health Department (THD) in collaboration with the Oklahoma State Department of Health (OSDH), Acute Disease Service (ADS) are investigating an outbreak of cyclosporiasis among residents of Tulsa and surrounding counties. As of August 1, 24 laboratory-confirmed cases of cyclosporiasis have been reported; symptom onsets have occurred from June 24 through July 26, 2018. The epidemiologic investigation suggests this outbreak is likely ongoing with persons currently experiencing illness and new cases being reported. Case ages range from 27 to 67 years (median = 43 years); 67% of cases are females. Nine (38%) cases are of Hispanic ethnicity. Twenty-one (88%) cases are residents of Tulsa County; although the other three cases are residents of Wagoner, Creek, and Rogers counties, case interviews have revealed at least two of these three individuals shopped and dined at establishments in the Tulsa area.

 

USA – Cyclospora Updates

FDA

The FDA confirms the presence of Cyclospora in Fresh Express salad mix through new laboratory method; Fresh Express recalls expired products containing romaine lettuce.

July 31, 2018 Update

The FDA has confirmed the presence of Cyclospora in an expired salad mix, containing romaine lettuce and carrots, that was produced by the processor Fresh Express in Streamwood, Illinois.

On July 26, 2018, the FDA completed final analysis of an unused package of Fresh Express salad mix containing romaine lettuce and carrots, which had been distributed to McDonald’s. The analysis confirmed the presence of Cyclospora in that sample, though the expiration date for that product, July 19, had already passed. On July 27, the FDA informed Fresh Express of the results, and instructed Fresh Express to determine whether potentially contaminated product may still be on the market.

Fresh Express reported to FDA that the romaine from the same lot as the positive sample was not packaged for direct retail sale by Fresh Express and had already expired. Fresh Express committed to using recall procedures to inform companies that received additional products of concern about the sample result. Fresh Express also reported that the carrots in the sampled salad mix only went to McDonald’s.

On July 30, 2018, the U.S. Department of Agriculture’s Food Safety and Inspection Service (FSIS) issued a public health alert on beef, pork and poultry salad and wrap products potentially contaminated with Cyclospora that was distributed by Caito Foods LLC, of Indianapolis, Ind. The products were produced between July 15 and 18, 2018, with either “Best By,” “Enjoy by,” “Best if Sold By” or “Sell By” dates ranging from July 18 through July 23, 2018. Caito Foods had received notification from Fresh Express that the chopped romaine in these products was being recalled.

McDonald’s reports that they stopped using the Fresh Express salad mix at impacted restaurants in IL, IA, IN, WI, MI, OH, MN, NE, SD, MT, ND, KY, WV, and MO on July 13, 2018. The company has since reported that it has replaced the supplier of salads in those states. More information can be found in McDonald’s Statement.

In 2015, FDA set up a multidisciplinary workgroup to prioritize the development, validation and implementation of a method for detecting Cyclospora in fresh produce. In 2018, FDA began using the newly validated Cyclospora method. The availability of this method is a significant advancement in FDA’s ability to investigate outbreaks of cyclosporiasis and identify the parasite in foods.

The investigation is ongoing and the FDA is currently reviewing distribution and supplier information for romaine and carrots.

Food Poisoning Bulletin

A cyclospora outbreak among people who attended an event on July 3, 2018 at the Evanston Golf Club at 4401 Dempster Street in Skokie, Illinois has sickened more than one hundred people, according to the Skokie Health Department. The facility is fully cooperating with the investigation.

About 900 people attended that event. Officials have sent all attendees a food survey to help discover which foods may be linked to the outbreak. The Skokie Health Department would like everyone who attended the event at the golf club to fill out the survey, even if they did not get sick.

This outbreak is not linked to the McDonald’s cyclospora outbreak that is linked to the fast food chain’s salads, according to officials. That outbreak has sickened at least 123 people in Illinois, according to the CDC.

USA -Beef, Pork and Poultry salad and wrap recalled over Cyclospora

Food Poison Journal

The U.S. Department of Agriculture’s Food Safety and Inspection Service (FSIS) is issuing a public health alert out of an abundance of caution due to concerns about contamination with Cyclospora. The beef, pork and poultry salad and wrap products were distributed by Caito Foods LLC, an Indianapolis, Ind. establishment.

The beef, pork and poultry salad and wrap items were produced between July 15 to 18, 2018, with the either “Best By,” “Enjoy by,” Best if Sold By” or “Sell By” dates ranging from July 18 through July 23, 2018. [View Label (PDF only)]

The complete list of products, product labels, the UPC code numbers and other identifying information can be found here.

The products bear establishment number “EST. 39985 or P-39985” inside or next to the USDA mark of inspection. These items were shipped to distribution centers nationwide.

The problem was discovered when Caito Foods LLC received notification from their lettuce supplier, Fresh Express, that the chopped romaine that is used to manufacture some of their salads and wraps was being recalled.

USA -FDA Investigates Multistate Outbreak of Cyclospora Illnesses Likely Linked to Salads from Fast Food Chain

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Fast Facts

  • The FDA, CDC, along with state and local officials are investigating a multi-state outbreak of cyclosporiasis illnesses likely linked to salads from McDonald’s restaurants.
  • The CDC reports that 286 people in 15 states have become ill. There have been 11 hospitalizations and no deaths.
  • As this is an ongoing investigation, the FDA will update this page as more information becomes available, such as product information, epidemiological results, and recalls.
  • The FDA is working with McDonald’s to identify the common ingredients in the salads identified by those who became sick and to trace back those ingredients through the supply chain.
  • As of July 13, 2018, McDonald’s has decided to voluntarily stop selling salads at impacted restaurants in IL, IA, IN, WI, MI, OH, MN, NE, SD, MT, ND, KY, WV, and MO until they are able to switch to another salad supplier. More information can be found in McDonald’s Statement.
  • Consumers who have symptoms of cyclosporiasis should contact their health care provider to report their symptoms and receive care. Most people infected with Cyclospora develop diarrhea, with frequent, sometimes explosive, bowel movements. Other common symptoms include loss of appetite, weight loss, stomach cramps/pain, bloating, increased gas, nausea, and fatigue. Vomiting, body aches, headache, fever, and other flu-like symptoms may be noted. Some people who are infected with Cyclospora do not have any symptoms. If not treated, the illness may last from a few days to a month or longer. Symptoms may seem to go away and then return one or more times (relapse).
  • At this time, we do not have evidence to suggest that this cluster of illnesses is related to the ongoing Cyclospora outbreak linked to Del Monte vegetable trays.

USA -Cyclospora cases multiply in Illinois

Outbreak News Today Cyclospora_LifeCycle201

In an update on the Cyclospora situation in Illinois, The Illinois Department of Public Health (IDPH) reports that as of today, 458 cases of cyclosporiasis in counties across Illinois, wth people becoming ill starting in mid-May.

Health officials report 178 Illinois cases reported eating salads from McDonald’s in the days before becoming ill and 135 Illinois cases are linked to a private event held at the Evanston Golf Club.

Cyclosporiasis is an intestinal illness caused by the parasite Cyclospora cayetanensis. People can become infected with Cyclospora by consuming food or water contaminated with the parasite; it is not transmitted directly from one person to another person. The most common symptom of cyclosporiasis is watery diarrhea, which can be profuse. Other common symptoms include anorexia, fatigue, weight loss, nausea, flatulence, abdominal cramping, and myalgia; vomiting and low-grade fever may also occur.

USA – Cyclospora Infections Linked to Del Monte Veggie Trays Surpasses 230

Del MonteFood SAfety Tech 

The latest report from CDC puts the laboratory-confirmed case count of cyclosporiasis in people who reportedly consumed contaminated Del Monte trays at 237. The infections are in Iowa, Minnesota, Wisconsin and Michigan. Seven people have been hospitalized, and no deaths have been reported.

More than one month ago, Del Monte recalled 6- ,12-, and 28-ounce vegetable trays containing broccoli, cauliflower, carrots and dill dip. The products were sold to Kwik Trip, Kwik Star, Demond’s, Sentry, Potash, Meehan’s, Country Market, FoodMax Supermarket and Peapod. According to an FDA update, Del Monte is also recalling 28-ounce veggie trays that were distributed to Illinois and Indiana.

FDA, CDC and other federal agencies continue to investigate the multistate outbreak. They are advising that the vegetable trays are neither sold nor consumed.

More information is available on the CDC website.

USA – Over 100 sickened after Evanston Golf Club event – Cyclospora

ABC 7

More than 100 people fell ill due to a food-borne parasite they allegedly picked up at a suburban golf course, authorities said.

Skokie health officials said they believe it happened during a July 3rd celebration at Evanston Golf Club, which is located in Skokie, where some 950 members and guests gathered for a big picnic and fireworks. Many of them started feeling sick about a week later, and when they compared notes they realized the common thread was the event at the club.

The cause was Cyclosporiasus, a food-borne illness caused by microscopic parasites.

Dr. Catherine Counard from the Skokie Health Department said people generally become ill about a week after ingesting the parasites. Symptoms include watery diarrhea, loss of appetite, nausea and fatigue.