Category Archives: E.coli O121

USA – FDA Core Outbreak Table

FDA

What’s New

  • For the outbreak of E. coli O121:H19 linked to Frozen Falafels (reference #1115), FDA has initiated traceback and sample collection and analysis.
  • For the outbreak of E. coli O157:H7 in an unidentified product (reference #1081), the FDA investigation has closed.
  • For the outbreak of Salmonella Senftenberg in an unidentified product (reference #1087), the case count has increased from 33 to 34 cases.
  • For the outbreak of Cyclospora cayetanensis in an unidentified product (reference #1084), the case count has increased from 42 to 43 case.

USA – Michigan hit hardest in Falafel E. coli Outbreak

Food Poison Journal

As of October 7 2022, 20 people infected with the outbreak strain of E. coli O121 have been reported from 6 states (see map). Illnesses started on dates ranging from July 13, 2022, to September 13, 2022 (see timeline).

 

 

 

 

 

 

Sick people range in age from less than 1 to 71 years, with a median age of 31, and 79% are female. Of 14 people with information available, 5 have been hospitalized, including 1 who developed hemolytic uremic syndrome, a serious condition that can cause kidney failure. No deaths have been reported.

The true number of sick people in this outbreak is likely higher than the number reported, and the outbreak may not be limited to the states with known illnesses. This is because some people recover without medical care and are not tested for E. coli. In addition, recent illnesses may not yet be reported as it usually takes 3 to 4 weeks to determine if a sick person is part of an outbreak.

State and local public health officials are interviewing people about the foods they ate in the week before they got sick. Among 18 people interviewed, 15 reported shopping at ALDI stores. Among these 15 ALDI shoppers, 6 reported eating Earth Grown brand frozen falafel purchased from ALDI in the week before getting sick.

USA – Updated – Outbreak Investigation of E. coli O121:H19 Frozen Falafel (October 2022)

FDA

The FDA, along with CDC and state and local partners, are investigating a multistate outbreak of E. coli O121:H19 infections linked to Earth Grown frozen falafel.

Based on epidemiologic information provided by CDC and interviews conducted by state and local public health officials, of 18 people interviewed, 15 reported shopping at ALDI stores. Among these 15 people who reported shopping at ALDI stores, 6 reported eating Earth Grown brand frozen falafel purchased from ALDI in the week before getting sick.

On October 6, 2022, the manufacturer of Earth Grown frozen falafel, Cuisine Innovations, initiated a voluntary recall. Recalled products include Earth Grown vegan traditional falafel and garlic & herb falafel distributed and sold exclusively by ALDI. Additional information on recalled products is available in the firm’s recall notice.

On October 6, 2022, ALDI removed any remaining Earth Grown frozen falafel from stores.

FDA’s investigation is ongoing. Updates to this advisory will be provided as they become available.

Recommendation

Consumers, restaurants, and retailers should not eat, sell, or serve recalled Earth Grown Traditional Falafel or Garlic & Herb Falafel sold exclusively by ALDI after June 24, 2021.

These items are no longer available for sale but were sold frozen and have a long shelf-life of 18 months, so consumers should check their freezers for these products. If you have recalled frozen falafel in your freezer, do not eat or serve them.

Outbreak Investigation of E. coli O121: Frozen Falafel (October 2022) - CDC Case Count Map as of October 7, 2022

USA – FDA Coe Investigation Table Update

FDA

What’s New

  • An outbreak of E. coli O157:H7 (ref# 1081) in an unidentified product was added to the table and FDA has initiated a traceback investigation. CDC has issued an Investigation Notice.
  • An outbreak of Salmonella Senftenberg (ref# 1087) in an unidentified product was added to the table.
  • An outbreak of Salmonella Typhimurium (ref# 1095) in an unidentified product was added to the table and traceback has been initiated.
  • For the outbreak of Salmonella Braenderup (ref# 1075) in an unidentified product, the outbreak has ended.
  • For the outbreak of Cyclospora in an unidentified product (ref# 1084), the case count has increased from 77 to 98.
  • For the outbreak of hepatitis A illnesses linked to fresh strawberries (ref# 1066), the FDA investigation has closed and the outbreak is over.
Date
Posted
Ref
Pathogen
Product(s)
Linked to
Illnesses

(if any)
Total
Case Count

Status
8/17/

2022

1081 E. coli
O157:H7
Not Yet Identified See CDC Investigation Notice Active
8/17/

2022

1087 Salmonella
Senftenberg
Not Yet Identified 19 Active
8/17/

2022

1095 Salmonella
Typhimurium
Not Yet Identified 44 Active
8/3/

2022

1080 Cyclospora Not Yet Identified 6 Active
7/27/

2022

1084 Cyclospora Not Yet Identified 98 Active
6/29/

2022

1076 Not Yet Identified Frozen Food See Outbreak
Advisory
Active
6/22/

2022

1075 Salmonella
Braenderup
Not Yet Identified 74 Active
6/22/

2022

1072 Salmonella
Paratyphi B var. L(+) tartrate+
Not Identified 14 Closed
6/15/

2022

1070 Listeria
monocytogenes
Not Identified 12 Closed
6/8/

2022

1068 E. coli
O157:H7
Not Identified 10 Closed
6/1/

2022

1066 Hepatitis A Virus Strawberries See Outbreak
Advisory
Closed
5/25/

2022

1067 Salmonella 
Senftenberg
Peanut Butter See Outbreak Advisory Closed
4/20/

2022

1064 Not Yet
Identified
Dry Cereal 558 adverse
event reports
Active
4/13/

2022

1057 Listeria
monocytogenes
Ice Cream See Outbreak Advisory Active
3/30/

2022

1060 None
Identified
Meal Replacement
Drink
6 adverse
event reports
Closed
3/16/

2022

1055 Salmonella
Saintpaul
Not Identified 60 Closed
2/17/

2022

1056 Cronobacter
sakazakii
Powdered
Infant
Formula
See
Advisory
Active (IMG)
2/9/

2022

1040 Listeria
monocytogenes
Not Identified 20 Closed
2/2/

2022

1054 Enteroinvasive
E. coli
O143:H26
Not
Identified
16 Closed
1/10/

2022

1050 E. coli
O121:H19
Romaine 4 Closed

USA – FDA Core Investigation Table Update

FDA

What’s New

  • For the outbreak of Cyclospora in an unidentified food (ref # 1084) the total case count has increased from 60 to 77.
Date
Posted
Ref Pathogen or
Cause of Illness

Product(s)
Linked to
Illnesses

(if any)
Total
Case Count
Status
8/3/

2022

1080 Cyclospora Not Yet Identified 6 Active
7/27/

2022

1084 Cyclospora Not Yet Identified 77 Active
6/29/

2022

1076 Not Yet Identified Frozen Food See Outbreak
Advisory
Active
6/22/

2022

1075 Salmonella
Braenderup
Not Yet Identified 74 Active
6/22/

2022

1072 Salmonella
Paratyphi B var. L(+) tartrate+
Not Identified 14 Closed
6/15/

2022

1070 Listeria
monocytogenes
Not Identified 12 Closed
6/8/

2022

1068 E. coli
O157:H7
Not Identified 10 Closed
6/1/

2022

1066 Hepatitis A Virus Strawberries See Outbreak
Advisory
Active
5/25/

2022

1067 Salmonella 
Senftenberg
Peanut Butter See Outbreak Advisory Closed
4/20/

2022

1064 Not Yet
Identified
Dry Cereal 558 adverse
event reports
Active
4/13/

2022

1057 Listeria
monocytogenes
Ice Cream See Outbreak Advisory Active
3/30/

2022

1060 None
Identified
Meal Replacement
Drink
6 adverse
event reports
Closed
3/16/

2022

1055 Salmonella
Saintpaul
Not Identified 60 Closed
2/17/

2022

1056 Cronobacter
sakazakii
Powdered
Infant
Formula
See
Advisory
Active (IMG)
2/9/

2022

1040 Listeria
monocytogenes
Not Identified 20 Closed
2/2/

2022

1054 Enteroinvasive
E. coli
O143:H26
Not
Identified
16 Closed
1/10/

2022

1050 E. coli
O121:H19
Romaine 4 Closed

USA – FDA Core Table – Investigations of Foodborne Illness Outbreaks

FDA

What’s New

  • For the Cyclospora outbreak in an unidentified vehicle (ref# 1084), the number of cases has increased from 51 to 60 and sample collection and analysis has been initiated.
  • A new outbreak has been added to the table: Cyclospora in a not yet identified food (ref #1080). Traceback has been initiated.
  • For the Salmonella Paratyphi B var. L(+) tartrate+ outbreak (ref# 1072) in a not identified food, FDA’s investigation status is now closed.
  • For the Listeria monocytogenes outbreak (ref# 1070) in a not identified food, the outbreak status has ended and FDA’s investigation status is now closed.
  • For the Salmonella Braenderup outbreak (ref #1075), the number of cases has increased from 70 to 74.
Date
Posted
Ref Pathogen or
Cause of Illness

Product(s)
Linked to
Illnesses

(if any)
Total
Case Count

Status
8/3/

2022

1080 Cyclospora Not Yet Identified 6 Active
7/27/

2022

1084 Cyclospora Not Yet Identified 60 Active
6/29/

2022

1076 Not Yet Identified Frozen Food See Outbreak
Advisory
Active
6/22/

2022

1075 Salmonella
Braenderup
Not Yet Identified 74 Active
6/22/

2022

1072 Salmonella
Paratyphi B var. L(+) tartrate+
Not Identified 14 Closed
6/15/

2022

1070 Listeria
monocytogenes
Not Identified 12 Closed
6/8/

2022

1068 E. coli
O157:H7
Not Identified 10 Closed
6/1/

2022

1066 Hepatitis A Virus Strawberries See Outbreak
Advisory
Active
5/25/

2022

1067 Salmonella 
Senftenberg
Peanut Butter See Outbreak Advisory Closed
4/20/

2022

1064 Not Yet
Identified
Dry Cereal 558 adverse
event reports
Active
4/13/

2022

1057 Listeria
monocytogenes
Ice Cream See Outbreak Advisory Active
3/30/

2022

1060 None
Identified
Meal Replacement
Drink
6 adverse
event reports
Closed
3/16/

2022

1055 Salmonella
Saintpaul
Not Identified 60 Closed
2/17/

2022

1056 Cronobacter
sakazakii
Powdered
Infant
Formula
See
Advisory
Active (IMG)
2/9/

2022

1040 Listeria
monocytogenes
Not Identified 20 Closed
2/2/

2022

1054 Enteroinvasive
E. coli
O143:H26
Not
Identified
16 Closed
1/10/

2022

1050 E. coli
O121:H19
Romaine 4 Closed

USA – FDA Core Investigation Table

FDA

What’s New

  • For the Salmonella Senftenberg outbreak in Peanut Butter (ref# 1067), the outbreak status has ended and the investigation status is now closed.
  • A new outbreak has been added to the table: Cyclospora in a not yet identified food (ref #1084).
  • For the Salmonella Paratyphi B var. L(+) tartrate+ outbreak (ref# 1072) in a not yet identified food, the outbreak status has ended. FDA’s investigation status is still ongoing.
Date
Posted
Ref Pathogen or
Cause of Illness

Product(s)
Linked to
Illnesses

(if any)
Total
Case Count

Status
7/27/

2022

1084 Cyclospora Not Yet Identified 51 Active
6/29/

2022

1076 Not Yet Identified Frozen Food See Outbreak
Advisory
Active
6/22/

2022

1075 Salmonella
Braenderup
Not Yet Identified 70 Active
6/22/

2022

1072 Salmonella
Paratyphi B var. L(+) tartrate+
Not Yet Identified 14 Active
6/15/

2022

1070 Listeria
monocytogenes
Not Yet Identified 12 Active
6/8/

2022

1068 E. coli
O157:H7
Not Identified 10 Closed
6/1/

2022

1066 Hepatitis A Virus Strawberries See Outbreak
Advisory
Active
5/25/

2022

1067 Salmonella 
Senftenberg
Peanut Butter See Outbreak Advisory Closed
4/20/

2022

1064 Not Yet
Identified
Dry Cereal 558 adverse
event reports
Active
4/13/

2022

1057 Listeria
monocytogenes
Ice Cream See Outbreak Advisory Active
3/30/

2022

1060 None
Identified
Meal Replacement
Drink
6 adverse
event reports
Closed
3/16/

2022

1055 Salmonella
Saintpaul
Not Identified 60 Closed
2/17/

2022

1056 Cronobacter
sakazakii
Powdered
Infant
Formula
See
Advisory
Active (IMG)
2/9/

2022

1040 Listeria
monocytogenes
Not Identified 20 Closed
2/2/

2022

1054 Enteroinvasive
E. coli
O143:H26
Not
Identified
16 Closed
1/10/

2022

1050 E. coli
O121:H19
Romaine 4 Closed

USA – FDA Core Outbreak Table Update

FDA

Date
Posted

Ref

Pathogen or
Cause of Illness

 

Product

Total
Case Count


Status

6/29/

2022

1076

Not Yet Identified

Frozen Food

See Outbreak
Advisory

Active

6/22/

2022

1075

Salmonella
Braenderup

Not Yet Identified

70

Active

6/22/

2022

1072

Salmonella
Paratyphi B var. L(+) tartrate+

Not Yet Identified

14

Active

6/15/

2022

1070

Listeria
monocytogenes
 

Not Yet Identified

12

Active

6/8/

2022

1068

E. coli
O157:H7

Not Identified

10

Closed

6/1/

2022

1066

Hepatitis A Virus

Strawberries

See Outbreak
Advisory

Active

5/25/

2022

1067

Salmonella 
Senftenberg

Peanut Butter

See Outbreak Advisory

Active

4/20/

2022

1064

Not Yet
Identified

Dry Cereal

558 adverse
event reports

Active

4/13/

2022

1057

Listeria
monocytogenes

Ice Cream

See Outbreak Advisory

Active

3/30/

2022

1060

None
Identified

Meal Replacement
Drink

6 adverse
event reports

Closed

3/16/

2022

1055

Salmonella
Saintpaul

Not Identified

60

Closed

2/17/

2022

1056

Cronobacter
sakazakii

Powdered
Infant
Formula

See
Advisory

Active (IMG)

2/9/

2022

1040

Listeria
monocytogenes

Not Identified

20

Closed

2/2/

2022

1054

Enteroinvasive
E. coli
O143:H26

Not
Identified

16

Closed

1/10/

2022

1050

E. coli
O121:H19

Romaine

4

Closed

USA – FDA Core Investigation Table Update

FDA

This week’s updates are:

  • For the Salmonella Braenderup outbreak (ref# 1075), the case count has increased from 59 to 63.
  • For the E. coli O157:H7 outbreak (ref# 1068), the investigation status has been updated to closed.
  • For the Listeria monocytogenes outbreak (ref# 1057), a voluntary recall has been initiated and an outbreak advisory has been issued.
Date
Posted
Ref Pathogen or
Cause of Illness

Product(s)
Linked to
Illnesses

(if any)
Total
Case Count

Status
6/29/

2022

1076 Not Yet Identified Frozen Food See Outbreak
Advisory
Active
6/22/

2022

1075 Salmonella
Braenderup
Not Yet Identified 63 Active
6/22/

2022

1072 Salmonella
Paratyphi B var. L(+) tartrate+
Not Yet Identified 14 Active
6/15/

2022

1070 Listeria
monocytogenes
Not Yet Identified 12 Active
6/8/

2022

1068 E. coli
O157:H7
Not Identified 10 Closed
6/1/

2022

1066 Hepatitis A Virus Strawberries See Outbreak
Advisory
Active
5/25/

2022

1067 Salmonella 
Senftenberg
Peanut Butter See Outbreak Advisory Active
4/20/

2022

1064 Not Yet
Identified
Dry Cereal 558 adverse
event reports
Active
4/13/

2022

1057 Listeria
monocytogenes
Ice Cream See Outbreak Advisory Active
3/30/

2022

1060 None
Identified
Meal Replacement
Drink
6 adverse
event reports
Closed
3/16/

2022

1055 Salmonella
Saintpaul
Not Identified 60 Closed
2/17/

2022

1056 Cronobacter
sakazakii
Powdered
Infant
Formula
See
Advisory
Active (IMG)
2/9/

2022

1040 Listeria
monocytogenes
Not Identified 20 Closed
2/2/

2022

1054 Enteroinvasive
E. coli
O143:H26
Not
Identified
16 Closed
1/10/

2022

1050 E. coli
O121:H19
Romaine 4 Closed

USA – FDA Core Investigation Table

FDA

What’s New

  • For the Salmonella Braenderup outbreak in a not yet identified food (ref# 1075), the case count has increased from 42 to 59 cases.
  • For the Listeria monocytogenes outbreak (ref# 1057), a product linked to illnesses is ice cream from Big Olaf Creamery, located in Florida.
Date
Posted
Ref
#
Pathogen or
Cause of Illness

Product(s)
Linked to
Illnesses

(if any)
Total
Case Count

Status
6/29/

2022

1076 Not Yet Identified Frozen Food See Outbreak
Advisory
Active
6/22/

2022

1075 Salmonella
Braenderup
Not Yet Identified 59 Active
6/22/

2022

1072 Salmonella
Paratyphi B var. L(+) tartrate+
Not Yet Identified 14 Active
6/15/

2022

1070 Listeria
monocytogenes
Not Yet Identified 12 Active
6/8/

2022

1068 E. coli
O157:H7
Not Yet Identified 10 Active
6/1/

2022

1066 Hepatitis A Virus Strawberries See Outbreak
Advisory
Active
5/25/

2022

1067 Salmonella 
Senftenberg
Peanut Butter See Outbreak Advisory Active
4/20/

2022

1064 Not Yet
Identified
Dry Cereal 558 adverse
event reports
Active
4/13/

2022

1057 Listeria
monocytogenes
Ice Cream See CDC’s Investigation Notice Active
3/30/

2022

1060 None
Identified
Meal Replacement
Drink
6 adverse
event reports
Closed
3/16/

2022

1055 Salmonella
Saintpaul
Not Identified 60 Closed
2/17/

2022

1056 Cronobacter
sakazakii
Powdered
Infant
Formula
See
Advisory
Active (IMG)
2/9/

2022

1040 Listeria
monocytogenes
Not Identified 20 Closed
2/2/

2022

1054 Enteroinvasive
E. coli
O143:H26
Not
Identified
16 Closed
1/10/

2022

1050 E. coli
O121:H19
Romaine 4 Closed