Category Archives: E.coli O121

USA -FDA – Investigations of Foodborne Illness Outbreaks

FDA

What’s New

  • A new outbreak of Listeria monocytogenes (ref #1205) in a not yet identified food has been added to the table.
  • For the outbreak of Salmonella Sundsvall (ref #1203) linked to cantaloupe, the recall was expanded to include additional retailers and wholesalers who received the recalled melons. Additionally, the Oranienburg strain of Salmonella was added to this outbreak. See the Outbreak Advisory for additional information.
  • For the outbreak of Listeria monocytogenes (ref #989) linked to peaches, plums, and nectarines, the advisory was updated to include international distribution of the recalled fruit to Canada, Mexico, and Taiwan.
  • For the investigation of elevated lead levels in Cinnamon Applesauce Pouches (ref # 1198) the advisory was updated to include additional adverse event reports and Investigation updates.
  • For the outbreak of Salmonella Newport (ref# 1201) in a not yet identified food, the case count has increased from 42 to 43 cases.
  • For the outbreak of E. coli O121 (ref#1195) in a not yet identified food, an on-site inspection was initiated and sample collection and analysis was initiated.
  • For the outbreak of E. coli O103 (ref# 1192) in a not identified product, the investigation is complete and the outbreak has ended.

USA- FDA – Core Outbreak Table -Investigations of Foodborne Illness Outbreaks

FDA

What’s New

  • For the outbreak of Salmonella Newport (ref # 1201), the case count has increased from 40 cases to 42 cases.
  • For the outbreak of Salmonella Sundsvall (ref #1203) linked to cantaloupe, the recall was expanded to include additional retailers and wholesalers who received the recalled melons. See the Outbreak Advisory for additional information. 
  • For the outbreak of Listeria monocytogenes (ref #989) linked to peaches, plums, and nectarines, the advisory was updated to include additional retailers impacted by this outbreak.
  • For the investigation of elevated lead levels in Cinnamon Applesauce Pouches (ref # 1198) the advisory was updated to include additional adverse event reports and advice for consumers.

Date
Posted

Ref

Pathogen
or
Cause of
Illness

Product(s)
Linked to
Illnesses

(if any)

Total
Case
Count


Status

11/22/

2023

1201

Salmonella
Newport

Not Yet
Identified

42

Active

11/22/

2023

1203

Salmonella
Sundsvall

Cantaloupe

Advisory

Active

11/15/

2023

989

Listeria
monocytogenes

Peaches, Plums,
and Nectarines

Advisory

Active

11/15/

2023

1192

E. coli
0103

Not Yet
Identified

12

Active

11/8/

2023

1198

Elevated Lead
Levels

Apple
Cinnamon
Puree

Advisory

Active

11/1/

2023

1195

E. coli
O121:H19

Not Yet
Identified

37

Active

10/4/

2023

1190

Salmonella
Thompson

Onions

Advisory

Active

USA – FDA- Investigations of Foodborne Illness Outbreaks

FDA

What’s New

  • The outbreak of Listeria monocytogenes (ref #989) has been linked to peaches, plums, and nectarines. FDA issued an advisory on this outbreak. FDA’s investigation is ongoing.
  • A new outbreak of Salmonella Sundsvall (ref #1203) linked to cantaloupe has been added to the table. FDA issued an advisory on this outbreak. FDA’s investigation is ongoing.
  • A new outbreak of Salmonella Newport in a not yet identified food had been added to the table. FDA has initiated a traceback investigation. FDA’s investigation is ongoing.
Date
Posted
Ref Pathogen
or
Cause of
Illness
Product(s)
Linked to
Illnesses

(if any)
Total
Case
Count

Status
11/22/

2023

1201 Salmonella
Newport
Not Yet
Identified
40 Active
11/22/

2023

1203 Salmonella
Sundsvall
Cantaloupe See

Advisory

Active
11/15/

2023

989 Listeria
monocytogenes
Peaches, Plums,
and Nectarines
See

Advisory

Active
11/15/

2023

1192 E. coli
0103
Not Yet
Identified
12 Active
11/8/

2023

1198 Elevated Lead
Levels
Apple
Cinnamon
Puree
See

Advisory

Active
11/1/

2023

1195 E. coli
O121:H19
Not Yet
Identified
37 Active
10/4/

2023

1190 Salmonella
Thompson
Onions See

Advisory

Active

USA – FDA – Investigations of Foodborne Illness Outbreaks

FDA

What’s New

  • An investigation of illnesses (ref #1198) linked to apple cinnamon fruit puree pouches is now being managed by FDA’s Coordinated Outbreak Response & Evaluation (CORE) Network and has been added to the table. These illnesses are due to elevated lead levels in the products, which can be particularly harmful to children. FDA has issued an advisory with advice for consumers, has initiated traceback, sample collection and analysis, and onsite inspections. WanaBana has issued a voluntary recall of all apple cinnamon pouches. Updates will be provided as they become available.
Date
Posted
Ref Pathogen
or
Cause of
Illness
Product(s)
Linked to
Illnesses

(if any)
Total
Case
Count

Status
11/8/

2023

1198 Elevated Lead
Levels
Apple
Cinnamon
Puree
See

Advisory

Ongoing
11/1/

2023

1195 E. coli
O121:H19
Not
Yet
Identified
37 Active
10/4/

2023

1190 Salmonella
Thompson
Onions See

Advisory

Active

USA – FDA – Investigations of Foodborne Illness Outbreaks

FDA

What’s New

  • A new outbreak of E. coli O121:H19 (ref # 1195) in a not yet identified product has been added to the table. FDA has initiated traceback.
  • For the outbreak of Listeria monocytogenes (ref # 1172) linked to Ice cream, the advisory was updated on October 26, 2023. The outbreak has ended, and FDA’s investigation is closed.
Date
Posted
Ref Pathogen
or
Cause of
Illness
Product(s)
Linked to
Illnesses

(if any)
Total
Case
Count

Status
11/01/

2023

1195 E.Coli
O121:H19
Not
Yet
Identified
37 Active
10/4/

2023

1190 Salmonella
Thompson
Onions See Advisory Active

USA – USDA Starts Testing Ground Beef For Big Six E. coli Strains, O157

Food Poisoning Bulletin

The USDA’s Food Safety and Inspection Service (FSIS) has started testing ground beef, bench trim, and other raw ground beef components for Shiga toxin-producing E. coli strains (STEC) that are adulterants. They include the “Big Six” O26, O45, O103, O111, O121, and O145 as well as O157. The testing started on February 1, 2023. This new program was announced in the Federal Register on June 4, 2020.

USDA Methods Update – Detection, Isolation, and Identification of Top Seven Shiga Toxin-Producing Escherichia coli (STEC) from Meat Products, Carcass, and Environmental Sponges

FSIS USDA

This method describes the laboratory procedure for analysis of raw and ready-to-eat meat products, and laboratory environmental sponge samples for the seven targeted STEC serogroups (O157, O26, O45, O103, O111, O121 and O145).

USA – FDA – Core Investigations of Foodborne Illness Outbreaks

FDA

What’s New

  • The outbreak of E. coli O121:H19 linked to Frozen Falafel (reference #1115) has ended and the FDA investigation has closed.

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

FDA

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

As of December 1, 2022, CDC announced that the outbreak is over. There have been a total of 24 illnesses in six states. The last illness onset was October 24, 2022.

On October 7, 2022, the Michigan Department of Agriculture and Rural Development collected Earth Grown frozen falafel for testing from a sick person’s home. Whole Genome Sequencing done at the Michigan Department of Health & Human Services showed that the E. coli strain in the falafel sample was closely related to the strain causing illness in this outbreak.

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.

Recommendation

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 any recalled Earth Grown vegan traditional falafel and garlic & herb falafel that was sold by ALDI. If you have recalled frozen falafel in your freezer, do not eat or serve them.


Product Images

Outbreak Investigation E.coli Frozen Falafel October 2022 - Sample Product Images

Map of U.S. Distribution

Outbreak Ecoli Falafel Distribution Map

Case Count Map Provided by CDC

Outbreak Investigation of E. coli O121: Frozen Falafel (October 2022) - CDC Case Count Map as of December 1, 2022

Case Counts

Total Illnesses: 24
Hospitalizations: 5
Deaths: 1
Last illness onset: October 24, 2022
States with Cases: FL (2), IA (2), KS (1), MI (13), OH (1), WI (5)
Product Distribution: Nationwide

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.