Category Archives: food bourne outbreak

Sweden – Salmonella in meat sick 15 in Sweden

Europe Cities

Disease In Food

More than a dozen people recently fell ill in Sweden with Salmonella infections after eating poorly cooked burgers.

An outbreak with 15 cases of salmonellosis after a lunch at a hotel restaurant was investigated by the local food authority and the regional public health authority in Jämtland Härjedalen.

The Salmonella Enteritidis outbreak occurred among students and teachers from Fjällgymnasiet high school during a ski competition in northern Sweden.

Based on information from 11 patients, the first date for disease onset was January 28 and the last was February 4. The age range was 17 to 57 years with a median age of 19. Ten of the patients were men and one was female, all were from northern Sweden.

All the sick had a common meal where they ate ground (minced) burgers. Some of those who ate lunch reported that the burgers were clearly poorly cooked.

After finding Salmonella in samples of minced meat, further tracing of the batch of frozen beef and pork involved was carried out by local authorities, revealing that it came from Poland.

Salmonella was found in three of six meat samples but there is no ongoing risk of people getting sick as the batch involved was only distributed to restaurants and has now been withdrawn.

RASFF Alerts – Foodborne outbreak suspected to be caused by infant formulae from the United States – Salmonella Newport – Cronobacter

RASFF

Foodborne outbreak suspected to be caused by infant formulae from the United States in Croatia, Ireland, Italy, Netherlands, Slovenia , Spain

USA – FDA Investigation of Cronobacter and Salmonella Complaints: Powdered Infant Formula (February 2022)

FDA

Case Counts

Total Adverse Events: 4 (3 Cronobacter, 1 Salmonella)
Hospitalizations: 4
Reported Deaths: 1*
Adverse Event Dates: 9/6/2021 – 12/18/2021
States with Adverse Events: MN (1), OH (1), TX (2)
Product Distribution: Nationwide and International
*One death has been reported but has not been confirmed to be solely attributable to Cronobacter infection.

If you want to check if your powdered formula is part of the recall, you can enter the product lot code on the bottom of your package on the company’s websiteExternal Link Disclaimer.

If you have questions or need information about the recall, you can Submit Questions/Get Assistance.

If your infant is experiencing symptoms related to Cronobacter or Salmonella infection, such as poor feeding, irritability, temperature changes, jaundice, grunting breaths, abnormal movements, lethargy, rash, or blood in the urine or stool; contact your health care provider to report their symptoms and receive immediate care.

To report an illness or adverse event, you can

The FDA, along with CDC and state and local partners are investigating four consumer complaints of infant illness related to products from Abbott Nutrition’s Sturgis, MI facility received from 9/20/2021 to 1/11/2022. All of the cases are reported to have consumed powdered infant formula (IF) produced from Abbott Nutrition’s Sturgis, MI facility. These complaints include three reports of Cronobacter sakazakii infections and one report of Salmonella Newport infection in infants. All four cases related to these complaints were hospitalized and Cronobacter may have contributed to a death in one case.

FDA has initiated an onsite inspection at the facility. Findings to date include several positive Cronobacter results from environmental samples taken by FDA, and adverse inspectional observations by FDA investigators. A review of the firm’s internal records also indicate environmental contamination with Cronobacter sakazakii and the firm’s destruction of product due to the presence of Cronobacter.

FDA is issuing this advisory to alert consumers to avoid purchasing or using recalled powdered infant formula produced in the Sturgis, MI facility.

On 2/17/2022, Abbott Nutrition initiated a voluntary recall of certain powdered infant formulas. Products made at the Sturgis facility can be found across the United States and were likely exported to other countries as well. Canadian health officials have also issued a recall warningExternal Link Disclaimer. FDA is continuing to investigate and will update this advisory should additional consumer safety information become available.

Recommendation

The FDA is advising consumers not to use recalled Similac, Alimentum, or EleCare powdered infant formulas. Recalled products can be identified by the 7 to 9 digit code and expiration date on the bottom of the package (see image below). Products are included in the recall if they have all three items below:

  • the first two digits of the code are 22 through 37 and
  • the code on the container contains K8, SH, or Z2, and
  • the expiration date is 4-1-2022 (APR 2022) or later.

Additional recall information is available on the FDA website. Parents can also enter their product lot code on the company’s websiteExternal Link Disclaimer to check if it is part of the recall.

Additional Information for Parents and Caregivers:

The recall does not include liquid formula products or any metabolic deficiency nutrition formulas. Consumers should continue to use all product not included in the recall.

Parents and caregivers should never dilute infant formula and should not make or feed homemade infant formula to infants. Consumers should also avoid purchasing imported formula through online sales, as it has the potential to be counterfeit.

If your regular formula is not available, contact your child’s healthcare provider for recommendations on changing feeding practices.

More information on Cronobacter and infant formula is available on CDC’s website.

Recalled powdered infant formulas have the potential to be contaminated with Cronobacter, a bacterium that can cause severe foodborne illness primarily in infants. Cronobacter infections are rare but are especially high risk for newborn infants (see symptoms below).

Cronobacter bacteria can cause severe, life-threatening infections (sepsis) or meningitis (an inflammation of the membranes that protect the brain and spine). Symptoms of sepsis and meningitis may include poor feeding, irritability, temperature changes, jaundice (yellow skin and whites of the eyes), grunting breaths, and abnormal movements. Cronobacter infection may also cause bowel damage and may spread through the blood to other parts of the body.

If your child is experiencing any of these symptoms, you should notify your child’s healthcare provider and seek medical care for your child immediately. Healthcare providers and health departments are encouraged to report any confirmed cases of Cronobacter sakazakii to CDC.

USA – Las Vegas – Health district: More than 30 report illness after eating at restaurant

Review Journal

More than 30 people have reported becoming ill after they consumed food and/or drink at a northwest Las Vegas restaurant, according to the Southern Nevada Health District.

Secret of Siam, 5705 Centennial Center, has been closed as the health district investigates.

“The Health District has received reports from more than 30 people whose symptoms included increased heart rate, blurry vision, hallucinations, disorientation or confusion, dizziness or vertigo, loss of consciousness, dry mouth, and numbness and tingling in extremities within hours of consuming food or drink from Secret of Siam,” a health district news release stated.

The incidents occurred in January and February.

Anyone who may have eaten food at the restaurant is asked to take a survey at www.snhd.info/siamsurvey.

Research – What is Cronobacter sakazakii, formerly Enterobacter sakazakii? And, why it is a risk to babies in powered formula

Food Poison Journal

Enterobacter sakazakii was first described as a new bacterial species in 1980, and over a hundred scientific papers have been written about it. From 1980 to 2007 it was known as Enterobacter sakazakii, but in 2007 there was a proposal to reclassify it into a new genus Cronobacter as Cronobacter sakazakii. (1) For simplicity and for the reasons mentioned later, this discussion will continue to use the original name Enterobacter sakazakii. The proposed alternative classification is given as a section at the end and includes a discussion of the problems and the need for future studies.

Enterobacter sakazakii is a Gram-negative rod-shaped bacterium classified in the family Enterobacteriaceae. It has been isolated from three types of infection — devastating meningitis in very young babies (neonates), bacteremia (blood steam infection) in older babies, and a wide variety of infections (or colonization) in older babies, children and adults. The majority of infections reported in the peer-reviewed literature have described neonates—newborn infants, including premature infants, post-mature infants, and full-term newborns—with sepsis, meningitis, or necrotizing enterocolitis. (2) Although it has been isolated from cases of necrotizing enterocolitis, its causative role is unclear. (3)

Reported outcomes in neonatal meningitis are often severe: seizures; brain abscess; hydrocephalus; developmental delay; and death in as many as 40%–80% of cases. Premature infants are thought to be at greater risk than more mature infants, other children, or adults, and outbreaks have occurred in hospital units for newborns. (3)

Although E. sakazakii can cause illness in all age groups, infants are believed to be at greatest risk of infection and E. sakazakii was first implicated in a case of neonatal meningitis in 1958 (before the organism was given a scientific name). Since that time, around 70 cases of E. sakazakii infection have been reported, but it is likely that is the number of cases is significantly under-reported in all countries and the incidence is probably higher. (4)

Research – Norovirus behind a third of outbreaks in Finland

Food Safety News

Food Borne Illness - Norovirus -CDC Photo

Norovirus was the main cause of foodborne outbreaks in Finland from 2017 to 2019, according to figures published recently by the Finnish Food Authority (Ruokavirasto).

About 2,900 people were reported to have fallen ill in 162 foodborne outbreaks with 110 hospitalizations and nine deaths.

Norovirus caused 57 foodborne outbreaks including two in 2018 through meals at medical and elderly care institutions with 292 and 110 cases. The most commonly reported vectors were fish and fish products, including shellfish and mussels. These caused 14 outbreaks.

Turkey – Norovirus behind mass hospitalizations in Turkey’s Bilecik – Water Contamination

Daily Sabah

Authorities announced that norovirus is the culprit behind the hospitalization of hundreds of people in the western province of Bilecik in recent weeks. An investigation found out that the virus, whose symptoms include vomiting, diarrhea and stomachache, originated from city’s drinking water. Health Ministry crews discovered that unfiltered water from a spring had contaminated drinking water supplies to the city of more than 228,000 people.

USA – FDA Investigation of Cronobacter and Salmonella Complaints: Powdered Infant Formula (February 2022) – Urgent!

FDA

The FDA, along with CDC and state and local partners are investigating four consumer complaints of infant illness related to products from Abbott Nutrition’s Sturgis, MI facility received from 9/6/2021 to 12/18/2021. All of the cases are reported to have consumed powdered infant formula (IF) produced from Abbott Nutrition’s Sturgis, MI facility. These complaints include three reports of Cronobacter sakazakii infections and one report of Salmonella Newport infection in infants. All four cases related to these complaints were hospitalized and Cronobacter may have contributed to a death in one case.

FDA has initiated an onsite inspection at the facility. Findings to date include several positive Cronobacter results from environmental samples taken by FDA, and adverse inspectional observations by FDA investigators. A review of the firm’s internal records also indicate environmental contamination with Cronobacter sakazakii and the firm’s destruction of product due to the presence of Cronobacter.

FDA is issuing this advisory to alert consumers to avoid purchasing or using certain powdered infant formula produced in the Sturgis, MI facility.

This is an ongoing investigation and the firm is working with the FDA to initiate a voluntary recall of potentially affected product.  FDA is continuing to investigate and will update this advisory should additional consumer safety information become available.

Recommendation

The FDA is advising consumers not to use Similac, Alimentum or EleCare powdered infant formulas if:

  • the first two digits of the code are 22 through 37 and
  • the code on the container contains K8, SH, or Z2, and
  • the expiration date is 4-1-2022 (APR 2022) or later.

The code is printed on the product packaging near the expiration date (see product image below). Additional information on products made by Abbott Nutrition is available on their website: https://abbottnutrition.com/infant-and-new-motherExternal Link Disclaimer.

Products that do not contain the information listed above are not impacted by this advisory. This advisory does not include liquid formula products or any metabolic deficiency nutrition formulas. Consumers should continue to use all product not covered by this advisory.

Products made at the Sturgis facility can be found across the United States and were likely exported to other countries as well.

These powdered infant formulas have the potential to be contaminated with Cronobacter, a bacterium that can cause severe foodborne illness primarily in infants. Cronobacter infections are rare but are especially high risk for newborn infants (see symptoms below).

Parents and caregivers should never dilute infant formula and should not make or feed homemade infant formula to infants.

If your regular formula is not available, contact your child’s healthcare provider for recommendations on changing feeding practices.

More information on Cronobacter and infant formula is available on CDC’s website.

Cronobacter bacteria can cause severe, life-threatening infections (sepsis) or meningitis (an inflammation of the membranes that protect the brain and spine). Symptoms of sepsis and meningitis may include poor feeding, irritability, temperature changes, jaundice (yellow skin and whites of the eyes), grunting breaths, and abnormal movements. Cronobacter infection may also cause bowel damage and may spread through the blood to other parts of the body.

If your child is experiencing any of these symptoms, you should notify your child’s healthcare provider and seek medical care for your child immediately. Healthcare providers and health departments are encouraged to report any confirmed cases of Cronobacter sakazakii to CDC.

South Africa – A systematic review on mobile health applications for foodborne disease outbreak management

BMC

Abstract

Background

Foodborne disease outbreaks are common and notifiable in South Africa; however, they are rarely reported and poorly investigated. Surveillance data from the notification system is suboptimal and limited, and does not provide adequate information to guide public health action and inform policy. We performed a systematic review of published literature to identify mobile application-based outbreak response systems for managing foodborne disease outbreaks and to determine the elements that the system requires to generate foodborne disease data needed for public action.

Methods

Studies were identified through literature searches using online databases on PubMed/Medline, CINAHL, Academic Search Complete, Greenfile, Library, Information Science & Technology. Search was limited to studies published in English during the period January 1990 to November 2020. Search strategy included various terms in varying combinations with Boolean phrases “OR” and “AND”. Data were collected following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Statement. A standardised data collection tool was used to extract and summarise information from identified studies. We assessed qualities of mobile applications by looking at the operating system, system type, basic features and functionalities they offer for foodborne disease outbreak management.

Results

Five hundred and twenty-eight (528) publications were identified, of which 48 were duplicates. Of the remaining 480 studies, 2.9% (14/480) were assessed for eligibility. Only one of the 14 studies met the inclusion criteria and reported on one mobile health application named MyMAFI (My Mobile Apps for Field Investigation). There was lack of detailed information on the application characteristics. However, based on minimal information available, MyMAFI demonstrated the ability to generate line lists, reports and offered functionalities for outbreak verification and epidemiological investigation. Availability of other key components such as environmental and laboratory investigations were unknown.

Conclusions

There is limited use of mobile applications on management of foodborne disease outbreaks. Efforts should be made to set up systems and develop applications that can improve data collection and quality of foodborne disease outbreak investigations.

Research – Multistate Outbreak Investigation of Salmonella Infections Linked to Kratom: A Focus on Traceback, Laboratory, and Regulatory Activities

Journal of Food Protection

kswfoodworld.com

During the spring of 2018, the U.S. Food and Drug Administration (FDA), U.S. Centers for Disease Control and Prevention (CDC), states and local public health agencies responded to a multistate outbreak of gastrointestinal illnesses caused by multiple   Salmonella   serovars and associated with consumption of kratom, a product harvested from a tropical tree native to Southeast Asia. The outbreak included 199 case-patients reported by 41 U.S. states, with illness onset dates ranging from January 11, 2017 to May 8, 2018, leading to 54 hospitalizations, and no deaths. Case-patients reported purchasing kratom products from physical and online retail points of service (POS). Products distributed to 16 POS where 24 case-patients from 17 states purchased kratom were selected for traceback investigation. Traceback revealed that the kratom was imported from several countries, the most common being Indonesia. Local and state officials collected product samples from case-patients and retail POS. The FDA collected 76 product samples from POS and distributors, of which 42 (55%) tested positive for   Salmonella  . The positive samples exhibited a wide range of pulsed field gel electrophoresis (PFGE) patterns and whole genome sequence (WGS) genetic heterogeneity, and a total 25 of 42 (60%) yielded at least one isolate indistinguishable from one or more outbreak-related clinical isolates. While it does not exclude a possibility of a single contamination source, the extent of genetic diversity exhibited by the   Salmonella   isolates recovered from product samples and a lack of traceback convergence, suggested that kratom was widely contaminated across multiple sites from which it was grown, harvested, and packaged. As a result of the contamination, kratom products were recalled by numerous firms (both voluntarily and mandatory). Epidemiologic, traceback, and laboratory evidence supported the conclusion that kratom products were associated with illnesses.