Category Archives: food bourne outbreak

Singapore – Holland Close stall Kin Hoi suspended following gastroenteritis outbreak

Channel News Asia

SINGAPORE: Kin Hoi has been directed to suspend its food business operations with effect from Tuesday (Apr 20) until further notice after 15 cases of gastroenteritis were linked with the stall, the Ministry of Health (MOH) and the Singapore Food Agency (SFA) said on Wednesday.

Fifteen people reported gastroenteritis symptoms between Mar 28 and Apr 15 after consuming food prepared by Kin Hoi, and MOH and SFA were notified of the most recent case on Apr 19.

One person was hospitalised, but has since been discharged. MOH and SFA are investigating the incident.

Kin Hoi’s stall is located at 6 Holland Close and it also offers food delivery. The eatery, which is registered under the name Meetup @ 352, specialises in Thai-style seafood items such as cockles and grilled prawns.

USA – Possible Illinois Outbreak May Be Associated With Jimmy John’s

Food Poisoning Bulletin

A possible Illinois outbreak may be associated with a Jimmy John’s restaurant, according to a piece in The Pantagraph, Many of those sickened were student athletes who go to school at Illinois State University (ISU). The first reports of illnesses were received by the McLean County Health Department (MCHD) on April 7, 2021

One Jimmy John’s restaurant, located at  203 West Market Street in Bloomington, Illinois, was temporarily closed, but no official is stating that there is any connection between that facility and any illnesses. There are five Jimmy John’s locations in the area.

According to iwaspoisoned.com, public officials are investigating “multiple reports” of illness in that county. The MCHD Communicable Disease Division is trying to discover the exact cause of the illnesses. They did not reveal any information about any particular food they are looking for, or whether any patients have been hospitalized.

Research – An Overview of Traceback Investigations and Three Case Studies of Recent Outbreaks of Escherichia coli O157:H7 Infections Linked to Romaine Lettuce

Journal of Food Protection

Eurofins Food Testing UK

Leafy greens contaminated with Shiga toxin-producing Escherichia coli (STEC) have continued to cause foodborne illness outbreaks in recent years and present a threat to public health. An important component of foodborne illness outbreak investigations is determining the source of the outbreak vehicle through traceback investigations. The Food and Drug Administration is home to traceback investigation experts that employ a standardized process to initiate, execute, and interpret the results of traceback investigations in collaboration with the Centers for Disease Control and Prevention and state and local partners. Traceback investigations of three outbreaks of STEC infections linked to romaine lettuce in 2018 and 2019 were examined to demonstrate challenges, limitations, and opportunities for improvement. The three outbreaks resulted in a total of 474 illnesses, 215 hospitalizations, and five deaths. These illnesses were linked to the consumption of romaine lettuce from three distinct growing regions in Arizona and California. Some of the challenges encountered included the time it took to initiate a traceback, limited product-identifying information throughout the supply chain, lack of interoperability in record keeping systems, and co-mingling of product from multiple suppliers. These challenges led to time delays in the identification of the farm source of the leafy greens and the inability to identify the root cause of contamination. Implementation of technology enabled traceability systems, testing of these systems, and future regulations to incentivize adoption of traceability systems are some of the initiatives that will help address these challenges by improving traceback investigations and ultimately preventing foodborne illnesses and future outbreaks from occurring.

Research – Factors affecting persistence of Listeria monocytogenes need to be identified for evaluation and prioritization of interventions.

Centre For Produce Safety

Listeria kswfoodworld food safety food poisoning

Image CDC

The foodborne pathogen Listeria monocytogenes can survive over time in food processing environments such as produce facilities. These “resident” Listeria strains increase the likelihood for finished product contamination, recalls, and outbreaks. Advances in sequencing allow for enhanced discrimination between Listeria strains, such as those that may be unique to a specific facility. This results in improved traceback from listeriosis patients to the facility where the implicated food was prepared. However, sequencing advances have also enabled us to better understand how a unique Listeria strain may survive and spread in a facility over time. Thus far, there is little peer-reviewed research on how to prevent, eliminate, or manage a “resident” Listeria strain in a facility, particularly for the produce industry. This project was designed to review published and unpublished data to identify factors that may contribute to a Listeria persisting in a facility and to validate potential interventions suitable for produce facilities using experiments in commercial facilities as well as computer modeling. This project will provide industry with tools to (i) help identify what characteristics of their facilities may allow a Listeria to persist, and (ii) select and justify interventions that are used to prevent, eliminate, or manage Listeria persistence.

Technical Abstract

Persistence of Listeria in produce packing and fresh-cut facilities continues to be a concern that the industry tries to address through development and implementation of “seek and destroy” programs. While industry has considerably improved their ability to detect Listeria persistence (“seek”), identification and implementation of strategies to eliminate or manage persistence (“destroy”) remains a major challenge. There thus is a need for the produce industry to have improved resources to (i) rapidly identify factors (root causes) that may be responsible for or contribute to Listeria persistence, as well as factors that contribute to dispersal of resident strains; and (ii) identify appropriate science-based
interventions that can be used to prevent, eliminate, or manage relevant root causes. In particular, the produce industry has a need for data and procedures to validate Listeria persistence interventions, which will allow produce facilities to justify a given control strategy to regulatory agencies, customers, and third-party auditors. This project was thus designed to (i) assemble a comprehensive list of factors that contribute to the establishment and dispersal of “resident” Listeria in produce packing and fresh-cut facilities and to (ii) use different approaches to validate interventions that target these factors. Validation approaches will include (i) identifying relevant previous scientific literature; (ii) experimental
validation in commercial facilities, and (iii) in silico validation utilizing agent-based models for produce packinghouses and fresh-cut facilities. To achieve these project goals, we propose the following objectives:

Obj. 1: Conduct a systematic review of published and unpublished data and literature to identify modifiable factors that may contribute to resident Listeria in produce packing and fresh-cut facilities and relevant interventions, assess the validity of these findings based on the strength of evidence and prioritize interventions for assessment in Objs. 2 and 3 using expert elicitation.

Obj. 2: Use controlled experiments and observational studies to validate selected interventions identified in Obj. 1 in produce packing and fresh-cut facilities with resident Listeria.

Obj. 3: Validate selected interventions that are challenging to validate experimentally (e.g., extensive facility modifications) using our previously developed agent-based model.

Results from all three objectives will be used to assemble a resource document that includes (i) a comprehensive list of factors that are well supported to contribute to Listeria persistence and dispersal of resident strains, and (ii) interventions for each factor, along with justification and data supporting each intervention. In addition, we will also develop a step-by-step approach for conducting a root cause analysis to identify the most likely factors contributing to a given persistence event and selecting appropriate interventions. These resource documents will be assembled into a toolkit and made available through different mechanisms, including collaborations with produce trade organizations, to facilitate their widespread use. Ultimately, the project outcomes will allow industry to more effectively control Listeria persistence, leading to a lower risk of cross-contamination and recalls.

Research- Fish, Tilapia, and Shigellosis: A review

AJAR

Foodborne diseases are considered a relevant issue in health around the world due to their incidence, mortality and negative effects on the economic and productive sector. Fish is considered a food of high nutritional quality, being of global production, distribution and commercialization mainly for human consumption. Among the fish worldwide obtained from capture fisheries and mainly aquaculture for human consumption is Tilapia, due to the adaptability of this fish under cultivation conditions in addition to the fact that its meat is of quality and accessible economic value. Fish due to its composition, is highly susceptible to deterioration and contamination by different hazards throughout the food chain, putting the safety of products and public health at risk. Shigellosis is among the diseases that may be contracted from the consumption of food contaminated by bacteria of the genus Shigella spp.; food contamination is mainly related to inadequate or non-hygienic conditions and practices in the production, processing and handling of food. Therefore, the purpose of this review is to provide a general perspective of foodborne diseases, especially shigellosis, causal agents, conditioning factors, related foods such as fish, as well as control and preventive actions in order to protect the food safety and public health.

USA – Outbreak sickens dozens; no cause found; investigation closed

Food Safety News

The FDA has concluded its investigation of an outbreak of Salmonella Miami with a one-word public statement: closed.

A source for the pathogen, which has sickened at least 64 people, remains unknown, according to the Food and Drug Administration. In its weekly outbreak update, the agency ended the investigation with as little fanfare as it began it. The FDA’s initial announcement was a one-line entry on its weekly outbreak update table.

As of yesterday, the Centers for Disease Control and Prevention had not posted any information about the outbreak. The CDC did not respond to a request for comment on April 14, the day of the FDA announcement. 

RASFF Alert – Foodborne Outbreak Salmonella – Food Supplements

European Food Alerts

RASFF

foodborne outbreak suspected (Salmonella) to be caused by food supplements from Denmark in Denmark

Denmark – 33 sick, 19 hospitalized and 3 dead: REMEMBER herbal medicine linked to severe Salmonella outbreak in Denmark

SSI

Salmonella has been found in HUSK Psyllium seed husks, “capsules herbal medicine”. Orkla Care A / S has recalled several products and the authorities are now strongly encouraging people to check whether they have any of the affected HUSK products.

The salmonella outbreak, which the Statens Serum Institut sent out a news item about last week , is becoming increasingly extensive. In the meantime, the type of salmonella in question has been detected in a number of other people.

A total of 33 people aged 2-92 years have been diagnosed with the same type of salmonella. Several are seriously affected. 19 people have so far been hospitalized, and 3 people where the salmonella in question has been detected have died.

“It is a serious and large outbreak with many sick and both hospitalized and deaths. Therefore, we would like to encourage everyone who has HUSK products at home to check if they have any of the affected products “, says epidemiologist Luise Müller from the Statens Serum Institut (SSI)

Found salmonella in herbal medicine

SSI, together with the Danish Medicines Agency, the Danish Veterinary and Food Administration and the DTU Food Institute, has investigated the salmonella outbreak.

Common to the patients was that they had eaten HUSK Psyllium seed husks, herbal medicine, capsules ”. A comparison with healthy controls showed that the sick had eaten HUSK products to a much greater extent than the controls.

The Danish Veterinary and Food Administration therefore obtained the product from two patients’ homes and was able to prove that there was salmonella in it. Several HUSK products were subsequently recalled.

“This is the first time that we have been able to identify an herbal medicine as the cause of a salmonella outbreak. Those who take this product are often people who already have stomach problems. I am therefore concerned that the salmonella infection will not be detected because the individuals or their doctor believe that the symptoms of the salmonella infection stem from their existing stomach problems, ”says Luise Müller.

What to check?

You must check whether you have:

• Herbal remedy Psyllium husks, capsules

• The dietary supplement REMEMBER Psyllium Stomach Balance Basic, capsules

Find photos and batch numbers on the recalled products here

If you have the product at home, check whether it originates from one of the batches that Orkla Care A / S has withdrawn. The batch number is always printed on the outside of the plastic container.

If you have products from those batches, you should either throw them out or. deliver them back to the store where they were purchased.

What should you do if you have eaten one of the products?

Even if you should have eaten the HUSK Psyllium seed pods, herbal medicine, capsules or HUSK Psyllium Stomach Balance supplements, capsules, the risk of being infected with salmonella is considered too small.

Most often, the symptoms of salmonella are mild and go away on their own. If you get persistent symptoms or have doubts, you can consult your own doctor.

Read more

Read more about the outbreak on SSI’s outbreak page .

Read more about salmonella infection .

Read more about Orkla’s recall of REMEMBER .

Read more about the Danish Veterinary and Food Administration’s news about the recall of HUSK Psyllium Stomach Balance Basic capsules.

USA – Investigation Details – Multistate outbreak of Salmonella Hadar infections linked to raw ground turkey

CDC

Epidemiologic Data

As of April 12, 2021, 28 people infected with the outbreak strain of Salmonella Hadar have been reported from 12 states (see map). Illnesses started on dates ranging from December 28, 2020, to March 4, 2021 (see timeline).

Sick people range in age from less than 1 to 92 years, with a median age of 49, and 68% are female. Of 19 people with information available, 2 have been hospitalized. No deaths have been reported.

The true number of sick people in an outbreak is likely much higher than the number reported, and the outbreak may not be limited to the states with known illnesses. This is because many people recover without medical care and are not tested for Salmonella. In addition, recent illnesses may not yet be reported as it usually takes 2 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. Of the 10 people interviewed, 6 (60%) reported eating ground turkey. This percentage was significantly higher than results from a survey of healthy people in which 13% of respondents reported eating ground turkey in the week before they were interviewed. This suggests that people in this outbreak got sick from eating ground turkey.

Research – Climate change emerges as another culprit in leafy green food poisoning outbreaks

The Counter

The last decade has been particularly rough on the leafy greens industry. If you’ve followed lettuce news, you’re certainly aware of the multiple outbreaks of foodborne pathogens like E. coli, which have killed hundreds and sickened thousands more. Cattle feedlots have emerged as a major source of contamination for leafy green contamination but over at Eater, Jenny Zhang homes in on another culprit: climate change. Though it’s an emergent field of study and many unknowns remain, some early observations include: Rising temperatures can help E. coli and salmonella proliferate; those same hot temps provoke cattle into shedding pathogens more readily; and climate change-related flooding can rapidly spread contamination into water supplies used in irrigation. “Think of climate change as both an amplification of existing hazards, as well as a potential trigger for things we can’t foresee,” writes Zhang.