Category Archives: food death

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.

South Africa – Court overturns decision in Tiger Brands Listeria case

Food Safety News

How the deadly strain of listeriosis was traced to Tiger Brands' Enterprise  polony factory

A court in South Africa has overturned a previous decision to make companies divulge information in relation to a deadly Listeria outbreak in 2017 and 2018.

The Supreme Court of Appeal ruling reverses a Gauteng High Court verdict on whether subpoenas issued against third parties were relevant to the class-action. Tiger Brands is facing a class-action following an outbreak of listeriosis between January 2017 and September 2018 that sickened more than 1,050 people, killing 218.

EU – Multi-country outbreak of Salmonella Enteritidis sequence type (ST)11 infections linked to eggs and egg products

EFSA

Abstract

On 2 September 2021, France reported an increase in Salmonella Enteritidis ST11 infections. By 11 January 2022, 272 confirmed cases had been reported in five European Union/European Economic Area (EU/EEA) countries and the United Kingdom (UK): Denmark (n=3), France (n=216), the Netherlands (n=12), Norway (n=7), Spain (n=22), and the UK (n=12) in 2021. Two deaths were recorded in adult men. Twenty-five cases were hospitalised. Sixty cases reported consumption of eggs/egg products.

Some cases reported in France in 2021 had visited restaurants serving eggs distributed by a common supplier, Spanish Packing Centre A. The eggs originated from three Spanish farms, one testing positive for the outbreak strain. Fresh table eggs from the farms linked to the outbreak were withdrawn and redirected for use in heat-treated egg products. No other countries received eggs from the same farms via Packing Centre A during summer 2021. Therefore, the source of infection for cases in late 2021 and in countries other than Spain and France could not be established.

This 2021 outbreak is linked microbiologically to a historical cross-border outbreak reported by the Netherlands in 2019. Eggs consumed by cases in the Dutch outbreak were traced back to a Spanish farm, but it was not possible to identify an epidemiological link with the 2021 outbreak. This suggests a wide distribution of the outbreak strain that could affect the food supply chain and/or earlier steps in the production chain. There may be multiple heterogeneous sources of S. Enteritidis ST11, and the outbreak strain could also be circulating at other farms, inside or outside Spain.

The risk of new infections caused by the outbreak strain and contaminated eggs remains high in the EU/EEA. It is therefore important to foster cross-sectoral investigations of contaminations in the egg supply chain in countries where S. Enteritidis ST11 has been detected.

PDF

Research – Death by duck paste: Centenary of the Loch Maree botulism tragedy

Press and Journal

kswfoodworld

There were 13 fishermen, two wives, 17 ghillies and three mountain climbers in the party, and they set out that morning with packed lunches prepared by the hotel staff.

The picnic included duck paste sandwiches, the paste coming from the firm of Lazenby & Sons of London.

Little did the diners know that they were carrying a ticking time bomb between slices of bread in their hampers, and that eight of their number would be dead within days.

Read the story at the Link Above

USA – Outbreak Investigation of Listeria monocytogenes: Dole Packaged Salad (December 2021)

FDA

FDA, along with CDC and state and local partners, is investigating a multistate outbreak of Listeria monocytogenes infections linked to Dole packaged leafy greens by epidemiologic, laboratory, and traceback data. According to the CDC, as of February 1, 2022, 17 people infected with the outbreak strain of Listeria monocytogenes have been reported from 13 states. Illnesses started on dates ranging from August 16, 2014 to December 30, 2021 (one case occurred in 2014 and the remaining cases occurred between 2018 and 2021). CDC investigated this outbreak in 2019 and 2020 but was unable to gather enough data to identify the source in the past. CDC reopened the investigation in November 2021 after reports of new illnesses.

FDA sent investigators to multiple Dole processing facilities to conduct on-site inspections while at the same time Dole initiated their own investigation. On December 22, 2021, Dole voluntarily recalled all products and brands from their Bessemer City, NC, and Yuma, AZ, facilities. On January 7, 2022, as a result of continued investigations, Dole issued a voluntary recall of additional products after Dole detected the presence of Listeria monocytogenes on equipment used in the harvesting of the raw iceberg lettuce also used in finished products processed in the Dole Springfield, OH, and Soledad, CA, facilities. These products were shipped throughout the United States and several provinces in Canada. FDA analyzed the positive sample collected by Dole from the harvesting equipment. Results from FDA’s WGS analysis showed that the strain of Listeria monocytogenes found on the harvesting equipment matches the strain causing illnesses in this outbreak.

In addition to this outbreak of listeriosis linked to packaged salads produced by Dole, FDA and CDC are currently investigating a separate Listeria outbreak linked to packaged salads produced by Fresh Express. These investigations are ongoing and additional information will be provided as it becomes available.

Recommendation

FDA recommends that anyone who received recalled products use extra vigilance in cleaning and sanitizing any surfaces and containers that may have come in contact with these products to reduce the risk of cross-contamination. Listeria can survive at refrigeration temperatures and can easily spread to other foods and surfaces.

All recalled products are now past their “Best if Used By” dates of November 30, 2021 to January 9, 2022. If consumers have expired recalled Dole salads in their homes, they should throw them away. The initial list of recalled products and the second list of recalled products are available on FDA’s website.

 


Map of U.S. Distribution of Recalled Packaged Salad

Outbreak Investigation of Listeria monocytogenes from Dole Packaged Salad - Map of U.S. Distribution of Recalled Packaged Salad (February 1, 2022)

Case Count Map Provided by CDC

Outbreak Investigation of Listeria monocytogenes from Dole Packaged Salad - CDC Case Count Map (January 31, 2022)

Case Counts

Total Illnesses: 17
Hospitalizations: 13
Deaths: 2
Last illness onset: December 30, 2021
States with Cases: IA, ID, MD, MI, MN, NC, NV, OH, OR, PA, TX, UT, WI
Product Distribution*: AL, AZ, CA, CO, CT, FL, GA, HI,  IA, ID, IL, IN, KS, KY, LA, MA, MD, MI, MN, MO, MS, NC, ND, NE, NV, NY, OH, OK, OR, PA, SC, TN, TX, VA, WA, WI

*Distribution has been confirmed for states listed, but product could have been distributed further, reaching additional states

Research – The 7 Worst Food Recalls of All Time

Eat This

Food safety issues occur more frequently than you might think, especially in recent times, with an increase of 125% in grocery recalls in recent years. And while the risks may be fairly benign (think: a gluten-free product that may have come into contact with wheat during manufacturing) some contaminants can have devastating—even deadly—consequences for consumers. The Center for Disease Control and Prevention (CDC) estimates that foodborne illness from infectious pathogens or harmful chemicals causes 48 million people to get sick each year, with 148,000 hospitalizations and 3,000 deaths on average.

The Food and Drug Administration (FDA) categorizes product recalls based on the potential severity of effects. The least serious is a Class III recall, with minimal risk for adverse health consequences. Class II means that the effects of exposure or use can lead to temporary or reversible health consequences. Class I is the most severe, marked when “there is a reasonable probability that the use of, or exposure to, a violative product will cause serious adverse health consequences or death.”

The upside is that these incidents have called companies to higher scrutiny of their production processes, has led to stricter rules and regulations, such as granting the FDA the ability to authorize mandatory recalls in 2018, and fueled a larger effort to educate the public on how to practice safer food preparation.

But tragically, there have been dozens of Class I product recalls in the past decades that caused hundreds of illnesses and some deaths to consumers. These are seven of the most catastrophic food recalls in grocery history.

Research – Publisher’s Platform: The World’s Largest and Deadliest Listeria Outbreak is turning 4 in March

Food Safety News

In March of this year it will be 4 years since I boarded a flight from Seattle to Johannesburg (20 plus hour flight) to speak at a food safety conference just days after the South African health authorities announced that a Listeria outbreak had been linked to a product named polony manufactured by the largest food manufacturer in Africa.

I recall how similar it felt to the early days of the Jack-in-the-Box E. coli outbreak of 1993– how everyone seemed honestly shocked that such a tragedy could happen.

I have spent the last 4 years working (being 10 hours behind has required far too many late nights and early morning calls) with a cadre of amazing lawyers and more amazing staff moving forward in the first foodborne illness class action in Africa.  We have much to do to find justice to the more than 1,000 sickened and their families.  I am saddened by the pace of the litigation, but determined to take care of our class members – we have to work harder.

USA – Annual Reports on Foodborne Illness Source Attribution Estimates

CDC

Foodborne Illness Source Attribution Estimates for SalmonellaEscherichia coli O157, Listeria monocytogenes, and Campylobacter Using Multi-Year Outbreak Surveillance Data, United States.

Latest Report for 2019

IFSAC analyzed data from 1,532 foodborne disease outbreaks that occurred from 1998 through 2019 to assess which categories of foods were most responsible for SalmonellaE. coli O157, Listeria monocytogenes, and Campylobacter infections. These pathogens were chosen because of the frequency or severity of the illnesses they cause, and because targeted interventions can have a major impact in reducing them. The implicated foods were divided into 17 categories for the analysis, and the method gives the greatest weight to the most recent five years of outbreak data (2015–2019).

Read the 2019 report pdf icon[PDF – 14 pages]

USA – Listeria was Top Pathogen Source of Recalls and Related Deaths in 2021

Food Poisoning Bulletin

In-depth analysis from Food Poisoning Bulletin 

Listeria was the top pathogen source of food recalls and related deaths in 2021, according to an in-depth analysis by Food Poisoning Bulletin. After our second annual analysis of recalls for meat and poultry, which are regulated by the U.S. Department of Agriculture (USDA), we turned our attention to recalls for all other foods which are regulated by the U.S. Food and Drug Administration (FDA). The Listeria findings are some of the key takeaways from our deep dive into 2021 food recalls.

USA – The latest on Gino’s Ristorante & Pizzeria Hepatitis A outbreak in Norristown Montgomery County Pennsylvania

Food Poison Journal

NORRISTOWN, PA – The Montgomery County Office of Public Health(OPH) announced today the temporary closure of Gino’s Ristorante & Pizzeria in West Norriton in relation to a Hepatitis A Virus (HAV) outbreak in the county. The restaurant will be closed until further notice while the investigation continues.

Per standard public health protocols, OPH coordinated with the Pennsylvania Department of Health to issue a health advisory on Wednesday. As a result, OPH continues to receive additional information to support its investigation and identify additional potential cases. Investigation conducted to date suggests the exposure occurred in late November no longer presents a risk. However, additional investigation into probable cases resulting from the health advisory associated with this outbreak are underway. In the interest of public health, the restaurant has been shut down until further notice.

At this time, 11 total cases are under investigation, with 9 confirmed cases of Hepatitis A and 2 potential cases of Hepatitis A. Of the 9 confirmed cases, 7 people were hospitalized. To date, one death is confirmed and one additional death is under investigation.

The source of the outbreak remains under investigation. Anyone experiencing symptoms of Hepatitis A should contact their doctor.