Category Archives: food death

Research – Healthcare-associated foodborne outbreaks in high-income countries: a literature review and surveillance study, 16 OECD countries, 2001 to 2019

Eurosurveillance

Yearly, 23 million foodborne disease illnesses and 5,000 deaths are estimated in the World Health Organization (WHO) European Region, and 41 foodborne Disability Adjusted Life Years (DALYs) per 100,000 population were estimated for the WHO Sub-Region EUR A in 2010 [1]. In Europe, a total of 5,146 foodborne and waterborne outbreaks, including 48,365 cases of illness and 40 deaths were reported to the European Food Safety Authority (EFSA) in 2018 [2]. Vulnerable populations, including elderly patients, immunocompromised patients, children younger than five years old and pregnant women are more susceptible to foodborne infections and are more prone to develop severe courses of disease compared with healthy people [3]. Therefore, healthcare is a setting where foodborne outbreaks (FBO) can cause considerable morbidity and mortality. In 2020, 20.6% of the European Union (EU) population was aged 65 years and older [4]. As the proportion of elderly people is projected to further increase, the share of the vulnerable population as patients in healthcare facilities (HCF) is likely to increase and thereby the risk associated with healthcare-associated foodborne outbreaks (HA-FBO). Personnel (medical and non-medical staff, food handlers etc) of HCF may also be at risk for HA-FBO and be a source of further spread in healthcare settings and elsewhere. This can cause major disruption of services [5].

So far, literature reviews have covered pathogens responsible for HA-FBO, including  [6],  [79] and norovirus [10,11] and focused on microbiological food safety issues in healthcare settings [5,12]. Between 2014 and 2019, a listeriosis outbreak in Germany affected 13 cases who had an inpatient stay in 12 different HCF during the incubation period [13]. In the United Kingdom (UK) in 2019, nine listeriosis cases of which seven died, had consumed sandwiches in seven HCF during the incubation period [14].

We conducted a literature review to describe the causative agents including bacteria, viruses, parasites and fungi, the incriminated food vehicles and other outbreak characteristics of HA-FBO in 37 countries that are members of the Organisation for Economic Cooperation and Development (OECD) [15]. Furthermore, we analysed German surveillance data and data from the EFSA on HA-FBO. The aim of this article is to describe the current status of HA-FBO in order to improve surveillance and provide public health recommendations for prevention.

USA – More sick in hepatitis A outbreak traced to restaurants; one required liver transplant

Food Safety News

The patient count in a hepatitis A outbreak linked to Virginia restaurants continues to grow, with 44 people now confirmed as infected. One of the patients has required a liver transplant and one has died.

The cousin of the transplant patient reports the operation took place this past weekend. The outbreak patient’s husband and daughter were also infected, according to the cousin.

Research – Food scientists create national atlas for deadly Listeria

Cornell

Among the deadliest of foodborne pathogens, Listeria monocytogenes soon may become easier to track down in food recalls and other investigations, thanks to a new genomic and geological mapping tool created by Cornell food scientists.

The national atlas will tell scientists where listeria and other related species reside within the contiguous United States, which could help them trace and pinpoint sources of listeria found in ingredients, food processing facilities and finished products, according to research published July 15 in Nature Microbiology.

“As we’re trying to figure out the risk of getting listeria from soil and different locations, our group created a more systematic way of assessing how frequently different listeria are found in different locations,” said senior author Martin Wiedmann, Ph.D. ’97, the Gellert Family Professor in Food Safety and Food Science in the College of Agriculture and Life Sciences. “We’ve studied listeria in places as diverse as New York, Colorado and California, but before this atlas, [it] was difficult to make comparisons and assess listeria diversity in different locations.”

Listeria mononcytogenes in foods can make people extremely sick. The Centers for Disease Control and Prevention (CDC) estimate that each year 1,600 people in the U.S. get listeriosis; of those, about 260 die.

Knowing that listeria occurs naturally in soil, the Cornell group asked hundreds of other scientists across the country to scoop up soil samples from generally undisturbed places in the natural world, such as the off-trail areas of state and national parks.

From these samples, the group developed a nationwide atlas of 1,854 listeria isolates, representing 594 strains and 12 families of the bacteria called phylogroups.

Lead author Jingqiu Liao, Ph.D. ’20, who worked in Wiedmann’s laboratory as a graduate student, is now a post-doctoral researcher at Columbia University. She had supplemented the research by acquiring soil samples in her own travels and found listeria present across a wide range of environmental circumstances. This bacterium is controlled mainly by soil moisture, salinity concentrations and molybdenum – a trace mineral found in milk, cheese, grains, legumes, leafy vegetables and organ meats.

“The goal of this work was to systematically collect soil samples across the United States,” said Liao, “and to capture the true large-scale spatial distribution, genomic diversity and population structure of listeria species in the natural environment.

“With whole genome sequencing and comprehensive population genomics analyses,” Liao said, “we provided answers to the ecological and evolutionary drivers of bacterial genome flexibility – an important open question in the field of microbiology.”

Liao explained that this work can serve as a reference for future population genomics studies and will likely benefit the food industry by locating listeria contaminations that may have a natural origin.

If listeria is found in a processing facility in the western U.S., for example, and that facility had used ingredients from a distant state, Wiedmann said, “knowing the genomic information of listeria isolates and their possible locations across the U.S., we can better narrow the origins to a specific region. You can use this information almost like a traceback. It’s not always proof, but it leads you to evidence.”

In addition to Wiedmann and Liao, the other authors on “Nationwide Genomic Atlas of Soil-Dwelling Listeria Reveals Effects of Selection and Population Ecology on Pangenome Evolution,” are Daniel Buckley, professor of microbial ecology in the School of Integrative Plant Science Soil and Crop Sciences Section; Otto Cordero, associate professor of civil and environmental engineering, Massachusetts Institute of Technology (MIT); Shaul Pollak, postdoctoral researcher, MIT; Daniel Weller, Ph.D. ’18, researcher, CDC; and Sean (Xiaodong) Guo, Cornell research technician.

The research was funded by the Center for Produce Safety in Woodland, California.

Ukraine – Ukraine reports botulism death in Chernihiv region

Outbreak News Today

CDC Clost Spore

Ukraine health officials reported this week a fatal case of botulism in Chernihiv region. The patient was a 74-year-old man who fell ill after eating home-made blood sausage, which was stored for about two months in the refrigerator.

The victim sought medical help the day after consuming the suspicious product. He was hospitalized in the infectious department of the district hospital. However, a week later the patient left the hospital without permission. Four days later, the man was hospitalized in the regional hospital, where he died two days later

Nigeria – Cholera Outbreak

HPS

20 July 2021

Article: 55/2905

The Nigeria Centre for Disease Control reports continued transmission of cholera in the country, with 14,343-suspected cases, including 325 deaths, reported by 16 Nigerian states from 1 January through to 27 June 2021.

Travellers to the region are advised to only consume safe food and water. Food and drink to be wary of include untreated water, ice, shellfish, salads, unwashed fruit and vegetables. Travellers are also advised that good personal hygiene is essential, particularly frequent hand washing.

A vaccine is available to protect against cholera, but as the risk to most travellers is very low, it is only recommended for:

  • volunteers, aid workers and medical personnel in disaster relief situations where cholera outbreaks are likely
  • those travelling to work in slums or refugee camps, areas affected by natural disasters, or countries experiencing cholera outbreaks and where care with food and water is difficult or not possible

Further information relating to cholera can be found on the TRAVAX (for health professionals) and fitfortravel (for the general public) websites.

Click to access 1d3271f656ea9bd07f3c9885a0b5a26c.pdf

USA – Listeria Outbreak: Three sick with one dead in long-term care facility or hospital linked to Tyson chicken

Food Poison Journal

2 sick, with 1 dead in Texas, 1 ill in Delaware.

All of the sick people in this outbreak ate foods served at a long-term care facility or hospital.

Tyson Foods Inc., has recalled frozen, fully cooked chicken products, such as chicken strips and diced chicken, and products made with fully cooked chicken, supplied by Tyson Foods Inc.

USA – Listeria Outbreak Linked to Fully Cooked Chicken

FDA

Fast Facts
  • Illnesses: 3
  • Hospitalizations: 3
  • Deaths: 1
  • States: 2
  • Recall: Yes
  • Investigation status: Active
Precooked chicken

Recalled Food

Frozen, fully cooked chicken products, such as chicken strips and diced chicken, and products made with fully cooked chicken, supplied by Tyson Foods Inc.external icon

  • Shipped nationwide to retailers and institutions including hospitals, nursing facilities, restaurants, schools and Department of Defense locations
  • Products include frozen, fully cooked chicken strips, diced chicken, chicken wing sections, and fully cooked pizza with chicken
  • Products were sold under many brands including Tyson, Jet’s Pizza, Casey’s General Store, Marco’s Pizza, and Little Caesars
  • The products subject to recall bear establishment number “EST. P-7089” on the product bag or inside the USDA mark of inspection
  • See the complete list of recalled productsexternal icon, including product and date codes, on the USDA-FSIS website
What Businesses Should Do
  • Do not serve or sell recalled products.
  • Long-term care facilities, hospitals, and other facilities that serve people at higher risk for severe Listeria illness should take extra precautions.
    • Listeria is particularly harmful to people who are 65 years or older, pregnant, or have a weakened immune system.
    • All of the sick people in this outbreak ate foods served at a long-term care facility or hospital.
  • Follow USDA-FSIS’s guidanceexternal icon to prevent the spread and growth of Listeria.
What You Should Do
  • Do not eat any recalled products. Throw them away or return them to where you bought them.
  • Follow these five steps to clean your refrigerator, containers, and surfaces that may have touched the recalled products. Listeria can survive in the refrigerator and can easily spread to other foods and surfaces.
  • Call your healthcare provider right away if you have these symptoms after eating recalled products:
    • If you are pregnant: Fever and muscle aches. Your illness may be mild, but Listeria can cause pregnancy loss or premature birth. It can also cause serious illness or death in newborns.
    • If you are not pregnant: Headache, stiff neck, confusion, loss of balance, and convulsions, in addition to fever and muscle aches.
Symptoms of Listeria Illness
  • Listeria can cause severe illness (known as invasive listeriosis) when the bacteria spread beyond the gut to other parts of the body.
    • Pregnant people, adults 65 years or older, and people with weakened immune systems are at higher risk for severe illness.
  • Symptoms of severe illness usually start 1 to 4 weeks after eating contaminated food. However, symptoms can start as late as 10 weeks after.
    • Pregnant people usually experience only fever, fatigue, and muscle aches. However, Listeria can cause pregnancy loss or premature birth. It can also cause serious illness or death in newborns.
    • People who are not pregnant may experience headache, stiff neck, confusion, loss of balance, and convulsions, in addition to fever and muscle aches.
  • Listeria can also cause common food poisoning symptoms, like diarrhea and fever. People who experience these symptoms usually recover without treatment.
  • For more information about Listeria, see the Listeria Questions and Answers page.
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Research – FDA In Brief: FDA Releases Investigation Report Following 2020 Salmonella Outbreak Linked to Red Onions

FDA

“The FDA has been working with the CDC, state partners and Canadian officials to investigate the largest Salmonella Newport outbreak in over a decade, which was linked to red onions. The FDA, today, released a 2020 Salmonella Outbreak Linked to Red Onions Report that includes an overview of our investigation findings, including factors that potentially contributed to the Salmonella contamination of red onions.

“Our investigation found the outbreak to be linked to whole red onions supplied by Thomson International, Inc., with farms in Bakersfield and Holtville, California. During the investigation, the FDA identified several plausible opportunities for contamination that may have contributed to the outbreak, including potentially contaminated irrigation water, sheep grazing on adjacent land, signs of animal intrusion including scat (fecal droppings) and large flocks of birds that may spread contamination, as well as packing house cleaning and sanitizing practices.

“Eleven of the environmental subsamples tested positive for various types of Salmonella Newport; however, none matched the outbreak strain. Although a conclusive root cause could not be identified, the FDA’s leading hypothesis is that contaminated irrigation water used in a growing field in Holtville, California may have led to contamination of the onions. Considering these findings, the FDA encourages all produce growers to assess risks that may be posed by adjacent and nearby land uses, especially as it relates to the presence of livestock and the interface between farmland, rangeland, irrigation water, and other agricultural areas.

“Safeguarding the U.S. food supply and helping to ensure that our food is not contaminated at any point during its journey along the supply chain is a critical focus of the FDA’s work. Food safety is a shared responsibility that involves food producers, distributors, manufacturers, retailers, and regulators. The FDA is committed to working with these stakeholders to advance the critical work to reduce the potential for contamination events and ensure the continued safety of our food supply.”

Additional Information

  • The U.S. Food and Drug Administration is releasing a report on an investigation conducted in response to an outbreak of Salmonella Newport, which caused more than 1,600 reported illnesses in the U.S. and Canada between June and October 2020.
  • The FDA’s investigation identified Thomson International Inc. of Bakersfield, California, as the likely source of contaminated red onions. Thomson International, Inc. recalled all varieties of onions that could have come in contact with potentially contaminated red onions due to the risk of cross contamination.
  • This was the largest Salmonella outbreak in more than a decade. The FDA recommends that all produce farms assess growing operations to ensure implementation of appropriate science- and risk-based preventive measures, including applicable provisions of the FDA Food Safety Modernization Act (FSMA) Produce Safety Rule and good agricultural practices.

Related Information

UK – Poland promises action to reassure UK on poultry meat safety

Food Safety News

Officials from Poland and the United Kingdom have met virtually to discuss the safety of Polish poultry meat after it was linked to several outbreaks.

Grzegorz Puda, Polish minister of Agriculture and Forestry, spoke remotely this past week with George Eustice, secretary of state for Environment, Food and Rural Affairs.

Puda said he had taken direct charge of the issue of Salmonella in Polish poultry meat.

“Despite the difficult pandemic situation, Poland will take all measures to minimize and eliminate the UK’s concerns about the quality and safety of Polish poultry,” he said.

“Poland is ready to cooperate with the UK on sequencing of the Salmonella genome in poultry products.”

Denmark – Deaths reported as Danish Salmonella outbreak grows

Food Safety News

A Salmonella outbreak in Denmark is continuing to affect more people and has also been linked to three deaths.

The Statens Serum Institut (SSI) previously reported that 25 people were infected and 14 had needed hospital treatment with most falling ill this past month.

The agency has now revealed 33 people have the same type of Salmonella typhimurium in the country and 19 have been hospitalized.