Category Archives: Food Illness

Sweden – Cryptosporidium outbreak (Sweden December 2023–)

Folkhalsomyndigheten

Since 15 December 2023, 68 people from 14 regions have been reported infected with Cryptosporidium in Sweden. Most of the disease cases are from Halland and Jönköping. Of the disease cases, 72 percent are women, the average age is 41 years and 79 percent are in the age group 21-60 years. Based on the available data, the latest case of the disease contracted on January 3 (see figure). Typing of a selection of samples shows that 13 out of 18 belong to the same type of Cryptosporidium, which indicates that the disease cases have a common source of infection.

Affected infection control units, the Swedish Food Agency and the Public Health Agency are investigating the outbreak to identify the source of infection, which is suspected to be fresh food. Information about what the outbreak cases have eaten before becoming ill is done via interviews and the collection of questionnaires. The answers are then compared to what people in a healthy comparison group indicate that they have eaten to assess whether there are foods that the outbreak cases have eaten to a greater extent than the comparison group.

USA -CDC – Salmonella Outbreak Linked to Cantaloupes is Over.

CDC

Fast Facts
  • Illnesses: 407
  • Hospitalizations: 158
  • Deaths: 6
  • States: 44
  • Recall: Yes
  • Investigation status: Closed   (first posted on November 17, 2023)

All recalls that resulted from this investigation are listed on FDA’s cantaloupe recall website. Recalled cantaloupes are no longer available for sale and the use-by dates have passed.

USA – Outbreak Investigation of Salmonella: Cantaloupes (November 2023) – Update

FDA

Products and Stores Affected (Updated on 1/19/2024)

Recalled whole and pre-cut cantaloupes and recalled product containing pre-cut cantaloupes were sold or distributed from September to early December 2023 and should be past shelf-life. Consumers who froze cantaloupe products should check if they are part of the recalls. If you are unsure of where your cantaloupes are from, you should discard them.

Recalled whole cantaloupe from the following brands:

  • Whole fresh cantaloupes with a label on the cantaloupe that says “Malichita” or “Rudy”, “4050”, and “Product of Mexico/produit du Mexique”.
  • Retailers and wholesalers would have received recalled whole melons from Sofia Produce doing business as TruFresh in boxes labeled “Malichita” or “Rudy”, or from Crown Jewels Produce in boxes labeled “Malichita/Z Farms”, or from Pacific Trellis in corrugated cartons with certain lot codes.

Recalled pre-cut cantaloupe and products containing pre-cut cantaloupes (products made from recalled whole cantaloupes) can be found on the Major Recalls Page.

Symptoms of Salmonella Infection

Illness usually occurs within 12 to 72 hours after eating contaminated food and usually lasts four to seven days. Symptoms include diarrhea, fever, and abdominal cramps. Children younger than five, the elderly, and people with weakened immune systems are more likely to have severe infections.

Status

Ended

Recommendation

  • Consumers, restaurants, retailers, and wholesalers should not eat, sell, or serve recalled cantaloupe or recalled products containing cantaloupe.
  • Recalled whole and pre-cut cantaloupes and recalled product containing pre-cut cantaloupes were sold or distributed from September to early December 2023 and should be past shelf-life. Consumers who froze cantaloupe products should check if they are part of the recalls. If you are unsure of where your cantaloupes are from, you should discard them.
  • Anyone who purchased or received recalled cantaloupes should follow FDA’s safe handling and cleaning advice and use extra vigilance in cleaning and sanitizing any surfaces and containers that may have come in contact with recalled products to reduce the risk of cross-contamination.
    • Pre-cut fruit manufacturers should ensure proper cleaning and sanitizing of food contact surfaces and evaluate the need to recall additional product due to the potential for cross-contamination in the processing facility.
  • Contact your healthcare provider if you think you may have symptoms of a Salmonella infection after eating recalled cantaloupe.

Research – Outbreak Reports: A Large Acute Gastroenteritis Outbreak Associated with Both Campylobacter coli and Human Sapovirus — Beijing Municipality, China, 2021

China CDC

Campylobacter is a significant foodborne pathogen that leads to global outbreaks of acute gastroenteritis (AGE) usually affecting less than 30 individuals. Human sapovirus (HuSaV) is an enteric virus responsible for sporadic cases and outbreaks of AGE worldwide. In a study conducted in Beijing, HuSaV detection ranked second after norovirus.

What is added by this report?

We present a discussion of the first large-scale outbreak of AGE caused by both Campylobacter coli (C. coli) and HuSaV. The outbreak involved a total of 996 patients and exhibited two distinct peaks over a period of 17 days. Through case-control studies, we identified exposure to raw water from a secondary water supply system as a significant risk factor. Among 83 patients, 49 samples tested positive for C. coli, 39 samples tested positive for HuSaV, and 27 samples tested positive for both pathogens using real-time polymerase chain reaction detection. Furthermore, whole-genome sequencing of 17 C. coli isolates obtained from 17 patients revealed that all isolates belonged to a highly clonal strain of C. coli.

What are the implications for public health practice?

Outbreaks of AGE resulting from multiple pathogen infections warrant increased attention. This report emphasizes the significance of ensuring the safety of drinking water, particularly in secondary supply systems.

USA – Shigella Outbreak sweeping Spokane

Food Poison Journal

Source Unknown

• Total Cases: 147

• Shigella Species Type:

– 101 (68.7%) sonnei

– 5 (3.4%) flexneri

– 41 (27.9%) species not yet available.

• Severity of Disease:

– 67 (45.6%) of the cases have been hospitalized due to shigella.

– 1 (0.7%) death has been attributed to shigella.

USA – FDA – Investigations of Foodborne Illness Outbreaks

FDA

Date
Posted
Ref Pathogen
or
Cause of
Illness
Product(s)
Linked to
Illnesses

(if any)
Total
Case
Count

Status
12/6/

2023

1205 Listeria
monocytogenes
Not Yet
Identified
3 Active
11/22/

2023

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

2023

1203 Salmonella
Sundsvall and
Oranienburg
Cantaloupe See Advisory Active
11/15/

2023

989 Listeria
monocytogenes
Peaches, Plums,
and Nectarines
See Advisory Active
11/8/

2023

1198 Elevated Lead
Levels
Apple
Cinnamon
Puree
See Advisory Active

USA – Oyster Norovirus Outbreak hits 191 in Los Angeles and San Diego

Food Poison Journal

The Los Angeles County Department of Public Health is reporting that there are more than 150 suspected local cases of gastrointestinal illness linked to the consumption of raw oysters, likely caused by norovirus. At this time, Public Health is warning consumers not to eat raw oysters from Laguna De Guerrero Negro, Baja California, Mexico; Laguna Manuela, Baja California, Mexico; and Bahia Salina, Sonora, Mexico because they may be linked to outbreaks of norovirus illnesses in California. Before eating raw oysters, consumers should ask the vendor/restaurant where the oysters were harvested.

USA – 4 Washington Counties linked to Charcuterie Salmonella Outbreak

Food Poison Journal

Chelan-Douglas Health District is one of four Washington health jurisdictions working with Washington State Department of Health and Federal Partners in a multi-state salmonella outbreak investigation linked to charcuterie meats.

Washington currently has four cases included in this outbreak from four counties including Chelan (1), Douglas (1), King (1) and Spokane (1). Note: As of January 12th, 2024, two of the Washington cases have not been added to the CDC outbreak page.

The four Washington cases all report consuming some form of charcuterie meat prior to their illness. However, none of the cases consumed the recalled Busseto Charcuterie Sampler which was linked to the outbreak in other states. Washington State Department of Health officials are investigating additional charcuterie meat products.

USA – Salmonella Outbreak Linked to Dry Dog Food

CDC

This outbreak investigation is over, but the recalled pet foods have long shelf lives. Check your home for the recalled pet food and don’t feed it to pets.

Fast Facts

Illnesses: 7

Hospitalizations: 1

Deaths: 0

States: 7

Recall: Yes

Investigation status: Closed   (first posted on November 9, 2023)

Mid America Pet Food

  • All dog and cat food
  • Best by dates before 10/31/2024
  • Brands include: Victor Super Premium Dog Foods, Wayne Feeds Dog Food, Eagle Mountain Pet food, Member’s Mark
  • Multiple bag sizes including: 5 pound, 15 pound, 16 pound, 30 pound, 40 pound, and 50 pound
  • See recall for more details

Victor brand Hi-Pro Plus dog food

  • 5-pound bags with lot code 1000016385
  • Best-by date 4/30/2024
  • See recall for more details

Victor brand Super Premium Dog Food, Select Beef Meal & Brown Rice Formula

  • 5 pound, 15 pound, and 40 pound bags
  • Best-by date 6/12/2024
  • Lot numbers 1000016890, 1000016891, 1000016892
  • See recall for more details

Philippines – Gastroenteritis cases in Baguio City breach 3,000

CNN

The Baguio City government has recorded 3,087 self-reported cases of acute gastroenteritis, a local health official said Sunday.

In a news conference, Baguio City Health Services Office (CHSO) head Celia Flor Brillantes said of the over 3,000 cases, 691 or around 22% sought hospital consultations.

“[On] Jan. 9, we were getting a significant decline of our cases. Today, we only had three reporting cases in our system. [The] majority are females and belong to the age group of 21 to 30 young adults,” Brillantes said.

She said stool samples from 10 patients admitted for acute gastroenteritis were positive for norovirus and sapovirus, which experts said were the common causes of the disease.

Unless we are able to identify the causes, circumstances, only then can we confidently say that it is over. But looking at the current trend of the epidemiological curve, we’re getting there.