Category Archives: Foodborne Illness

Canada – How you can help solve a national foodborne illness outbreak investigation

PHAC

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By providing information, you can help identify what has made you and others sick

The outbreak begins

You and multiple others across Canada get sick with symptoms related to foodborne disease (e.g. diarrhea, vomiting).

Collecting information

Laboratory:

You seek medical care and submit a stool sample for testing.

The germ’s genetic fingerprint is compared to that of other germs and is found to be the same, suggesting that others got sick from the same food.

Epidemiologic:

Public health officials interview you about the foods you ate before getting sick. Sharing store loyalty card records and receipts can provide detailed information to investigators about the foods you may have eaten. This can help identify common foods that people ate before becoming sick. You may be contacted again if more information is needed.

Food safety:

Records are reviewed to determine where suspect foods came from, and inspections are conducted to look for ways the germ may have come into contact with the food. Suspect foods are tested to see if the germ found in samples from sick people is also found in the food.

When individuals from multiple provinces or territories are ill, the Public Health Agency of Canada (PHAC) investigates these illnesses through a coordinated national outbreak investigation.

Putting it all together

Information gathered from the laboratory, food safety investigation, and sick people are reviewed together. Though not all outbreaks are solved, all of this information combined may lead to the contaminated food being identified.

Public health actions: If a source is identified, PHAC alerts the public to the outbreak through the posting of a Public Health Notice and social media messaging, and a Food Recall Warning may be issued.

Subsequent illnesses are prevented.

Canada – Public Health Notice: Outbreak of E. coli infections linked to Hankook (Korean characters only) brand Original Kimchi – Update –

PHAC

Kimchi

This notice has been updated to reflect an additional food recall warning issued on February 6 for Hankook (Korean characters only) brand Original Kimchi with a best before date of January 23, 2022.

The Public Health Agency of Canada (PHAC) is collaborating with provincial public health partners, the Canadian Food Inspection Agency (CFIA) and Health Canada to investigate an outbreak of E. coli O157 infections involving 2 provinces: Alberta and Saskatchewan.

Based on the investigation findings to date, the outbreak is linked to Hankook (Korean characters only) brand Original Kimchi. Many of the individuals who were sick reported having eaten Hankook (Korean characters only) brand Original Kimchi before their illnesses occurred.

As of February 7, there have been 14 laboratory-confirmed cases of E.coli O157 illness linked to this outbreak in the following provinces: Alberta (13) and Saskatchewan (1).

Individuals became sick between early December 2021 and early January 2022. No deaths or hospitalizations have been reported. Individuals who became ill are between 0 and 61 years of age. The majority of cases (64%) are female.

The CFIA issued food recall warnings on January 28, 2022 and February 6, 2022 for Hankook (Korean characters only) brand Original Kimchi products. The recalled products were distributed in British Columbia, Alberta, Saskatchewan, and Manitoba.

The CFIA is continuing its food safety investigation, which may lead to the recall of other products. If other products are recalled, the CFIA will notify the public through updated food recall warnings.

Argentina – So far in January, Salta registers about 500 cases of Salmonellosis

Salta

The highest percentage was located in the Capital department. 52% of affected individuals are children up to 9 years of age. Prevention lies in the safe handling of food.

In the first 25 days of January, 571 suspected cases of salmonella infection were reported in the province, of which 482 were confirmed, which represents 84% ​​positivity.

Of this amount, the largest proportion of affected individuals corresponds to the age range of 5 to 9 years, with a total of 130. In second place, with 122 cases, are children aged 0 to 4 years. These data show that 52% of the cases correspond to children between 0 and 9 years of age.

Regarding the location of cases, the department with the highest number is Capital, with 366, which means 76% of the total.

Of 23 departments in which the province of Salta is divided, in the period from January 1 to 25, cases of salmonellosis were registered in 19 of them. There were no cases in La Candelaria, Rosario de la Frontera, San Carlos and Los Andes.

According to records of the Epidemiological Surveillance program of the Ministry of Public Health, in 2021 there were 1,930 suspected cases, with 1,748 confirmed (91% positivity).

Prevention Guidelines

The Ministry of Public Health recommends taking precautions when handling food, since salmonellosis occurs through the ingestion of food contaminated with bacteria of the salmonella genus.

Research – Boy, 4, Paralyzed Over a Matter of Hours Diagnosed With Rare Disorder – Campylobacter

Newsweek

4-year-old boy from Sydney who went to bed happy and healthy woke up unable to move his legs, telling his mom: “Mummy I can’t feel my legs.”

Oliver Davis’ mother, Bel, took her son to a local doctor who called him an ambulance, beginning the search for the cause of the boy’s sudden and mysterious paralysis, Australia’s 7News reported.

As the next 48 hours progressed, Oliver Davis’ condition worsened, leaving him unable to move from the shoulders down. Five days later he lost his ability to speak and swallow, lost control of his bladder, and had to begin being fed via a feeding tube.

Following a barrage of tests, including an MRI and a lumbar puncture, the 4-year-old was diagnosed with Guillain-Barré syndrome (GBS), a rare autoimmune disorder that occurs when a person’s own immune system damages their nerves, causing muscle weakness and sometimes paralysis.

The CDC says that several things are known to trigger GBS, two-thirds of people who suffer from the condition have had diarrhea caused by a bacteria called Campylobacter jejuni several weeks before developing symptoms. Infection with this bacteria seems to be one of the most common risk factors of GBS.

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

Taiwan – South Taiwan restaurant patrons report food poisoning from LNY take-out meals

Taiwan News

TAIPEI (Taiwan News) — After a family ordered a take-out Lunar New Year (LNY) meal from a Yunlin County restaurant on Wednesday (Feb. 2), 15 out of 30 people suffered from food poisoning, triggering an inspection by the Public Health Bureau.

A man surnamed Wang (王) told CNA that 30 people in his family had gathered to celebrate LNY together, and ordered food including lobster, fish, and soup from a restaurant in Huwei Township. As the restaurant offered take-out only, some dishes had to be re-heated.

Later that night, a few family members began to suffer from stomachaches and diarrhea, and by Friday (Feb. 4), 15 people had had to visit a hospital or clinic to get treated; three were hospitalized. Wang lamented that his family’s LNY holiday was “ruined” by the incident.

According to the Yunlin County Public Health Bureau, as the Wang family had ordered food from other restaurants on Wednesday, and inspectors were unable to get a sample for testing, the exact reason behind the incident remains to be determined. The bureau has not yet issued penalties to the restaurant and will conduct inspections first.

When the restaurant posted about the incident on Facebook, patrons who ordered food on the same day responded with reports of more cases of vomiting and diarrhea, CNA reported. The restaurant apologized, said it had contacted the public health bureau about the issue and promised to cooperate with the public health bureau for inspection as well as to actively investigate the source of food poisoning.

USA – FDA Core Investigation Table Update

FDA

Date
Posted
Reference
#
Pathogen
Product(s)
Linked to
Illnesses

(if any)
Investigation
Status
2/2/

2022

1054 Enteroinvasive E. coli
O143:H26
Not Yet Identified Active
1/10/

2022

1050 E. coli
O121:H19
Romaine Active
12/29/

2021

1052 E. coli
O157:H7
Packaged Salad Active
12/20/

2021

1039 Listeria
monocytogenes
Packaged Salad Active
12/15/

2021

1048 Listeria
monocytogenes
Packaged Salad Active

USA – Outbreak Investigation of Salmonella Oranienburg: Whole, Fresh Onions (October 2021) is Over.

FDA

The FDA, along with CDC, and state and local partners, investigated a multistate outbreak of Salmonella Oranienburg infections linked to whole, fresh onions imported from the State of Chihuahua, Mexico, in cooperation with the Mexican competent authorities. As of February 2, 2022, CDC has declared this outbreak over. CDC reports that there were 1040 illnesses in 39 states, Washington, D.C., and Puerto Rico.

In September 2021, as part of the ongoing investigation to determine the product causing illnesses, the FDA import operations implemented enhanced screening for Salmonella for onions imported into the United States, but no samples were collected because the growing season had ended and onions were no longer being imported from the State of Chihuahua, Mexico.

As a result of this outbreak, the FDA initiated onsite domestic investigations as well as Foreign Supplier Verification Program (FSVP) inspections of domestic firms who imported onions from the State of Chihuahua, Mexico. By inspecting these U.S. importers, FDA can determine if they are in compliance with applicable FSVP requirements, including performing certain risk-based activities to verify that imported foods meet U.S. safety standards.

While the outbreak has ended, FDA continues to work closely with Mexican competent authorities through the established Food Safety Partnership to investigate potential source(s) of contamination within the implicated region and to proactively implement prevention strategies ahead of the next growing season. FDA also intends to consider using additional tools, such as import screening and sampling, for onions grown and harvested in the State of Chihuahua, Mexico during the next growing season.

Recommendation

CDC has announced the outbreak is over. There are no recommendations for consumers, retailers, or suppliers.


Case Count Map Provided by CDC

Outbreak Investigation of Salmonella Oranienburg in Whole, Fresh Onions: Case Count Map Provided by CDC (February 2, 2022)

Case Counts

Total Illnesses: 1,040
Hospitalizations: 260
Deaths: 0
Last illness onset: January 1, 2022
States with Cases: AL, AR, CA, CO, CT, DC, FL, GA, HI, IA, IL, IN, KS, KY, LA, MA, MD, MI, MN, MO, MS, NC, ND, NE, NJ, NM, NY, OH, OK, OR, PA, PR, SC, SD, TN, TX, UT, VA, WA, WI, WV
Product Distribution: Nationwide

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 – First E. coli O103 outbreak caused by minced raw celery gets review.

Food Safety News

E. coli O103, one of the more rare Shiga-toxin producing E. coli, sickened patients at two Victoria, British Columbia, hospitals last April. The Vancouver Island outbreak is now the subject of a study on food safety for high-risk products prepared for vulnerable populations.

Based on confirmed E. coli O103 cases reported to the Island Health infectious disease unit, whole-genome sequencing was used in the case study. The Canada Communicable Disease Report (CCDR) published the study in its January 2022 edition.

The Victoria outbreak identified six confirmed E.coli O103 cases, with 67 percent being female and a medium age of 61. All were inpatients or outpatients at the two hospitals. All consumed raw minced celery sandwiches prepared by the hospital food services.