Category Archives: Foodborne Illness

UK – Investigators confirm cheese firm’s link to deadly E. coli outbreak

Food Safety News

According to officials, the outbreak strain has been found at a farm that supplied the milk used to make unpasteurized cheese, which was linked to an E. coli outbreak in the UK.

In total, 36 confirmed and one probable Shiga toxin-producing E. coli (STEC) O145 infections have been reported, with 29 in England and eight in Scotland since late July 2023, with most falling ill in November. The last reported primary patient had symptom onset on Dec. 23, 2023.

Twenty patients were female, with ages of all cases ranging from 7 to 81. Of the 31 patients with available information, 20 had bloody diarrhea, 15 were admitted to the hospital, and four also attended the hospital for their symptoms. One person developed hemolytic uremic syndrome (HUS) and later died.

An investigation into the outbreak by the UK Health Security Agency (UKHSA), the local authority, Public Health Scotland, Food Standards Agency (FSA), Food Standards Scotland (FSS) and the Animal Plant Health Agency (APHA) is nearly completed.

USA- 2023 – Alabama Cyclospora Outbreak Revealed

Food Poison Journal

In the May of 2023, a significant increase in Cyclospora cases associated with a Mexican-style restaurant in Limestone County, Alabama was investigated by the Alabama Department of Public Health. An outbreak investigation was initiated on June 7, 2023. A case control study was launched on June 12. Exposures were reported between May 20 and June 6, 2023.

UK – People hit by E.Coli outbreak ate Mrs Kirkham’s cheese in prepared meal in first class train carriage

Blog Preston

At least sixteen people who were infected in the E.Coli outbreak over Christmas ate ready meals containing unpasteurised cheese from a Preston business in the first class carriage of a train, Blog Preston has learned.

The investigation into E.Coli that led to dozens of people being infected, and one person dying, has also now concluded there is a ‘proven link’ between Mrs Kirkham’s Lancashire Cheese Ltd, which operates in Goosnargh, and the outbreak.

Mrs Kirkham’s was forced to issue a product recall on Christmas Eve 2023 over fears their unpasteurised cheese contained the harmful bacteria.

The Food Standards Agency has previously said that Mrs Kirkham’s acted ‘quickly and responsibly’ to take that action in December once the potential link had been established. Mrs Kirkham’s also received messages of support from the Specialist Cheesemakers’ Association and The Courtyard Dairy,

Research – Outbreak of Salmonella Typhimurium linked to Swedish pre-washed rocket salad, Sweden, September to November 2022

Eurosurveillance

At the end of September 2022, the Public Health Agency of Sweden (PHAS) observed an increase of domestic  cases reported by treating physicians and clinical microbiological laboratories through the Swedish national electronic notification system for notifiable diseases (SmiNet). Data obtained from regional clinical microbiological laboratories performing subtyping of  isolates on serogroup level suggested that  serogroup B was causing the national increase of cases.

On 4 October 2022, PHAS identified a cluster of eight cases of  Typhimurium belonging to the 7-gene multilocus sequence type (ST) 19 based on whole genome sequencing (WGS), suggesting a common source. The cluster was identified as part of the PHAS microbial surveillance programme, which is based on voluntary submission of metadata and isolates of  from domestic cases, by the regional clinical microbiological laboratories. At PHAS, typing is performed using WGS and conventional slide agglutination can be done if needed.

On 7 October 2022, a national outbreak was declared, following the laboratory confirmation of another 11 cases belonging to the cluster distributed in 11 of 21 Swedish regions. The outbreak control team was coordinated by PHAS and included the Swedish Food Agency (SFA) and regional departments of communicable disease control and prevention (CDC).

We describe an outbreak investigation of  Typhimurium in Sweden linked to cases in Finland, in September–November 2022. We collaborated with Finnish authorities and aimed to assess the extent of the outbreak, identify its source and initiate appropriate control measures to prevent further cases.

Finland – Meat recalled as Finland deals with Hepatitis E rise

Food Safety News

Finnish officials are investigating the connection between a hepatitis E-positive meat product and a rise in infections in the country.

In January and February, 81 hepatitis E cases from different parts of Finland were reported to the Infectious Disease Register. Half of these people have required hospital treatment. Between 20 and 60 hepatitis E cases are reported to the Infectious Disease Register annually. In 2023, there were 30 cases. In January 2023, only one Hepatitis E infection was reported in the register.

Uganda- 26 pupils of Kalas Girls school admitted in hospital over suspected food poisoning

Observer

At least twenty-six pupils of Kalas Girls’ primary school have been hospitalized over suspected food poisoning in Amudat district.

It alleged that yesterday March 6 at around 11:00 pm the affected pupils developed stomachaches, throat, and heart pains after consuming cookies that they found wrapped inside a polythene paper inside one of their classrooms.

Michael Longole, Mt. Moroto regional Police spokesperson said that police rushed to the scene after receiving the devastating information from the school head teacher.

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
2/20/

2024

1215 E. coli
O157:H7
Raw cheddar
cheese
See
Advisory
Active
1/24/

2024

1214 Listeria
monocytogenes
Queso Fresco
and
Cotija Cheese
See
Advisory
Active
11/8/

2023

1198 Elevated
Lead &
Chromium
Levels
Apple
Cinnamon
Puree
See
Advisory
Active

Research FSIS Foodborne Illness Outbreak Investigations, Fiscal Year 2023

FSIS USDA

The U.S. Department of Agriculture’s Food Safety and Inspection Service (FSIS), Office of
Public Health Science, Applied Epidemiology Staff, coordinates the FSIS response to
foodborne illness outbreaks that may involve FSIS-regulated products. This includes outbreaks that involve four foodborne pathogens that most frequently contaminate FSIS-regulated products: Salmonella, Shiga toxin-producing Escherichia coli (STEC), Listeria monocytogenes, and Campylobacter.

A foodborne outbreak occurs when two or more persons experience a similar illness after ingestion of a common food, and epidemiologic analysis implicates the
food as the source of the illness. FSIS may investigate illnesses associated with other, less
common, foodborne pathogens (e.g., Clostridium botulinum) if they are potentially associated with FSIS-regulated products. FSIS collects and evaluates epidemiologic, laboratory, and traceback information to determine if there is an association between an FSIS-regulated product and human illnesses. Epidemiologic information can include details like which foods ill people ate, where they purchased these foods, and where they live. Laboratory information can include comparing bacteria from FSIS samples and ill people to see if they are genetically similar or have similar characteristics. Traceback activities may include determining the location where the product was sold (e.g., grocery store, deli counter, or restaurant) or the source of a product (e.g., the federally inspected slaughter or processing facility). Depending on the evidence collected during an investigation, FSIS may have enough detailed exposure and product information to take one or more actions to prevent additional illnesses. These actions may include requesting that a company remove product from commerce and FSIS issuing a press release announcing that a firm is recalling meat, poultry, or egg products linked to human illnesses or FSIS notifying the public of potential food safety concerns through the issuance of a Public Health Alert (PHA).
This report summarizes outbreaks that FSIS investigated from October 1, 2022, to September
30, 2023, Fiscal Year 2023 (FY 2023). This report also highlights key lessons learned from
outbreak investigations in FY 2023.

USA – NY cheese manufacturer pleads guilty for adulterated raw cheese linked to deadly Listeria outbreak

Food Safety News

Pursuit to a 16-page plea agreement that leaves little to the imagination, a former raw milk cheese manufacturer and the company he owned and managed pleaded guilty today to charges related to cheese that was linked to a deadly outbreak of listeriosis.

Johannes Vulto and his company, Vulto Creamery LLC, are scheduled for sentencing on July 9 at the U.S. Courthouse in Syracuse, NY. The maximum sentence for the single misdemeanor count is one year imprisonment, a fine of $250,000, and one year of supervised release plus a 5-year term of court supervision.

The plea agreement requires a payment of $100,000 from Vulto and a one-year supervised release to begin after any imprisonment.

Research – 2016 Vulto Cheese Listeria Outbreak – What is Listeria and why is it so Deadly

Food Poison Journal

In early March 2017, public health and regulatory officials in several states, the Centers for Disease Control and Prevention (CDC), and the US Food and Drug Administration (FDA) investigated an outbreak of Listeria monocytogenes(Listeria) infections. Investigators used epidemiologic evidence and laboratory results from the PulseNet system to identify case patients who were part of the outbreak. Eight people infected with outbreak strain of Listeria were reported from four states, New York, Connecticut, Vermont and Florida. The Florida case had traveled to New York in the month before illness onset. Whole genome sequencing (WGS) performed on clinical isolates from all 8 case-patients showed that the isolates were closely related genetically, providing strong support that illnesses were linked to a common source.