Category Archives: foodborne outbreak

USA- FDA Core Investigations of Foodborne Illness Outbreaks

FDA

What’s New

  • For the outbreak of Salmonella Typhimurium illnesses (ref #1234) linked to a not yet identified product, the case count has increased from 47 to 53. FDA has initiated traceback.
  • For the investigation of illnesses (ref #1233) linked to Diamond Shruumz-brand Chocolate Bars, Cones, and Gummies, the advisory has been updated to include additional illnesses and investigation updates. 
  • For the outbreak of Listeria monocytogenes illnesses (ref #1232) linked to a not yet identified product, FDA has initiated an inspection and sample collection.

Date
Posted

Ref

Pathogen
or
Cause of
Illness

Product(s)
Linked to
Illnesses

(if any)

Total
Case
Count


Status

6/19/

2024

1234

Salmonella
Typhimurium

Not Yet
Identified

53

Active

6/12/

2024

1233

Not Yet
Identified

Chocolate,
Gummies,
Cones 

See
Advisory

Active

6/5/

2024

1229

Salmonella
Braenderup

Not Yet
Identified

185

Active

5/22/

2024

1232

Listeria
monocytogenes

Not Yet
Identified

2

Active

5/22/

2024

1227

Salmonella
Africana

Not Yet
Identified

196

Active

4/17/

2024

1221

E. coli
O157:H7

Organic
Walnuts

See
Advisory

Active

Research – Salmonella climbs to leading cause of outbreaks in Denmark

Food Safety News

kswfoodworld salmonella

Salmonella infections overtook norovirus to become Denmark’s top cause of outbreaks in 2023.

Data from the National Food Institute at the Technical University of Denmark, the Danish Veterinary and Food Administration, and Statens Serum Institut shows Salmonella outbreaks increased from 11 2022 to 18 in 2023. Norovirus caused 13 outbreaks compared to 14 in 2022.

Campylobacter continues to be the most common bacterial foodborne illness, with 5,186 cases in 2023. Salmonella cases increased for the fourth year in a row, to 1,207 from 899 in 2022. For both pathogens, the numbers moved towards levels seen before the COVID-19 pandemic.

Nigeria – How unregistered tiger nut drink caused Cholera outbreak in Lagos

Nigerian Tribune Online

The  Lagos State Government has linked a spike in cholera cases in the Eti-Osa Local Government Area to unregistered tiger nut drinks consumed by affected individuals.Food Illness

Upon investigating the surge in cases in Eti-Osa, the government conducted a survey, which revealed that the common factor among patients was the consumption of tiger nut drinks.

Research – Prolonged multi-country outbreak of Listeria monocytogenes ST173 linked to consumption of fish products 2012-2024

EFSA

Abstract

Between 2012 and 2024, a prolonged outbreak of 73 cases of L. monocytogenes ST173 infections (‘My2’ -cluster) has been ongoing in Belgium (5), Czechia (1), Germany (39), Finland (2), Italy (1), the Netherlands (20), and the United Kingdom (UK) (5). Fourteen deaths have been recorded as associated with this outbreak. Males aged over 60 years represent the most affected population group. Most patients with available information from case interviews report consuming various fish products before illness. Among 73 cases, an ongoing ‘My2’ sub-cluster 1 was identified with 38 cases reported in six EU countries and the UK.

The ‘My2’ sub-cluster 1 includes 83 non-human isolates, of which 48 are food isolates and six are environmental isolates with traceability data corresponding to 37 fish products (different typologies) and 12 fish manufacturers (located in six EU countries and one third country). The epidemiological and traceability information did not allow identification of a single common point or food business operator in the traceability of all products. Five countries reported the implementation of control measures.

The whole genome analysis (WGS) analysis, the tracing evidence, and the detection in fish products between 2017 and 2024 suggest that the strain has been geographically spread in Europe for several years, most likely originated from a past single source high up in the production chain, and has been established in different fish processing plants. Overall, the evidence supports the hypothesis of fish products as the vehicle of infections.

Given the detection of the outbreak strain in multiple types of fish products and its wide circulation in the EU/EEA fish production chain, new cases are likely to be reported. Corrective measures should be implemented in the plants where the contamination is detected, and further investigations should be carried out to identify the point of entry and prevent possible re-contamination.

Grand Hyatt Hong Kong linked to 15 food poisoning cases involving tainted ice cream

SCMP

Health authorities have identified eight linked food poisoning clusters involving 15 people who ate vanilla ice cream at three restaurants at the Grand Hyatt hotel in Hong Kong earlier this month.

The Centre for Health Protection said on Friday that the clusters included three earlier linked to the same hotel in Wan Chai, where all the affected people fell ill after eating the ice cream at the three venues on June 1 and 2.

“They developed abdominal pain, fever, nausea, vomiting and diarrhoea about 15 to 65 hours after consuming the food concerned,” it said.

“The stool specimens of six affected people were positive for Salmonella upon laboratory testing. Four of the Salmonella isolates belong to the same group of Salmonella enteritidis,” it said.

“In view of the epidemiological investigations and test results, the affected people’ symptoms were very likely related to consumption of the concerned ice cream provided by the hotel.”

UK E. coli O145 Outbreak hits 256 sick

Food Poison Journal

As of 18 June, there have been a further 45 cases associated with the recent outbreak of STEC O145 since the last update (14 June), bringing the total number of confirmed cases to 256 in the UK. All currently confirmed cases had symptom onset dates before 31 May. Although the rate of cases has now slowed, we expect the figure to rise as NHS laboratories refer specimens to UKHSA for genomic sequencing which can link cases to this outbreak strain.

Confirmed case totals:

  • 168 in England
  • 56 in Scotland
  • 29 in Wales
  • 3 in Northern Ireland (evidence suggests that they acquired their infection in England)

Based on information from 227 cases to date, 38% were admitted to hospital.

Investigations have highlighted pre-packaged sandwich products containing lettuce as the likely source of the outbreak.

USA -FDA – Investigations of Foodborne Illness Outbreaks

FDA

What’s New

  • A new outbreak of Salmonella Typhimurium (ref # 1234) linked to a not yet identified product has been added to the table. FDA’s investigation is ongoing.
  • For the investigation of illnesses (ref #1233) linked to Diamond Shruumz-brand Chocolate Bars, Cones, and Gummies, the advisory has been updated to include additional illnesses and investigation updates. FDA has initiated traceback and an onsite inspection.
  • For the outbreak of Salmonella Typhimurium linked to fresh, organic basil (ref #1218) the outbreak is over and FDA’s investigation is complete.

USA- CDC – Salmonella Outbreak Linked to Fresh Basil is Over

CDC

Basil product photo

Fast Facts
  • Illnesses: 36
  • Hospitalizations: 4
  • Deaths: 0
  • States: 14
  • Recall: Yes
  • Investigation status: Closed

Epidemiologic and traceback data showed that Infinite Herbs brand organic basil might have been contaminated with Salmonella and made people sick. Recalled basil is no longer available for sale and the use-by dates have passed.

Always follow the four food safety steps to prevent getting sick from Salmonella:

  • Clean: Wash your hands, utensils, and surfaces often.
  • Separate: Keep food that won’t be cooked separate from raw meat, poultry, and seafood.
  • Cook: Use a food thermometer to make sure you have cooked your food to a temperature high enough to kill germs.
  • Chill: Refrigerate perishable food (food that goes bad) within 2 hours. If the food is exposed to temperatures above 90°F (like a hot car or picnic), refrigerate it within 1 hour. Thaw food in the refrigerator, not on the counter.

Research – Minced Beef Identified as Likely Source of Deadly 2023 E. Coli Outbreak in UK

Food Poisoning News

A severe outbreak of E. coli that swept across the United Kingdom in the summer of 2023, resulting in one death and dozens of severe illnesses, has now been traced back to a probable source – minced beef products.

The outbreak, according to a recent article in The Sun, which was initially detected by the UK Health Security Agency’s (UKHSA) surveillance systems in June 2023, was caused by a rare strain of Shiga toxin-producing Escherichia coli, or STEC.  This strain is known for causing severe gastrointestinal symptoms, including bloody diarrhea, abdominal pain, fever, and vomiting.

While the precise source of contamination remains elusive, the investigation has narrowed down the likely culprit to minced beef products.  Ten of the patients filled out questionnaires to provide a detailed account of their food history for the two weeks leading up to the onset of sickness.  All 10 reported eating either beef burgers, beef mince prepared at home, or other beef mince products.

Denmark – More outbreaks of Salmonella in 2023

SSI

In Denmark, the number of salmonella outbreaks increased from 2022 to 2023. This is evident from the annual report on zoonoses in Denmark, prepared by the DTU Food Institute, the Danish Food and Drug Administration and the Staten Serum Institut.

In Denmark, 18 salmonella outbreaks were registered in 2023, which is a significant increase from 2022, when there were 11 outbreaks. This appears from the annual report for 2023 on the incidence of zoonoses – diseases that can be transmitted from animals and food to humans.

The largest salmonella outbreak in 2023 in Denmark counted 31 registered cases of illness and was caused by Salmonella Munich. 8 of the Salmonella outbreaks in Denmark in 2023 are due to Salmonella Enteritidis. In total, around 200 patients were infected with different types of salmonella.

Increase in outbreaks with Salmonella Enteritidis also in Europe

The increasing number of outbreaks is also seen elsewhere in Europe and follows a general trend. Four of the 11 outbreaks of Salmonella Enteritidis detected in Denmark in 2023 can be traced back to larger international outbreaks.

EFSA, the European Food Safety Authority, reports that European countries have reported several outbreaks in 2023. EFSA’s database contains results from genetic analyzes of the bacteria, which have contributed to clarifying and tracing both the meat and the companies where the salmonella originates.

“When several countries in Europe contribute to the same database, we have a better chance of clarifying more European foodborne outbreaks. And we can see that salmonella can be linked to imported chicken meat,” says research group leader Marianne Sandberg from the DTU Food Institute. Salmonella Enteritidis is more often found in hens, chickens and eggs than in foods of other animal origin. Humans can become infected through contact with animals or food that is infected with the bacteria.

“Salmonella Enteritidis is an infection we most often see after people have traveled. It was therefore surprising that the number of Salmonella Enteriditis outbreaks within the country’s borders increased from 1-3 per year in 2017-2022, to 8 in 2023,” says Luise Muller, epidemiologist from the Statens Serum Institut.

The source of infection for one outbreak was fried chicken meat for kebabs. That particular outbreak was part of an international outbreak and involved over 200 patients in 13 countries. There are no indications that Danish-produced eggs or chicken meat were the cause of the salmonella outbreak.

“In Denmark, we have a very fine-tuned control for salmonella in the production of broilers and eggs for human consumption. If we find salmonella, eggs or chicken meat from the flocks must not be sent out to consumers, but must be heat treated,” says specialist consultant Gudrun Sandø from the Danish Food and Drug Administration.