Category Archives: foodbourne outbreak

USA- Norovirus Among Likely Causes of Recent Reported Illnesses

Health WYO

Norovirus Food Safety kswfoodworld

Norovirus is likely among the reasons behind increased reports of recent illnesses in Wyoming, according to the Wyoming Department of Health (WDH).

People who are sick with norovirus may experience nausea, vomiting, watery diarrhea, stomach cramps, fatigue and dehydration. Other viruses and illnesses caused by bacteria contamination such as from E. coli can cause similar symptoms, but norovirus is the most common culprit.

Commonly described as “stomach flu” or “food poisoning,” norovirus is spread when people eat or drink contaminated food and beverages, touch contaminated surfaces or through close contact with someone already sick.

Matt Peterson, WDH surveillance epidemiologist, said contamination is almost always not obvious. “We’re often talking about extremely tiny amounts of poop or vomit. We can’t see it but it can make us very sick,” he said

“When people get ill this way, they most often blame the last thing they ate, but norovirus and bacterial illness can spread through many routes other than just eating food,” Peterson said.

Illness can hit quickly between 12 to 48 hours after a person has been exposed. Symptoms usually last from one to three days and go away without causing long-term problems.

“Norovirus and other illnesses with similar symptoms can be serious when people become dehydrated,” Peterson said. He noted those who become severely ill may need to call or visit a medical professional.  Infants, young children, immune-compromised persons, and persons unable to care for themselves, such as the disabled or elderly, are at higher risk for dehydration and may need hospitalization.

“We are specifically seeing increased reports of E.coli across the state recently compared to previous years, which can be particularly concerning in children under 5,” Peterson said. Parents with children who are suffering from stomach-related symptoms that do not improve after 72 hours, or if their child has bloody diarrhea, should seek medical care for the child because these could be signs of bacterial infection.

“Norovirus illnesses can be prevented,” Peterson said. “It sounds too simple, but, truly, good hand washing is critical. People can still be contagious and spread the virus for a few days after they no longer have symptoms.”

Recommended steps to help prevent illness include:

  • Frequently wash hands, especially after using the restroom or changing diapers, and before eating or preparing food.
  • If ill, stay home from work and school, especially if employed in food-handling, healthcare or child care.
  • Thoroughly clean and disinfect contaminated surfaces immediately after an episode of vomiting or diarrhea with a solution of 1 cup household bleach per 1 gallon of water and letting the solution sit for one minute. Always follow manufacturers’ safety precautions.
  • Immediately remove and wash contaminated clothing or linens after an episode of illness (use hot water and soap).
  • Flush or discard any vomit and/or poop in the toilet and keep the surrounding area clean.
  • Ill persons should take extra care to avoid spreading the virus by minimizing contact with other persons while ill and practicing good hygiene.

 

 

Spain – Legionellosis outbreak reported in Montmeló and Montornès del Vallès

Outbreak News Today

Legionella_Plate_01

Health officials in Spain are reporting a legionellosis outbreak in the municipalities of Montmeló and Montornès del Vallès in the Vallès Oriental region.

To date, 26 cases have been detected. The cases have started symptoms between November 5 and 15. And, of the 26 cases, 10 did not require hospital admission, 2 cases required admission but have already been discharged and 14 cases are still hospitalized.

Those affected are 19 men and 7 women between 37 and 92 years old. And all the cases have had exposure in the municipalities of Montmeló or Montornès del Vallès.

USA – Salmonella Onion Outbreak continues to expand after 900 sickened

Food Poison Journal

Potandon Produce L.L.C. of Idaho Falls, Idaho is updating its October 26 voluntary recall of onions supplied from Keeler Family Farms and sold as Green Giant Fresh to include 3lb. and 5lb. bags of whole yellow onions and 2 lb. bags of whole white onions shipped between July 15 and August 22, 2021 to a UNFI retail distribution center in Champaign, Illinois. This recall does not affect any other Green Giant Fresh products or include any Green Giant canned or frozen vegetable products.

The recalled onions are being recalled because they have the potential to be contaminated with Salmonella.

UK – Salmonella pork scratching outbreak sickens 500

Food Safety News

More than 500 people in the United Kingdom have been affected by a Salmonella outbreak linked to pork scratching products.

There were 534 sick people as of late October with the majority falling ill since June. The first patient was in September 2020 and the peak was 80 cases reported in one week.

Slightly more than half are male with an age range of 0 to 92 years old and a median of 54. A dozen were admitted to hospital but this information is only available for 35 people. The majority of those sick are in England but some patients live in Wales, Scotland and Northern Ireland.

Whole genome sequencing identified the genetically similar Salmonella Infantis cases. It is thought to be the largest outbreak of this Salmonella type ever reported in Europe.

USA – Salmonella Serotypes Associated with Illnesses after Thanksgiving Holiday, United States, 1998–2018

CDC

Food Poisoning Salmonella

Abstract

We sought to determine which Salmonella serotypes cause illness related to the Thanksgiving holiday in the United States and to foods disproportionately eaten then (e.g., turkey). Using routine surveillance for 1998–2018 and a case-crossover design, we found serotype Reading to be most strongly associated with Thanksgiving.

Thanksgiving, celebrated annually in the United States on the fourth Thursday of November, often brings together family and friends who eat specific traditional foods, such as mashed potatoes, cranberry sauce, and pumpkin pie; the most prominent food eaten is turkey (1). In 2017, ≈45 million turkeys were produced for Thanksgiving, ≈18% of annual production (2). Turkey is popular across regions, races, sexes, and generations; 88% of person in the United States report eating turkey during their Thanksgiving meal (1,3,4).

Foodborne Salmonella infections cause substantial illness and death in the United States: an estimated1 million cases, 20,000 hospitalizations, and 400 deaths occur annually (5). Typical illness consists of diarrhea, fever, and abdominal pain lasting 3–7 days; only a minority of persons seek health care. Incubation typically ranges from 6 hours to 6 days (5). Salmonella outbreaks caused by serotypes Hadar and Saint Paul have been most commonly attributed to turkey, and serotypes Enteritidis, Heidelberg, and Typhimurium have been frequent causes of turkey-associated outbreaks (6). During 2015‒2020, Reading and Hadar were the serotypes most often isolated from turkeys (7); less is known about which serotypes cause turkey-associated sporadic Salmonella infections. We aimed to determine which Salmonella serotypes cause sporadic enteric infections after the Thanksgiving holiday and are most likely related to foods disproportionately eaten then, particularly turkey.

Denmark – Listeria outbreak has sickened 9 in Denmark

Food Safety News

Danish officials are investigating a years-long outbreak of Listeria infections that has affected nine people from 2018 through this month.

The Statens Serum Institut (SSI), Danish Veterinary and Food Administration (Fødevarestyrelsen) and DTU Food Institute are trying to find the source of the infections.

The same type of Listeria monocytogenes has been found in nine people from late 2018 to November 2021. The four patients this year have all only recently become ill. Two people fell sick in both 2018 and 2019 and one case was recorded in 2020.

Among those sick are seven women aged from 35 to 95 years old and two children younger than age 5. They live all over the country. All nine Danish patients have been hospitalized but there have not been any deaths.

Whole genome sequencing (WGS) showed samples from outbreak patients to be closely related, which means it is likely they came from the same source.

USA – Outbreak Investigation of E. Coli O157:H7 – Spinach (November 2021)

FDA

Outbreak Investigation of E. Coli O157:H7 in Spinach (November 2021): Sample Image of Josie's Organics Baby Spinach

The FDA and CDC, in collaboration with state and local partners, are investigating illnesses in a multistate outbreak of E. coli O157:H7. According to the CDC, as of November 15, 2021, 10 people infected with the outbreak strain of E. coli O157:H7 have been reported from 7 states. Illnesses started on dates ranging from October 15 to October 27, 2021. Five people in this outbreak report eating spinach in the week before becoming sick and one person reported Josie’s Organics brand.

On November 15, 2021, the Minnesota Department of Agriculture reported that, as part of this outbreak investigation, a sample of Josie’s Organics Baby Spinach collected from the home of an ill person tested positive for E. coli O157:H7. This sample had a “Best If Used By” date of October 23, 2021 and is undergoing Whole Genome Sequencing (WGS) analysis to determine if the strain of E. coli O157:H7 present in the product sample matches the outbreak strain.

As WGS analysis of the sample is underway, FDA is tracing back the supply of the baby spinach in the positive product sample. Thus far, FDA has traced supply chains for this product back to a small number of farms in two different geographic regions and is deploying investigators along the supply chains of interest.

FDA and state partners are working with the firm to determine if additional products could be affected. This is an ongoing investigation and additional information will be provided as it becomes available.

Recommendation

Consumers, restaurants, and retailers, should not eat, sell, or serve Josie’s Organics Baby Spinach with a “Best If Used By” date of October 23, 2021. Josie’s Organics Baby Spinach is sold in a clear plastic clamshell with the Best If Used By Date on the top label.

Although this product is past expiration and should no longer be available for purchase, consumers should check their homes for product and discard it. If consumers froze fresh Josie’s Organics Baby Spinach, they should discard it.


Case Count Map Provided by CDC

Outbreak Investigation of E. Coli O157:H7 in Spinach: Case Count Map Provided by CDC (November 15, 2021)

Case Counts

Total Illnesses: 10
Hospitalizations: 2
Deaths: 0
Last Illness Onset: October 27, 2021
States with Cases: IA (1), IN (3), MI (1), MN (2), MO (1), OH (1), SD (1)

USA – Alsum Farms Onions Are Recalled For Possible Salmonella Contamination

Food Poisoning Bulletin

Alsum Farms onions are recalled for possible Salmonella contamination, according to an FDA notice. The fresh yellow, white, and red onions were delivered to retailers in Wisconsin, Michigan, Illinois, and Pennsylvania between July 13, 2021 and August 18, 2021. The onions were imported from Chihuahua, Mexico by Keeler Family Farms. No illnesses have been reported to date in connection with onions marketed through Keeler Family Farms. Alsum Farms & Produce is located in Friesland, Wisconsin. You can see all of the secondary onion recalls in association with a multistate Salmonella outbreak here.

USA – Salmonella Outbreak linked to Onions hits nearly 900 in 38 States

Food Poison Journal

Since the last update on October 29, 2021, 84 more sick people were added to this outbreak. As of November 12, 2021, 892 people infected with the outbreak strain of Salmonella Oranienburg have been reported from 38 states and Puerto Rico (see map). Illnesses started on dates ranging from May 31, 2021, to October 25, 2021 (see timeline).
Sick people range in age from less than 1 year to 101 years, with a median age of 37, and 58% are female. Of 571 people with information available, 183 (32%) have been hospitalized.

The true number of sick people in an outbreak is likely much higher than the number reported, and the outbreak may not be limited to the states with known illnesses. This is because many people recover without medical care and are not tested for Salmonella. In addition, recent illnesses may not yet be reported as it usually takes 3 to 4 weeks to determine if a sick person is part of an outbreak.

USA – Salmonella Citterio Salame Sticks Outbreak Grows to 30

Food Poisoning Bulletin

kswfoodworld salmonella

The Salmonella Citterio Salame Sticks outbreak has grown to include 30 patients in 10 states, according to the Centers for Disease Control and Prevention (CDC), which is an increase of 10 patients since the last update on October 28, 2021. Six people are hospitalized because they are so ill. That is an increase of two more states in the case count. A recall was issued after the government discovered that the product was still being sold at one retail location, which was not named.