Category Archives: foodbourne outbreak

USA – FDA Investigating Multistate Outbreak of E. coli O157:H7 Infections Likely Linked to Romaine Lettuce Grown in California

FDA Eurofins Food Testing UK

Update: December 17, 2018

The FDA, along with CDC, state and local agencies, is investigating a multistate outbreak of E. coli O157:H7 illnesses linked to romaine lettuce grown in California this fall. The Public Health Agency of Canada (PHAC) and Canadian Food Inspection Agency (CFIA) are also coordinating with U.S. agencies as they investigate a similar outbreak in Canada.

On December 13, 2018, Adam Bros. Farming, Inc., in Santa Barbara County, recalled products that may have come into contact with water from the water reservoir where the outbreak strain was found. The firm recalled red leaf lettuce, green leaf lettuce and cauliflower harvested on November 27 through 30, 2018. According to the firm, cauliflower was distributed to wholesalers in the U.S. Mexico, and Canada.

The Adam Bros. recall has prompted a sub-recall by Spokane Produce Inc. of Spokane, WA. The firm recalled sandwiches and other products under the Northwest Cuisine Creations and Fresh&Local labels.

Recommendation:

Consumers:

Consumers should not eat recalled products and should throw them away. Consumers also should not eat romaine from Monterey, San Benito, and Santa Barbara counties in California.

Based on discussions with producers and distributors, romaine lettuce entering the market will now be voluntarily labeled with a harvest location and a harvest date or labeled as being hydroponically- or greenhouse-grown. Romaine lettuce with the new labeling is available in stores. Consumers should look for signs in stores where labels are not an option. If signs or labels do not have this information, you should not eat or use it.

If it does have this information, we advise avoiding romaine from Monterey, San Benito, and Santa Barbara counties in California. Romaine from outside those regions need not be avoided. Additional counties may be added or subtracted as FDA traceback investigation continues.

For example, romaine lettuce harvested from areas that include, but are not limited to, the following do not appear to be related to the current outbreak:

  • the desert growing region near Yuma, Arizona
  • the California desert growing region near Imperial County and Riverside County
  • the counties of Ventura, San Luis Obispo, and Santa Cruz in California
  • the state of Florida
  • Mexico

Additionally, there is no evidence hydroponically- and greenhouse-grown romaine is related to the current outbreak, and there is, also, no recommendation to avoid romaine from these sources.

Restaurants and Retailers:

Restaurants and retailers should not serve or sell romaine from Monterey, San Benito, and Santa Barbara counties in California. Romaine from outside those regions need not be avoided. See the list above of examples of growing areas not related to the current outbreak. Retailers and restaurants should discard any recalled product.

Retailers should ensure that there is labeling with the harvest date and location on each bag of romaine, or that there is signage when labels are not an option.

Suppliers and Distributors:

Suppliers, distributors and others in the supply chain should not ship or sell romaine from Monterey, San Benito, and Santa Barbara counties in California. Romaine from outside those regions need not be. Distributors and suppliers should discard any recalled product.

FDA recommends that labels are placed on romaine lettuce entering the market to help consumers, restaurants and retailers determine that the romaine is from unaffected growing regions outside of Monterey, San Benito, or Santa Barbara counties in California.

Information – The International Outbreak Museum – Portland – Orgegon

Outbreak Museum

The International Outbreak Museum began in the office of Dr. Bill Keene in his early years investigating infectious disease outbreaks at the Oregon state health department. Bill realized early on that outbreak investigations are very public opportunities to teach large audiences about the kinds of foods and products that can become contaminated and cause widespread dissemination of disease. From one of the very first (and still the oldest) exhibits, an actual box of “Rely Tampons” that associated with Toxic Shock Syndrome and Staphylococcus aureus in 1978, to painstakingly reproduced products (like Sally Jackson artisanal raw milk cheese), the physical museum includes some pretty cool stuff. We’ve got bunches of restaurant menus, cans of contaminated leather spray, bottles of MRSA-contaminated tattoo ink and equipment, and packaging from many products that were recalled from the market because they caused outbreaks and made citizens sick.

The museum is part of The Northwest Center for Foodborne Outbreak Management, Epidemiology, and Surveillance (FOMES), a program that fosters the public health practice of foodborne and diarrheal disease surveillance and outbreak investigation. FOMES will be working to bring all of the physical IOM exhibits to digital life and feature them in their proper place on the web. Our hope is that Dr. Keene’s museum can be used to share the fascinating stories behind outbreak investigations. Please consider submitting information about your latest investigation (even if you didn’t find a smoking gun).

USA – E. coli O157:H7 Romaine Outbreak Increases With 52 Sick and 19 Hospitalized

Food Poisoning Bulletin

E. coli O157:H7 Romaine Outbreak 12618

The E. coli O157:H7 romaine outbreak has grown, according to an update posted by the Centers for Disease Control and Prevention (CDC). Since the last update posted in November 26, 2018, an additional nine patients have been added to the total for 52 sick. Those patients live in 15 states. Nineteen people have been hospitalized.

USA – Michigan Cracker Barrel Shuttered due to Salmonella

Food Poison Journal

The Cracker Barrel restaurant near I-94 and S. 9th St. is voluntarily closing its’ doors for good following a salmonella outbreak investigation.The Kalamazoo County Health & Community Services Department (HCS), along with the Michigan Department of Health and Human Services (MDHHS) began investigating the location in June 2018 for health code violations and reports of food borne illnesses. HCS officials said the establishment voluntarily closed in June to begin facility renovations and worked with them to ensure all Michigan Food Law requirements were met to reopen.

Singapore – Over 400 ill from food poisoning in November alone

TNP SG

In the second half of the year alone, Singapore has seen a series of food poisonings, with threethis month.

In July, about 200 students of CHIJ Secondary (Toa Payoh) had symptoms of food poisoning, including diarrhoea and abdominal pain.

None of the affected students was hospitalised and most returned to school soon after, said the school’s principal Karen Tay.

Last month, days before the A-level examinations, about 200 Raffles Institution students showed symptoms of food poisoning after a buffet prepared by an external caterer.

Most of the affected students were in Year 6 and had symptoms such as diarrhoea and stomachache. One student was hospitalised.

In the past three weeks, over 400 people fell ill after consuming catered food.

Sweden – Salmonella outbreak in Sweden with 33 ill

Food Safety News

kswfoodworld Salmonella

Swedish officials are investigating a national outbreak of Salmonella that has sickened 33 people.

Local counties, Livsmedelsverket (National Food Agency) and Folkhälsomyndigheten (Public Health Agency) are working together to investigate the illnesses and identify the source of infection.

The outbreak of Salmonella Enteritidis with multiple locus variable number of tandem repeat analysis (MLVA) type 2-10-7-3-2 was detected by Folkhälsomyndigheten’s monitoring program using Whole Genome Sequencing (WGS) in October.

 

South Africa – Durban Old Town Italy a Link in South African Salmonella Outbreak – What you need to know

Food Poison Journal

 

Time’s consumer reporter, Wendy Knowler, reports that salmonella bacteria, most likely from contaminated eggs, has put at least 30 people in the greater Durban area in hospital, and sickened many more.

Social media reports posted by people who’d contracted salmonellosis after eating at the upmarket Old Town Italy restaurant in Umhlanga – mostly meals including hollandaise sauce – raised the alarm, but the outbreak of the past few weeks goes far beyond one restaurant.

In addition, four children attending a Cowies Hill creche were confirmed by doctors to have salmonellosis; seven people who attended a private lunch ended up in Hillcrest Private Hospital for almost a week after eating a dessert made with egg; a Florida Road restaurant closed for two days after its patrons reported falling ill and many pharmacies in the greater Durban area have reported a sudden spike in the demand for diarrhoea medication.

USA – CDC – Outbreak of Multidrug-Resistant Salmonella Infections Linked to Raw Turkey Products – One Death

CDC

CDC and public health and regulatory officials in several states are investigating a multistate outbreak of multidrug-resistant Salmonella infections linked to raw turkey products. The U.S. Department of Agriculture’s Food Safety and Inspection Service (USDA-FSIS) is monitoring the outbreak.

  • Seventy-four more ill people from 26 states were added to this investigation since the last update on July 19, 2018.
  • As of November 5, 2018, 164 people infected with the outbreak strain of Salmonella Reading have been reported from 35 states.
    • 63 people have been hospitalized, and one death has been reported from California.
  • Epidemiologic and laboratory evidence(https://www.cdc.gov/foodsafety/outbreaks/investigating-outbreaks/index.html) indicates that raw turkey products from a variety of sources are contaminated with Salmonella Reading and are making people sick.
  • In interviews, ill people report eating different types and brands of turkey products purchased from many different locations. Three ill people lived in households where raw turkey pet food was fed to pets.
  • The outbreak strain has been identified in samples taken from raw turkey pet food, raw turkey products, and live turkeys.
  • A single, common supplier of raw turkey products or of live turkeys has not been identified.
  • The outbreak strain of Salmonella Reading is present in live turkeys and in many types of raw turkey products, indicating it might be widespread in the turkey industry. CDC and USDA-FSIS have shared this information with representatives from the turkey industry and asked about steps that they may be taking to reduce Salmonella contamination.

 

USA – FDA says poor records stalled outbreak work; feedlot likely source of E. coli

Food Safety News

Federal officials won’t say definitively that contaminated canal water was behind this year’s deadly E. coli outbreak linked to romaine lettuce, but they are saying they “found no evidence in support of alternative explanations.” 

Another point made clear in an outbreak investigation report released yesterday puts the FDA firmly on record when it comes to antiquated shipping and receiving recordkeeping used by many in the leafy greens industry. Scott Gottlieb, commissioner for the Food and Drug Administration, issued a blunt statement calling for growers, processors and distributors to do the right thing.  

Gottlieb said what consumer groups and industry observers have been saying for months — traceback efforts to determine the specific romaine behind the outbreak were “challenging” because most of the necessary records were hand written and/or were not available electronically. Those out-of-date methods resulted in the FDA and CDC telling the public to avoid all romaine grown in the Yuma, AZ, area earlier this year because specific growers and shippers could not be identified. 

“We strongly encourage the leafy greens industry to adopt traceability best practices and state-of-the-art technologies to help assure quick and easy access to key data elements from farm to fork,” Gottlieb said.

Zambia – 38 QUARANTINED FOR FOOD BORNE DISEASE

ZNBC

Thirty-eight children from the Natebe Luvale Mukanda camp in Livingstone have been quarantined for a suspected food borne disease.

Livingstone District Health Director Tino Maliselo has confirmed to ZNBC news in Livingstone that most of the children are quarantined at the Namatama Health Post.

Dr. Maliselo said the situation is under control and that laboratory investigations are being carried out to ascertain the disease.

He adds that his team is assessing the health situation in the traditional initiation camp known traditionally as the Mukanda.

And some parents have called for the immediate release of their children from the traditional camp.