Category Archives: foodbourne outbreak

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
12/6/

2023

1205 Listeria
monocytogenes
Not Yet
Identified
3 Active
11/22/

2023

1201 Salmonella
Newport
Not Yet
Identified
44 Active
11/22/

2023

1203 Salmonella
Sundsvall and
Oranienburg
Cantaloupe See

Advisory

Active
11/15/

2023

989 Listeria
monocytogenes
Peaches, Plums,
and Nectarines
See

Advisory

Active
11/8/

2023

1198 Elevated Lead
Levels
Apple
Cinnamon
Puree
See

Advisory

Active

Research – Prolonged multi‐country cluster of Listeria monocytogenes ST155 infections linked to ready‐to‐eat fish products

EFSA

Abstract

A genomic cluster of Listeria monocytogenes sequence type (ST) 155, serogroup IIa, infections has been identified in the European Union/European Economic Area (EU/EEA) and the United Kingdom (UK). Based on genomic similarity, the cluster can be divided into three sub‐clusters, of which only cases due to sub‐cluster 1 continue to be reported. Sub‐cluster 1 is therefore the focus of this assessment, with 64 cases reported in five EU/EEA countries between 2016 and 2023, of which 17 were in 2022 and 2023 (one in Austria, one in Belgium, eight in Italy, six in Germany, and one in the Netherlands). It includes 10 fatal cases between 2019 and 2023. Sub‐clusters 2 and 3 are historical, with 30 cases reported between 2011 and 2021. Based on case interviews, ready‐to‐eat (RTE) fish products have been implicated as vehicles of infection.

National food investigations, traceability, and genomic data identified 34 L. monocytogenes isolates from 12 fish products and one isolate from a fish processing environment within sub‐cluster 1. Sequencing analysis identified a link with two processing plants in Lithuania. In 2022–2023, contaminated fish products from these plants had reached retail markets in Germany and Italy, but there was no information on the product distribution in the other three countries reporting cases. The recurrent detection of the sub‐cluster 1 strain from marketed sealed RTE fish products revealed the persistence of the strain in one processing plant over eight years.

Further targeted investigation in the RTE fish production chain is needed to identify the point(s) of contamination. The interruption of the production of RTE fish products in one of the processing plants is likely to reduce infections, but until all sources and sites of contaminations are properly controlled new cases are expected to occur, particularly among vulnerable people (the immunosuppressed and those aged over 75 years).

USA -Canada – As many as 17,941 with Salmonella linked to Cantaloupe in U.S. and Canada

Marler Blog

Canada:164 lab confirmed cases with 61 hospitalized with 7 deaths. (as of December 22)

United States: 302 lab confirmed cases with 129 hospitalized with 4 deaths. (as of December 14)

According to health officials, only a small proportion of all Salmonella infections are diagnosed and reported to health departments. It is estimated that for every reported case, there are approximately 38.6 undiagnosed infections.[1] The CDC estimates that 1.4 million cases, 15,000 hospitalizations, and 400 deaths are caused by Salmonella infections in the U.S. every year.[2]

USA – Final Report Released of September E. Coli Outbreak at Huntley High School

MCH

This is a very detailed 15 page report.

The most likely mode of transmission of STEC in the HHS cafeteria was through an
infected food handler. At the time of the investigation a HHS food handler, that worked at both the cold sandwich station, providing garnishes (lettuce and cheese) to the sandwiches, and at the cookie station was confirmed by PCR, to have been intermittently shedding STEC, Shiga toxin 2.
The laboratory was unable to perform a culture of the stool specimen, which is indicative of an insufficient amount of the pathogen present at the time of testing to culture. The food handler denied illness. However, since most infections are self-limiting and most individuals do not seek health care and/or are not tested, and since it has been documented that STEC can be shed for up to 62 days, it is likely that the food handler was previously mildly ill and did not associate that illness with this outbreak investigation. Since shedding of the pathogen declines over time it is not unexpected that a culture could not be performed

RASFF Alert – Potential Tuberculosis Outbreak in Dairy Cattle – Risks Linked to Consuming Unpasteurized Milk

RASFF

Potential Tuberculosis Outbreak in Dairy Cattle – Risks Linked to Consuming Unpasteurized Milk from France in Spain

USA- FDA – Investigations of Foodborne Illness Outbreaks – Core Outbreak Table

FDA

What’s New

  • For the outbreak of Salmonella Sundsvall and Oranienburg (ref #1203) linked to cantaloupe, the recall was expanded to include additional retailers and wholesalers who received the recalled melons. See the Outbreak Advisory for additional information.
  • For the outbreak of Listeria monocytogenes (ref #989) linked to peaches, plums, and nectarines, the advisory was updated to include the full list of retailers who received the recalled product.
  • For the investigation of elevated lead levels in Cinnamon Applesauce Pouches (ref # 1198) the advisory was updated to include additional adverse event reports and Investigation updates.
  • For the outbreak of Salmonella Thompson (ref #1190) in onions, the investigation is complete and the outbreak has ended. See the Outbreak Advisory for additional information.
  • For the outbreak of E. coli O121 (ref #1195) in a not identified food, the investigation is complete and the outbreak has ended.
Date
Ref Pathogen
or
Cause of
Illness
Product(s)
Linked to
Illnesses

(if any)
Total
Case
Count

Status
12/6/

2023

1205 Listeria
monocytogenes
Not Yet
Identified
3 Active
11/22/

2023

1201 Salmonella
Newport
Not Yet
Identified
44 Active
11/22/

2023

1203 Salmonella
Sundsvall and
Oranienburg
Cantaloupe See

Advisory

Active
11/15/

2023

989 Listeria
monocytogenes
Peaches, Plums,
and Nectarines
See

Advisory

Active
11/8/

2023

1198 Elevated Lead
Levels
Apple
Cinnamon
Puree
See

Advisory

Active

Salmonella outbreak over in Norway, but source not found

Food Safety News

An outbreak of Salmonella has ended in Norway without officials finding the source.

An investigation into the outbreak of Salmonella Napoli has been completed as no cases have been detected since the end of September.

The Norwegian Institute of Public Health (FHI) had reported seven outbreak cases.

USA – FDA releases retailer lists for stone fruit linked to deadly Listeria outbreak

Food Safety News

Retailer lists are now available for peaches, nectarines and plums linked to a Listeria outbreak that has killed one person and sickened others.

Samples from sick people were collected from Aug. 22, 2018, to Aug. 16, this year. The outbreak is considered ongoing by the Centers for Disease Control and Prevention. The sick people are spread across seven states and all of them have required hospitalization.

Whole genome sequencing has allowed public health officials to match patients across several years, all with the outbreak strait of Listeria monocytogenes. The Food and Drug Administration has also found the pathogen on samples of peaches from the producer.

USA/Canada – Cantaloupe Salmonella Outbreak spikes to 455 ill, with 185 hospitalized and 10 dead

Food Poison Journal

United States Outbreak

More patients have been identified in the Salmonella outbreak traced to cantaloupe. The outbreak is now spread across 42 states. Since the most recent update, on Dec. 7, another 72 patients have been confirmed, bringing the total number of sick people to 302.

Of 263 people interviewed so far, half have been hospitalized. Four people have died, according to the Centers for Disease Control and Prevention. The outbreak strains of Salmonella in this outbreak are particularly virulent as the pathogen generally does not cause such a high percentage of hospitalizations.

Canadian outbreak

There is a related outbreak in Canada involving cantaloupe from the same supplier in Mexico. Recalls there also include pre-cut products.

As of Dec. 15, there have been 153 laboratory-confirmed cases of Salmonella Soahanina, Sundsvall and Oranienburg illness linked to this outbreak, according to the Public Health Agency of Canada. Of patients with the information available, 53 have been hospitalized. Six patients have died.

USA – Cantaloupe Salmonella Outbreak: 302 sick, 129 hospitalized and 4 dead in U.S.

Food Poison Journal

Since the last update on December 7, 302 people infected with one of the outbreak strains of Salmonella have been reported from 42 states. Illnesses started on dates ranging from October 16, 2023, to November 28, 2023. Of 263 people with information available, 129 (49%) have been hospitalized. Four deaths have been reported, three from Minnesota and one from Oregon.