Category Archives: foodbourne outbreak

Research – Outbreak Investigation of E. coli O157:H7: Unknown Food (Fall 2020)

Food Poisoning News

The FDA and CDC, in collaboration with state and local partners, have completed the investigation on two of three multistate outbreak of E. coli O157:H7 infections in the U.S. this fall.

One of these investigations, Outbreak Unknown Source 3, identified 18 reported illnesses in nine states: California, Colorado, Illinois, Michigan, New York, Ohio, Pennsylvania, Virginia, Washington.

FDA completed a traceback investigation of several potential food vehicles identified in patient interviews and although no single farm was identified as a common source of the outbreak, FDA and state partners also conducted on-site investigations on farms of interest. However, information and samples collected in these inspections did not link these farms to the outbreak. The investigation of a farm does not mean that the farm is linked to an outbreak. The results of an investigation into a farm may well lead to that firm being ruled out of the investigation. On 12/18/2020, the CDC announced that this outbreak had ended.

The other completed outbreak investigation, Outbreak Unknown Source 1, identified 32 reported illnesses in 12 states: California, Illinois, Louisiana, Maryland, Michigan, Montana, New Jersey, Ohio, Utah, Virginia, Washington, Wisconsin. This strain of E. coli is genetically similar to a strain linked to a romaine outbreak that occurred in the spring of 2018, though a food was not linked to the current outbreak. FDA completed a traceback investigation and was unable to determine a common source of the outbreak. FDA and state partners also conducted on-site inspections on farms of interest, though information collected in these inspections did not link these farms to the outbreak. On 12/18/2020, the CDC announced that this outbreak had ended.

Investigations of a third E. coli outbreak of Unknown Source 2 continue.

Research – WHO wants help to estimate foodborne disease burden

Food Safety News

The World Health Organization (WHO) has called for help as part of work to estimate the burden of foodborne disease.

WHO is seeking support from independent consultants or groups of experts with relevant experience to undertake systematic reviews and other studies on foodborne illness. The process is part of collecting and assessing available evidence.

One call is for the review and evidence synthesis of diarrheal diseases and deaths caused by 14 pathogens commonly transmitted by food. The other covers global expert elicitation for attribution of burden of disease to foodborne transmission and to specific foods.

The WHO Foodborne Disease Burden Epidemiology Reference Group (FERG) was reconvened in May 2021 to update global estimates published in 2015. This group has already met three times in July and October 2021, and April 2022. A new report is expected in 2025.

Finalnd – Finnish Salmonella outbreak sickens more than 50 people

Food Safety News

The number of people in a Salmonella outbreak in Finland has doubled to more than 50, according to public health officials.

In July, 27 people in different parts of Finland were reported to have fallen ill with Salmonella Mbandaka infections. As of early September, 54 people have been sickened in the outbreak.

Patients fell sick between April and August and 31 of them are women. Their average age is 29 and the range is under 1 to 74 years old.

Four people were hospitalized because of their infections and only one patient had traveled abroad before becoming ill, said the Finnish Institute for Health and Welfare (THL).

India – 20 students fall ill due to suspected food poisoning

The Hindu

As many as 20 students of Social Welfare Residential school located at Dubbak in Siddipet district fell ill on Friday, due to suspected food poisoning.

The students complained about stomach pain and symptoms of fever, according to sources.

District Medical and Health Officer (DM&HO) Kashinath along with medical teams rushed to the hostel and was treating the students.

The students told the treating doctors that they have developed these health issues after consuming Payasam the day before yesterday, the DM&HO said that there might be some other reasons, including water contamination, but they could not confirm it till medical tests were completed.

There are some 400 students studying in the school and according to locals some of the students have been suffering with seasonal fevers. Some students have complained that they have been not receiving proper food despite repeated appeals.

USA – Domestically Acquired Cases of Cyclosporiasis — United States, May–August 2022

CDC

LAST UPDATED AUGUST 25, 2022 4:00 PM EDT

Cyclosporiasis illnesses are reported year-round in the United States. However, during the spring and summer months there is often an increase in cyclosporiasis acquired in the United States (i.e., “domestically acquired”). The exact timing and duration of these seasonal increases in domestically acquired cyclosporiasis can vary, but reports tend to increase starting in May. In previous years the reported number of cases peaked between June and July, although activity can last as late as September. The overall health impact (e.g., number of infections or hospitalizations) and the number of identified clusters of cases (i.e., cases that can be linked to a common exposure) also vary from season to season. Previous U.S. outbreaks of cyclosporiasis have been linked to various types of fresh produce, including basil, cilantro, mesclun lettuce, raspberries, and snow peas.

At a Glance
  • Illnesses: 800
  • Hospitalizations: 52
  • Deaths: 0
  • States reporting cases: 30

CDC, along with state and federal health and regulatory officials, monitor cases of cyclosporiasis in the United States in the spring and summer months to detect outbreaks linked to a common food source. However, many cases of cyclosporiasis cannot be directly linked to an outbreak, in part because of the lack of validated laboratory “fingerprinting” methods needed to link cases of Cyclospora infection. Officials use questionnaires to interview sick people to determine what they ate in the 14-day period before illness onset. If a commonality is found, CDC and partners work quickly to determine if a contaminated food product is still available in stores or in peoples’ homes and issue advisories.

Latest Information

  • The number of reported cases of domestically acquired cyclosporiasis illnesses has increased by 416 cases since the last update on July 28, 2022. Cases continue to be reported.
  • As of August 23, 2022, 800 laboratory-confirmed cases of cyclosporiasis in people who had no history of international travel during the 14-day period before illness onset have been reported to CDC by 31 jurisdictions, including 30 states and New York City, since May 1, 2022.
    • The median illness onset date is June 29, 2022 (range: May 3, 2022–August 12, 2022).
    • At least 52 people have been hospitalized; 0 deaths have been reported.

Research – First Description of a Yersinia pseudotuberculosis Clonal Outbreak in France, Confirmed Using a New Core Genome Multilocus Sequence Typing Method

Sante Publique

Yersinia pseudotuberculosis is an enteric pathogen causing mild enteritis that can lead to mesenteric adenitis in children and septicemia in elderly patients. Most cases are sporadic, but outbreaks have already been described in different countries. We report for the first time a Y. pseudotuberculosis clonal outbreak in France, that occurred in 2020. An epidemiological investigation based on food queries pointed toward the consumption of tomatoes as the suspected source of infection. The Yersinia National Reference Laboratory (YNRL) developed a new cgMLST scheme with 1,921 genes specific to Y. pseudotuberculosis that identified the clustering of isolates associated with the outbreak and allowed to perform molecular typing in real time. In addition, this method allowed to retrospectively identify isolates belonging to this cluster from earlier in 2020. This method, which does not require specific bioinformatic skills, is now used systematically at the YNRL and proves to display an excellent discriminatory power and is available to the scientific community. IMPORTANCE We describe in here a novel core-genome MLST method that allowed to identify in real time, and for the first time in France, a Y. pseudotuberculosis clonal outbreak that took place during the summer 2020 in Corsica. Our method allows to support epidemiological and microbiological investigations to establish a link between patients infected with closely associated Y. pseudotuberculosis isolates, and to identify the potential source of infection. In addition, we made this method available for the scientific community.

Auteur : Savin Cyril, Le Guern Anne-Sophie, Chereau Fanny, Guglielmini Julien, Heuzé Guillaume, Demeure Christian, Pizarro-Cerdá Javier
Microbiology spectrum, 2022, p. e0114522

USA – More people sick as outbreak linked to Wendy’s spreads to 2 more states

Food Safety News

Facts About Wendy's That Might Surprise You

Another 13 people have been confirmed sick in an outbreak of E. coli O157:H7 infections linked to lettuce on sandwiches from Wendy’s restaurants. Two states have been added to the outbreak.

Half of the 97 outbreak patients have been so sick that they had to be admitted to hospitals. Of the 43 hospitalized people, 10 have developed a kind of kidney failure known as hemolytic uremic syndrome (HUS), according to the Centers for Disease Control and Prevention.

Among the 67 people with detailed food histories, 81 percent reported eating at Wendy’s restaurants. Of 54 people with further information about what they ate at Wendy’s, 37 reported eating romaine lettuce served on burgers and other sandwiches.

RASFF Alert – Staphylococcal Toxin Outbreak – Canned Mushrooms

RASFF

Staphylococcal toxin outbreak due to consumption of canned mushrooms (boletus edulis) from Spain

RASFF Alert – Food Poisoning – Raw Oysters

RASFF

Food poisoning after eating oysters from France in Germany, Belgium, Finland and Netherlands

FDA – Core Outbreak Table – Investigations of Foodborne Illness Outbreaks

FDA

What’s New

  • An outbreak of Salmonella Mississippi (ref# 1097) in a not yet identified product has been added to the table and FDA has initiated traceback.
  • For the E. coli O157:H7 outbreak (ref# 1081) in a not yet identified food, sample collection and analysis have been initiated.
  • For the Salmonella Senftenberg outbreak (ref# 1087) in a not yet identified food, the case count has increased from 22 to 25 cases.
  • For the Salmonella Typhimurium outbreak (ref# 1095) in a not yet identified food, the case count has increased from 62 to 73 cases, an on-site inspection and sample collection and analysis has been initiated.
  • For the Cyclospora outbreak (ref# 1080) the case count has increased from 70 to 75.
  • For the Cyclospora outbreak (ref# 1084), the case count has increased from 41 to 42.
  • For the Salmonella Braenderup outbreak (ref# 1075), the case count increased from 74 to 75.
  • For the outbreak of Listeria monocytogenes (ref# 1057) linked to ice cream, FDA initiated an on-site inspection.