Category Archives: Hepatitis A

Europe – Norovirus Ongoing Outbreak in Frozen Berries Report -Hepatitis A

EurosurvaillanceClose up 3d render of an influenza-like virus isolated on white

A food-borne outbreak of hepatitis A in Denmark was notified to other countries on 1 March 2013. A case–control study identified frozen berries eaten in smoothies as potential vehicle. In the following weeks, Finland, Norway and Sweden also identified an increased number of hepatitis A patients without travel history. Most cases reported having eaten frozen berries at the time of exposure. By 17 April, 71 cases were notified in the four countries. No specific type of berry, brand or origin of berries has yet been identified.

As of 17 April 2013, 36 cases, of whom 15 were confirmed, have been identified in Finland, Norway and Sweden, giving a total of 71 cases in the four countries (Table 1). Finland and Norway have reported confirmed cases with sequence 1 and 2. In Sweden, two of the eight confirmed cases have an HAV IB sequence with 2% difference to sequence 1 and 1% difference to sequence 2 (called sequence 3).
The overall median age for cases and the median age for confirmed cases is 25 years (range: 3–78 years); 43 cases are female. In Norway and Sweden (but not Finland), more women are affected than men. The distribution of cases by month and HAV sequence type is shown in Figure 1. As of 17 April 2013, Sweden is the only country with cases with symptom onset in April. An increased number of travel-related hepatitis A patients in the same time period (Table 1) may be explained in part by patients infected in Egypt [1].

RASFF Alerts – Mould – E.coli – Norovirus – Hepatitis A – Aflatoxin

RASFF – Foelie from Indonesia infested with moulds in the Netherlands

RASFF – High count of Escherichia coli (between 130 and 980 CFU/g) in fresh peppermint from Cambodia in Norway

RASFF – Hepatitis A virus (ongoing investigations) in mussels (Mitylus galloprovincialis) from Slovenia in Italy

RASFF – Norovirus (presence) in clams from Portugal in Spain

RASFF – Aflatoxins (B1 = 5.5 µg/kg – ppb) in satay sauce from Sweden

Sweden – Food Borne Illness – Hepatitis A Virus – Berries

The Local

The Swedish Institute for Communicable Disease Control (Smittskyddsinstitutet, SMI) warned that the berries may have been responsible for 22 cases of Hepatitis A in Sweden so far.

The usual contagion rate for the same timeframe is about five people in Sweden.

Experts from the institute advised berry lovers to take caution when consuming any  berries bought in Sweden that were sold frozen.

“If you cook them for at least one minute then all the contagion will die or disappear,” Margareta Löfdahl, epidemiologist from the Institute, told the TT news agency.

“This cooking advice applies to all kinds of frozen berried from all suppliers, this is the safest option until we find out more.”

The people infected in Sweden were infected with the same type of Hepatitis that 30 people in Denmark were diagnosed with recently, which has since been traced to frozen berries and strawberries in particular.

The SMI is now sending traces of the berries to the Swedish National Food Agency (Livsmedelsverket) for testing.

Hepatitis A is an infection of the liver. It can be prevented by vaccination, and experts at SMI have recommended Swedes remember to maintain good hygiene.

 

European RASFF Alerts – Salmonella – Norovirus – Hepatitis A – Aflatoxins

RASFF – Salmonella in Dried Green Pepper in Estonia sourced in India via Germany

RASFF – Salmonella in Beef Trimings in Sweden sourced in Poland via the Netherlands and Germany

RASFF – Norovirus in Chilled Oysters in Italy sourced in France

RASFF – Hepatitis A Virus in Pitted Dates in Netherlands sourced in Algeria via France

Carrefour Recall – Noroviurs in Oysters

RASFF – Aflatoxins in Maize in Cyprus sourced in Greece

RASFF – Aflatoxins in Almone Powder in Belgium sourced in Ghana

RASFF – Salmonella in Frozen Beef in Sweden sourced in Poland

RASFF – Salmonella in Pasteurised Cows Milk Cheese in France

 

Israel – Foodborne Illness – Hepatitis A – Market Vegetables

Link

Dozens of hepatitis A cases reported in the Tel Aviv area in Israel since last year may be linked to vegetables health officials say, according to a Haaretz report Friday.

Israeli health officials say since the beginning of 2012, there have been 69 cases of the viral liver disease reported from the area, with the majority reported in the latter half of the year.

This is a dramatic increase from the seven cases reported in all of 2011.

According to the report, Health Ministry officials believe the source may be vegetables sold in open-air markets in the south of the city.

 

USA – Article – How do Pathogens get into Produce

This is a very interesting article in Food Safety News which I think would be of interest to Food Microbiologists and the Produce industry alike. the link will take you to the full article

Food Safety News

Leafy greens, lettuce, cantaloupes, mangoes and strawberries. These are just some of the foods that have sickened or even killed people when they were contaminated with foodborne pathogens such as E. coli, Listeria and Salmonella.

Amidst the confusing swirl of information about these and other produce outbreaks, the question arises: Were some of these pathogens inside the produce? Could it be — in some cases, anyway — that the plant’s roots sucked the pathogens up out of the soil and transferred them through the plant into its edible parts?

HPA- Norovirus Update

HPANorovirus

Figures from the Health Protection Agency (HPA) show that there were 337 confirmed laboratory reports of norovirus in the week ending December 9 2012 and 236 for the week ending 2 December 2012. The latest weekly report is now published.

In this season to date there have been 3,046 confirmed laboratory reports of norovirus. This is 83 per cent higher than the same period in the last season when there were 1,669 cases reported.

The figures for the number of hospital outbreaks show that there were 61 hospital outbreaks during the last two weeks up to December 16 2012. In the same fortnight in the previous year there were 35 outbreaks reported by the same time.

The data show that the increase in norovirus laboratory reports is earlier this season than in previous years; however, there are no indications as to why this is the case.

BBC – Schools Norovirus

BBC – Hospital Norovirus

BBC – Hospital Norovirus

Guardian – Norovirus

Research Norovirus Spread by Kitchen Untensils

Sprenger LinkNorovirus

Abstract

Human noroviruses and hepatitis A virus (HAV) are commonly associated with outbreaks occurring in restaurant establishments and catered events. Food handlers are major contributing factors to foodborne illnesses initiated in the kitchen setting. In this study, transfer of HAV and murine norovirus (MNV-1), a human norovirus surrogate, between produce (cucumbers, strawberries, tomatoes, cantaloupes, carrots, and honeydew melons) and common kitchen utensils (graters and knives) was investigated. The extent of virus transfer to produce during utensil application, in the presence and the absence of food residue, and the impact of knife surface properties (sharp, dull, serrated) was also investigated. Transfer of MNV-1 and HAV from produce items, initially contaminated with ~5.5 log PFU, to knives and graters during application ranged from 0.9 to 5.1 log PFU. MNV-1 transfer to knives was the greatest for cucumbers, strawberries, and tomatoes, and the least for honeydew melons, while transfer of HAV to knives was greater for tomatoes and honeydew melons than strawberries, cantaloupes, and cucumbers. After preparation of a contaminated produce item, knife cross-contamination easily occurred as viruses were detected on almost all of the seven produce items successively prepared. Produce residues on utensils often resulted in less virus transfer when compared to utensils without residue accumulation. Knife surface properties did not impact virus transfer. The ease of virus transfer between produce and utensils demonstrated by the current study highlights the importance of efforts aimed toward preventing cross-contamination in the kitchen environment

 

Research – Grape Seed Extract Effect on Virus and E.coli on Fresh Cut Lettuce

Science Direct

Grape seed extract (GSE) is reported to have antibacterial properties with few current studies on antiviral activity. Recently, we reported the effects of GSE against foodborne viral surrogates in vitro. This study evaluated the application of GSE (commercial Gravinol-S) against hepatitis A virus (HAV) and human norovirus surrogates, feline calicivirus (FCV-F9) and murine norovirus (MNV-1), on model produce. Washed and air-dried lettuce (3 × 3 cm2) and jalapeno peppers (25–30 g) were inoculated with FCV-F9, MNV-1, or HAV at high (∼7 log10 PFU/ml) or low (∼5 log10 PFU/ml) titers, and treated with 0.25, 0.5, 1 mg/ml GSE or water for 30 s to 5 min. Treatments were stopped/diluted with cell-culture media containing 10% heat-inactivated fetal bovine serum and evaluated using plaque assays. At high titers, FCV-F9 was reduced by 2.33, 2.58, and 2.71 log10 PFU on lettuce; and 2.20, 2.74, and 3.05 log10 PFU on peppers after 1 min using 0.25, 0.50, and 1 mg/ml GSE, respectively. Low FCV-F9 titers could not be detected after 1 min at all three GSE concentrations. Low titer MNV-1 was reduced by 0.2–0.3 log10 PFU on lettuce and 0.8 log10 PFU on peppers, without reduction of high titer. GSE at 0.25–1 mg/ml after 1 min caused 0.7–1.1 and 1–1.3 log10 PFU reduction for high and low HAV titers, respectively on both commodities. Instrumental color analysis showed no significant differences between treated and untreated produce. GSE shows potential for foodborne viral reduction on produce as part of hurdle technologies.

Direct Science

Fresh-cut iceberg lettuce inoculated with Escherichia coli O157:H7 was submitted to chlorine washing (150 mg/mL) and modified atmosphere packaging on laboratory scale. Populations of E. coli O157:H7 were assessed in fresh-cut lettuce stored at 4, 8, 13 and 16 °C using 6–8 replicates in each analysis point in order to capture experimental variability. The pathogen was able to grow at temperatures ≥8 °C, although at low temperatures, growth data presented a high variability between replicates. Indeed, at 8 °C after 15 days, some replicates did not show growth while other replicates did present an increase. A growth primary model was fitted to the raw growth data to estimate lag time and maximum growth rate. The prediction and confidence bands for the fitted growth models were estimated based on Monte-Carlo method. The estimated maximum growth rates (log cfu/day) corresponded to 0.14 (95% CI: 0.06–0.31), 0.55 (95% CI: 0.17–1.20) and 1.43 (95% CI: 0.82–2.15) for 8, 13 and 16 °C, respectively. A square-root secondary model was satisfactorily derived from the estimated growth rates (R2 > 0.80; Bf = 0.97; Af = 1.46). Predictive models and data obtained in this study are intended to improve quantitative risk assessment studies for E. coli O157:H7 in leafy green products.

 

European Alerts – Listeria, Salmonella, Hepatitis A, Bacillus cereus

RASFF – Listeria monocytogenes in Pate from Belgium

RASFF – Salmonella in Chilled Sausage in UK sourced in Italy

Denmark  – Suspected Hepatitis A in Strawberry Yoghurt in Germany

RASFF – Listeria monocytogenes in Raw Milk Cheese in Belgium sourced in France.

Greece – Organic Radish Seeds Bacillus cereus