Category Archives: Illness

USA – Mystery Salmonella and Listeria Outbreaks sicken 75 in United States while infant formula kills 2

Food Poison Journal

The Food and Drug Administration has posted an increase in the number of patients in an outbreak of Listeria monocytogenes infections as it continues investigations into three other outbreaks.

The new patient count in the Listeria outbreak is 16, up from 14 reported a week ago. As of March 16 the FDA had not determined the cause of the outbreak. The agency has initiated traceback efforts, but has not revealed what food or foods are involved in those activities.

The FDA has not revealed any demographic information on the Listeria patients and has not reported where they live.

In other outbreak news the FDA is investigating a new outbreak of Salmonella SaintPaul infections that has sickened 59 people. The agency announced the outbreak on March 16. As with the Listeria outbreak investigation, the FDA has not released any patient information for the Salmonella outbreak and has not reported where the patients live. Traceback efforts have begun, according to the FDA, but the agency did not report what food or foods are involved.

USA – Core Investigation Table Update – Salmonella Saintpaul Outbreak

FDA

The FDA has launched a Traceback Investigation to identify the source of the outbreak. 59 cases have been reported so far, no Public Health Advisory has been issued yet. Salmonella Saintpaul has been identified as the strain causing the illnesses.

Date
Posted
Ref Pathogen
Product
Linked to
Illnesses

(if any)
Case Count
Status
3/16/

2022

1055 Salmonella
Saintpaul
Not Yet
Identified
59 Active
2/17/

2022

1056 Cronobacter
sakazakii
Powdered
Infant
Formula
See
Advisory
Active
2/9/

2022

1040 Listeria
monocytogenes
Not Yet
Identified
16 Active
2/2/

2022

1054 Enteroinvasive
E. coli
O143:H26
Not
Identified
16 Closed
1/10/

2022

1050 E. coli
O121:H19
Romaine 4 Closed
12/29/

2021

1052 E. coli
O157:H7
Packaged
Salad
See Outbreak
Advisory
Closed
12/20/

2021

1039 Listeria
monocytogenes
Packaged
Salad
See Outbreak
Advisory
Closed
12/15/2021 1048 Listeria
monocytogenes
Packaged
Salad
See Outbreak
Advisory
Active

India – 42 students affected by food poisoning at Kurnool school

Deccan Chronicle

ANANTAPUR: Some 42 students of the government school in the Viswanagar area of Nandyal town in Kurnool district fell sick after having their mid-day meal at the school premises on Friday.

There was contamination of food as spoilt eggs were used in cooking, which caused food poisoning. Soon after the students started vomiting in the school, they were taken to the government hospital at Nandyal town.

Some 92 children were studying at the government school in Viswanagar locality of Nandyal municipality. The students were served the mid-day meal consisting of rice, asparagus, boiled egg and chickpea as part of the Friday menu fixed by the state government.

Soon after having their lunch, the students went to their classrooms. Many of them soon complained of stomach pain and started vomiting.

About 50 students with sensation of vomiting were shifted to the hospital and a team of doctors treated them. Nandyal hospital superintendent Dr.Vijayakumar said contamination of food was the cause. “All are being provided necessary medical aid. The students are safe,” he said.

USA – FDA Investigation of Cronobacter Infections: Powdered Infant Formula (February 2022)

FDA

If you want to check if your powdered formula is part of the recall, you can enter the product lot code on the bottom of your package on the company’s websiteExternal Link Disclaimer.

If you have questions or need information about the recall, you can Submit Questions/Get Assistance.

If your infant is experiencing symptoms related to Cronobacter infection, such as poor feeding, irritability, temperature changes, jaundice, grunting breaths, or abnormal movements; contact your health care provider to report their symptoms and receive immediate care.

To report an illness or adverse event, you can

The FDA, along with CDC and state and local partners are investigating consumer complaints and/or reports of infant illness related to products from Abbott Nutrition’s Sturgis, MI facility. All of the ill patients are reported to have consumed powdered infant formula produced from Abbott Nutrition’s Sturgis, MI facility.

To provide clarity about which products are included in the Abbott Nutrition recall, FDA is publishing a full list of recalled brands  that have been included in the initial and expanded recall. Recalled products should no longer be available for sale, but if consumers have these products in their homes, they should check the lot code on the bottom of the package to determine if it is included in the recall.

The FDA is also providing additional information for parents and caregivers  of infants receiving medical specialty infant formula and individuals using certain medical foods.

We understand that infant formula is the sole source of nutrition for many infants and is an essential product. FDA is continuing to work with Abbott Nutrition to better assess the impacts of the recall and understand production capacity at other Abbott facilities that produce some of the impacted brands. We are also working with Abbott Nutrition on safe resumption of production at the Sturgis, MI facility. FDA is continuing to investigate and will update this advisory should additional consumer safety information become available.

Recommendation

The FDA is advising consumers not to use recalled Similac, Alimentum, or EleCare powdered infant formulas. Recalled products can be identified by the 7 to 9 digit code and expiration date on the bottom of the package (see image below). Products are included in the recall if they have all three items below:

  • the first two digits of the code are 22 through 37 and
  • the code on the container contains K8, SH, or Z2, and
  • the expiration date is 4-1-2022 (APR 2022) or later.

In addition to products described above, Abbott Nutrition has recalled Similac PM 60/40 with a lot code 27032K80 (can) / 27032K800 (case). At this time, Similac PM 60/40 with lot code 27032K80 (can) / 27032K800 (case) is the only type and lot of this specialty formula being recalled. Additional recall information for the initial recall is available on the FDA website. Parents can also enter their product lot code on the company’s websiteExternal Link Disclaimer to check if it is part of the recall.

Additional information for parents and caregivers of infants receiving medical specialty infant formulas and individuals using certain medical foods is available below.

Additional Information for Parents and Caregivers:

The recalls do not include liquid formula products.

Parents and caregivers should never dilute infant formula and should not make or feed homemade infant formula to infants. Consumers should also avoid purchasing imported formula through online sales, as it has the potential to be counterfeit.

If your regular formula is not available, contact your child’s healthcare provider for recommendations on changing feeding practices.

If you get infant formula through WIC, do not throw the formula out. Instead, you should take it to the store for a refund and exchange or call the company at 1-800-986-8540 to help you. WIC recipients should be able to obtain a different brand of similar formula. Call your local WIC clinic for more guidance. Also see:

More information on Cronobacter and infant formula is available on CDC’s website.

Recalled powdered infant formulas have the potential to be contaminated with Cronobacter, a bacterium that can cause severe foodborne illness primarily in infants. Cronobacter infections are rare but are especially high risk for newborn infants (see symptoms below).

Cronobacter bacteria can cause severe, life-threatening infections (sepsis) or meningitis (an inflammation of the membranes that protect the brain and spine). Symptoms of sepsis and meningitis may include poor feeding, irritability, temperature changes, jaundice (yellow skin and whites of the eyes), grunting breaths, and abnormal movements. Cronobacter infection may also cause bowel damage and may spread through the blood to other parts of the body.

If your child is experiencing any of these symptoms, you should notify your child’s healthcare provider and seek medical care for your child immediately. Healthcare providers and health departments are encouraged to report any confirmed cases of Cronobacter sakazakii to CDC.

Slovakia – Safe defrosting of food – promotional leaflet in Slovakian

MPSR

The National Contact Point EFSA (Department of Food Safety and Nutrition MPRV SR ) in cooperation with the European Food Safety Authority has prepared a leaflet on safe defrosting of food in the Slovak language.

The leaflet presents basic information on defrosting food, usable in every household. By reducing the mistakes that consumers make when handling frozen food incorrectly, the formation of harmful bacteria is eliminated. Proper thawing procedures reduce the risk of foodborne illness and reduce food waste.

USA – FDA: Salmonella removed from Infant Formula Outbreak – Cronobacter sakazakii still cause of 4 illnesses with 2 deaths

Food Poison Journal

Total Adverse Events: 4
Hospitalizations: 4
Reported Deaths: 2
Illness Onset Date Range: 9/6/2021 – 1/4/2022
States with Adverse Events: MN (1), OH (2), TX (1)
Product Distribution: Nationwide and International

The FDA, along with CDC and state and local partners are investigating consumer complaints and/or reports of infant illness related to products from Abbott Nutrition’s Sturgis, MI facility. All of the ill patients are reported to have consumed powdered infant formula produced from Abbott Nutrition’s Sturgis, MI facility.

The Salmonella Newport illness previously included in this investigation of complaints and illnesses has been removed. In the early stages of this investigation, FDA included all consumer complaints of illness with exposure to products from the Sturgis, MI, facility. After further investigation, the FDA has determined that there is not enough information to definitively link this illness to powdered infant formula. CDC confirmed that this single Salmonella illness is not linked to an outbreak. The FDA and CDC are continuing to monitor for Salmonella cases and consumer complaints that may be related to this incident.

Cronobacter infection surveillance is not handled the same way as infection with more common foodborne pathogens, such as Salmonella or E. coli O157:H7. Cronobacter is not nationally notifiable and not reportable except in one state, which means doctors and labs are not required to report cases to their health department. Because Cronobacter is not a nationally notifiable pathogen, FDA relies on consumer complaints of illness sent to the Agency and on health care providers informing FDA directly about infants with Cronobacter infections. In addition, because Cronobacter is not nationally notifiable, whole genome sequencing (WGS) is rarely performed on these isolates. To date, no outbreaks of Cronobacter have been detected using WGS.

When single cases of Cronobacter are reported, the FDA conducts a thorough review of each complaint, conducts sampling of products, and initiates inspections as appropriate. FDA collaborates with CDC, which has developed a detailed questionnaire specifically for Cronobacter infections that is often used by state health departments in instances of Cronobacter sakazakii infection.

USA – Outbreak Investigation of Listeria monocytogenes: Fresh Express Packaged Salad (December 2021) is Over.

FDA

The FDA and CDC, in collaboration with state and local partners, investigated a multistate outbreak of Listeria monocytogenes infections. According to the CDC, as of March 8, 2022, this outbreak has ended.

On December 20, 2021, Fresh Express voluntarily recalled certain varieties of its branded and private label salad products produced at the company’s Streamwood, Illinois, facility.

Recommendation

On March 8, 2022, CDC announced this outbreak is over. The product is past expiration and should no longer be available to consumers. Therefore, there are no recommendations for consumers, retailers, or suppliers.

FDA recommends that anyone who received recalled products use extra vigilance in cleaning and sanitizing any surfaces and containers that may have come in contact with these products to reduce the risk of cross-contamination. Listeria can survive in refrigerated temperatures and can easily spread to other foods and surfaces.


Product Images

Image – Bagged Salad, Use By Date

Map of U.S. Distribution of Recalled Packaged Salad

Outbreak Investigation of Listeria monocytogenes: Packaged Salad: Case Count Map Provided by CDC (December 21, 2021)

Case Count

People infected with the outbreak strain of Listeria monocytogenes by state of residence, as of March 8, 2022 (n=10)

Case Counts People infected with the outbreak strain of Listeria monocytogenes by state of residence, as of March 8, 2022 (n=10)

Case Counts

Total Illnesses: 10
Hospitalizations: 10
Deaths: 1
Last Illness Onset: October 19, 2021
States with Cases: IL, MA, MI, NJ, NY, OH, PA, VA

Finland – Finland on alert after Yersinia outbreak reports

Food Safety News

National public health officials in Finland are monitoring the situation following local reports of Yersinia outbreaks.

Two outbreaks of Yersinia enterocolitica serotype O:3 have been reported to the Finnish Institute for Health and Welfare (THL) in recent weeks from the South Savo and Helsinki-Uusimaa regions.

Another suspected outbreak has been recorded in the Pirkanmaa region but patient samples have not been serotyped. People fell sick between early and mid-February.

A total of 39 cases were noted in all of Finland in February 2022, which is less than the 55 infections in February 2021.

In February 2022, five cases of Yersinia enterocolitica from South Savo were reported to the Infectious Diseases Register, which is run by THL, while from 2019 to 2021 there were no illnesses at the same time.

Jordan – Homemade leftovers leave three people poisoned in Mafraq

Roya News

Director of Al-Mafraq Governmental Hospital Moqbel Al-Sharafat told Roya Saturday that three people were diagnosed with food poisoning after eating leftovers.

Roya’s correspondent in Mafraq said that the three initially came to the hospital after feeling unwell. They thought they were feeling unwell due to inhaling gases from a heating device. However, later, it was found that they were food poisoned as a result of eating leftover food.

India – 1,000 hospitalised due to food poisoning in Mehsana

India Express

Over 1,000 people who attended a wedding dinner in the Savala village of Visnagar, Mehsana on Friday were rushed to health facilities following food poisoning. According to Visnagar taluka police, an inquiry has been initiated and proceedings shall be initiated accordingly.

According to police inspector BL Maheriya of Visnagar taluka police station, the wedding of former Congress leader Wazir Khan Pathan’s son was held on March 3 and the next day on March 4 a dinner was organised at Savala with “12,000-15,000 guests in attendance”, of which around 1,057 guests started exhibiting symptoms of food poisoning such as vomiting and diarrhoea and were admitted at various health facilities in Gandhinagar.

“FSL and FDCA has taken samples of sweets and other food items served at the dinner and the results are awaited. Health department too is working on this and have taken samples of the vomit and stool. Prima facie it seems the caterer may have been negligent and there could have been adulteration in the food,” Gohil said.