Category Archives: Illness

USA – Nearly 600 with Salmonella, 225 hospitalized and 15 deaths linked to Cantaloupe

Food Poison Journal

In the United States a total of 407 people infected with one of the outbreak strains of Salmonella were reported from 44 states: Of 362 people with information available, 158 (44%) were hospitalized. Six deaths were reported.

In Canada a total, 190 laboratory-confirmed cases of Salmonella Soahanina, Sundsvall, Oranienburg, and Newport illness were linked to this outbreak. Sixty-eight (68) individuals were hospitalized, and nine deaths were reported.

France – Norovirus suspected in large Airbus outbreak

Food Safety News

Norovirus has been determined to be the suspected cause of a large outbreak at Airbus in France in late 2023, according to public health officials.

The Loire-Atlantique regional health agency (ARS) believes norovirus was behind almost 700 people falling sick at the Airbus Atlantic Christmas lunch in mid-December. Findings are based on the clinical symptoms in patients and the time it took for them to appear.

Sick people reported suffering from nausea, vomiting, and diarrhea after the event in Montoir at the company’s restaurant. Testing of food leftovers was negative for norovirus. No detail was given on whether patients or food handlers had been tested.

The varied menu is said to have included a cheese plate, a starter with scallops, a foie gras terrine, beef in sauce, and a lobster dish.

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

FDA

What’s New

  • An outbreak of Listeria monocytogenes (ref #1214) in a not yet identified food has been added to the table. FDA’s investigation is ongoing.
  • For the outbreak of Salmonella Newport (ref #1201) in an unidentified food, the outbreak has ended and FDA’s investigation has closed.
  • For the outbreak of Salmonella Sundsvall and Oranienburg (ref #1203) linked to cantaloupe, the advisory was updated on January 19, 2024. The outbreak has ended, and FDA’s investigation is closed.
  • For the investigation of elevated lead levels in Cinnamon Applesauce Pouches (ref # 1198) the complaints/adverse event reports in the advisory were updated. Refer to the advisory for additional information.
Date
Posted
Ref Pathogen
or
Cause of
Illness
Product(s)
Linked to
Illnesses

(if any)
Total
Case
Count

Status
1/24/

2024

1214 Listeria
monocytogenes
Not
Yet
Identified
26 Active
12/6/

2023

1205 Listeria
monocytogenes
Not
Yet
Identified
3 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 – An outbreak of Salmonella Typhimurium associated with the consumption of raw liver at an Eid al-Adha celebration in Wales (UK), July 2021

Cambridge.org

Abstract

In July 2021, Public Health Wales received two notifications of salmonella gastroenteritis. Both cases has attended the same barbecue to celebrate Eid al–Adha, two days earlier. Additional cases attending the same barbecue were found and an outbreak investigation was initiated. The barbecue was attended by a North African community’s social network. On same day, smaller lunches were held in three homes in the social network. Many people attended both a lunch and the barbecue. Cases were defined as someone with an epidemiological link to the barbecue and/or lunches with diarrhoea and/or vomiting with date of onset following these events. We undertook a cohort study of 36 people attending the barbecue and/or lunch, and a nested case-control study using Firth logistic regression. A communication campaign, sensitive towards different cultural practices, was developed in collaboration with the affected community. Consumption of a traditional raw liver dish, ‘marrara’, at the barbecue was the likely vehicle for infection (Firth logistic regression, aOR: 49.99, 95%CI 1.71–1461.54, p = 0.02). Meat and offal came from two local butchers (same supplier) and samples yielded identical whole genome sequences as cases. Future outbreak investigations should be relevant to the community affected by considering dishes beyond those found in routine questionnaires.

Sweden – Cryptosporidium outbreak (Sweden December 2023–)

Folkhalsomyndigheten

Since 15 December 2023, 68 people from 14 regions have been reported infected with Cryptosporidium in Sweden. Most of the disease cases are from Halland and Jönköping. Of the disease cases, 72 percent are women, the average age is 41 years and 79 percent are in the age group 21-60 years. Based on the available data, the latest case of the disease contracted on January 3 (see figure). Typing of a selection of samples shows that 13 out of 18 belong to the same type of Cryptosporidium, which indicates that the disease cases have a common source of infection.

Affected infection control units, the Swedish Food Agency and the Public Health Agency are investigating the outbreak to identify the source of infection, which is suspected to be fresh food. Information about what the outbreak cases have eaten before becoming ill is done via interviews and the collection of questionnaires. The answers are then compared to what people in a healthy comparison group indicate that they have eaten to assess whether there are foods that the outbreak cases have eaten to a greater extent than the comparison group.

USA -CDC – Salmonella Outbreak Linked to Cantaloupes is Over.

CDC

Fast Facts
  • Illnesses: 407
  • Hospitalizations: 158
  • Deaths: 6
  • States: 44
  • Recall: Yes
  • Investigation status: Closed   (first posted on November 17, 2023)

All recalls that resulted from this investigation are listed on FDA’s cantaloupe recall website. Recalled cantaloupes are no longer available for sale and the use-by dates have passed.

USA – Outbreak Investigation of Salmonella: Cantaloupes (November 2023) – Update

FDA

Products and Stores Affected (Updated on 1/19/2024)

Recalled whole and pre-cut cantaloupes and recalled product containing pre-cut cantaloupes were sold or distributed from September to early December 2023 and should be past shelf-life. Consumers who froze cantaloupe products should check if they are part of the recalls. If you are unsure of where your cantaloupes are from, you should discard them.

Recalled whole cantaloupe from the following brands:

  • Whole fresh cantaloupes with a label on the cantaloupe that says “Malichita” or “Rudy”, “4050”, and “Product of Mexico/produit du Mexique”.
  • Retailers and wholesalers would have received recalled whole melons from Sofia Produce doing business as TruFresh in boxes labeled “Malichita” or “Rudy”, or from Crown Jewels Produce in boxes labeled “Malichita/Z Farms”, or from Pacific Trellis in corrugated cartons with certain lot codes.

Recalled pre-cut cantaloupe and products containing pre-cut cantaloupes (products made from recalled whole cantaloupes) can be found on the Major Recalls Page.

Symptoms of Salmonella Infection

Illness usually occurs within 12 to 72 hours after eating contaminated food and usually lasts four to seven days. Symptoms include diarrhea, fever, and abdominal cramps. Children younger than five, the elderly, and people with weakened immune systems are more likely to have severe infections.

Status

Ended

Recommendation

  • Consumers, restaurants, retailers, and wholesalers should not eat, sell, or serve recalled cantaloupe or recalled products containing cantaloupe.
  • Recalled whole and pre-cut cantaloupes and recalled product containing pre-cut cantaloupes were sold or distributed from September to early December 2023 and should be past shelf-life. Consumers who froze cantaloupe products should check if they are part of the recalls. If you are unsure of where your cantaloupes are from, you should discard them.
  • Anyone who purchased or received recalled cantaloupes should follow FDA’s safe handling and cleaning advice and use extra vigilance in cleaning and sanitizing any surfaces and containers that may have come in contact with recalled products to reduce the risk of cross-contamination.
    • Pre-cut fruit manufacturers should ensure proper cleaning and sanitizing of food contact surfaces and evaluate the need to recall additional product due to the potential for cross-contamination in the processing facility.
  • Contact your healthcare provider if you think you may have symptoms of a Salmonella infection after eating recalled cantaloupe.

Research – Outbreak Reports: A Large Acute Gastroenteritis Outbreak Associated with Both Campylobacter coli and Human Sapovirus — Beijing Municipality, China, 2021

China CDC

Campylobacter is a significant foodborne pathogen that leads to global outbreaks of acute gastroenteritis (AGE) usually affecting less than 30 individuals. Human sapovirus (HuSaV) is an enteric virus responsible for sporadic cases and outbreaks of AGE worldwide. In a study conducted in Beijing, HuSaV detection ranked second after norovirus.

What is added by this report?

We present a discussion of the first large-scale outbreak of AGE caused by both Campylobacter coli (C. coli) and HuSaV. The outbreak involved a total of 996 patients and exhibited two distinct peaks over a period of 17 days. Through case-control studies, we identified exposure to raw water from a secondary water supply system as a significant risk factor. Among 83 patients, 49 samples tested positive for C. coli, 39 samples tested positive for HuSaV, and 27 samples tested positive for both pathogens using real-time polymerase chain reaction detection. Furthermore, whole-genome sequencing of 17 C. coli isolates obtained from 17 patients revealed that all isolates belonged to a highly clonal strain of C. coli.

What are the implications for public health practice?

Outbreaks of AGE resulting from multiple pathogen infections warrant increased attention. This report emphasizes the significance of ensuring the safety of drinking water, particularly in secondary supply systems.

USA – Shigella Outbreak sweeping Spokane

Food Poison Journal

Source Unknown

• Total Cases: 147

• Shigella Species Type:

– 101 (68.7%) sonnei

– 5 (3.4%) flexneri

– 41 (27.9%) species not yet available.

• Severity of Disease:

– 67 (45.6%) of the cases have been hospitalized due to shigella.

– 1 (0.7%) death has been attributed to shigella.

USA – Oyster Norovirus Outbreak hits 191 in Los Angeles and San Diego

Food Poison Journal

The Los Angeles County Department of Public Health is reporting that there are more than 150 suspected local cases of gastrointestinal illness linked to the consumption of raw oysters, likely caused by norovirus. At this time, Public Health is warning consumers not to eat raw oysters from Laguna De Guerrero Negro, Baja California, Mexico; Laguna Manuela, Baja California, Mexico; and Bahia Salina, Sonora, Mexico because they may be linked to outbreaks of norovirus illnesses in California. Before eating raw oysters, consumers should ask the vendor/restaurant where the oysters were harvested.