Category Archives: Illness

RASFF Alert – Foodborne Outbreak – Norovirus

RASFF

Oysters from Norway suspected of causing a foodborne disease outbreak in Denmark

USA – FDA Closes Mystery Salmonella Outbreak With 274 Sickened

Food Poisoning Bulletin

The FDA has closed another mystery Salmonella outbreak with no resolution. The Salmonella outbreak that sickened at least 274 people has ended, and the investigation has been closed; no food source was identified. This is the 14th outbreak in the last year that has been unsolved by the FDA.

It’s unusual that with so many people sick, a food source could not be found. The pathogen responsible for those illnesses was Salmonella Typhimurium. The FDA did initiate traceback, and conducted sample collection and analysis, but couldn’t solve this mystery Salmonella outbreak.

USA – FDA Core Outbreak Table Update

FDA

What’s New

  • For the outbreak of Salmonella Typhimurium (reference # 1113) in a not identified food, the investigation status has now closed.

USA – Investigation Update on the Arcadia – Norovirus

CDC

Cruise Line: P&O Cruises

Cruise ShipArcadia

Voyage Dates: December 29, 2022–January 3, 2023

Number of passengers who reported being ill during the voyage out of total number of passengers onboard: 84 of 1,986 (4.23%)

Number of crew who reported being ill during the voyage out of total number of crew onboard: 10 of 818 (1.22%)

Predominant symptoms: vomiting and diarrhea

Causative agent: norovirus

Actions: In response to the outbreak, P&O Cruises and the crew aboard the ship reported the following actions:

  • Increased cleaning and disinfection procedures according to the ship’s outbreak prevention and response plan
  • Collected stool specimens from passenger and/or crew gastrointestinal illness cases
  • Notified embarking guests of the situation onboard and encouraged illness reporting and good hand hygiene.

VSP is monitoring the ship’s outbreak response and sanitation procedures for the current voyage.

Note: The gastrointestinal illness cases reported are totals for the entire voyage and do not represent the number of active (symptomatic) gastrointestinal cases at any given port of call or at disembarkation.

Learn how passengers can protect themselves with these tips for healthy cruising.

Research – Two Outbreaks of Foodborne Gastrointestinal Infection Linked to Consumption of Imported Melons, United Kingdom, March to August 2021 – Salmonella – STEC E.coli

Science Direct

Abstract

The aim of this study was to describe two foodborne outbreaks caused by contaminated imported melon and make recommendations for future practice. Between March and July 2021, there was an outbreak of 113 cases of Salmonella Braenderup in the UK (62% female, median age 61 years, 33% hospitalized). Analytical epidemiological studies identified Galia melons as the vehicle of infection (OR 671.9, 95% CI 39.0–58,074.0, p < 0.001). Subsequently, the outbreak strain was isolated from two samples of Galia melon imported from Latin America. In July and August 2021, there was an outbreak of 17 cases of Shiga toxin-producing Escherichia coli (STEC) O157:H7 in the UK (53% female, median age 21 years, 35% were hospitalized). Review of the STEC surveillance questionnaire data, followed by the analysis of responses from a modified hypothesis-generating questionnaire, implicated eating precut watermelon from retailer B sourced from Europe as the vehicle of infection. Outbreaks of gastrointestinal pathogens caused by contaminated food of nonanimal origin are a global public health concern. Given the difficulty in removing pathogens from the flesh of ready-to-eat fruit and vegetables, public health interventions should target all steps of the food chain prior to consumption, from cultivation on the farm to processing/packing and distribution.

India – 100 people suffer food poisoning after baptism ceremony in Kerala; case filed, probe underway

India Today

Over 100 people suffered food poisoning after consuming food served at a baptism ceremony in Kerala last Thursday. Police have registered a case and are conducting further investigations.

 

Australia – At Least 70 Contract Salmonella Following Conference at the Crown Plaza Terrigal Pacific Hotel

Food Poisoning News

A hotel on the New South Wales Central Coast suffered from a severe food poisoning outbreak of Salmonella after approximately 70 out of 230 people who attended a two-day conference at the Crown Plaza Terrigal Pacific hotel on November 30th fell ill. A total of 27 out of the 70 illnesses have now been confirmed by medical professionals as cases of Salmonella.

The NSW Food Authority are currently investigating the cause of this outbreak and urges, “anyone who felt unwell or had concerns after the conference should seek medical care, get in touch with their local public health unit, or contact conference organizers, the Aboriginal Languages Trust.”

Authorities are continuing to investigate food that may have been contaminated at the conference, and for the time being, the hotel’s kitchen has voluntarily closed, though “it is required to do [so] under the Food Act of 2003.”

USA – Outbreak Investigation of Salmonella: Sprouts (December 2022)

FDA

The U.S. Food and Drug Administration (FDA), along with the Centers for Disease Control and Prevention (CDC) and state and local partners, is investigating a multistate outbreak of Salmonella Typhimurium infections. FDA’s traceback investigation is ongoing but has identified Sun Sprouts brand alfalfa sprouts grown by CW Sprouts Inc., doing business as (DBA) SunSprout Enterprises of Fremont, NE as a likely source of illnesses in this outbreak.

Based on the epidemiologic information provided by the CDC along with interviews conducted by state and local public health officials, the individuals identified in this outbreak reported consuming alfalfa sprouts prior to their illness onset, either at local restaurants or in their homes after purchasing from local grocery stores. Preliminary traceback evidence indicates that the restaurants and grocery stores identified in this outbreak received alfalfa sprouts from SunSprout Enterprises. Additionally, two of the individuals identified in this outbreak confirmed they had purchased Sun Sprouts brand alfalfa sprouts from their local grocery store. Whole Genome Sequencing (WGS) conducted on clinical samples collected from ill individuals identified 15 isolates that matched the outbreak strain: OK (1), NE (8), and SD (6). WGS for additional clinical isolates are still pending sequencing.

On December 29, 2022, SunSprout Enterprises initiated a voluntary recall of two lots (# 4211 and 5211) of raw alfalfa sprouts due to potential contamination with Salmonella. On the same day, SunSprout Enterprises expanded their voluntary recall to include two additional lots (# 3212, and 4212) of raw alfalfa sprouts. The raw alfalfa sprouts for all recalled lots (#4211, 5211, 3212, and 4212) are packaged in 4-ounce clamshells and 2.5 lb packages with best sold by dates between 12/10/2022 and 1/7/2023.

The investigation is ongoing to determine the source of contamination and whether additional products are linked to illnesses. FDA will update this advisory should additional consumer safety information become available.

Recommendation

Advice for consumers, restaurants, and retailers: Consumers, restaurants, and retailers should not eat, sell, or serve recalled Sun Sprouts brand alfalfa sprouts.

Consumers, restaurants, and retailers should check their refrigerators for recalled Sun Sprouts brand alfalfa sprouts with best by dates between 12/10/2022 and 1/7/2023. If you purchased or used recalled alfalfa sprouts, you should use extra vigilance in cleaning and sanitizing any surfaces that may have come in contact with these products, to reduce the risk of cross contamination.

If you or someone in your household ate Sun Sprouts alfalfa sprouts and have symptoms of salmonellosis, please contact your healthcare provider.

Suppliers and Distributors: Suppliers, distributors and others in the supply chain should not use, ship or sell recalled alfalfa sprouts grown by SunSprout Enterprises. If there has been potential cross-contamination or mixing of recalled alfalfa sprouts with products from other sources, suppliers and distributors should not use any comingled and potentially cross-contaminated product and should use extra vigilance in cleaning any surfaces and storage areas that may have come into contact with recalled alfalfa sprouts.


Product Images

Recalled products include raw alfalfa sprouts sold in 4-ounce clamshells and 2.5 Ib packages, with best by dates between 12/10/2022 and 1/7/2023.

Outbreak Investigation of Salmonella from Sprouts (December 2022) - Product Image

Case Count Map Provided by CDC

Outbreak Investigation of Salmonella from Sprouts (December 2022) - CDC Distribution Map as of 12/30/2022

Case Counts

Total Illnesses: 15
Hospitalizations: 2
Deaths: 0
Last illness onset: 12/13/2022
States with Cases: NE, OK, SD

USA – FDA Warning Letter Big Olaf Creamery LLC dba Big Olaf – Listeria monocytogenes

FDA

The United States Food and Drug Administration (FDA) inspected your ready-to-eat (RTE) ice cream manufacturing facility, located at 2001 Cattlemen Rd Unit 123, Sarasota, Florida, from July 19 to September 01, 2022. The inspection was initiated as part of a joint investigation with the Florida Department of Health (FL DOH) and Florida Department of Agriculture & Consumer Services (FDACS) of a multistate outbreak of Listeria monocytogenes (L. monocytogenes) infections linked to ice cream supplied by your facility. According to the Centers for Disease Control and Prevention (CDC), 28 ill people from 11 states were infected with the outbreak strain of L. monocytogenes. On July 13, 2022, your firm recalled all ice cream products, lots, and expiration dates of Big Olaf brand ice cream through June 30, 2022, because they had the potential of being contaminated with L. monocytogenes. CDC and FDA have determined, based upon the epidemiological data and Whole Genome Sequencing (WGS) matches between clinical and FDACS environmental and finished product samples that ice cream manufactured at this facility was the source of this multistate L. monocytogenes outbreak.

During the inspection of your facility, FDA found serious violations of the Current Good Manufacturing Practice, Hazard Analysis, and Risk-Based Preventative Controls for Human Food regulation (CGMP & PC rule), Title 21, Code of Federal Regulations, Part 117 (21 CFR Part 117).

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

FDA

What’s New

  • A multistate outbreak of Salmonella Typhimurium (reference #1137) has been added to the table. The Nebraska Department of Health and Human Services and the Nebraska Department of Agriculture issued an advisory regarding illnesses in their state. Preliminary information gathered by state partners indicates that patients consumed alfalfa sprouts prior to becoming ill. FDA’s investigation is underway to confirm the product causing illnesses and additional information will be provided when it becomes available.