Category Archives: Microbiological Risk Assessment

Denmark – Outbreak of Salmonella Enteritidis in Denmark

SSI

Since 31 March 2022, 21 cases of Salmonella Enteritidis have been registered at the Statens Serum Institut. In the current outbreak, the source of infection remains unknown, but an investigation is underway.

Last edited on August 16, 2022

About the disease outbreak

Between 31 March 2022 and 30 July 2022, 21 people have been registered at the Statens Serum Institut who have been infected with the same type of Salmonella Enteritidis (figure 1). Among the sick are 15 men and 6 women. The patients are between 8-59 years old (median age is 28 years). The patients primarily live in the Capital Region and Zealand Region (table 1).

The Statens Serum Institut is working together with the Danish Veterinary and Food Administration and the Norwegian Food Institute DTU on this outbreak to identify the source of infection.

Number of cases of Salmonella Enteritidis sequence type 11 per week, 2022, (n = 21)

Table 1. Patients with Salmonella Enteritidis in Denmark, March to July 2022, per region (n=21)

Region  Number of patients
 The capital   13
 Zealand   5
 Central Jutland   2
 Southern Denmark   1
 Northern Jutland   0
 Total  21

The outbreak strain

The bacteria is of the type Salmonella Enteritidis. When whole-genome sequencing of the bacteria isolated from the patients shows that they are very closely related and belong to sequence type 11.

General about salmonella infection

Salmonella is found in animals and can infect humans through food contaminated with the bacteria. Salmonella is a frequent and well-known cause of bacterial intestinal infections in Denmark. There are more than 2,500 different types of salmonella.

Incubation period

The time that passes from being infected to getting symptoms varies from 6-72 hours. Usually 12-36 hours before symptoms appear.

Symptoms

Infection with salmonella typically causes general malaise, diarrhoea, stomach ache, possibly nausea, vomiting and/or fever. The infection is often accompanied by joint pain, muscle pain and headache. Plenty of fluids are important to prevent and treat dehydration from diarrhea and vomiting. In the event of severe diarrheal disease, a doctor should be consulted.

USA – FDA Coe Investigation Table Update

FDA

What’s New

  • An outbreak of E. coli O157:H7 (ref# 1081) in an unidentified product was added to the table and FDA has initiated a traceback investigation. CDC has issued an Investigation Notice.
  • An outbreak of Salmonella Senftenberg (ref# 1087) in an unidentified product was added to the table.
  • An outbreak of Salmonella Typhimurium (ref# 1095) in an unidentified product was added to the table and traceback has been initiated.
  • For the outbreak of Salmonella Braenderup (ref# 1075) in an unidentified product, the outbreak has ended.
  • For the outbreak of Cyclospora in an unidentified product (ref# 1084), the case count has increased from 77 to 98.
  • For the outbreak of hepatitis A illnesses linked to fresh strawberries (ref# 1066), the FDA investigation has closed and the outbreak is over.
Date
Posted
Ref
Pathogen
Product(s)
Linked to
Illnesses

(if any)
Total
Case Count

Status
8/17/

2022

1081 E. coli
O157:H7
Not Yet Identified See CDC Investigation Notice Active
8/17/

2022

1087 Salmonella
Senftenberg
Not Yet Identified 19 Active
8/17/

2022

1095 Salmonella
Typhimurium
Not Yet Identified 44 Active
8/3/

2022

1080 Cyclospora Not Yet Identified 6 Active
7/27/

2022

1084 Cyclospora Not Yet Identified 98 Active
6/29/

2022

1076 Not Yet Identified Frozen Food See Outbreak
Advisory
Active
6/22/

2022

1075 Salmonella
Braenderup
Not Yet Identified 74 Active
6/22/

2022

1072 Salmonella
Paratyphi B var. L(+) tartrate+
Not Identified 14 Closed
6/15/

2022

1070 Listeria
monocytogenes
Not Identified 12 Closed
6/8/

2022

1068 E. coli
O157:H7
Not Identified 10 Closed
6/1/

2022

1066 Hepatitis A Virus Strawberries See Outbreak
Advisory
Closed
5/25/

2022

1067 Salmonella 
Senftenberg
Peanut Butter See Outbreak Advisory Closed
4/20/

2022

1064 Not Yet
Identified
Dry Cereal 558 adverse
event reports
Active
4/13/

2022

1057 Listeria
monocytogenes
Ice Cream See Outbreak Advisory Active
3/30/

2022

1060 None
Identified
Meal Replacement
Drink
6 adverse
event reports
Closed
3/16/

2022

1055 Salmonella
Saintpaul
Not Identified 60 Closed
2/17/

2022

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

2022

1040 Listeria
monocytogenes
Not Identified 20 Closed
2/2/

2022

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

2022

1050 E. coli
O121:H19
Romaine 4 Closed

Hong Kong – Pre-shucked Oysters for Raw Consumption – What Should One be Aware of?

cfs

french oysters

Raw Oysters are High-risk Foods
Oysters are filter feeders. They constantly draw in water and accumulate materials from water, including pathogens such as Vibrio bacteria, norovirus and hepatitis A virus. These pathogens can infect people who eat oysters raw or undercooked. In addition, bacteria like Vibrio can continue to grow in oysters after harvesting if oysters are not maintained at low enough temperatures from harvest through to consumption. Food poisoning outbreaks related to raw oysters have been reported locally from time to time. Although the illness is usually mild and self-limiting, causing symptoms such as diarrhoea, abdominal cramps and vomiting, they can also cause severe health consequences especially for susceptible individuals.

Additional Risks in Shucked Oysters
Both physical and microbiological contamination are possible during the shucking of oysters. Physical removal of shellfish meat from the shell at the shucking table often exposes the product to dirt, mud and detritus. Shucked oysters should be rinsed or washed well to eliminate these contaminants and to reduce microbiological level of the products. Good hygiene practices should also be observed to minimise contamination from the workers and the working environment.

Before deshelling, oysters can stay alive even after long-haul shipping if kept under correct temperature and conditions. Once killed after shucking, raw oysters can deteriorate quickly if the temperature is not low enough to limit bacterial growth. Shucked oysters should be packed and chilled or frozen as soon as possible. Furthermore, an uninterrupted cold chain during transportation is critical to ensure safety and quality of the shellfish products.

USA – With E. coli Outbreaks in Ohio and Michigan, what do you need to know?

Food Poison Journal

With at least 18 ill in Ohio and nearly 100 ill in Michigan – not yet clear if the outbreaks from the two states are linked – the public is looking for information about this potentially deadly pathogen.

Read all about it at the link above

Scotland – E. coli outbreak in Scotland linked to nursery

Food Safety News

Almost 30 cases of E. coli infection have been linked to a nursery in Scotland.

NHS Lothian is part of a team investigating 28 cases of E. coli linked to Pear Tree Nursery on Church Street in Haddington. Officials previously said E. coli O157 had sickened a number of young people in the East Lothian area.

Cases are confined to the nursery, respective households, or other close contacts. The site has been closed while the investigation continues.

A number of confirmed patients have been hospitalized but all are in a stable condition. Most people had mild symptoms and did not require hospital treatment.

Some people at a partner nursery in the same town reported symptoms of vomiting and diarrhoea, which have resolved without medical treatment. Meadowpark Pear Tree Nursery in Haddington has also been closed.

Guatemala -Cheese behind 40 illnesses in Guatemala

Food Safety News

Public health officials in Guatemala have issued a warning as 40 people fell sick after eating dairy products.

The Ministry of Public Health and Social Assistance reported the food poisoning of 41 people after eating artisanal cheese in the town of Ciudad Vieja, in the department of Sacatepéquez.

The first cases were detected on Aug. 9. People with a history of consuming fresh cheese were treated for abdominal pain, nausea and vomiting.

Authorities advised local people to avoid consuming dairy products without knowing the origin and to check the label of the product to ensure it is made with pasteurized milk. These preventative steps should be in place at least until the investigations are completed to determine the origin of the current outbreak to stop more people from getting sick.

They also recommended that the public reinforce hygiene practices such as handwashing, the correct preparation, handling and storage of food, and to seek treatment if they feel unwell.

Uganda – Toddler dies, 20 admitted in suspected food poisoning 

Monitor

A three-year-old toddler in Kasese District died Sunday while 20 others from different families have been hospitalised over suspected poisoning.

The deceased child has been identified as Rosemary Kabugho, whose four other siblings are among the 20 people who are admitted to Kagando hospital and Katwe Health center III.

Mr Kamusede Masereka, the Katwe Health Center III focal person, confirmed the incident and said they are waiting for the final results from the Uganda Virus Research Institute in Kampala where the samples were taken to ascertain the cause of the death.

Jordan -15 suffer from food poisoning in Mafraq after eating shawarma

Roya News

Roya’s correspondent reported that 15 people suffered from food poisoning, after eating shawarma on Friday.

USA – Mystery Wood County E. coli Outbreak sickens 16 with 6 hospitalized

Food Poison Journal

According to 24 News, 16 people in Wood County have come down with E. coli in the past week, prompting the health department to begin investigating. From 2016 to 2020 the county only saw 27 cases altogether.

“Even a case or two is something we want to identify and respond to quickly so that if it is, in fact, something that could spread to others we have a chance to stop it,” said Benjamin Robison, the health commissioner for the Wood County Health Department.

Those who have fallen ill range from ages 13 to 60 years old and those who contract the virus can experience different levels of sickness and gastrointestinal symptoms.

The Wood County Health Department has sent lab samples to the Ohio Department of Health to learn whether or not the illnesses are connected. Results, and more information, are expected early next week.

“We are doing a comprehensive investigation to understand what the cause of this was. Until we know whether these diseases are being caused by the same strain, we really have to wait to understand what our next steps are going to be,” Robison said.

USA – Mystery Ottawa County E. coli outbreak now reports 12 with two hospitalized with Kidney complications

Food Poison Journal

Wood TV 8 reports that the Ottawa County Health Department is warning about an E. coli outbreak in the community.

As of Friday, there are 12 shiga toxin E. coli cases in Ottawa County, the health department said.

The shiga toxin producing E. coli is often associated with foodborne outbreaks. Symptoms include diarrhea, severe stomach cramps, vomiting and a low-grade fever.

“It’s a bacteria that can have some serious complications in some folks, particularly kids,” said Derel Glashower of the Ottawa County Health Department.

Five of the 12 infected individuals in the county have been hospitalized — two of them are children. Glashower said two have serious kidney complications.

The big concern is the significant number of E. coli infections that the county is seeing this year. Glashower said that on average, the county sees two to three cases each August.

The health department said it is working to see if there are any common denominators in the cases.