Category Archives: outbreak

Canada – Public Health Notice: Outbreak of Listeria infections linked to recalled plant-based refrigerated beverages

PHAC

August 12, 2024: Update

This outbreak investigation is ongoing. The public health notice will be updated as the investigation evolves.

At a glance

Do not consume, use, sell, serve or distribute various recalled plant-based refrigerated beverages

At a glance
Illnesses 20
Provinces and territories with illnesses (number of illnesses)
  • Alberta (1)
  • Ontario (13)
  • Quebec (5)
  • Nova Scotia (1)
Hospitalizations 15
Deaths 3
Gender 65% female
Age range 7-89

70% of cases are 50 years of age or older

Food Recall Yes, various Silk and Great Value brand plant-based refrigerated beverages recalled nationally
Investigation status Active

Recalled food

Food recall warnings have been issued for plant-based refrigerated beverages from:

  • Silk
  • Great Value

For more information on the recalled products, please consult the Canadian Food inspection Agency (CFIA) recall notice on the Government of Canada Recalls and Safety Alerts website.

Food recall warning: Various Silk and Great Value brand plant-based refrigerated beverages recalled due to Listeria monocytogenes

How to protect your health

Listeriosis is a foodborne bacterial illness that can affect anyone exposed to a contaminated food product, including the recalled products.

While healthy individuals can fall ill from a Listeria infection, the disease can be fatal for unborn babies, newborns, individuals over age 60, and those with weakened immune systems.

The following advice applies to individuals across Canada:

  • Check to see if you have recalled products in your homes or establishment by looking for the specific product name and size, UPC and codes in the recall alert.
  • Do not consume, serve, use, sell or distribute recalled products or any product made with them.
  • Recalled products should be thrown out or returned to the location where they were purchased. Consumers who are unsure if they have purchased the recalled products are advised to contact their retailer.
  • Do not cook food for other people if you’ve been diagnosed with a Listeria infection or any other gastrointestinal illness.
  • Contact your health care provider if you think you’re experiencing symptoms of Listeria infection.

Those who are most at risk of becoming sick with severe listeriosis include:

  • People with weakened immune systems (unable to fight diseases easily).
  • Adults over the age of 60. The risk increases with age due to a weakening immune system.
  • People who are pregnant, including their unborn or newborn baby.

What are the complication risks?

If you have severe listeriosis, you can develop meningitis (a brain infection) and/or blood poisoning. Severe listeriosis can be fatal.
Although people infected while pregnant may only experience mild, flu-like symptoms, listeriosis can spread to their unborn baby, and it can cause:

  • a miscarriage
    • this is when your baby dies in the womb before the 20th week of pregnancy
  • a stillbirth
    • this is when your baby dies in the womb after 20 weeks of pregnancy (before delivery)
  • a premature birth
  • life-threatening illness in your baby shortly after birth

Symptoms

Symptoms of listeriosis can start as early as 3 days after eating contaminated food. You may have the following symptoms:

  • fever
  • nausea
  • cramps
  • diarrhea
  • vomiting
  • headache
  • constipation
  • muscle aches

In severe cases, the bacteria can spread to the nervous system (the brain, spinal cord and nerves). Symptoms of severe listeriosis include:

  • stiff neck
  • confusion
  • headache
  • loss of balance

Symptoms of severe listeriosis may appear up to 70 days after you have been exposed to Listeria.

Investigation summary

There are 20 laboratory-confirmed cases of Listeria monocytogenes illness linked to this outbreak in:

  • Alberta (1)
  • Ontario (13)
  • Quebec (5)
  • Nova Scotia (1)

People became sick between August 2023 and mid-July 2024. Of the cases reported to us, fifteen people have been hospitalized and three individuals have died. Many people who became sick reported drinking recalled plant-based beverages before their illnesses occurred.

People who became sick are between 7 and 89 years old. Most of them are:

  • adults 50 years of age or older (70%)
  • female (65%)

More recent illnesses may continue to be reported in the outbreak because there is a period between when a person becomes ill and when the illness is reported to public health officials. For this outbreak, the illness reporting period is between 9 and 29 days.

This outbreak may not be limited to the provinces or territories with known illnesses because the recalled plant-based beverages were distributed nationally.

USA – STEC E. coli O21 Outbreak Associated With Wonder Coffee Bar in Seattle

Food Poisoning Bulletin

An E. coli O121 outbreak associated with the Wonder Coffee and Sports Bar in Seattle has been reported by Public Health – Seattle & King County. There are two people who are sick. The investigation is ongoing.

USA- FDA- Investigations of Foodborne Illness Outbreaks

FDA

What’s New

  • An outbreak of Cyclospora cayetanensis illnesses (ref #1245) linked to a not yet identified product has been added to the table. FDA has initiated traceback.
  • An outbreak of Salmonella Newport (ref #1248) linked to a not yet identified product has been added to the table.
  • For the outbreak of Salmonella Irumu (ref #1235) linked to a not yet identified product, FDA has initiated sampling.
  • For the outbreak of Salmonella Typhimurium (ref #1234) linked to a not yet identified product, the case count has increased from 87 to 88.
  • For the investigation of illnesses (ref #1233) linked to Diamond Shruumz-brand Chocolate Bars, Cones, and Gummies, the advisory has been updated to include additional illnesses.
Date
Posted
Ref Pathogen
or
Cause of
Illness
Product(s)
Linked to
Illnesses

(if any)
Total
Case
Count
8/7/

2024

1245 Cyclospora
cayetanensis
Not Yet
Identified
2
8/7/

2024

1248 Salmonella
Newport
Not Yet
Identified
2
7/31/

2024

1237 Cyclospora
cayetanensis
Not Yet
Identified
26
7/31/

2024

1239 Cyclospora
cayetanensis
Not Yet
Identified
16
7/10/

2024

1235 Salmonella
Irumu
Not Yet
Identified
32
6/19/

2024

1234 Salmonella
Typhimurium
Not Yet
Identified
88
6/12/2024 1233 Not Yet
Identified
Chocolate,
Gummies,
Cones
See
Advisory
5/22/2024 1227 Salmonella
Africana
&
Braenderup
Cucumbers See
Advisory

Listeria Recall: What Your Intestinal Tract Needs You to Know

ACSH

As America threw out bags of Boar’s Head roast beef and corned beef this weekend due to possible Listeria contamination, it focused attention, again, on the safety of our food supply. Food safety is fundamental to a functioning society and the minimum we expect as a country. How are we doing?

Denmark – Outbreak with Salmonella monophasic Typhimurium sequence type 34 in Denmark

SSI

Since April 2024, the Statens Serum Institut has registered an outbreak with 63 cases of Salmonella monophasic Typhimurium. The Statens Serum Institut, the Danish Veterinary and Food Administration and the Norwegian Food Institute DTU are investigating the disease outbreak, which has been decreasing since June. The source of infection in this outbreak is minced beef of Danish origin.

Research – Genetic Diversity in Salmonella enterica in Outbreaks of Foodborne and Zoonotic Origin in the USA in 2006–2017

MDPI

Abstract

Whole genome sequencing is replacing traditional laboratory surveillance methods as the primary tool to track and characterize clusters and outbreaks of the foodborne and zoonotic pathogen Salmonella enterica (S. enterica). In this study, 438 S. enterica isolates representing 35 serovars and 13 broad vehicle categories from one hundred epidemiologically confirmed outbreaks were evaluated for genetic variation to develop epidemiologically relevant interpretation guidelines for Salmonella disease cluster detection. The Illumina sequences were analyzed by core genome multi-locus sequence typing (cgMLST) and screened for antimicrobial resistance (AR) determinants and plasmids. Ninety-three of the one hundred outbreaks exhibited a close allele range (less than 10 allele differences with a subset closer than 5). The remaining seven outbreaks showed increased variation, of which three were considered polyclonal. A total of 16 and 28 outbreaks, respectively, showed variations in the AR and plasmid profiles. The serovars Newport and I 4,[5],12:i:-, as well as the zoonotic and poultry product vehicles, were overrepresented among the outbreaks, showing increased variation. A close allele range in cgMLST profiles can be considered a reliable proxy for epidemiological relatedness for the vast majority of S. enterica outbreak investigations. Variations associated with mobile elements happen relatively frequently during outbreaks and could be reflective of changing selective pressures.

USA- FDA – Investigations of Foodborne Illness Outbreaks

FDA

What’s New

  • A new outbreak of Cyclospora cayetanensis illnesses (ref #1237) linked to a not yet identified product has been added to the table. FDA has initiated traceback.
  • A new outbreak of Cyclospora cayetanensis illnesses (ref #1239) linked to a not yet identified product has been added to the table. FDA has initiated traceback.
  • For the outbreak of Salmonella Irumu (ref #1235) linked to a not yet identified product, the case count has increased from 31 to 32.
  • For the outbreak of Salmonella Typhimurium (ref #1234) linked to a not yet identified product, FDA has initiated sample collection.
  • For the investigation of illnesses (ref #1233) linked to Diamond Shruumz-brand Chocolate Bars, Cones, and Gummies, the advisory has been updated to include additional illnesses and a list of retailers that may have received recalled product.
  • For the investigation of Listeria monocytogenes (ref #1232) illnesses, the outbreak has ended and FDA’s investigation has closed.  Based on CDC’s epidemiological investigation, ill people reported eating salad mixes before becoming sick. CDC, FDA, and state and local partners conducted epidemiologic and traceback investigations and collected and analyzed finished product and environmental samples. All samples collected as part of the investigation were reported as negative for Listeria monocytogenes. The products making people sick in this outbreak are off the market and past shelf life. There is no ongoing risk to the public.

Canada – Update – Public Health Notice: Outbreak of Listeria infections linked to recalled plant-based refrigerated beverages

PHAC

This outbreak investigation is ongoing. The public health notice will be updated as the investigation evolves.

At a glance

Do not consume, use, sell, serve or distribute various recalled plant-based refrigerated beverages

At a glance
Illnesses 18
Provinces and territories with illnesses (number of illnesses)
  • Alberta (1)
  • Ontario (12)
  • Quebec (4)
  • Nova Scotia (1)
Hospitalizations 13
Deaths 2
Gender 72% female
Age range 7-89

67% of cases are 50 years of age or older

Food Recall Yes, various Silk and Great Value brand plant-based refrigerated beverages recalled nationally
Investigation status Active

USA – Boar’s Head Provisions Co. Expands Recall for Ready-To-Eat Meat and Poultry Products Due to Possible Listeria Contamination

FSIS USDA

WASHINGTON, July 30, 2024 – Boar’s Head Provisions Co., Inc., a Jarratt, Va., establishment, is expanding its July 26, 2024, recall of deli meat products that may be adulterated with Listeria monocytogenes, the U.S. Department of Agriculture’s Food Safety and Inspection Service (FSIS) announced today. The establishment is recalling approximately 7 million additional pounds of ready-to-eat meat and poultry products. Whole genome sequencing results show that a liverwurst sample collected by the Maryland Department of Health tested positive for the outbreak strain of Listeria monocytogenes.

This expansion includes 71 products produced between May 10, 2024, and July 29, 2024, under the Boar’s Head and Old Country brand names. These items include meat intended for slicing at retail delis as well as some packaged meat and poultry products sold at retail locations. These products have “sell by” dates ranging from 29-JUL-2024 through 17-OCT-24. View full product listView labels.

The products subject to recall were distributed to retail locations nationwide and some were exported to the Cayman Islands, Dominican Republic, Mexico, and Panama. The products shipped to retailers bear establishment number “EST. 12612” or “P-12612” inside the USDA mark of inspection on the product labels.

The problem was discovered when FSIS was notified that a liverwurst sample collected by the Maryland Department of Health tested positive for L. monocytogenes. The Maryland Department of Health, in collaboration with the Baltimore City Health Department, collected an unopened liverwurst product from a retail store for testing as part of an outbreak investigation of L. monocytogenes infections. Further testing determined the product sample tested positive for the outbreak strain. Anyone concerned about illness should contact a healthcare provider.

FSIS is working with the Centers for Disease Control and Prevention (CDC) and state public health partners to investigate the multistate outbreak of L. monocytogenes infections linked to meats sliced at delis. As of July 30, 2024, 34 sick people have been identified in 13 states, including 33 hospitalizations and two deaths. Samples were collected from sick people from May 29, 2024, to July 12, 2024. The investigation is ongoing, and FSIS continues to work with the CDC and state partners. The CDC Food Safety Alert, Listeria Outbreak Linked to Meats Sliced at Delis, will continue to be updated with the latest investigation details.

Consumption of food contaminated with L. monocytogenes can cause listeriosis, a serious infection that primarily affects people who are pregnant, aged 65 or older, or with weakened immune systems. Less commonly, persons outside these risk groups are affected.

Vietnam – Over 2,000 people in Vietnam suffer from food poisoning in first 6 months

Xinhua

HANOI, July 29 (Xinhua) — Vietnam reported 36 food poisoning cases involving 2,138 people and six deaths in the first six months of this year, local media reported Monday, citing the Ministry of Health.

Compared to the same period last year, the number of cases declined by four, but the number of victims increased by 1,432 people, Suc Khoe & Doi Song, the ministry’s newspaper, reported.

The poisoning trend tends to be on the rise at restaurants, hotels and among food sold by vendors, said Deputy Minister of Health Do Xuan Tuyen.

Recent mass poisoning cases were reported at factories, company kitchens, school canteens, and food stalls located near schools.

Microorganisms and natural toxins are the primary causes of food poisoning cases while natural toxins and alcohol poisoning are the leading causes of death, according to the ministry’s analysis.