Category Archives: outbreak

USA – FDA issues warning to New Mexico onion importer linked to Salmonella outbreak

Food Safety News

An import company in New Mexico is on notice from the FDA for not having food safety documents for a number of imported foods. The inspection was initiated because of an investigation of a multistate foodborne outbreak of Salmonella Oranienburg illnesses linked to whole, fresh onions imported from the state of Chihuahua, Mexico.

The outbreak has sickened more than 800 people in the United States and remains under investigation. The Centers for Disease and Prevention has not yet declared the outbreak over.

In its warning letter the Food and Drug Administration  acknowledged that the company initiated a voluntary recall on Oct. 22, 2021, of red, yellow, and white onions imported from its “suppliers (redacted)” in Chihuahua, Mexico, from July 1, 2021, through Aug. 25, 2021.

In the March 2, 2022, warning letter just made public by the FDA, the agency described a Nov. 16, 2021, Foreign Supplier Verification Program (FSVP) inspection of Keeler Family Farms in DemingNM.

Canada – Norovirus: Dozens affected in British Columbia, linked to raw oysters

Outbreak News Today

french oysters

Vancouver Coastal Health (VCH) is warning consumers to take steps to protect their health following an increase in cases of norovirus associated with consumption of raw B.C. oysters.

Since Monday, March 14, more than 50 people have been affected with acute gastrointestinal illness, such as stomach pain, diarrhea or vomiting, after eating raw oysters. Lab testing has confirmed the presence of norovirus in some of the cases and it is suspected in others.

The BC Centre for Disease Control (BCCDC) has issued a notice to restaurants and retailers in B.C. to advise them of the risk.

Based on an investigation by the BCCDC, local and federal agencies, and the shellfish industry, affected harvest areas are being closed and will reopen when contamination is cleared.

France – Withdrawal – preventive recall of batches of Buitoni brand Fraîch’Up frozen pizzas due to possible contamination by the bacterium Escherichia coli O26

Gov france

As part of the investigations carried out by the authorities on the cases of serious haemolytic and uraemic syndromes reported since January 1, 2022 on national territory, the analyzes (epidemiological, microbiological and traceability) carried out suggest, at this stage, a possible link with the consumption of frozen pizzas from the Fraîch’Up range of the Buitoni brand.

Investigations are continuing to determine the origin of the contamination, including for other products, as well as epidemiological investigations in order to establish potential links with all the cases detected on the territory since the beginning of January 2022.

Consequently, as a precautionary measure, and pending additional analyses, the company is proceeding today with the withdrawal-recall of all the pizzas in the Fraîch’Up range, of the Buitoni brand, marketed on this day.

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- Shigella Outbreak in Eureka, California Sickens Five, 11 Suspected

Food Poisoning Bulletin

Shigella - kswfoodworld

Image CDC

Shigella outbreak in Eureka, California has sickened at least three people, according to the Humboldt County Department of Health and Human Services. Three cases are lab confirmed, and two cases are being investigated as of February 2022. In a March 5, 2022 update, there are now five cases and 11 more illnesses being investigated according to news reports.

The cases occurred in multiple households and involve school age children, adults, and one person who is experiencing homelessness. The confirmed and suspected cases have been linked to locations on the waterfront area on the U.S. Highway 101 corridor in greater Eureka, according to an update by the health department.

The update, which was on a video narrated by public health nurse Daniel Tran, states, “Based on current and ongoing investigations we suspect the spread may be greater than our current understanding. Therefore, we are alerting medical providers in the area to consider testing for and treating shigella to help both understand the extent of the problem and to help stop the spread of this highly contagious bacterial illness.”

Officials think that the bacteria has been spread through laundromats in the Eureka area where an infected person supposedly washed clothing that was contaminated. Two laundry facilities in Eureka have been sanitized.

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

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.

Hungary – Hungary seeks data on consumers’ habits with frozen vegetables

Food Safety News

Link to Portal

Hungary’s food agency has launched a survey to find out more on people’s habits related to quick-frozen vegetables.

The National Food Chain Safety Office (Nébih) said it would provide the authority with a picture of the risks at the consumer level for the product category.

An online questionnaire can be completed until March 31 and covers consumer preferences for frozen vegetables and whether they follow the instructions on the label. There are also questions on Listeria monocytogenes, Salmonella and E. coli.

Past outbreak
From 2015 to 2018, an outbreak of Listeria monocytogenes caused by contamination of frozen corn produced in Hungary by Greenyard affected five countries in Europe as well as Australia with 54 confirmed patients and 10 deaths.

Despite the contamination, illnesses could have been prevented or reduced if people had been aware of the food safety risks and how to avoid them, according to Nébih.

To identify the hazards and reduce the risks, the agency is going to assess domestic consumer habits.

The questionnaire seeks answers to what Hungarian consumers think about quick-frozen products, how often they eat them and their preparation habits. The survey also looks at whether people are aware of food safety risks during purchase, transport, home storage and preparation and their knowledge about refrigerator and freezer temperatures as well as thawing and refreezing.

Based on the results, Nébih will put together a guide for consumers highlighting the most important findings. The agency will also give advice on how to minimize the food safety risks associated with quick-frozen vegetables in households.

Fagyasztott zöldségek vásárlásáról és fogyasztásáról gyűjt információkat a Nébih

Új kutatást indít a Nemzeti Élelmiszerlánc-biztonsági Hivatal (Nébih) a magyar lakosság gyorsfagyasztott zöldségekhez kapcsolódó vásárlási, felhasználási és fogyasztási szokásainak megismerése érdekében. A március 31-ig kitölthető online kérdőív többek között arra is kitér, hogy a fogyasztók mennyire kedvelik a fagyasztott zöldségeket, milyen ételekhez vásárolják őket, vagy, hogy figyelembe veszik-e a jelölésen szereplő felhasználási utasításokat. A kutatás segítségével a hatóság átfogó képet kaphat arról, milyen valós kockázatok merülnek fel fogyasztói szinten e termékkategóriával kapcsolatban.
Néhány éve az EU-ban lezajlott egy több országot is érintő, gyorsfagyasztott zöldségekhez kapcsolódó Listeria monocytogenes járvány. Az élelmiszerbiztonsági pandémiában bizonyítottan 46 személy betegedett meg és szorult kórházi kezelésre, valamint 5 haláleset is történt. Szomorú tény, hogy a szennyezés ellenére a megbetegedések megelőzhetők lettek volna, ha a fogyasztók tisztában vannak az élelmiszerbiztonsági kockázatokkal és azok elkerülésének módjával.
A veszélyforrás azonosítása és csökkentése érdekében a Nébih szeretné felmérni a hazai fogyasztói szokásokat. A hivatal https://portal.nebih.gov.hu/felmeres linken elérhető online kérdőíve többek között arra keresi a választ, hogy a magyar fogyasztók mit gondolnak a gyorsfagyasztott termékekről, miket részesítenek előnyben, vannak-e általános és speciális elkészítési szokásaik, továbbá elolvassák-e, betartják-e a jelölésen szereplő utasításokat. A felmérés arra is kitér, hogy a fogyasztók tisztában vannak-e az élelmiszerbiztonsági kockázatokkal a vásárlás, a szállítás, az otthoni tárolás és az előkészítés során.
A kérdőív segítségével a hatóság átfogó képet kaphat arról, hogy melyek a legjelentősebb kockázatok fogyasztói szinten e termékkategóriában. Az eredmények alapján a Nébih egy lakosságnak szóló tájékoztatót is összeállít a későbbiekben, kiemelve a felmérés szerinti kritikus pontokat. Az útmutatóban a hatóság azt is bemutatja majd, hogyan lehet a háztartásokban a gyorsfagyasztott zöldségekhez kapcsolódó élelmiszerbiztonsági kockázatokat a minimumra csökkenteni.
Az adatgyűjtés 2022. március 31-ig tart. A kérdőív kitöltése 10-15 percet vesz igénybe. A felmérés az alábbi linken elérhető: https://portal.nebih.gov.hu/felmeres

2022. március 4.

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 – Nebraska: Norovirus and Rotavirus Outbreaks reported in the south central part of state

Outbreak News Today

norovirus-1080x655

The Two Rivers Public Health District in south-central Nebraska is reporting an increase of both norovirus and rotavirus cases in the district.

Norovirus and rotavirus outbreaks also frequently occur in schools, childcare centers, colleges, and universities. Both norovirus and rotavirus are spread by accidentally getting tiny particles of feces (poop) or vomit from an infected person in your mouth. Outbreaks on school and university campuses have even led to campus closures. Close quarters, shared spaces, and high-touch surfaces make it easy for norovirus and rotavirus to spread.

Health officials strongly recommends taking the following actions:
• Washing hands carefully and frequently
• Staying home when experiencing vomiting and diarrhea
• Careful cleaning of surfaces that have had contact with vomit and diarrhea using an EPA certified cleaning products