Category Archives: outbreak

Taiwan – Taipai – Causes clarified in food poisoning case

Taipei Times

A suspected food poisoning incident at a Hi-Lai Harbour restaurant at Kaohsiung Arena was not caused by norovirus or rotavirus, but might have been caused by pathogenic bacteria, the Centers for Disease Control (CDC) said yesterday.

Testing for viral pathogens was negative for the two common causes of diarrhea, CDC Deputy Director-General Tseng Shu-hui (曾淑慧) said.

As of 9am on Monday, the number of people who had sought medical attention after dining at the upscale buffet restaurant in Zuoying District (左營) on Friday and Saturday last week had increased to 52 since Saturday, when 11 diners were first reported to have fallen ill, the Kaohsiung Health Department said in a statement.

All of the 52 people reported diarrhea and abdominal pain, while a handful also reported nausea and vomiting, the department said.

It had previously collected specimens from seven people who fell ill after eating at the branch and from 48 employees who handle food at the restaurant, as well as food samples.

Testing on the customers and employees came back negative for viral pathogens, meaning it is likely that pathogenic bacteria were involved, Tseng said.

Common bacteria that cause foodborne illness include Vibrio parahaemolyticus, salmonella, enteropathogenic Escherichia coliStaphylococcus aureusVibrio cholerae and Clostridium botulinum, she said, adding that testing was being conducted to clarify the situation.

Denmark – 40 Danes infected with the same type of Salmonella

SSI

Since mid-March, 40 patients have been registered ill with the same type of salmonella. These are 24 men and 16 women aged 0-83. The first investigations show that the patients have not been travelling, have not eaten at the same restaurants and have not taken part in any joint events. As the patients live throughout the country, it therefore suggests that it is a food that has been sold in supermarkets across the country.

“We are working to find out what is to blame for the outbreak. Preliminary investigations indicate that the source of infection could be minced meat sold in supermarkets,” says epidemiologist Luise Müller, Statens Serum Institut.

Annette Perge from the Danish Food and Drug Administration elaborates:

“Although we do not yet know for sure what has made people sick with salmonella, we would like consumers to pay extra attention to good kitchen hygiene. It is important to cook the minced meat thoroughly, keep the ready-to-eat separate from the raw meat and refrain from tasting the raw meat,” she says.

All patients are infected with the same type of salmonella bacteria.

“Salmonella of the type Typhimurium has previously been found in meat from cattle and pigs as well as in foreign poultry products and has previously given rise to disease outbreaks,” says senior researcher Marianne Sandberg from the DTU Food Institute.

UK – Shiga toxin-producing Escherichia coli (STEC) data: 2020 – Updated 26/04/2024

Gov UK

Main points

A total of 402 confirmed cases of Shiga toxin-producing Escherichia coli (STEC) O157 were reported in England and Wales in 2020.

The lowest incidence of STEC O157 was in the London region (0.29 per 100,000 population) and the highest in the South West region (1.04 per 100,000 population).

Children aged 5 to 9 years had the highest incidence of infection (1.50 per 100,000 population, 95% confidence interval (CI) 1.12 to 1.96).

One-third of confirmed STEC O157 cases in England were hospitalised and 3% were reported to have developed Haemolytic Uraemic Syndrome (HUS).

A further 286 specimens in England and 41 in Wales were positive for Shiga toxins (Stx) genes on polymerase chain reaction (PCR) at the Gastrointestinal Bacteria Reference Unit (GBRU) but an organism was not cultured.

The most commonly isolated non-O157 STEC serogroup was STEC O26 (England: n=103 out of 553, 19%; and Wales: n=26 out of 268, 15%).

Three outbreaks of STEC involving 63 cases in England were investigated in 2020.

Canada – 96 lab-confirmed cases linked to E. coli at Calgary day cares, 22 kids in hospital: AHS

Yahoo Movies

There are now 96 lab-confirmed cases linked to the current E. coli outbreak in Calgary daycare centres, the AHS confirmed in a press conference Wednesday.

Dr. Francesco Rizzuti, medical officer of health with AHS Calgary zone said that of the 96 cases there have been 22 hospitalizations thus far.

Sixteen of those patients are currently at the Alberta Children’s Hospital, while six are at the Peter Lougheed Centre. AHS confirmed that all of those hospitalized are children.

The first patients were admitted over the Labour Day weekend, reporting symptoms such as bloody diarrhea.
He added that AHS is still investigating the source of this outbreak and will continue to update families as information becomes available.

USA – SAN DIEGO COUNTY HIT BY NOROVIRUS OUTBREAK LINKED TO SOUTH KOREAN OYSTERS

Hood Line

A shellfish shakedown is sweeping through San Diego County after 33 people fell ill, contracting norovirus likely linked to frozen raw oysters imported from a company in South Korea, health officials said.

The California Department of Public Health (CDPH) is sounding the alarm, telling distributors and retailers to halt sales and service of frozen raw oysters from JBR, Inc., located in Tongyeongsi, Republic of Korea; these shellfish are suspected culprits behind a string of gastroenteritis cases among eaters in late March and April. These specific oysters arrived bearing the label “Amazing Sea Brand.” They have been traced back to being harvested on several dates—November 26, 2023, January 4, and February 15—and San Diego County public health officials, alongside the CDPH’s investigation, pointed to these as the likely source of the virus transmission, according to a statement obtained by the California Department of Public Health.

Philippines – Suspected food poisoning downs 80 people in South Upi

Minda News

Eighty people who attended a Teduray tribal wedding reception Thursday in South Upi, Maguindanao del Sur were rushed to two hospitals after they suffered severe stomach pain and vomiting.

Dr. Mohammad Ariff Baguindali, chief of Integrated Provincial Health Office of Maguindanao said that until late afternoon on Thursday rescue teams and health officials were busy attending to the patients at Rural Health Unit Hospital in South Upi, Maguindanao del Sur and Datu Blah Sinsuat District Hospital in Upi, Maguindanao del Norte.

“Sixty-five persons were sent to RHU South Upi and 15 to Datu Blah Hospital,” Baguindali said.

Based on the initial findings of the health officials, a spoiled chicken dish cooked in spices and coconut milk as its main ingredient called “beniton” could have triggered the food poisoning.

Baguindali said the intense day heat could have spoiled the tribe’s specialty dish. He noted that it was cooked in the morning and eaten in the late afternoon.

Europe – Prolonged multi-country outbreak of Listeria monocytogenes ST1607 linked to smoked salmon products

EFSA

Abstract
A prolonged genomic cluster of 20 human Listeria monocytogenes ST1607 infections has been reported to the European Centre for Disease Prevention and Control, with cases identified in Denmark (17), Germany (1), and Italy (2) since 2019. The number of cases has sharply increased after 2021. The most recent case was reported in March 2024 in Denmark, indicating an ongoing risk of further infections. Of 20 listeriosis cases, five have died (one due to another cause than L. monocytogenes infection), indicating high severity of infection
particularly among elderly people with underlying chronic conditions.
The national investigations the traceability and genomic data analyses revealed the detection of five matching L. monocytogenes ST1607 isolates from four sliced smoked salmon products (four batches) produced by the Danish Processing Plant A between 2021 and 2024. These contaminated products were distributed to the three countries (Denmark, Germany, and Italy) reporting human cases to ECDC. The identification of the outbreak
strain from the environment of the Danish Processing Plant A in 2023 and in the products since 2021 indicates the persistence of the L. monocytogenes ST1607 within the plant and suggests that the point(s) of the contamination in the plant have not been identified and controlled. Although control measures had been implemented at the plant and withdrawals and recalls of contaminated batches were performed, new batches of contaminated products could still be placed on the market until the site(s) at the plant and the root(s) of the contamination in the fish production chain are identified and properly controlled.
Based on the available information from case interviews, microbiological and traceability analysis, the conclusion is that sliced smoked salmon products are the likely sources of infection. New cases could occur in EU/EEA countries, particularly among vulnerable people, until the root(s) of contaminations are identified and corrective measures are implemented.

USA – FDA – Investigations of Foodborne Illness Outbreaks

FDA

  • For the outbreak of Salmonella Typhimurium (ref #1218), Infinite Herbs, LLC, voluntarily recalled 2.5-oz packages of Infinite Herbs-brand fresh organic basil and on April 19, 2024, Infinite Herbs, LLC, expanded the recall to include 2.0- and 4.0-oz packages of Melissa’s-brand organic basil. The outbreak advisory has been updated to include additional information about recalled products. FDA’s investigation is ongoing.
  • For the outbreak of E. coli in a not yet identified product (ref #1221) the case count increased from nine to 12. FDA’s investigation is ongoing.

Denmark Update – Outbreak of invasive Listeria infection sequence type 1607

SSI

The Statens Serum Institut is currently investigating a protracted disease outbreak with Listeria monocytogenes in collaboration with the Danish Veterinary and Food Administration and the Norwegian Food Institute DTU

A total of 17 people have been infected with the same type of listeria since the summer of 2019 (figure 1). The patients are 13 women and 4 men with a median age of 73 years, with one patient in their 20s and four in their 80s. The patients live throughout the country (table 1). All have been hospitalized. Two people have died within 30 days of detection of the infection.

The outbreaks are handled by the Central Outbreak Group, which consists of SSI, the Danish Veterinary and Food Administration and the DTU Food Institute. SSI stands for whole-genome sequencing of patients’ listeria isolates and interviews with patients or relatives with a view to identifying a possible source of infection. Since there are also people abroad who have become ill with listeria sequence type 1607, the international authorities are working on an international overview.

Denmark – Outbreak with Salmonella Typhimurium sequence type 19 in Denmark

SSI

During March and April 2024, the Statens Serum Institut registered 26 cases of Salmonella Typhimurium. The Statens Serum Institut, the Danish Veterinary and Food Administration and the Norwegian Food Institute DTU are investigating the disease outbreak.

In March and April 2024, 26 people were registered at the Statens Serum Institut who were infected with the same type of Salmonella (figure 1). Among the sick are 15 men and 11 women. The patients are between 0-80 years old (median age is 31 years). The patients live all over the country.

The outbreak is handled by the Central Outbreak Group, which consists of SSI, the Danish Veterinary and Food Administration and the DTU Food Institute. SSI stands for whole-genome sequencing of isolates from the patients and patient interviews with a view to identifying a possible source of infection.