Category Archives: outbreak

Research – Salmonella infections in Denmark from 2013–2022 with focus on serotype distribution, invasiveness, age, sex, and travel exposition

Springer Link

Purpose

To analyze the nationwide incidence of Salmonella infections in Denmark from 2013 to 2022.

Methods

Confirmed cases of Salmonella enterica subsp. enterica were examined using the National Register of Enteric Pathogens during 2013–2022. Proportions, incidence rates (IR), relative risk (RR), and 95% confidence intervals (CI) were calculated to assess differences in serotypes, invasiveness, age, sex, and travel exposure.

Results

We identified 9,944 Danish Salmonella enterica subsp. enterica cases, with an average annual incidence rate of 16.9 per 100,000 inhabitants, declining during the COVID-19 pandemic. Typhoidal cases totaled 206, with an average annual IR of 0.35 per 100,000 inhabitants. Enteric fever patients had a median age of 24 years (IQR:17–36). Leading non-typhoid Salmonella (NTS) serotypes were S. Enteritidis (26.4%), monophasic S. Typhimurium (16.5%), and S. Typhimurium (13.5%). Median age for NTS cases was 42 (IQR: 18–62), with even sex distribution, and a third reported travel prior to onset of disease. The overall percentage of invasive NTS (iNTS) infection was 8.1% (CI: 7.6–8.7). Eleven serotypes were associated with higher invasiveness, with S. Dublin and S. Panama having the highest invasiveness with age and sex-adjusted RR of 7.31 (CI: 6.35–8.43) and 5.42 (CI: 3.42–8.60), respectively, compared to all other NTS serotypes. Increased age was associated with higher RR for iNTS infection.

Conclusion

During the decade, there was a limited number of typhoidal cases. The dominant NTS serotypes were S. Enteritidis and monophasic S. Typhimurium, whereas S. Dublin and S. Panama exhibited the highest invasive potential.

Research – Recorded outbreaks jump in Hong Kong in 2023

Food Safety News

The number of outbreaks almost doubled in Hong Kong in 2023 compared to the year before.

Officials reviewed food poisoning outbreaks related to food premises and businesses reported to the Centre for Food Safety (CFS) of the Food and Environmental Hygiene Department (FEHD) in 2023.

CFS and the Department of Health are responsible for investigating and controlling outbreaks related to local food premises.

Taiwan – Bongkrekic acid found in restaurant hit by food poisoning outbreak (update)

Focus Taiwan

Taipei, April 2 (CNA) A toxin believed to be the key to a lethal food poisoning outbreak in a Taipei restaurant has been detected in one of the environmental samples taken from the restaurant’s kitchen, confirming the presence of Bongkrecik acid in the restaurant, according to officials and experts on Tuesday.

At a press conference on Tuesday morning, Taipei Mayor Chiang Wan-an (蔣萬安) said the toxin, Bongkrekic acid, was found on samples collected from a chopping board, two knives, and one of the chef’s hands in the Xinyi branch of Malaysian restaurant chain Polam Kopitiam on March 24.

Canada – Public Health Notice: Outbreak of extensively drug-resistant Salmonella infections linked to raw pet food and contact with cattle

PHAC

This is the final update for this outbreak investigation. The investigation has been closed, however illnesses could still be reported because this Salmonella strain may be present in some cattle and raw pet food products in Canada.

Why you should take note

The Public Health Agency of Canada (PHAC) collaborated with federal and provincial public health partners to investigate an outbreak of extensively drug-resistant (XDR) Salmonella infections in six provinces.

Investigation findings identified two sources:

  • Exposure to raw meat prepared for pets (raw pet food) was identified as a likely source for some of the illnesses reported in this outbreak. Some of the individuals who became sick reported exposure to raw pet food, or to dogs fed raw pet food, before their illnesses occurred. A single common supplier of raw pet food was not identified.
  • Contact with cattle, particularly calves, was also identified as a likely source for some of the illnesses reported in the outbreak.

This investigation has been closed, however this outbreak is a reminder that Salmonella bacteria can be found in raw pet food and in many species of animals, including dogs and cattle. If contaminated, raw pet food can also make your pets sick. Infected pets can also spread bacteria, like Salmonella, to individuals they are in contact with, even if they do not show any signs of illness.

Always use safe food handling practices when preparing, cooking, or storing raw pet food to prevent illness. Practice good hand hygiene and frequent handwashing after contact with dogs fed raw pet food, cattle, and their environments.

Investigation summary

In total, 44 laboratory-confirmed cases of XDR Salmonella I 4,[5],12:i:- illness were linked to this outbreak in six provinces: Manitoba (1), Ontario (15), Quebec (24), New Brunswick (1), Nova Scotia (2), and Prince Edward Island (1). Individuals became sick between July 2020 and January 2024. Thirteen individuals were hospitalized. No deaths were reported. Individuals who became ill were between 0 and 91 years of age. Many of the cases (43%) were in children 5 years of age or younger. About half of the cases (55%) were female. Some illnesses associated with this outbreak strain were difficult to treat with commonly recommended antibiotics.

Using a laboratory method called whole genome sequencing, it was determined that some Salmonella illnesses dating back to 2020 were caused by the same outbreak strain as the illnesses that occurred in 2023 and 2024.

The outbreak strain of Salmonella that made people sick was found in raw pet food from the home of an ill individual. The outbreak strain of Salmonella was also found in sick dogs and cattle, and some of these animals died.

USA – Fratelli Beretta Charcuterie linked to 104 Salmonella Illnesses

Food Poison Journal

A total of 104 people infected with the outbreak strain of Salmonella were reported from 33 states. Illnesses started on dates ranging from November 20, 2023, to February 10, 2024. Of 92 people with information available, 27 were hospitalized. No deaths were reported.

Taiwan – Woman charged over tainted sandwiches sales – Salmonella

Taipei Times

Taoyuan prosecutors completed an investigation yesterday into a salmonella poisoning case last year in which more than 500 people became ill.

The prosecutors indicted the proprietor of a food stall at a market in Taoyuan’s Jhongli Distict (中壢) which sold Vietnamese-style sandwhiches known as banh mi.

Prosecutors said that the proprietor, surnamed Nguyen, originally from Vietnam, contravened the Act Governing Food Safety and Sanitation (食品安全衛生管理法), adding that “she should ensure the cleanliness and safety of food preparation materials, but failed to do so, leading to bacterial contamination.”

Research- WGS Responsible for Quick Detection of Salmonella Outbreak

IDSE

The use of whole genome sequencing (WGS)-based surveillance and rapid epidemiological intervention allowed public health experts to quickly link a Salmonella enterica serovar Typhimurium outbreak to cantaloupes grown in the United States.

RASFF Alert – Foodborne Outbreak – Salmonella – Duck Breast

RASFF

Foodborne outbreak caused by Salmonella enterica ser. Enteritidis (presence /25g) in frozen duck breasts from Hungary in Slovenia

EU – Multi‐country outbreak of Salmonella Mbandaka ST413 linked to consumption of chicken meat products in the EU/EEA and the UK – first update

EFSA

A cross‐border outbreak of Salmonella Mbandaka ST413 has been ongoing in the European Union/European Economic Area (EU/EEA) and the United Kingdom (UK) for over two years since September 2021. By 30 November 2022, 196 cases had been recorded and published in a joint European Centre for Disease Prevention and Control (ECDC) and European Food Safety Authority (EFSA) Rapid Outbreak Assessment. By 15 March 2024, 300 cases (an increase of 104 cases) had been reported in Estonia (n = 3), Finland (n = 98), France (n = 16), Germany (n = 2), Ireland (n = 7), the Netherlands (n = 1), and the United Kingdom (n = 173), according to the European case definition. Twenty‐three cases were hospitalised, six cases had septicaemia and one case died in the UK.

In November 2022, when the first assessment was published, ready‐to‐eat chicken products and/or fresh chicken meat were identified as probable vehicles of infection based on case interviews in Finland and the UK. Subsequent investigations by the food safety authorities in Estonia, Finland and the Netherlands and the sharing of genomic food information with EFSA in 2024 identified frozen steam‐cooked chicken breast, produced in Ukraine, as the vehicle of infections. The contaminated batches had been imported by non‐EU operators and distributed in the EU/EEA and UK markets.

The shelf lives of contaminated frozen chicken meat products expired in November and December 2023. The most recent cases were detected in Finland in October 2023 and in the UK in February 2024. Assuming that the identified contaminated batches are no longer on the market, and given the expiration dates and control measures implemented, the likelihood of new infections occurring with the outbreak strain from these batches is low. However, despite the implementation of control measures, cases continued to occur throughout 2023 in the EU/EEA and in early 2024 in the UK, suggesting undetected routes of exposure which require further investigation and pose a continued, albeit reduced, risk for new infections.

USA – Outbreak Investigation of E. coli O157:H7: Raw Cheddar Cheese (February 2024) – Is Over.

FDA

Raw Cheddar 8 oz block

FDA’s Outbreak Investigation is closed. CDC declares outbreak over.

Current Update

March 26, 2024

The FDA and CDC, in collaboration with state and local partners, investigated a multistate outbreak of E. coli O157:H7 linked to all sizes of RAW FARM-brand Raw Cheddar cheese blocks (with best by dates through 10/4/2024) and shredded cheese (with best by dates through 5/10/2024).

As part of this investigation, officials in CO, CA, and UT collected various RAW FARM-brand products for testing, and all samples were negative for E. coli. While E. coli has not been found in product samples, epidemiologic evidence shows that RAW FARM-brand Raw Cheddar cheese made by RAW FARM, LLC is the likely source of this outbreak.

As of March 26, 2024, CDC announced that the outbreak is over. CDC reports a total of 11 illnesses in five states. There has been a total of five hospitalizations; two developed hemolytic uremic syndrome (HUS), a serious condition that can lead to kidney failure. No deaths were reported. The last illness onset date was February 5, 2024. FDA’s outbreak investigation is closed.

FDA and CDC will continue to monitor for additional illnesses, and this investigation may be reopened if additional cases are identified.