Category Archives: outbreak

USA – Another 4 reported STEC E. coli cases bring total sick to 17 linked to 4S Ranch restaurant

NBC San Diego

Four more people have reported being sickened by an E. coli outbreak linked to Miguel’s Cocina in the 4S Ranch community of San Diego within the past two days, bringing the total to 17 cases, county health officials said Thursday.

Seven people had to be hospitalized, including four children, according to the county’s Health and Human Services Agency.

“The joint public health and environmental health investigation is ongoing,” HHSA spokesperson Fernanda Lopez said.

Those who fell ill, or their families, reported eating at Miguel’s 4S Ranch location from Oct. 6 to Oct. 18 and developed symptoms from Oct. 13 to Oct. 19, according to the HHSA.

County health officials are still investigating the specific food items that were the source of the Shiga-toxin-producing E. coli (STEC) at the restaurant. Miguel’s voluntarily closed its doors on Tuesday and has been working closely with the County to identify the outbreak.

USA – Ice Cream recalled after two with Listeria in New York and Pennsylvania – Listeria monocytogenes

Food Poison Journal

recalled-ice-cream-2

Two people infected with the outbreak strain of Listeria were reported from two states: one from New York and one from Pennsylvania. Sick people’s samples were collected in May and June 2023. Both sick people were hospitalized, and neither died.

The true number of sick people in this outbreak is likely higher than the number reported, and this outbreak may not have been limited to the states with known illnesses. This is because some people recover without medical care and are not tested for Listeria.

One sick person ate “Soft Serve on The Go” ice cream cups, and the other person likely ate the same ice cream cup at a long-term care facility they lived.

The outbreak strain of Listeria was found in “Soft Serve On The Go” ice cream cups, “Ice Cream House” mini dessert cigar novelty ice cream, and several environmental samples taken from two of The Ice Cream House stores.

USA – Three Current – Raw Milk Outbreaks – Salmonella – Campylobacter

Food Safety News

Idaho – Public health officials in Ada County, ID, are investigating an outbreak of infections from Campylobacter linked to the consumption of unpasteurized, raw milk.

Food Safety News

Utah –

Investigators have identified Utah Natural Meat and Milk as the source of unpasteurized raw milk that has sickened people in the state.

At least 14 people have contracted infections from Campylobacter, according to the Utah Department of Health and Human Services. One patient who was hospitalized has been released. Patients range in age from 2 to 73 years old.

Food Safety News

California – Three more people in San Diego have been confirmed to have Salmonella infections linked to raw, unpasteurized milk from Raw Farm LLC dairy in California. Another seven people are now sick in Orange County.

Research – Combining Whole Genome Sequencing Data from Human and Non-Human Sources: Tackling Listeria monocytogenes Outbreaks

MDPI

Abstract

Listeria monocytogenes (Lm) is ubiquitous in nature and known for its ability to contaminate foods during production processes. Near real-time monitoring of whole genome sequences from food and human isolates, complemented with epidemiological data, has been used in the Netherlands since 2019 to increase the speed and success rate of source finding in the case of (active) clusters. Nine clusters with 4 to 19 human cases investigated between January 2019 and May 2023 are described. Fish production sites were most often linked to outbreaks of listeriosis (six clusters), though other types of food businesses can face similar Lm problems, as the production processes and procedures determine risk. The results showed that low levels of Lm in food samples can still be linked to disease. Therefore, the investigation of a cluster of cases and deployment of the precautionary principle helps to focus on safe food and to prevent further cases. Good practice of environmental monitoring within a food business allows early detection of potential issues with food safety and helps food businesses to take appropriate measures such as cleaning to prevent regrowth of Lm and thus future outbreaks.

USA – Outbreak Investigation of Listeria: Ice Cream (August 2023)

FDA

Product 

  • The Ice Cream House has voluntarily recalled all dairy and non-dairy products with the Ice Cream House logo. Recalled products include dairy and non-dairy (parve):
  • Real Kosher Ice Cream has voluntarily recalled all flavors of Soft Serve On The Go 8-oz ice cream cups 

Additional recall information is available on the recall notices above.

Stores Affected

  • Ice Cream House products: Recalled products with the Ice Cream House brand were sold at the Ice Cream House storefront in Brooklyn, NY and at retail supermarkets in NJ, NY, OH.
  • Real Kosher Ice Cream Soft Serve On The Go cups: Recalled products were sold to multiple retailers in CA, CO, CT, DC, DE, FL, IL, MA, MD, MI, MN, NC, NH, NJ, NY, OH, OR, PA, VA, WV.

Status

Ended

Recommendation

  • This outbreak appears to be over; however, consumers should check their freezers for recalled ice cream and non-dairy [parve] frozen dessert products and should throw the recalled product away. Options to return recalled product can be found in the recall notice from Real Kosher Ice Cream and Ice Cream House.
  • Consumers, restaurants, and retailers who purchased or received any recalled ice cream products should follow FDA’s safe handling and cleaning advice  and use extra vigilance in cleaning and sanitizing any surfaces and containers that may have come in contact with these products to reduce the risk of cross-contamination. Listeria can survive temperatures at or below freezing and can easily spread to other foods and surfaces.
  • Since the recall, the company started placing a label that includes a lot code on their products. If consumers have products in their freezers without a lot code, they should be thrown out.

Recommendation for At-Risk Groups:

  • Listeria is most likely to sicken pregnant people and newborns, adults aged 65 or older, and people with weakened immune systems. Other people can be infected with Listeria, but they rarely become seriously ill.
  • Pregnant people typically experience only fever, fatigue, and muscle aches. However, Listeria infection during pregnancy can lead to miscarriage, stillbirth, premature delivery, or life-threatening infection of the newborn.
  • Call your healthcare provider right away if you have symptoms of a Listeria infection.

Current Update

October 26, 2023

The FDA and CDC, in collaboration with state and local partners, investigated an outbreak of Listeria monocytogenes infections linked to recalled dairy and non-dairy products with the Ice Cream House logo sold at Ice Cream House and Real Kosher Ice Cream.

FDA and state partners collected several samples at the Ice Cream House facility located in Brooklyn, NY. WGS analysis confirmed that the strain of Listeria monocytogenes found in these samples matches the outbreak strain. As of October 26, 2023, CDC announced that the outbreak is over. CDC reports a total of two illnesses in two states. The last illness onset was in May 2023.

Since the recall, the company has taken corrective actions and is now back in operation. The company started placing a label that includes a lot code on their products. FDA’s investigation is complete.

A Dozen Salmonella cases linked to Raw Farm Milk

Food Poison Journal

County of San Diego health officials are reporting three additional cases of Salmonella illness linked to unpasteurized or “raw” milk from a producer in Fresno, CA.

This brings the total number of local cases to 12, including three people who were hospitalized. The cases began in late September and the most recent person became ill on Oct. 17.

The California Department of Public Health (CDPH) issued a recall of Raw Farm milk and heavy cream Oct. 24, and a PDF that contains the specific product identification numbers with “best by” dates between Oct. 11 and Nov. 6. Additional raw milk products were not recalled.

The County of San Diego Health and Human Services Agency urges anyone who may have recently purchased Raw Farm LLC raw milk to not consume it and discard the product.

The illnesses have been caused bySalmonellabacteria, which is commonly found in human and animal intestines. The 12 San Diego County residents who became ill have reported consuming Raw Farm LLC raw milk the week before they became ill. Cases in other parts of the state are being tracked by CDPH and other local health departments.

USA – Raw Farm Milk Salmonella Outbreak expands to Orange County

Food Poison Journal

The OC Health Care Agency (HCA) has identified seven cases of Salmonella illness in Orange County (OC) residents following consumption of unpasteurized or “raw” milk from Raw Farm LLC, which recently issued a recall of its raw whole milk and raw heavy creams products.

The HCA urges those who may have purchased raw whole milk or raw heavy cream products from Raw Farm LLC to not consume the products and discard them immediately. Anyone who becomes ill after consuming raw milk or products made from raw milk, particularly products from Raw Farm LLC, should seek medical care immediately.

All confirmed cases had illness onset within the past 30 days, with affected individuals ranging in age from one to 20 years old. The HCA continues to investigate the situation in coordination with the California Department of Public Health (CDPH) and the California Department of Food and Agriculture (CDFA). The HCA is also reaching out to stores in the county who may be selling these products to assure that they are aware of the recall.

USA – Utah Natural Meat and Milk Source of Campylobacter Outbreak

Food Poisoning Bulletin

Utah Natural Meat and Milk has been identified as the source of the Campylobacter outbreak in that state that has sickened at least 14 people, according to news reports. The Utah Department of Health and Human Services and the Utah Department of Agriculture and Food said that the pathogen came from that dairy that is located in West Jordan. According to the Salt Lake County Health Department, one patient was hospitalized but is recovering at home. The patient age range is from 2 to 73 years.

Research- Three clusters of Salmonella Enteritidis ST11 infections linked to chicken meat and chicken meat products

EFSA

Abstract

From 1 January–24 October 2023, 335 laboratory-confirmed Salmonella Enteritidis ST11 cases belonging to three distinct microbiological clusters have been reported in 14 EU/EEA countries, the United Kingdom and the United States, affecting all age groups. Most interviewed cases reported consumption of chicken meat, including chicken kebabs. Nine cases in three countries were hospitalised and one case in Austria died, highlighting the potential for severe and fatal infections from this outbreak. Following the food exposure information and the national investigations in 2023, the food safety authorities in Austria, Denmark and Italy investigated 10 food products (six contaminated by Salmonella Enteritidis ST11 cluster 1 and/or cluster 2), seven final producers in Poland and one in Austria. Traceability information revealed that three Salmonella-contaminated kebabs shared a number of Polish food business operators. The trading link of the suspected kebab suggests one or more common source(s)/point(s) of contamination in Austria, Denmark, and Italy. Following the collection of genomic information, the cluster analysis revealed the presence of the outbreak strains in the food chain in multiple European countries. Most positive foods sampled in 2022–2023 with shared epidemiological data originated from Poland. Given the information collected, contaminated chicken kebab and chicken meat are the plausible vehicles of the human infections reported in these three clusters. In the absence of conclusive microbiological evidence and comprehensive traceability, the role of the identified final producers, their meat suppliers, and the possible involvement of other food business operators as sources of the infections could not be confirmed or excluded. Further investigations are needed to identify the root cause of the contamination and the source of infections, which is crucial for prompt implementation of targeted effective control and corrective measures. As the source(s) have not been identified, new cases are likely to occur in this prolonged multi-country outbreak.

Norway – Outbreak of Salmonella infection

Matportalen

The Norwegian Food Safety Authority has been notified by the Norwegian Institute of Public Health about a national outbreak of the gastrointestinal bacterium Salmonella Napoli. So far, infection has been detected in seven people. The source of infection is not known.

An outbreak investigation has been initiated in collaboration between the Norwegian Food Safety Authority, the Norwegian Institute of Public Health, the Veterinary Institute and municipal chief medical officers. It is currently unknown what the source of infection is, but it is common for gastrointestinal bacteria to become infected through food. According to the Norwegian Institute of Public Health, the most common symptoms are diarrhoea, headache, abdominal pain, nausea and possibly fever.

– The Norwegian Food Safety Authority collects information from the sick persons about what they have eaten and what they have been in contact with. It may also be relevant to take samples of food and food packaging, says Anne Mæland, senior advisor in the biological food safety section of the Norwegian Food Safety Authority.

Outbreak investigation takes time and the work is complicated. It is not always possible to find the source of infection in such outbreaks. If a common source of infection from food, animals or the environment is identified, the Norwegian Food Safety Authority will follow up the tracing work along the food chain.