Category Archives: outbreak

USA – 10 in Washington, California, Oregon and Hawaii linked to Hepatitis A tainted Strawberries

Food Poison Journal

CDC, state public health and regulatory officials, and the U.S. Food and Drug Administration are investigating an outbreak of hepatitis A linked to frozen organic strawberries imported from certain farms located in Baja California, Mexico, by a common supplier. Frozen organic strawberries may be sold to a variety of retailers under multiple brand labels. Traceback and epidemiological investigations show that people with outbreak-associated cases purchased the same retail brand of frozen organic strawberries prior to becoming ill.

As of July 18, 2023, a total of 10 outbreak-associated cases of hepatitis A have been reported from 4 states.

Illnesses started on dates ranging from November 24, 2022, to June 4, 2023. Ill people range in age from 38 to 64 years, with a median age of 56.5 years. Thirty percent of ill people are female. Of 10 people with available information, 4 (40%) have been hospitalized. No deaths have been reported.

USA – FDA – Investigations of Foodborne Illness Outbreaks

FDA

What’s New

  • For the outbreak of E. coli O157:H7 (ref #1166), the case count has increased from 11 to 12.
  • For the outbreak of Cyclospora cayetanensis (ref #1163), the case count has increased from 112 to 118 cases.
  • For the outbreak of Cyclospora cayetanensis (ref #1159), the case count has increased from 38 to 43 cases. This incident now includes additional illnesses based on similarities in reported exposures.
  • For the outbreak of Salmonella Enteritidis (ref #1156) linked to raw cookie dough, the advisory was updated on July 13, 2023. The outbreak has ended and FDA’s investigation is closed.
  • For the investigation linked to Morel mushrooms (ref #1152), the advisory was updated on July 19, 2023. The outbreak has ended, and FDA’s investigation is closed.

Research -Fermenting a place in history: The first outbreak of Escherichia coli O157 associated with kimchi in Canada

Cambridge Org

Abstract

A Canadian outbreak investigation was initiated in January 2022 after a cluster of cases of Shiga-toxin-producing Escherichia coli (STEC) O157 was identified through whole genome sequencing (WGS). Exposure information was collected through case interviews. Traceback investigations were conducted, and samples from case homes, retail, and the manufacturer were tested for STEC O157. Fourteen cases were identified in two provinces in Western Canada, with isolates related by 0–5 whole genome multi-locus sequence typing allele differences. Symptom onset dates ranged from 11 December 2021 to 7 January 2022. The median age of cases was 29.5 (range 0–61); 64% were female. No hospitalisations or deaths were reported. Of 11 cases with information available on fermented vegetable exposures, 91% (10/11) reported consuming Kimchi Brand A during their exposure period. The traceback investigation identified Manufacturer A in Western Canada as the producer. One open and one closed sample of Kimchi Brand A tested positive for STEC O157, with isolates considered genetically related by WGS to the outbreak strain. Napa cabbage within the kimchi product was hypothesised as the most likely source of contamination. This paper summarises the investigation into this STEC O157 outbreak associated with kimchi, the first reported outside of East Asia.

Taiwan – 23 suffer Salmonella poisoning at shaved ice restaurant in south Taiwan

Taiwan News

TAIPEI (Taiwan News) — A shaved ice restaurant in Kaohsiung City has been ordered to suspend operations and pay a NT$300,000 (US$9,600) fine after 23 customers sought medical treatment for salmonella poisoning.

A woman surnamed Huang (黃) broke the news on PTT, saying that she and 12 family members went to a shaved ice shop on Liuhe Road on July 12, reported Liberty Times. After eating the shaved ice, 11 family members felt unwell and had symptoms including diarrhea, vomiting, and bloody stools, while her son was hospitalized for treatment.

On July 14, the Kaohsiung City Government Department of Health conducted an inspection of the premises and found that the floor was damaged and dirty and a trash can was not covered. The health department conducted on-site testing of the shaved ice toppings, shaved ice, and samples from the surfaces of the shaved ice equipment.

Norway – Smoked salmon and trout suspected as the source of outbreaks of Listeriosis

Matportalen

The Norwegian Food Safety Authority is collaborating with the Norwegian Institute of Public Health , the Norwegian Veterinary Institute and relevant municipal supervisors to find the cause of the outbreak.

All four people, three women and one man, fell ill in June this year and have been admitted to hospital. All are now healthy or improving. They are aged 50-80 and live in Viken (2), Vestland and Oslo. 

The Norwegian Food Safety Authority has interviewed the persons and obtained product samples which the Veterinary Institute has analyzed (vi.no). Three out of four people report having eaten either smoked salmon or smoked trout from Troll Salmon in the time before they became ill. The outbreak bacterium was found in two packs of smoked salmon from Troll Salmon . One of the people had the packages in the freezer.

The bacterial strain in this outbreak is similar to the outbreak strain detected in an outbreak of listeriosis in 2022, where smoked salmon was the suspected source of infection (fhi.no).

– The Norwegian Food Safety Authority is in close dialogue with the business, which must ensure that they do not sell products that represent a possible health hazard for consumers. The Norwegian Food Safety Authority also monitors that the company carries out necessary investigations and implements sufficient measures in production, says Lindis Folkvord, section manager in the Norwegian Food Safety Authority’s biological food safety section.

Advice for vulnerable groups  

Most people can eat foods containing the listeria bacteria without becoming seriously ill, but susceptible people tolerate less of the bacteria.  

– It is a general advice that pregnant women, people with weakened immune systems and the elderly with a weakened general condition should eat fish and smoked fish that are as fresh as possible. This means that the product should be well within the best-before date, says Folkvord. 

Other measures to reduce the risk of listeria bacteria are to store such products in a refrigerator at 4 degrees or colder, and to wash equipment and hands after handling risk products to reduce the risk of transfer of listeria bacteria to other products.  

Risk product

Listeria is usually transmitted through food, especially refrigerated foods with a long shelf life that are eaten without heat treatment. Examples of such risk products are soft ripening cheeses and unpasteurized semi-hard cheeses, unpasteurized milk, smoked, raw and raw fish, some types of cut-up cooked meat spreads and raw meat.  

USA -Patient count in Cyclospora parasite outbreak jumps by more than 200

Food Safety News

The number of patients in a large outbreak of infections from the cyclospora parasite has increased significantly, with the count approaching 600.

The Centers for Disease Control and Prevention has been tracking the outbreak since April 1. As of this week there are 581 laboratory confirmed patients. The previous update from the agency on June 22 had 317 patients listed.

“No specific food items have been identified as the source of most of these illnesses. State and local public health officials are interviewing people with cyclosporiasis to find out what foods they ate before getting sick,” according to the CDC’s outbreak update.

USA – Cyclospora Outbreak increases by 371 to 581 sick in 31 states and NYC

Food Poison Journal

No specific food items have been identified as the source of most of these illnesses. State and local public health officials are interviewing people with cyclosporiasis to find out what foods they ate before getting sick.

As of July 11, 2023, a total of 581 laboratory-confirmed cases of cyclosporiasis in people who had not traveled outside the United States during the 14 days before they got sick have been reported from 32 jurisdictions, including 31 states and New York City. This is an increase of 371 cases since the last update on June 22, 2023.

USA – Outbreak Investigation of Salmonella: Raw Cookie Dough (May 2023)

FDA

Product 

Papa Murphy’s Take ‘N’ Bake raw Chocolate Chip Cookie and S’mores Bars dough purchased before May 23, 2023.

FDA’s investigation is complete and the outbreak is over.

Stores Affected

  • Papa Murphy’s Stores Nationwide

Symptoms of Salmonella Infection

Illness usually occurs within 12 to 72 hours after eating contaminated food and usually lasts four to seven days. Symptoms include diarrhea, fever, and abdominal cramps. Children younger than five, the elderly, and people with weakened immune systems are more likely to have severe infections.

Status

Ended

Recommendation

  • Papa Murphy’s Take ‘N’ Bake Chocolate Chip Cookie and S’mores Bars dough are not meant to be eaten raw.
  • This outbreak appears to be over; however, consumers should check their refrigerators and freezers for Papa Murphy’s Chocolate Chip Cookie and S’mores Bars dough purchased before May 23, 2023 and should throw it away.
  • Contact your healthcare provider if you think you may have symptoms of Salmonella infection.

Raw Dough Safety Tips

  • Due to the potential for contamination, never eat any raw dough that is supposed to be cooked or baked.
  • Always wash hands and clean and sanitize work surfaces and utensils thoroughly after contact with raw dough or batter.
  • Keep raw food or dough separate from other foods while preparing them to prevent any possible contamination from spreading.
  • More information is available on the FDA website.

Current Update

July 13, 2023

The FDA and CDC, in collaboration with state and local partners, investigated an outbreak of Salmonella Enteritidis infections linked to Chocolate Chip Cookie and S’mores Bars dough sold at Papa Murphy’s franchises and purchased before May 23, 2023.

FDA conducted a traceback investigation and identified two suppliers of interest. FDA and several state partners collected samples at both suppliers, and state partners also collected retail samples at several Papa Murphy’s stores. All samples collected were reported as negative for Salmonella contamination. As of July 13, 2023, CDC announced that the outbreak is over. CDC reports a total of 26 illnesses in six states. The last illness onset was May 22, 2023. FDA’s investigation is complete.

In response to this investigation, Papa Murphy’s notified franchise owners nationwide and stopped selling all Chocolate Chip Cookie dough and S’mores Bars dough at all stores and stopped using unprepared dry cookie dough mixes dating back through April 2023 to ensure any potentially contaminated ingredients are not used. As of July 13, 2023, Papa Murphy’s has not restarted sales of cookie dough. Additionally, the firm is reviewing their dessert menu items and labels to further enhance instructions to consumers to emphasize that their products are not intended to be eaten raw.

USA – FDA- Investigations of Foodborne Illness Outbreaks

FDA

What’s New

  • A new outbreak of E. coli O157:H7 (ref #1166) in a not yet identified product has been added to the table. FDA has initiated traceback.
  • For the outbreak of Cyclospora cayetanensis (ref #1163), the case count has increased from 105 to 112 cases.
  • For the outbreak of Cyclospora cayetanensis (ref #1159), FDA has initiated an onsite inspection, sample collection and analysis, and the case count has increased from 37 to 38 cases.

English Salmonella outbreak linked to eggs from Poland

Food Safety News

hazegg.jpg

A Salmonella outbreak in England that sickened more than 60 people earlier this year has been linked to eggs from Poland.

Samples from patients are also similar to previously reported isolates that fall into a cluster that is part of several national and international investigations.

There were 65 cases associated with the English outbreak; 25 confirmed and 18 probable infections linked to a restaurant, ten confirmed with unknown links to the establishment, and 12 with no link to the restaurant.

The outbreak linked to the unnamed restaurant was reported to the UK Health Security Agency (UKHSA) East of England Health Protection Team in early April. UKHSA was notified of multiple cases of gastroenteritis following food consumption at the site, with attendance or takeaway dates in late March, according to a study published in the journal Eurosurveillance.