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Category Archives: outbreak
Research – Human Salmonellosis: A Continuous Global Threat in the Farm-to-Fork Food Safety Continuum
Salmonella is one of the most common zoonotic foodborne pathogens and a worldwide public health threat. Salmonella enterica is the most pathogenic among Salmonella species, comprising over 2500 serovars. It causes typhoid fever and gastroenteritis, and the serovars responsible for the later disease are known as non-typhoidal Salmonella (NTS). Salmonella transmission to humans happens along the farm-to-fork continuum via contaminated animal- and plant-derived foods, including poultry, eggs, fish, pork, beef, vegetables, fruits, nuts, and flour. Several virulence factors have been recognized to play a vital role in attaching, invading, and evading the host defense system. These factors include capsule, adhesion proteins, flagella, plasmids, and type III secretion systems that are encoded on the Salmonella pathogenicity islands. The increased global prevalence of NTS serovars in recent years indicates that the control approaches centered on alleviating the food animals’ contamination along the food chain have been unsuccessful. Moreover, the emergence of antibiotic-resistant Salmonella variants suggests a potential food safety crisis. This review summarizes the current state of the knowledge on the nomenclature, microbiological features, virulence factors, and the mechanism of antimicrobial resistance of Salmonella. Furthermore, it provides insights into the pathogenesis and epidemiology of Salmonella infections. The recent outbreaks of salmonellosis reported in different clinical settings and geographical regions, including Africa, the Middle East and North Africa, Latin America, Europe, and the USA in the farm-to-fork continuum, are also highlighted.
Posted in Decontamination Microbial, food bourne outbreak, Food Micro Blog, Food Microbiology, Food Microbiology Blog, Food Microbiology Research, Food Microbiology Testing, Food Pathogen, foodborne outbreak, foodbourne outbreak, microbial contamination, Microbial growth, Microbiological Risk Assessment, Microbiology, Microbiology Investigations, Microbiology Risk, outbreak, Pathogen, pathogenic, Salmonella, Serotype
Research – Severe Streptococcus equi Subspecies zooepidemicus Outbreak from Unpasteurized Dairy Product Consumption, Italy
Abstract
During November 2021–May 2022, we identified 37 clinical cases of Streptococcus equi subspecies zooepidemicus infections in central Italy. Epidemiologic investigations and whole-genome sequencing showed unpasteurized fresh dairy products were the outbreak source. Early diagnosis by using sequencing technology prevented the spread of life-threatening S. equi subsp. zooepidemicus infections.
Streptococcus equi subspecies zooepidemicus is a β-hemolytic streptococcus expressing Lancefield group C antigen and is 1 of 3 S. equi subspecies. S. equi subsp. zooepidemicus is an opportunistic pathogen that can infect domestic animals, pets, and wildlife (1–6). Sporadic human cases have been reported (7), characterized by clinical manifestations that vary from meningitis to sepsis. Human infection generally occurs through direct contact with infected animals or by consumption of contaminated unpasteurized milk or other dairy products (8–10). We report a large S. equi subsp. zooepidemicus outbreak in Italy.
Posted in Decontamination Microbial, Food Illness, Food Micro Blog, Food Microbiology, Food Microbiology Blog, Food Microbiology Research, Food Microbiology Testing, Foodborne Illness, foodborne outbreak, foodbourne outbreak, Illness, microbial contamination, Microbial growth, Microbiological Risk Assessment, Microbiology, Microbiology Investigations, Microbiology Risk, outbreak, Raw Milk, raw milk cheese, Raw Milk Cream, Streptococcus equi, Streptococcus equi subspecies zooepidemicus
USA – A 2022 Salmonella Outbreak that sickened 88, hospitalizing 32 in 11 states that went unannounced – Why?
In August 2022, the U.S. Food and Drug Administration (FDA), Centers for Disease Control and Prevention (CDC), and state partners conducted an outbreak investigation into a multistate outbreak of Salmonella Typhimurium linked to cantaloupe.
- Total Illnesses: 88
- Hospitalizations: 32
- Deaths: 0
- Last Illness Onset: September 11, 2022
- States with Cases: GA (1), IL (5), IN (17), IA (39), KY (3), MI (3), MN (4), MO (2), OH (3), SC (1), WI (10)
The outbreak response investigation found:
- In August 2022, CDC notified FDA about a multistate cluster of Salmonella Typhimurium illnesses with a potential signal for melon exposures. The cases were geographically distributed in the U.S. upper Midwest.
- The isolates in this cluster of illnesses were within 7 alleles / 11 single-nucleotide polymorphisms (SNPs) of two FDA soil swab samples collected from a 2020 outbreak investigation in Indiana. As a part of the 2022 investigation, FDA and state partners collected multiple samples, but none of the resulting isolates were a definitive match to the 2022 outbreak strain.
- FDA’s 2022 traceback investigation identified 11 points of service, of which 8 traced back to a common packinghouse. Although a common packinghouse was identified, there was no convergence to a single shipment of products, and therefore three farms that supplied the common packing house were identified as potential sources of cantaloupe.
As a result of the traceback, FDA conducted investigations in Indiana at all three farms, their common packinghouse and nearby public lands. Salmonella positive environmental samples were found at each location, but none of the resulting Salmonella isolates conclusively matched the outbreak strain by whole genome sequencing (WGS). No cantaloupes were recalled and no public warning was issued due to the implicated products no longer being on the market.
Posted in Decontamination Microbial, food bourne outbreak, Food Illness, Food Micro Blog, Food Microbiology, Food Microbiology Blog, Food Microbiology Research, Food Microbiology Testing, Foodborne Illness, foodborne outbreak, foodbourne outbreak, Illness, microbial contamination, Microbial growth, Microbiological Risk Assessment, Microbiology, Microbiology Investigations, Microbiology Risk, outbreak, Salmonella
USA – FDA Issues Report Highlighting Salmonella Outbreak in Cantaloupe During Summer of 2022
Constituent Updates
April 27, 2023
The U.S. Food and Drug Administration (FDA) has released a report on its investigation of the Salmonella Typhimurium outbreak that caused 88 reported illnesses and 32 hospitalizations in the U.S. between July and September 2022. The FDA worked with the U.S. Centers for Disease Control and Prevention (CDC) and state partners to investigate the outbreak, which was linked through epidemiology and traceback to cantaloupe grown in Southwest Indiana during the summer of 2022. The report released today includes an overview of the traceback investigation, investigation results, and various factors that potentially contributed to the contamination of cantaloupe with Salmonella.
As a result of the traceback, FDA conducted investigations in Indiana at three farms, their common packinghouse and nearby public lands. Salmonella positive environmental samples were found at each location, but none of the resulting Salmonella isolates conclusively matched the outbreak strain by whole genome sequencing (WGS). Although the investigation did not result in identification of a specific microbial source or route that resulted in this outbreak, the agency identified Salmonella spp. in on-farm, post-harvest, and off-farm environments.
In light of the investigational findings, FDA highlights the following recommendations and requirements applicable to firms, such as growers of melons and similar produce:
- Review current conditions and practices to determine whether they are adequate or if additional prevention measures are warranted.
- Understanding previous land use can help farms identify and address potential sources of pathogens that may affect their farming operations.
- Be cognizant of and assess risks that may be posed by adjacent and nearby land uses, especially as it relates to the presence of livestock, including poultry, and the interface between farmland, and other agricultural areas.
- Consider additional tools such as pre-harvest and/or post-harvest sampling and testing of products to help inform the need for specific prevention measures.
- Poultry manure, while valued for its fertilizer value, is a known reservoir for Salmonella spp. Proper application of a manure that has been treated with a validated and verified process to reduce pathogens (e.g. composting with time and temperature measurements) can significantly reduce the potential for the integration of Salmonella or other human pathogens into soils (as compared to the use of raw manures).
- Inspect, maintain, and clean and, when necessary and appropriate, sanitize all food contact surfaces of equipment and tools used as frequently as reasonably necessary to protect against contamination.
- When appropriate, use EPA-approved products according to the label for cleaning and sanitizing.
- Inconsistent adherence to or deviation from existing SOPs for cleaning and sanitizing by farms can affect produce safety. Effective communication on farms about SOPs and any changes to those SOPs can help ensure that food safety practices are being followed.
- Root cause analyses may be useful in identifying for growers how human pathogen sources in the broader agricultural environment may contribute to contamination.
- Improve traceability through increased digitization, interoperability, and standardization of traceability records which would expedite traceback and help remove contaminated product from the marketplace more quickly, thereby preventing further illnesses. This is not only important for growers, but also critical for shippers, manufactures, and retailers as well, to improve overall traceability throughout the supply chain.
FDA will work in conjunction with the Indiana State Department of Health to increase awareness amongst the melon growing industry of pathogenic environmental strains in the region to develop and promote risk reduction strategies related to melon growing and harvesting to minimize the impact of these strains.
Food safety is a shared responsibility that involves food producers, distributors, manufacturers, retailers, and regulators. Recognizing the interconnection between people, animals, plants, and their shared environment when it comes to public health outcomes, we encourage collaboration among various groups in the broader agricultural community (i.e., produce growers, state government and academia) to address this issue.
Posted in Decontamination Microbial, FDA, food bourne outbreak, Food Illness, Food Micro Blog, Food Microbiology, Food Microbiology Blog, Food Microbiology Testing, Foodborne Illness, foodborne outbreak, foodbourne outbreak, Illness, microbial contamination, Microbial growth, Microbiological Risk Assessment, Microbiology, Microbiology Investigations, Microbiology Risk, outbreak, Salmonella
India – 40 hospitalised due to food poisoning
Kurnool: Around 40 people of Karivena in Atmakur of Nandyal district got hospitalized during the early hours of Wednesday with complaints of food poisoning.
On Tuesday night, they had been to an engagement function in the village, where they had their dinner. Following complaints of vomiting and diarrhea, other villagers shifted them to Nandikotkur and Atmakur hospitals for treatment by 108 ambulance services.
Their condition is said to be stable after treatment.
Posted in food bourne outbreak, Food Illness, Food Micro Blog, Food Microbiology, Food Microbiology Blog, Food Microbiology Research, Food Microbiology Testing, Food Poisoning, Foodborne Illness, foodborne outbreak, foodbourne outbreak, Illness, microbial contamination, Microbial growth, Microbiological Risk Assessment, Microbiology, Microbiology Investigations, Microbiology Risk, outbreak, Poisoning
USA – Mysterious outbreak sickens more than a dozen, closes restaurant
State and federal officials are investigating a new outbreak of illnesses linked to an as yet unnamed restaurant.
The Food and Drug Administration has released little information about the outbreak except to say 13 people in one state are sick. All of their illnesses are linked to a single restaurant, according to an outbreak notice from the FDA.
The ages of the sick people have not been released. The FDA has not reported whether any of the patients has required hospitalization. It also has not reported what symptoms the patients have had or whether any laboratory tests have been conducted.
The agency has begun traceback efforts, but has not indicated what food or foods are involved in the traceback.
Posted in Decontamination Microbial, food bourne outbreak, Food Illness, Food Micro Blog, Food Microbiology, Food Microbiology Blog, Food Microbiology Research, Food Microbiology Testing, Foodborne Illness, foodborne outbreak, foodbourne outbreak, Illness, microbial contamination, Microbial growth, Microbiological Risk Assessment, Microbiology, Microbiology Investigations, Microbiology Risk, outbreak
USA – FDA Core Investigation Table Update – Investigations of Foodborne Illness Outbreaks
What’s New
- For the outbreak of hepatitis A virus (ref #1143), cases have increased from 7 to 8. This change has been made on the advisory for this outbreak.
- A new investigation has been added to the table (ref#1152). Although the pathogen/cause of illness and products linked to illnesses is not yet identified, there are 13 illnesses from one state linked to a single restaurant that has suspended operations. FDA has initiated traceback in coordination with state partners.
| Date Posted |
Ref | Pathogen or Cause of Illness |
Product(s) Linked to Illnesses (if any) |
Total Case Count |
Status |
| 4/26/2023 | 1152 | Not Yet Identified | Not Yet Identified |
13 | Active |
| 3/29/2023 | 1141 | Salmonella Infantis | Raw Flour | See CDC Investigation Notice |
Active |
| 3/1/2023 | 1143 | Hepatitis A Virus | Frozen Organic Strawberries |
See Outbreak Advisory |
Active |
| 2/15/2023 | 1123 | Listeria monocytogenes |
Not Yet Identified |
See CDC Investigation Notice |
Active |
Posted in FDA, food bourne outbreak, Food Illness, Food Micro Blog, Food Microbiology, Food Microbiology Blog, Food Microbiology Research, Food Microbiology Testing, Foodborne Illness, foodborne outbreak, foodbourne outbreak, Hepatitis A, Illness, Listeria, Listeria monocytogenes, microbial contamination, Microbial growth, Microbiological Risk Assessment, Microbiology, Microbiology Investigations, Microbiology Risk, outbreak, Salmonella
USA – CDC – From Inspector to Investigator: Finding the Factors That Lead to Foodborne Outbreaks
Working on an outbreak investigation? Watch our short training video to learn the importance of identifying practices and factors that contribute to the outbreak. This video can also be viewed at https://www.cdc.gov/nceh/ehs/videos/I…
Posted in CDC, food bourne outbreak, Food Micro Blog, Food Microbiology, Food Microbiology Blog, Food Microbiology Research, Food Microbiology Testing, foodborne outbreak, foodbourne outbreak, microbial contamination, Microbial growth, Microbiological Risk Assessment, Microbiology, Microbiology Investigations, Microbiology Risk, outbreak
USA – Food illnesses linked to Dave’s Sushi in Bozeman – a death possibly linked to mushrooms
According to the Gallatin County Health Department, Dave’s Sushi in Bozeman is closed until further notice due to possible foodborne illnesses. The health department was notified of possible foodborne illness linked to eating at Dave’s Sushi on April 17. At this time, it is unclear what pathogen caused the illness.
On April 18, the health department performed an inspection and reportedly found Dave’s Sushi with four violations.
According to press reports, a man died after eating at the popular Bozeman restaurant, Dave’s Sushi, according to Broadwater County Sheriff Nick Rauser, who is also the county coroner. Sheriff Rauser says the 74-year-old man died at his home in Broadwater County. Sheriff Rauser says the call came in at 6:34 AM on the morning of April 18 and a relative told the responding officer that the man had eaten at Dave’s Sushi the night before, the same night the Gallatin County Health Department reported they received complaints of people becoming ill which led to the investigation and closure of the restaurant.
Dave’s Sushi will remain closed until further notice, pending a full investigation. According to a press release from the Gallatin City-County Health Department, the illnesses have been linked to eating at Dave’s Sushi on the afternoon of April 17, as well as April 1, April 8, April 9, and April 10.
Posted in food bourne outbreak, Food Illness, Food Micro Blog, Food Microbiology, Food Microbiology Blog, Food Microbiology Research, Food Microbiology Testing, Food Pathogen, Foodborne Illness, foodborne outbreak, foodbourne outbreak, Illness, microbial contamination, Microbial growth, Microbiological Risk Assessment, Microbiology, Microbiology Investigations, Microbiology Risk, outbreak, Pathogen
USA – CDC – Salmonella Outbreak Linked to Flour
Investigators are working to identify a specific brand of flour linked to this outbreak. However, any raw (unbaked) flour can have germs, like Salmonella. Do not eat or play with uncooked flour, dough, or batter.
Fast Facts
- Illnesses: 12
- Hospitalizations: 3
- Deaths: 0
- States: 11
- Recall: No
- Investigation status: Active
Salmonella in Raw Flour
Flour doesn’t look like a raw food, but most flour is raw. This means that it hasn’t been treated to kill germs that cause food poisoning. Any raw (unbaked) flour used to make dough or batter can be contaminated with germs like Salmonella, but Salmonella germs are killed when flour is cooked or baked. You can get sick after eating or tasting raw dough or batter. Children can get sick from handling or eating raw dough used for crafts or play clay.
Source of the Outbreak
Most people reported eating raw dough or batter made with flour before they got sick. Flour was the only common ingredient in the raw dough or batter people reported eating. Investigators are working to identify a specific brand of flour linked to illnesses.
What You Should Do
- Do not eat raw dough or batter – even a small amount can make you or your child sick
- Bake or cook food made with raw flour, like cookie dough or cake batter, before eating it.
- Follow the recipe or package instructions for cooking or baking. Use the temperature and cooking time given in the recipe or instructions.
- Buy heat-treated flour to use in recipes for homemade playdough.
- Clean
- Wash any bowls, utensils, and surfaces that touched raw flour with warm water and soap.
- Wash your hands with warm water and soap before and after using raw flour.
- Separate
- Keep raw flour, dough, and batter separate from foods that won’t be cooked.
- Call a healthcare provider right away if you or your child have:
- Diarrhea and a fever higher than 102°F
- Diarrhea for more than 3 days that is not improving
- Bloody diarrhea
- So much vomiting that you cannot keep liquids down
- Signs of dehydration, such as:
- Not peeing much
- Dry mouth and throat
- Feeling dizzy when standing up
Posted in CDC, Decontamination Microbial, food bourne outbreak, Food Illness, Food Micro Blog, Food Microbiology, Food Microbiology Blog, Food Microbiology Research, Food Microbiology Testing, Foodborne Illness, foodborne outbreak, foodbourne outbreak, Illness, microbial contamination, Microbial growth, Microbiological Risk Assessment, Microbiology, Microbiology Investigations, Microbiology Risk, outbreak, Salmonella
