Category Archives: outbreak

USA – Listeria Outbreak Linked to Deli Meat and Cheese

cdc

You are at higher risk for severe Listeria illness if you are pregnant, aged 65 or older, or have a weakened immune system due to certain medical conditions or treatments. If you are in any of these groups, do not eat meat or cheese from any deli counter, unless it is reheated to an internal temperature of 165°F or until steaming hot.

Fast Facts
  • Illnesses: 16
  • Hospitalizations: 13
  • Deaths: 1
  • States: 6
  • Recall: No
  • Investigation status: Active
Listeria in Deli Meat and Cheese

Deli meats (cold cuts, lunch meats, hot dogs, and pâtés sold at the deli) and cheeses are known sources of Listeria illnesses. This is because Listeria can easily spread among food on deli countertops, deli slicers, surfaces, and hands. Listeria is a hardy germ that can be difficult to fully remove once it is in the deli. It can survive and grow at cold temperatures in the refrigerator.

Source of the Outbreak

Information collected so far shows that deli meat and cheese purchased at deli counters in multiple states are the likely sources of this outbreak.

It is difficult for investigators to identify a single food as the source of outbreaks linked to deli meats and cheeses. This is because Listeria spreads easily between food and the deli environment and can persist for a long time in deli display cases and on equipment. A contaminated food likely introduced the outbreak strain of Listeria into delis in multiple states. Investigators are working to identify any specific products or delis that may be contaminated with the outbreak strain.

USA – Deli Meat and Cheese with Listeria sickens 16 in 6 States since 2021

Food Poison Journal

Key Facts: 16 sick people in California (1), Illinois (2), Maryland (3), Massachusetts (2), New Jersey (1) and New York (7) range in age from 38 to 92 years, with a median age of 74, and 62% are male. Of 13 people with ethnicity information available, 11 are of Eastern European background or speak Russian. Of 14 people with information available, 13 have been hospitalized. One person got sick during their pregnancy, resulting in pregnancy loss. Additionally, one death has been reported from Maryland. Sick people’s samples were collected from April 17, 2021, to September 29, 2022.

CDC, public health and regulatory officials in several states, the U.S. Department of Agriculture’s Food Safety and Inspection Service (USDA-FSIS), and the U.S. Food and Drug Administration (FDA) are collecting different types of data to investigate a multistate outbreak of Listeria monocytogenes infections.

Epidemiologic and laboratory data show that meat and cheese from deli counters contaminated with Listeria are making people sick. Investigators are still working to identify any specific products or delis that may be contaminated with the outbreak strain.

As of November 9, 2022, 16 people infected with the outbreak strain of Listeria have been reported from 6 states – California, Illinois, New York, Maryland, Massachusetts, New Jersey.

USA – Cooper’s Hawk Winery Cyclospora Outbreak in Jacksonville, Florida:  Victims Still Coming Forward to Seek Justice as 4-Year Statute of Limitations Approaches

Food Poisoning News

Cooper’s Hawk Winery Cyclospora Outbreak in Jacksonville, Florida:  Victims Still Coming Forward to Seek Justice as 4-Year Statute of Limitations Approaches

In June of 2019, the Florida Department of Health in Duval County (DOH-Duval) was notified of an outbreak of gastrointestinal illness (food poisoning) among employees of the local Jacksonville Cooper’s Hawk Winery – the restaurant corporate manager called in the notification. By that time, about 20 employees had become ill. On Sunday, June 23 the Regional Environmental Epidemiologist (REE) was notified by Florida Poison Information Control Network that 16 out of 17 persons who dined at Cooper’s Hawk with a group on June 11, 2019 were ill with a gastrointestinal illness.  This information was sent to DOH-Duval who began an outbreak investigation on June 24.

That same day, another individual called to report he was in a different group (24 persons) who all became ill (except one person) after eating at Cooper’s Hawk Winery in Jacksonville on June 13.

Between June 24 and July 3, 2019, a total of six independent parties contacted DOH-Duval Epidemiology to report gastrointestinal illness after they ate food from the Jacksonville Cooper’s Hawk Winery between June 11 and June 15.

On July 8, the local news media reported on the outbreak which resulted in additional patrons calling in and reporting their illnesses.

USA – Another Seattle area E. coli O157 Outbreak

Food Poison Journal

Public Health is investigating an outbreak of three people infected with Shiga toxin-producing E. coli O157:H7 (also known as STEC). Between October 4 – 16, 2022, 3 people from 3 separate households reported becoming ill. Cases have been among people ranging in age from 18 to 36 years old. Symptoms reported include diarrhea and abdominal pain.

The investigation is ongoing, and no source has been identified. Two of the three ill people report eating dishes that were prepared with raw or undercooked beef but we cannot rule out other possible sources at this time.

Confirmed cases have been linked through genetic fingerprinting results (whole genome sequencing) which indicate that they have the same genetic strain, meaning they likely have a common source of infection.

Denmark -Fish meatballs cause disease outbreaks with Listeria

SSI

Since mid-August, the Statens Serum Institut has registered seven patients who have become ill from the same type of Listeria monocytogenes . The Statens Serum Institut, the Danish Food Agency and the DTU Food Institute have jointly investigated the disease outbreak and have identified fish cakes as the cause. The fish meatballs have been recalled from the stores.

Last edited on November 9, 2022
Since mid-August, Statens Serum Institut has registered seven patients with the same type of the food-borne bacterium Listeria monocytogenes . Among the sick are one child and six people over the age of 70, of whom one person has subsequently died. The patients are distributed across the country and are four women and three men.

“By comparing bacteria from patients and samples from Jeka Fish, we have found that the bacteria are exactly the same. Combined with the fact that the patients have stated that they have eaten fish meatballs, this shows that the infection came from here”
Luise Müller, who is an epidemiologist at the Statens Serum Institut

The fish meatballs have been called back

On Tuesday 8 November, Jeka Fish recalled all fish cakes produced between 1 August and 31 October 2022 from the market. The recall was made because the Danish Food and Drug Administration had found listeria in production and in products at the company.

“Jeka Fish has recalled a number of different fish patties, which have now been taken off the shelves, but if you have the product at home, it is important to throw it away”
Annette Perge, section manager at the Danish Food and Drug Administration

The DTU Food Institute, SSI and the Danish Veterinary and Food Administration have analyzed and compared the listeria bacteria that were found in the patients and in samples from the company, using DNA typing.

See which types of fishcakes have been recalled

What should you do if you have eaten fish cakes from the recalled batch?

Even if you have eaten the fishmeals that have now been recalled, there is very little risk that you will get sick. You are at risk of becoming seriously ill with listeria if you are older, have a weakened immune system due to another serious illness or are pregnant.

You should contact a doctor if you have symptoms of illness. The symptoms include high fever, chills, muscle soreness and affected general condition; neck/back stiffness or altered level of consciousness.

The work continues

In addition to patients with the listeria bacteria in question, significantly more patients infected with listeria than usual have been registered since October 2022. So the work to find the causes of the other cases of illness continues.

“To avoid listeria infection, it is extremely important to stick to a refrigerator temperature of no more than 5 degrees and to eat foods such as cold cuts, cold-smoked fish and gravad salmon as fresh as possible. If we change habits, for example due to the energy and economic crisis, we risk that the bacteria will have good growth opportunities and that more people will get sick”
Senior researcher and research group leader Marianne Sandberg, DTU Food Institute 

Research – Hepatitis A outbreak in Australia linked to imported Medjool dates, June–September 202

Gov Au

Abstract

Imported, minimally processed food products have been historically associated with several hepati-tis A outbreaks in Australia. Here, we report the first known hepatitis A outbreak in Australia linked to consumption of imported fresh Medjool dates. Between June and September 2021, six genetically identical hepatitis A cases were notified in New South Wales and the Australian Capital Territory. All cases reported date consumption during their exposure period. The implicated dates were positive for hepatitis A virus (HAV) by reverse transcription polymerase chain reaction. Rapid detection of this outbreak and the swift implementation of control measures was facilitated by two key factors. Firstly, Australian international border closures implemented in response to the COVID-19 pan-demic meant that a common locally-acquired, as opposed to travel-acquired, source for cases was strongly suspected. Secondly, prompt awareness of a hepatitis A outbreak in the United Kingdom (which was found to be associated with date consumption) allowed for early hypothesis generation and investigation. This paper details the epidemiological and microbiological factors involved in this outbreak investigation and the actions taken to mitigate public health risk.

CDC – Annual Reports on Foodborne Illness Source Attribution Estimates – 2020

CDC

Executive Summary

Each year in the United States, an estimated 9 million people get sick, 56,000 are hospitalized, and 1,300 die of foodborne disease caused by known pathogens. These estimates help us understand the scope of this public health problem. However, to develop effective prevention measures, we need to understand the types of foods contributing to the problem. The Interagency Food Safety Analytics Collaboration (IFSAC) is a tri-agency group created by the Centers for Disease Control and Prevention (CDC), the U.S. Food and Drug Administration (FDA), and the U.S. Department of Agriculture’s Food Safety and Inspection Service (USDA-FSIS). IFSAC developed a method to estimate the percentages of foodborne illness attributed to certain sources using outbreak data from 1998 through the most recent year for IFSAC’s priority pathogens: Salmonella, Escherichia coli O157, Listeria monocytogenes, and Campylobacter. IFSAC described this method and the estimates for 2012 in a report, in a peer-reviewed journal article, and at a public meeting. Unlike in prior IFSAC Annual Reports, attribution estimates for Campylobacter are not presented in this year’s report. Evidence suggests the sources of Campylobacter outbreaks likely differ considerably from the sources of non-outbreak-associated illnesses caused by this pathogen. IFSAC is exploring alternative approaches for estimating the sources ofCampylobacter illnesses.IFSAC derived the estimates for 2020 using the same method used for the previous estimates, with some modifications. The data came from 1,287 foodborne disease outbreaks that occurred from 1998 through 2020 and for which each confirmed or suspected implicated food was assigned to a single food category. The method relies most heavily on the most recent five years of outbreak data (2016 – 2020).

Foods are categorized using a scheme IFSAC created to classify foods into 17 categories that closely align with the U.S. food regulatory agencies’ classification needs.

Salmonella illnesses came from a wide variety of foods. More than 75% of Salmonella illnesses were attributed to seven food categories: Chicken, Fruits, Pork, Seeded Vegetables (such as tomatoes), Other Produce (such as fungi, herbs, nuts, and root vegetables), Beef, and Turkey.

E. coli O157illnesseswere most often linked to Vegetable Row Crops (such as leafy greens) and Beef. More than 80% of illnesses were linked to these two categories.

Listeria monocytogenes illnesses were most often linked to Dairy products, Fruits, and Vegetable Row Crops. More than 75% of illnesses were attributed to these three categories, but the rarity of Listeria monocytogenes outbreaks makes these estimates less reliable than those for other pathogens.

Click to access P19-2020-report-TriAgency-508.pdf

Research – Salad behind Swedish Salmonella outbreak

Food Safety News

A Salmonella outbreak in Sweden has ended after affecting more than 100 people.

In total, 102 people fell sick in the national Salmonella Typhimurium outbreak from Sept. 17 to Oct. 19.

Arugula, also known as rocket or rucola, and bagged salad mixes that included arugula were the likely source of infection, according to the Public Health Agency of Sweden (Folkhälsomyndigheten), but no specific brand or company was named.

Twenty of 21 Swedish regions were affected. Most cases were reported in Västra Götaland, Skåne, Värmland, Jönköping, and Halland.

Patients were aged 4 to 87 with an average of 48 years old and 64 were women. Most people fell ill in the second half of September.

Research – Another drop in outbreaks was recorded in Germany for 2021

Food Safety News

The amount of foodborne outbreaks reported in Germany has continued to fall, according to the latest figures.

In 2021, the Robert Koch-Institut (RKI) and Federal Office of Consumer Protection and Food Safety (BVL) received slightly fewer reports of outbreaks with 168 compared to 193 in the previous year.

At least 1,179 cases, 196 hospitalizations, and two deaths were related to them in 2021. As in previous years, the top causes were Campylobacter and Salmonella.

Other agents involved in outbreaks were norovirus, Bacillus cereus, hepatitis A virus, Listeria monocytogenes, Clostridium perfringens, Yersinia enterocolitica, Shiga toxin-producing E. coli (STEC), Clostridium botulinum, Cronobacter sakazakii, histamine, Shigella, and Staphylococcus aureus. In seven outbreaks with 73 cases, the pathogen remained unknown.

Nineteen of the 22 outbreaks with more than five patients were caused by Salmonella.

Research – How Many Outbreaks Are Linked to Fast Food Restaurants?

Food Poisoning Bulletin

In the past ten years, there have been many food poisoning outbreaks linked to fast food restaurants. The outbreaks slowed significantly during the Covid-19 pandemic, however. This year, there was only one fast food outbreak that was allegedly associated with Wendy’s restaurants in several states that may have been caused by romaine lettuce. These outbreaks can be very large simply because there are so many restaurants in these fast food chains.

Now that people are no longer staying at home, and are eating out more, will there be more food poisoning outbreaks linked to fast food restaurants? Only time will tell.

Read more at the link above,