Category Archives: STEC E.coli

USA – FDA Releases Results of FY20-FY21 Romaine Lettuce Sampling Assignment

 

FDA

Eurofins Food Testing UK

The U.S. Food and Drug Administration is releasing the findings of a sampling assignment that tested raw agricultural commodity romaine lettuce mostly at facilities and on farms in the Salinas, California, and Yuma, Arizona growing regions for the presence of pathogens that have been linked to outbreaks of foodborne illness.

The assignment to detect pathogenic Escherichia coli (specifically, Shiga toxin-producing E. coli or STEC) and Salmonella spp began in November 2019 and ended in December 2020, after a pause in sample collection and testing from March through October 2020 due to the COVID-19 pandemic. The FDA did not detect any pathogens during the assignment.

The agency prioritized sample collection at farms and FDA-registered facilities identified in traceback investigations as suppliers of romaine lettuce possibly linked or linked to outbreaks of foodborne illnesses from 2017 to 2019.   The FDA collected and tested 279 samples for both pathogens. Each sample was made up of 10 subsamples, with each subsample consisting of one or more heads or hearts of romaine lettuce and weighing at least 300 grams. This approach – the collection and testing of samples composed of multiple subsamples – increases the probability of detecting pathogens if present, given that microbial hazards may not be uniformly present. Agency field staff collected all samples in their natural form but for the outer leaves having been removed. No fresh-cut lettuce was collected.

Ensuring the microbiological safety of leafy greens continues to be a priority to the FDA. Although no pathogens were detected during this assignment, maintaining surveillance during the growing/harvesting season is helpful to informing the agency’s leafy greens prevention efforts, specifically those outlined in the FDA’s  Leafy Greens Action Plan. The FDA originally released the action plan in March 2020 to foster a more urgent and collaborative approach to preventing leafy greens outbreaks caused by STEC.  In April 2021, the FDA released an updated version of the plan which reaffirms our commitment to advancing leafy greens safety.

For More Information

EU – Shiga toxin-producing Escherichia coli (STEC) infection – Annual Epidemiological Report for 2019

ECDC

ECDC’s annual surveillance reports provide a wealth of epidemiological data to support decision-making at the national level. They are mainly intended for public health professionals and policymakers involved in disease prevention and control programmes.

Executive summary

  • For 2019, 29 EU/EEA countries reported 8 313 confirmed cases of Shiga toxin-producing Escherichia coli (STEC) infection.
  • The overall notification rate was 2.2 cases per 100 000 population.
  • After a stable period, the notification rate increased in 2018−2019.
  • The highest notification rates were reported in Denmark, Iceland, Ireland, Malta, and Norway.
  • The highest rate of confirmed cases was observed in 0–4-year-old children (10.3 cases per 100 000 population).

Research – Lactic Starter Dose Shapes S. aureus and STEC O26:H11 Growth, and Bacterial Community Patterns in Raw Milk Uncooked Pressed Cheeses

MDPI

Adding massive amounts of lactic starters to raw milk to manage the sanitary risk in the cheese-making process could be detrimental to microbial diversity. Adjusting the amount of the lactic starter used could be a key to manage these adverse impacts. In uncooked pressed cheeses, we investigated the impacts of varying the doses of a lactic starter (the recommended one, 1×, a 0.1× lower and a 2× higher) on acidification, growth of Staphylococcus aureus SA15 and Shiga-toxin-producing Escherichia coli (STEC) O26:H11 F43368, as well as on the bacterial community patterns. We observed a delayed acidification and an increase in the levels of pathogens with the 0.1× dose. This dose was associated with increased richness and evenness of cheese bacterial community and higher relative abundance of potential opportunistic bacteria or desirable species involved in cheese production. No effect of the increased lactic starter dose was observed. Given that sanitary criteria were paramount to our study, the increase in the pathogen levels observed at the 0.1× dose justified proscribing such a reduction in the tested cheese-making process. Despite this, the effects of adjusting the lactic starter dose on the balance of microbial populations of potential interest for cheese production deserve an in-depth evaluation. View Full-Text

RASFF Alerts -STEC E.coli – Lamb Meat

RASFF

Shigatoxin-producing Escherichia coli in lamb meat from New Zealand in Germany

USA – Additional patients identified in outbreak tied to organic yogurt; one in Arizona – E.coli O157

Food Safety News

More patients are being identified by investigators working on an E. coli O157 outbreak that has been limited to Washington State. However, today Arizona officials confirmed there is a child in that state with an infection from the same strain of the pathogen.

There are 11 confirmed patients in Washington in the outbreak linked to locally produced organic yogurt sold by Pure Eire Dairy. Another three probable patients are from the Moses Lake area in Grant County, WA. Teresa McCallion of the Washington Department of Health said it is not unusual for counties and local health departments to know of probable cases before they are added to the state’s tally.

“We only report confirmed cases,” McCallion told Food Safety News on Wednesday evening. The Washington Health Department is working on a special outbreak information web page, which McCallion said should be available soon.

USA – USDA – Outbreak Investigations

FSIS USDA

The table below lists outbreak investigations in which FSIS responded by posting a recall of FSIS-regulated product linked to illness, a public health alert, and/or an after-action review report. The table does not include outbreak investigations that did not result in one or more of these outcomes.

Outbreak Year Pathogen Product Outcomes & References Active
2021 Salmonella Hadar Turkey, ground FSIS Public Notification: FSIS Issues Public Health Alert for Raw Ground Turkey Products Linked to Salmonella Hadar Illness

CDC Notice: Salmonella Outbreak Linked to Ground Turkey

Yes
2021 Salmonella Enteritidis Chicken, raw, breaded, stuffed (suspect) Yes
2021 Escherichia coli O157:H7 (E. coli) Beef, ground (suspect) No
2021 Escherichia coli O145 (E. coli) Beef, ground (suspect) No
2021 Escherichia coli O157:H7 (E. coli) Unknown

CDC Notice: View CDC Investigation Notice

No
2021 Listeria monocytogenes Unknown No

Research – Presumptive probiotic bacteria from traditionally fermented African food challenge the adhesion of enteroaggregative E. coli

Wiley Online

E.coli

Colonization of intestinal tract with the potential to exclude, displace, and inhibit enteric pathogens is principally dependent on the adhesion ability of probiotics. Therefore, probiotic efficacy is considered to be mainly determined by their adhesion ability. The current study reports the antagonistic effect of four lactic acid bacteria (LAB) on the adhesion profile of four diarrhoeagenic and one non‐diarrhoeagenic enteroaggregative Escherichia coli (EAEC). All the bacterial strains investigated adhered to the Caco‐2 cells. All the LAB tested competitively excluded, displaced, and inhibited at least three (non‐) diarrhoeagenic EAEC strains from adhesion (p < 0.05). In all, Lactobacillus plantarum, FS2 exhibited the strongest adhesion to the Caco‐2 cells, competitive exclusion (CE), displacement, and inhibition against most of the EAEC strains. Additionally, the competence to exclude, displace, and inhibit the EAEC from adhesion depended on both the pathogens and the LAB strains tested; signifying the participation of several mechanisms. Contrary to all the EAEC strains, gastro‐intestinal stress factors such as low pH (2.5) had no effect on the adhesion of the LAB. Unlike the gastro‐intestinal acidic conditions, bile salt conditioning (at pH 6.5) had no effect on the adhesion of both EAEC and LAB. In conclusion, all the LAB tested showed specific anti‐adherence effects including CE, displacement, and inhibition against the selected EAEC. The results indicate that all the LAB, particularly, the L. plantarum, FS2 had a good ability for exerting antagonistic effects against the selected EAEC for the prevention of gastrointestinal infection.

USA – Morse’s Sauerkraut worker sick with E. coli – source unknown – STEC E.coli

Food Poison Journal

The Maine Center for Disease Control and Prevention (Maine CDC) has identified a case of Shiga toxin-producing E. coli (STEC) infection in a Waldoboro food service worker, according to a Monday evening news release.

The individual handled deli food at Morse’s Sauerkraut in Waldoboro while infectious from April 1 through May 13.

An assessment of the individual’s illness determined that patrons of Morse’s Sauerkraut may be at risk for STEC infection, the Maine CDC announced.

Individuals who purchased deli items from Morse’s Sauerkraut between April 1 and May 13 should watch for symptoms of infection, such as severe stomach cramps, diarrhea (often bloody), and vomiting.

Research -Epidemiological investigation of recurrent outbreaks of haemolytic uraemic syndrome caused by Shiga toxin-producing Escherichia coli serotype O55:H7 in England, 2014–2018

Cambridge Org

Recurrent outbreaks of haemolytic uraemic syndrome (HUS) caused by Shiga toxin-producing Escherichia coli (STEC) serotype O55:H7 occurred in England between 2014 and 2018. We reviewed the epidemiological evidence to identify potential source(s) and transmission routes of the pathogen, and to assess the on-going risk to public health. Over the 5-year period, there were 43 confirmed and three probable cases of STEC O55:H7. The median age of cases was 4 years old (range 6 months to 69 years old) and over half of all cases were female (28/46, 61%). There were 36/46 (78.3%) symptomatic cases, and over half of all cases developed HUS (25/46, 54%), including two fatal cases. No common food or environmental exposures were identified, although the majority of cases lived in rural or semi-rural environments and reported contact with both wild and domestic animals. This investigation informed policy on the clinical and public health management of HUS caused by STEC other than serotype O157:H7 (non-O157 STEC) in England, including comprehensive testing of all household contacts and household pets and more widespread use of polymerase chain reaction assays for the rapid diagnosis of STEC-HUS.

RASFF Alerts – STEC E.coli – Beef Meat – Organic Beef Meat

RASFF

E. Coli STEC (O26) in bovine fresh meat from New Zealand in the Netherlands

RASFF

Shigatoxin-producing Escherichia coli (in 1 out of 5 samples /25g) in organic bovine meat from Spain in Italy