Category Archives: Uncategorized

USA -Outbreak Investigation of Hepatitis A Potentially Linked to Fresh Conventional Blackberries from Fresh Thyme Farmers Market and Woodman’s Market, Fall 2019

FDA

The U.S. Food and Drug Administration (FDA), along with the Centers for Disease Control and Prevention (CDC), and state and local partners, are investigating a multistate outbreak of hepatitis A illnesses in Indiana, Michigan, Minnesota, Missouri, Nebraska, and Wisconsin potentially linked to fresh, conventional (non-organic) blackberries from the grocery stores Fresh Thyme Farmers Market and Woodman’s Market.

On December 10, 2019, CDC updated their case counts to 18 illnesses, with the most recent illness onset date on November 15, 2019.

Based on the epidemiological information collected in the investigation thus far, ill patients reported consuming fresh, conventional blackberries bought in six states including Indiana, Michigan, Minnesota, Missouri, Nebraska, and Wisconsin. Case patients reported buying them from either Fresh Thyme Farmers Market or Woodman’s Market.

Currently, traceback information shows that the berries from Fresh Thyme Farmers Market came from a distribution center that ships fresh berries to Fresh Thyme Farmers Market stores in 11 states: IA, IL, IN, KY, MI, MO, MN, NE, OH, PA, and WI. As this investigation continues, the FDA will work with our federal and state partners to obtain additional information, including Woodman’s Market, during the traceback investigation and will update this advisory as more information becomes available.

Recommendation

The FDA is urging consumers to not eat any fresh, conventional blackberries if purchased between September 9 and September 30, 2019, from Fresh Thyme Farmers Market stores in the 11 states mentioned above or from Woodman’s Market located in Wisconsin and Illinois. People who purchased the fresh blackberries and then froze those berries for later consumption should not eat these berries. They should be thrown away.

If consumers purchased fresh, conventional blackberries from Fresh Thyme Farmers Market stores in the 11 states listed above or from Woodman’s Market located in Wisconsin and Illinois between September 9-30, ate those berries in the last two weeks, and have not been vaccinated for the hepatitis A virus (HAV), they should consult with their healthcare professional to determine whether post exposure prophylaxis (PEP) is indicated. PEP is recommended for unvaccinated people who have been exposed to HAV in the last two weeks. Those with evidence of previous hepatitis A vaccination or previous hepatitis A infection do not require PEP.

Contact your healthcare provider if you think you may have become ill from eating these blackberries, or if you believe that you have eaten these berries in the last two weeks.

Case Counts

Total Illnesses: 18
Hospitalizations: 10
Deaths: 0
Last illness onset: November 15, 2019
States with Cases: IN, MI, MN, MO, NE, WI

Research – Evaluating the Antimicrobial Efficacy of White Mustard Essential Oil Alone and in Combination with Thymol and Carvacrol against Salmonella

Journal of Food Protection

ABSTRACT

It is estimated that nontyphoidal Salmonella causes approximately 1 million illnesses and 378 deaths per year in the United States. Reduction of Salmonella-related foodborne infections can be achieved through application of food antimicrobials. Essential oils in combination with other antimicrobials can be added to food products to reduce the levels of the organism below the infectious dose for healthy individuals. The purpose of this study was to investigate the antimicrobial efficacy of white mustard essential oil (WMEO) against serovars of Salmonella and its potential to be used with carvacrol or thymol to control Salmonella. Results showed that WMEO at the highest concentration of 0.84% (v/v) compared with the positive control had approximately a 6- to 7-log reduction for all serovars. It was found that no difference in susceptibility existed among the serovars tested (P > 0.05). In addition, the MICs were determined to be 0.5, 0.02, and 0.02% for WMEO, carvacrol, and thymol, respectively, against Salmonella Typhimurium. The fractional inhibitory concentration index was calculated. A score of 1 indicated an additive effect occurred when WMEO was combined with thymol or carvacrol. Combining WMEO with carvacrol or thymol indicated that the concentration of individual essential oils needed to inhibit Salmonella can be reduced using these combinations and warrants further study to determine potential use in controlling Salmonella in commercial food products.

HIGHLIGHTS
  • WMEO showed no significant difference in antimicrobial activity between Salmonella serovars.

  • The MIC of WMEO against Salmonella Typhimurium was 0.5%.

  • Combination with thymol or carvacrol had an additive effect on the antimicrobial activity of WMEO.

Research – Occurrence and Abundance of Pathogenic Vibrio Species in Raw Oysters at Retail Seafood Markets in Northwestern Mexico

Journal of Food Protection

ABSTRACT

Seafood has frequently been associated with foodborne illness because pathogens are easily introduced during seafood cultivation, handling, and processing. Vibrio parahaemolyticus and Vibrio cholerae are human pathogens that cause gastroenteritis and cholera, respectively, and Vibrio vulnificus can cause fatal wound infections and septicemia. However, information about the occurrence of these pathogens in oysters from the Pacific coast of Mexico is limited to V. parahaemolyticus. In the present study, we evaluated the presence and abundance of these three Vibrio species in 68 raw oysters (Crassostrea corteziensis) obtained from retail seafood markets in Sinaloa, Mexico. The most probable number (MPN)–PCR assay was used for amplification of the tlh (thermolabile hemolysin), ompW (outer membrane protein), and vvhA (hemolytic cytolysin) genes that are specific to V. parahaemolyticus, V. cholerae, and V. vulnificus, respectively. All oyster samples were positive for at least one Vibrio species. V. parahaemolyticus, V. cholerae, and V. vulnificus prevalences were 77.9, 8.8, and 32.3% overall, respectively, and most species were present in all sample periods with increased prevalence in period 3. The tdh (thermostable direct hemolysin) gene was detected in 30.1%, trh (TDH-related hemolysin) was detected in 3.7%, and tdh/trh was detected in 7.5% of the total tlh-positive samples (53 of 68), whereas the pandemic serotype O3:K6 (orf8 positive) was detected in only 1 sample (1.8%). The total prevalence of tdh and/or trh was 41.5%. In none of the samples positive for V. cholerae were the cholera toxin (ctxA) and cholix (chxA) toxigenic genes or the rfb gene encoding the O1 and O139 antigens amplified, suggesting the presence of non-O1 non-O139 V. cholerae strains. Our results clearly indicated a high prevalence of pathogenic Vibrio species in raw oysters from retail seafood markets in Mexico. Consumption of these raw oysters carries the potential risk of foodborne illness, which can be limited by cooking.

HIGHLIGHTS
  • V. parahaemolyticus, V. cholerae, and V. vulnificus were prevalent in raw oysters from Mexico.

  • The tdh and trh genes and the pandemic O3:K6 serotype were detected in raw oysters.

  • The ctxA and chxA genes, and O1/O139 serotypes were absent from V. cholerae–positive samples.

  • The consumption of raw oysters represents a health risk for Vibrio infections.

Research – An Assessment of Listeriosis Risk Associated with a Contaminated Production Lot of Frozen Vegetables Consumed under Alternative Consumer Handling Scenarios

Journal of Food Protection

ABSTRACT

Frozen foods do not support the growth of Listeria monocytogenes (LM) and should be handled appropriately for safety. However, consumer trends regarding preparation of some frozen foods may contribute to the risk of foodborne listeriosis, specifically when cooking instructions are not followed and frozen products are instead added directly to smoothies or salads. A quantitative microbial risk assessment model FFLLoRA (Frozen Food Listeria Lot Risk Assessment) was developed to assess the lot-level listeriosis risk due to LM contamination in frozen vegetables consumed as a ready-to-eat food. The model was designed to estimate listeriosis risk per serving and the number of illnesses per production lot of frozen vegetables contaminated with LM, considering individual facility factors such as lot size, prevalence of LM contamination, and consumer handling prior to consumption. A production lot of 1 million packages with 10 servings each was assumed. When at least half of the servings were cooked prior to consumption, the median risk of invasive listeriosis per serving in both the general and susceptible population was <1.0 × 10−16 with the median (5th, 95th percentiles) predicted number of illnesses per lot as 0 (0, 0) and 0 (0, 1) under the exponential and Weibull-gamma dose-response functions, respectively. In scenarios in which all servings are consumed as ready-to-eat, the median predicted risk per serving was 1.8 × 10−13 and 7.8 × 10−12 in the general and susceptible populations, respectively. The median (5th, 95th percentile) number of illnesses was 0 (0, 0) and 0 (0, 6) for the exponential and Weibull-Gamma models, respectively. Classification tree analysis highlighted initial concentration of LM in the lot, temperature at which the product is thawed, and whether a serving is cooked as main predictors for illness from a lot. Overall, the FFLLoRA provides frozen food manufacturers with a tool to assess LM contamination and consumer behavior when managing rare and/or minimal contamination events in frozen foods.

HIGHLIGHTS
  • A tool for frozen food manufacturers to assess listeriosis risk was developed.

  • Scenarios of low-level L. monocytogenes in frozen vegetables did not typically result in illness.

  • Listeriosis cases depended on model inputs related to consumer handling and initial concentration.

  • Scenarios of more testing increased the probability of finding a contaminated lot and reduced risk.

Research -Predictive Model of Listeria monocytogenes Growth in Queso Fresco

Journal of Food Protection

ABSTRACT

Listeria monocytogenes is a hardy psychrotrophic pathogen that has been linked to several cheese-related outbreaks in the United States, including a recent outbreak in which a fresh cheese (queso fresco) was implicated. The purpose of this study was to develop primary, secondary, and tertiary predictive models for the growth of L. monocytogenes in queso fresco and to validate these models using nonisothermal time and temperature profiles. A mixture of five strains of L. monocytogenes was used to inoculate pasteurized whole milk to prepare queso fresco. Ten grams of each fresh cheese sample was vacuum packaged and stored at 4, 10, 15, 20, 25, and 30°C. From samples at each storage temperature, subsamples were removed at various times and diluted in 0.1% peptone water, and bacteria were enumerated on Listeria selective agar. Growth data from each temperature were fitted using the Baranyi model as the primary model and the Ratkowsky model as the secondary model. Models were then validated using nonisothermal conditions. The Baranyi model was fitted to the isothermal growth data with acceptable goodness of fit statistics (R2 = 0.928; root mean square error = 0.317). The Ratkowsky square root model was fitted to the specific growth rates at different temperatures (R2 = 0.975). The tertiary model developed from these models was validated using the growth data with two nonisothermal time and temperature profiles (4 to 20°C for 19 days and 15 to 30°C for 11 days). Data for these two profiles were compared with the model prediction using an acceptable prediction zone analysis; >70% of the growth observations were within the acceptable prediction zone (between −1.0 and 0.5 log CFU/g). The model developed in this study will be useful for estimating the growth of L. monocytogenes in queso fresco. These predictions will help in estimation of the risk of listeriosis from queso fresco under extended storage and temperature abuse conditions.

HIGHLIGHTS
  • Growth of L. monocytogenes was examined in queso fresco at constant temperatures.

  • A positive correlation was found between temperature and growth rate.

  • A tertiary model was developed to predict growth under nonisothermal conditions.

  • The acceptable prediction zone analysis suggests that the tertiary model was acceptable.

USA/Canada – Salinas Romaine sickens 2 in Canada with E. coli O157and 102 in the United States

Food Poison Journal

Since November 22, 2019, the Public Health Agency of Canada (PHAC) has identified one additional E. coli illness in Canada with a similar genetic fingerprint to illnesses reported in the ongoing United States (U.S.) E. coli outbreak linked to romaine lettuce harvested in Salinas, California which has sickened at least 102 people in 23 states

As of December 6, 2019, there are two illnesses related to the U.S. outbreak that have been identified in Canada: Manitoba (1) and Alberta (1). These individuals became ill in mid-October and early November 2019. One individual was hospitalized. No deaths have been reported.

PHAC has engaged federal and provincial public health partners and continues to work with U.S. health officials to determine the source of contamination affecting consumers.

Consumers are still advised to not eat, and retailers and food service establishments to not sell or serve, any romaine lettuce harvested from the Salinas, California growing region in the U.S. Romaine lettuce harvested in Canada is not affected by this advice.

Canada – Food Recall Warning – Fresh Express brand Sunflower Crisp Chopped Kit recalled due to E. coli O157:H7

CFIA

Recall details

Ottawa, December 8, 2019 – The Canadian Food Inspection Agency (CFIA) is warning consumers not to consume the recalled product described below. This product is not likely to be available at retail stores, but may still be in consumer’s homes.

Recalled product

Brand Product Size UPC Codes
Fresh Express Sunflower Crisp Chopped Kit 315 g 0 71279 30906 4 All packages bearing a Best Before dates up to and including 07DE19,  and a lot code beginning with “Z”, and indicating “Salinas” as a source of Romaine lettuce

Illnesses

The Public Health Agency of Canada is investigating an outbreak of human illness. Please refer to the Public Health Notice (www.canada.ca/en/public-health/services/public-health-notices/2019/outbreak-e-coli-salad-kits.html) for further details on this active outbreak investigation.

Product photos

Printer ready version of photos

  • Sunflower Crisp Front
  • Sunflower Crisp Back

USA – White Castle Frozen Sandwiches Recalled For Possible Listeria monocytogenes

Food Poisoning Bulletin White Castle microwaveable 6 pack hamburgers

White Castle frozen sandwiches are being recalled for possible Listeria monocytogenes contamination. No illnesses have been reported to date in connection with this recall.

The recalled White Castle frozen sandwiches are all identified as sliders. They include frozen 6 pack cheeseburgers, frozen 6 pack hamburgers, frozen 6 pack jalapeño cheeseburgers, 16 pack hamburgers, and 16 pack cheeseburgers. The products are sold in rectangular cardboard packages. The code date is on a side panel. You can see the long list of recalled product lot codes and best by dates at the FDA web site, along with pictures of all of the product labels.

FDA

The recall affects product on shelves at “select retailers,” which weren’t mentioned in the recall notice, with best by dates ranging from 04 Aug 2020 to 17 Aug 2020. Any product that is currently on store shelves with these dates is being removed. Any product with a best by date before or after these specific dates is not included in the voluntary recall.

A recent sample conducted by a third party laboratory showed a presence of Listeria monocytogenes.

White Castle microwaveable 6 pack cheeseburgers

White Castle microwaveable 6 pack jalapeno cheeseburgers

Norway – Norwegian fish product linked to Listeria infections

Food Safety News haadem fisk rakfisk

A brand of raw fermented trout has been recalled in Norway after being linked to several Listeria infections.

Haadem Fisk withdrew ‘Hel rakfisk i spann – 4 kilograms’ with lot number 924 due to Listeria contamination. It was sold across the country.

The Norwegian Food Safety Authority (Mattilsynet) warned consumers against eating fish from this batch. Officials would not disclose how many people are ill but Food Safety News understands there are only a small number of potentially linked infections.

Rakfisk is raw fish normally gutted and put into a salt brine and left for weeks or months. For most of the population the main season to eat it is November to February.

USA -Outbreak Investigation of Salmonella Potentially Linked to Tailor Cut Produce Fruit Mix, Winter 2019

FDA

FDA and the Pennsylvania Department of Health (DOH) are investigating an outbreak of illnesses caused by Salmonella Javiana in Pennsylvania. Epidemiologic and traceback evidence indicate that fruit mix with cantaloupe, honeydew, pineapple, and grapes from Tailor Cut Produce of North Brunswick, New Jersey, are a potential source of this outbreak.

Total Illnesses: 31

Recommendation

Food service and institutional food operators should not sell or serve the fruit mix with cantaloupe, honeydew, pineapple, and grapes prepared by Tailor Cut Produce.

Tailor Cut Produce reports that their products may be found in restaurants, banquet facilities, hotels, schools and institutional food service establishments in New Jersey, New York, and Pennsylvania.

Because this fruit mix may have been distributed to nursing homes, schools, hospitals and other facilities that cater to vulnerable populations, it is important that these facilities do not sell or serve this fruit medley. Please consult with your distributor to confirm the source of the fruit mix used in your operation.

Background

The Pennsylvania Department of Health (DOH) reports that it is investigating 31 laboratory-confirmed illnesses of Salmonella at four healthcare facilities in southeast Pennsylvania. Salmonella Javiana has been identified among cases at three of four facilities. According to the Pennsylvania DOH the epidemiologic evidence collected thus far indicates that this fruit mix is a potential source of the illnesses. The state’s review of invoices shows that a common food eaten by many case patients was the fruit mix with cantaloupe, honeydew, pineapple, and grapes from Tailor Cut Produce.

FDA has activated a team to coordinate its outbreak investigation.  On December 6, 2019, the FDA and the Pennsylvania DOH shared the results of the investigation thus far with the firm, and the firm’s leadership stated that they would work with FDA to implement a recall of this product.

FDA will continue its investigation and provide updates as more information becomes available.