Category Archives: Virus

USA – Taco Bell employee infected with Hepatitis A; county in Washington issues health alert

Food Safety News

Health officials in Snohomish County, WA, are warning people who ate at two Taco Bell locations to monitor themselves for signs of hepatitis A infections and get vaccinated if they are not already.

“People who ate food from the Taco Bell at 2727 Broadway on May 22-23 or the Taco Tell at 303 91st Avenue NE in Lake Stevens on May 23 should contact their healthcare provider or public health,” according to the warning from the Snohomish County Health Department.

An employee who worked at both locations has tested positive for hepatitis A. The confirmed case appears to have been infected during international travel. The Snohomish County Health Department is working with the business to identify other workers who were potentially exposed and connect them with prevention information as well as resources for vaccination and post-exposure prophylaxis, as needed.

For two weeks after exposure a vaccination is effective from keeping the liver virus from developing. Therefore it is crucial for anyone who ate at the restaurants on the exposure dates to check their vaccination records.

RASFF Alert – Hepatitis A – Blueberries

RASFF

Hepatitis A virus in frozen cultivated blueberries from Poland in Germany

Research – Multistate Outbreak of Hepatitis A Virus Infections Linked to Frozen Organic Strawberries

CFI

Hepatitis A kswfoodworld

Hepatitis A is a very contagious liver infection caused by the hepatitis A virus (HAV), resulting in an inflammation of the liver.

The Centers for Disease Control and Prevention (CDC), state public health and regulatory officials such as the Washington State Department of Health (DOH), and the U.S. Food and Drug Administration are “investigating an outbreak of hepatitis A transmission linked to frozen organic strawberries imported from certain farms located in Baja California, Mexico, by a common supplier” (CDC, 2023).

Australia – Hepatitis A cases linked to café in Australian state

Food Safety News

Officials in Australia have issued a health alert after two hepatitis A cases were recently linked to a café.

The Department of Health in the state of Victoria said there was a risk of further locally acquired cases being reported in the coming weeks. No information was provided about the patients or if illness was caused by a contaminated food or food handler.

People who had food from Creatures of Habit café in the city of Springvale in Melbourne were advised to be aware of the symptoms of hepatitis A infection.

The café is located in the Springvale Homemaker Centre. A clean-up of the restaurant has been undertaken and there is no longer a risk to the public, according to officials. There are no other venues at the center implicated.

USA – Outbreak Investigation of Hepatitis A Virus Infections: Frozen Strawberries (February 2023)

FDA

Product

California Splendor Recall: Kirkland Signature 4-lb. bag Frozen Organic Whole Strawberries in certain states with specific lot codes.

Scenic Fruit Recall: frozen organic strawberries with the following brand names and Best By Dates distributed to specific states:

  • Simply Nature, Organic Strawberries, Best By 06/14/2024
  • Vital Choice, Organic Strawberries, BEST BY 05/20/2024
  • Kirkland Signature, Organic Strawberries, Best If Used By 10/08/2024
  • Made With, Organic Strawberries, Best Before 11/20/2024
  • PCC Community Markets, Organic Strawberries, Best By 29/10/2024
  • Trader Joe’s, Organic Tropical Fruit Blend with the following Best By dates: 04/25/24; 05/12/24; 05/23/24; 05/30/24; 06/07/24

Stores Affected

California Splendor supplied recalled product to Costco stores in Los Angeles and Hawaii, and to two San Diego business centers. Scenic Fruit supplied recalled product to Costco, Aldi, KeHE, Vital Choice Seafood, and PCC Community Markets in specific states, and to Trader Joe’s nationwide.

On March 17, 2023, the retailer, Meijer, also issued press to voluntarily recall Made-WithExternal Link Disclaimer brand frozen organic strawberries from certain market store locations.

This is not an exhaustive list of products or stores. FDA is continuing to work with the firms to identify potential additional product information.

Symptoms of Hepatitis A

Illness usually occurs within 15 to 50 days after eating or drinking contaminated food or water. Symptoms of hepatitis A virus infection include fatigue, nausea, vomiting, abdominal pain, jaundice, dark urine, and pale stool. In some instances, particularly in children under the age of six, hepatitis A infection may be asymptomatic.

Status

Ongoing

Recommendation

  • Consumers, restaurants, and retailers should not sell, serve, or eat recalled frozen strawberries. These recalled products should be returned or thrown away.
  • If consumers purchased the recalled frozen organic strawberries and ate those berries in the last two weeks, and have not been vaccinated against hepatitis A, they should immediately consult with their healthcare professional to determine whether post exposure prophylaxis (PEP) is needed. PEP is recommended for unvaccinated people who have been exposed to hepatitis A virus in the last two weeks because vaccination can prevent a hepatitis A virus infection if given within 14 days of exposure. Those with evidence of previous hepatitis A vaccination or previous hepatitis A virus infection do not require PEP.
  • Contact your healthcare provider if you think you may have symptoms of a hepatitis A virus infection after eating these frozen organic strawberries, or if you believe that you have eaten these strawberries in the last two weeks.

Current Update

May 8, 2023

As of May 5, 2023, a total of 9 outbreak-associated cases of hepatitis A have been reported from 3 states. Based on epidemiological data collected by CDC, 9/9 (100%) people who provided information about what they ate before becoming ill reported eating frozen organic strawberries.

USA – Update – Outbreak Investigation of Hepatitis A Virus Infections: Frozen Strawberries (February 2023)

FDA

Product

California Splendor Recall: Kirkland Signature 4-lb. bag Frozen Organic Whole Strawberries in certain states with specific lot codes.

Scenic Fruit Recall: frozen organic strawberries with the following brand names and Best By Dates distributed to specific states:

  • Simply Nature, Organic Strawberries, Best By 06/14/2024
  • Vital Choice, Organic Strawberries, BEST BY 05/20/2024
  • Kirkland Signature, Organic Strawberries, Best If Used By 10/08/2024
  • Made With, Organic Strawberries, Best Before 11/20/2024
  • PCC Community Markets, Organic Strawberries, Best By 29/10/2024
  • Trader Joe’s, Organic Tropical Fruit Blend with the following Best By dates: 04/25/24; 05/12/24; 05/23/24; 05/30/24; 06/07/24

Stores Affected

California Splendor supplied recalled product to Costco stores in Los Angeles and Hawaii, and to two San Diego business centers. Scenic Fruit supplied recalled product to Costco, Aldi, KeHE, Vital Choice Seafood, and PCC Community Markets in specific states, and to Trader Joe’s nationwide.

On March 17, 2023, the retailer, Meijer, also issued press to voluntarily recall Made-WithExternal Link Disclaimer brand frozen organic strawberries from certain market store locations.

This is not an exhaustive list of products or stores. FDA is continuing to work with the firms to identify potential additional product information.

Symptoms of Hepatitis A

Illness usually occurs within 15 to 50 days after eating or drinking contaminated food or water. Symptoms of hepatitis A virus infection include fatigue, nausea, vomiting, abdominal pain, jaundice, dark urine, and pale stool. In some instances, particularly in children under the age of six, hepatitis A infection may be asymptomatic.

Status

Ongoing

Recommendation

  • Consumers, restaurants, and retailers should not sell, serve, or eat recalled frozen strawberries. These recalled products should be returned or thrown away.
  • If consumers purchased the recalled frozen organic strawberries and ate those berries in the last two weeks, and have not been vaccinated against hepatitis A, they should immediately consult with their healthcare professional to determine whether post exposure prophylaxis (PEP) is needed. PEP is recommended for unvaccinated people who have been exposed to hepatitis A virus in the last two weeks because vaccination can prevent a hepatitis A virus infection if given within 14 days of exposure. Those with evidence of previous hepatitis A vaccination or previous hepatitis A virus infection do not require PEP.
  • Contact your healthcare provider if you think you may have symptoms of a hepatitis A virus infection after eating these frozen organic strawberries, or if you believe that you have eaten these strawberries in the last two weeks.

Current Update

April 11, 2023

The FDA and CDC, in collaboration with state and local partners, are investigating an outbreak of hepatitis A virus infections linked to frozen organic strawberries imported by a common supplier from certain farms located in Baja California, Mexico. The frozen organic strawberries were sold to a variety of retailers under multiple brand labels.

Based on epidemiological data collected by CDC, 7/7 (100%) people who provided information about what they ate before becoming ill reported eating frozen organic strawberries. FDA’s traceback investigation identified a common supplier of the frozen organic strawberries. Strawberries used by this supplier were imported from certain farms located in Baja California, Mexico, in 2022. Additionally, the strain of hepatitis A virus causing illnesses this year is genetically identical to the strain that caused the outbreak of hepatitis A virus infections in 2022, which was linked to fresh organic strawberries imported from Baja California, Mexico, and sold at various retailers.


Case Counts

Total Illnesses: 7
Hospitalizations: 2
Deaths: 0
Last Illness Onset: March 26, 2023
States with Cases: WA (5), CA (2)
Product Distribution: Nationwide

USA – Update – Outbreak Investigation of Hepatitis A Virus Infections: Frozen Strawberries (February 2023)

FDA

Sample Kirkland Product from the Outbreak Investigation of Hepatitis A Virus Infections Related to Frozen Strawberries (February 2023)

Product

California Splendor Recall: Kirkland Signature 4-lb. bag Frozen Organic Whole Strawberries in certain states with specific lot codes.

Scenic Fruit Recall: frozen organic strawberries with the following brand names and Best By Dates distributed to specific states:

  • Simply Nature, Organic Strawberries, Best By 06/14/2024
  • Vital Choice, Organic Strawberries, BEST BY 05/20/2024
  • Kirkland Signature, Organic Strawberries, Best If Used By 10/08/2024
  • Made With, Organic Strawberries, Best Before 11/20/2024
  • PCC Community Markets, Organic Strawberries, Best By 29/10/2024
  • Trader Joe’s, Organic Tropical Fruit Blend with the following Best By dates: 04/25/24; 05/12/24; 05/23/24; 05/30/24; 06/07/24

Stores Affected

California Splendor supplied recalled product to Costco stores in Los Angeles and Hawaii, and to two San Diego business centers. Scenic Fruit supplied recalled product to Costco, Aldi, KeHE, Vital Choice Seafood, and PCC Community Markets in specific states, and to Trader Joe’s nationwide.

On March 17, 2023, the retailer, Meijer, also issued press to voluntarily recall Made-WithExternal Link Disclaimer brand frozen organic strawberries from certain market store locations.

This is not an exhaustive list of products or stores. FDA is continuing to work with the firms to identify potential additional product information.

Symptoms of Hepatitis A

Illness usually occurs within 15 to 50 days after eating or drinking contaminated food or water. Symptoms of hepatitis A virus infection include fatigue, nausea, vomiting, abdominal pain, jaundice, dark urine, and pale stool. In some instances, particularly in children under the age of six, hepatitis A infection may be asymptomatic.

Status

Ongoing

Recommendation

  • Consumers, restaurants, and retailers should not sell, serve, or eat recalled frozen strawberries. These recalled products should be returned or thrown away.
  • If consumers purchased the recalled frozen organic strawberries and ate those berries in the last two weeks, and have not been vaccinated against hepatitis A, they should immediately consult with their healthcare professional to determine whether post exposure prophylaxis (PEP) is needed. PEP is recommended for unvaccinated people who have been exposed to hepatitis A virus in the last two weeks because vaccination can prevent a hepatitis A virus infection if given within 14 days of exposure. Those with evidence of previous hepatitis A vaccination or previous hepatitis A virus infection do not require PEP.
  • Contact your healthcare provider if you think you may have symptoms of a hepatitis A virus infection after eating these frozen organic strawberries, or if you believe that you have eaten these strawberries in the last two weeks.

Research – A Bit(e) of History of Hepatitis A and Frozen Fruits and Vegetables

Marler Blog

Another Hepatitis A outbreak appears to be brewing in the US linked to imported frozen strawberries. Here is a bit(e) of a compilation of past outbreaks.

Hepatitis A outbreaks associated with fresh, frozen, and minimally processed produce worldwide from 1983 to 2022—adapted and expanded from Sivapalasingam et al., 2004 and Fiore, 2004. Italics indicate instances where the food was locally sourced with respect to the cases. The implicated foods were raw unless listed otherwise.

Hepatitis A outbreaks associated with fresh, frozen, and minimally processed produce, worldwide, from 1983 to 2022 see the table at the link above.

USA – What you should know about Hepatitis A during an Outbreak and Recall

Food Poison Journal

What is Hepatitis A?

Hepatitis A is the only common vaccine-preventable foodborne disease in the United States. It is one of five human hepatitis viruses that primarily infect the human liver and cause human illness. Unlike hepatitis B and C, hepatitis A doesn’t develop into chronic hepatitis or cirrhosis, but in rare cases infection with hepatitis A virus can lead to a more rapid onset of liver failure and death.

How do you contract Hepatitis A?

Hepatitis A is a contagious disease that is transmitted by the “fecal – oral route,” either through person-to-person contact or contaminated food or water. Food-related outbreaks are usually traced to food that has been contaminated by an infected food handler. Fresh produce contaminated during cultivation, harvesting, processing, and distribution has also been a source of hepatitis A.

What are the signs and symptoms of Hepatitis A?

Symptoms typically begin about 28 days after infection but can begin as early as 15 days or as late as 50 days after exposure. Symptoms may include headache, loss of appetite, nausea, vomiting, abdominal discomfort, fatigue, joint pain, dark urine, clay colored bowel movements, and fever. Jaundice, a yellowish discoloration of the skin and whites of the eyes, occurs in most cases. Hepatitis A may cause no symptoms at all when it is contracted, especially in children. Those infected usually recover fully within 2 to 6 months.

What to do if you become infected with Hepatitis A:

Infection is determined by a blood test. If you know you have been exposed to hepatitis A, immune globulin shots or a hepatitis A vaccine can reduce your chance of infection by up to 90%.

Read more at  the link above.

USA – Updated – Scenic Fruit Company Recalls Frozen Organic Strawberries and Frozen Organic Tropical Blend Because of Possible Health Risk – Hepatitis A

FDA

Company Announcement

‘The company has issued a correction to the previous announcement’.

March 17, 2023, this press release is updated to include the states that Aldi sold Simply Nature frozen organic strawberries.

Scenic Fruit Company of Gresham, Oregon is recalling frozen organic strawberries sold to Costco, Aldi, KeHE, Vital Choice Seafood, PCC Community Markets and frozen organic tropical blend sold to Trader Joe’s due to an outbreak of Hepatitis A illnesses.

Hepatitis A is a contagious liver disease that results from exposure to the Hepatitis A virus, including from food. It can range from a mild illness lasting a few weeks to a serious illness lasting several months. In rare cases, particularly consumers who have a pre-existing severe illness or are immune compromised, Hepatitis A infection can progress to liver failure.

Illness occurs within 15 to 50 days of exposure and includes fatigue, abdominal pain, jaundice, abnormal liver tests, dark urine and pale stool. Hepatitis A vaccination can prevent illness if given within two weeks of exposure to a contaminated food. Persons who may have consumed affected product should consult with their health care professional or local health department to determine if a vaccination is appropriate, and consumers with symptoms of Hepatitis A should contact their health care professionals or the local health department immediately.

The following products are subject to this recall. The lot codes and best by dates are found on the back of each bag (see attached pictures below):

Brand Name Product Name Net Wt. UPC Best By Dates
Best If Use Dates
Best Before Date
Distributed in States
Simply Nature Organic Strawberries 24 oz. 4099100256222 6/14/2024 Arizona,
Arkansas,
California,
Illinois, Iowa,
Michigan,
Minnesota,
Missouri, North
Dakota, South
Dakota, Ohio,
Wisconsin
Vital Choice Organic Strawberries 16 oz. 834297005024 5/20/2024 Washington
Kirkland Signature Organic Strawberries 4 lbs. 96619140404 10/8/2024 Alaska, Idaho, Montana,
Oregon, Utah, Washington.
Made With Organic Strawberries 10 oz. 814343021390 11/20/2024 Illinois, Maryland
PCC Community
Markets
Organic Strawberries 32 oz. 22827109469 10/29/2024 Washington
Trader Joe’s Organic Tropical Fruit
Blend Pineapple,
Bananas, Strawberries &
Mango
16 oz 00511919 04/25/24
05/12/24
05/23/24
05/30/24
06/07/24
Nationwide

Although Hepatitis A has not been detected on this product, out of an abundance of caution, consumers should stop consuming the product and return it to their local store for a refund. The company has ceased the production and distribution of the product as FDA and the company continue their investigation as to what caused the problem.

All inventories of the affected lot should be removed from sale. Consumers who have purchased the products are urged to destroy or return it to the place of purchase for a full refund. Consumers with questions may contact the company at customer.service@scenicfruit.com

FDA Outbreak Advisory

Organic Strawberries Hepatitis A Outbreak | CDC