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Friday, August 31, 2018

Salmonella Outbreak Linked to Kosher Chicken Responsible for 17 Cases Including 1 Death

Further information was provided by CDC for the Health Alert that was posted last week regarding Salmonella infections linked to kosher raw chicken sold by a PA kosher poultry facility.   CDC reports that there are 17 cases with 8 hospitalizations and 1 death.

CDC Investigation Notice
https://www.cdc.gov/salmonella/chicken-08-18/index.html
Outbreak of Salmonella Infections Linked to Chicken
Posted August 29, 2018 at 11:30 AM ET
At A Glance
  • Reported Cases: 17
  • States: 4
  • Hospitalizations: 8
  • Deaths: 1
Latest Outbreak Information
  • Seventeen people infected with the outbreak strain of Salmonella I 4,[5],12:i:- have been reported from four states. ◦Eight people have been hospitalized, including one death reported from New York.
  • Epidemiologic and traceback evidence indicates that some kosher chicken products are contaminated with Salmonella I 4,[5],12:i:- and have made people sick.
  • Epidemiologic and traceback evidence indicates that some kosher chicken products are contaminated with Salmonella I 4,[5],12:i:- and have made people sick.
  • In interviews, ill people reported eating kosher chicken, and when asked about the specific brand eaten, several people reported Empire Kosher brand.
  • The outbreak strain was also identified in samples of raw chicken collected from two facilities, including one facility that processes Empire Kosher brand chicken.
Investigation Details

August 29, 2018
CDC, public health and regulatory officials in several states, and the U.S. Department of Agriculture’s Food Safety Inspection Service (USDA-FSIS) are investigating a multistate outbreak of Salmonella I 4,[5],12:i:- infections linked to kosher chicken.

Public health investigators are using the PulseNet system to identify illnesses that may be part of this outbreak. PulseNet is the national subtyping network of public health and food regulatory agency laboratories coordinated by CDC. DNA fingerprinting is performed on Salmonella bacteria isolated from ill people by using techniques called pulsed-field gel electrophoresis (PFGE) and whole genome sequencing (WGS). CDC PulseNet manages a national database of these DNA fingerprints to identify possible outbreaks. WGS gives a more detailed DNA fingerprint than PFGE. WGS performed on Salmonella from ill people in this outbreak showed that they are closely related genetically. This means that the ill people are more likely to share a common source of infection.

As of August 27, 2018, 17 people infected with the outbreak strain of Salmonella I 4,[5],12:i:- have been reported from four states. A list of the states and the number of cases in each can be found on the Map of Reported Cases page.

Illnesses started on dates from September 25, 2017, to June 4, 2018. Ill people range in age from less than one year to 76, with a median age of 14. Fifty-three percent are female. Of 16 people with information available, 8 (50%) have been hospitalized, including a death reported from New York. Illnesses may continue to be reported due to the time it takes between when a person becomes ill and when the illness is reported. Please see the Timeline for Reporting Cases of Salmonella Infection for more details.

Investigation of the Outbreak

In interviews, ill people answered questions about the foods they ate and other exposures in the week before they became ill. Of 14 people interviewed, all (100%) reported eating chicken products. Of nine people who reported brand information, seven reported specifically eating Empire Kosher brand chicken.

The outbreak strain of Salmonella I 4,[5],12:i:- has been identified in samples from raw chicken collected at two facilities, including one that processes Empire Kosher brand chicken. The samples collected by USDA-FSIS at the slaughter and processing establishments were part of USDA-FSIS’ routine testing under the Salmonella performance standards. WGS showed that the Salmonella strain from these samples is closely related genetically to the Salmonella strain from ill people.

Available data indicate that some kosher chicken products are contaminated with this strain of Salmonella I 4,[5],12:i:- and have made people sick. Consumers should be aware that any raw chicken may be contaminated with germs and should always follow steps to prevent Salmonella infection from these products.

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