In this week's MMWR, the investigation report on an foodborne illness outbreak associated with morel mushrooms. The key here was that morel mushrooms can contain toxins which are reduced through cooking. These mushrooms were evidently not cooked. So cook your morel mushrooms.
- During March–April 2023, a total of 51 persons reported mild to severe gastrointestinal illness after eating at restaurant A in Bozeman, Montana. The outbreak resulted in multiple severe outcomes, including three hospitalizations and two deaths.
- The findings from this investigation suggest that uncooked or undercooked morel mushrooms were the likely source of the outbreak. The epidemiologic study demonstrated a clear association between consumption of the special sushi roll with morels and gastrointestinal illness, including a dose-response relationship, and an apparent stronger association among persons who ate the morels on a day when the morels served by restaurant A were reportedly uncooked.
- The investigation highlights the importance of prompt cross-agency communication and collaboration, the utility of epidemiologic studies in foodborne disease outbreak investigations, and the need for additional research about the impact of morel mushroom consumption on human health. Although the toxins in morel mushrooms that might cause illness are not fully understood, proper preparation procedures, including thorough cooking, might help to limit adverse health effects.
https://www.cdc.gov/mmwr/volumes/73/wr/mm7310a1.htm
Outbreak Linked to Morel Mushroom Exposure — Montana, 2023Weekly / March 14, 2024 / 73(10);219–224
Heather Demorest, MPH1; Rachel Hinnenkamp, MPH2; Maggie Cook-Shimanek, MD2; Alyssa N. Troeschel, PhD3; Michael Yeh, MD3; Thao-Phuong Christy Hallett, MD3; David Kuai, MD3; Johnni Daniel, DHSc3; Andrea Winquist, MD, PhD3 (VIEW AUTHOR AFFILIATIONS)
Summary
What is already known about this topic?
Although morel mushrooms are generally considered edible, rare cases of illness have been reported after consumption; little is known about the human health effects of morels. During March–April 2023, a total of 51 persons reported gastrointestinal illness after dining at a Montana restaurant; two patients died.
What is added by this report?
A case-control study identified morel mushrooms as the likely outbreak source. Consumption of raw morels was more strongly associated with illness than was consumption of cooked or partially cooked morels.
What are the implications for public health practice?
This outbreak investigation highlights the importance of prompt cross-agency communication, collaboration, and the use of epidemiologic studies to guide outbreak investigations. Morel mushrooms should be cooked before eating to mitigate potential toxic effects.