Limited Lots of Cap'n Crunch Recalled After Routine Testing Reveals Potential Salmonella Contamination

The Quaker Oats Company, a subsidiary of PepsiCo, Inc., is recalling a small quantity of Cap’n Crunch’s Peanut Butter Crunch cereal after routine sampling program by the company revealed the finished product may contain bacteria. Salmonella.  "While the potentially affected product only reached five specific Target stores and is limited to 21 boxes of one variety with two Best Before Dates, Quaker is initiating the voluntary recall to protect public health.  The recall was initiated as the result of a routine sampling program by the company, which revealed the finished product may contain [Salmonella]".

https://www.fda.gov/Safety/Recalls/ucm626142.htm
The Quaker Oats Company Issues Voluntary Recall of a Small Quantity of Cap’n Crunch’s Peanut Butter Crunch Cereal Distributed to Five Target Stores Due to Possible Health Risk
For Immediate Release
November 16, 2018

Update on Salmonella Outbreak Associated with Honey Smack Cereal

CDC and FDA issued an update on Salmonella Outbreak Associated with Kellogg's Honey Smacks Cereal.  There are now 130 cases reported, but from 100 cases the July update.

A few items to note.

• Ill people range in age from less than one year to 95, with a median age of 57.  One would have thought that the median age would have been much lower with the thought that this cereal would have been eaten primarily by children, however, with a median of 57, clearly half are older adults.
• Illnesses started on dates from March 3, 2018, to August 7, 2018 with a recall posted on June 14th.  There was an issue getting the product off the store shelves, but probably more difficult in getting people to remove it from their own pantries.  "People who recently became ill report eating Kellogg’s Honey Smacks cereal that they had in their homes."  

https://www.cdc.gov/salmonella/Mbandaka-06-18/index.html
Multistate Outbreak of Salmonella Mbandaka Infections Linked to Kellogg’s Honey Smacks Cereal
Posted September 4, 2018 4:00 PM ET

Cereal Facility Issued Warning Letter for Inadequate Salmonella Control

FDA issued Kerry Inc a warning letter for their Illinois cereal facility after FDA testing found Salmonella and an FDA audit found that the facility had found numerous Salmonella positive environmental samples.  The FDA ruled that the product was "was prepared, packed or held under insanitary conditions whereby it may have been rendered injurious to health".  This is a very interesting case study for product that was most likely used as an ingredient in further processing.

One of major issues was the Salmonella positive samples. From the report:  " Between September 29, 2016 and May 16, 2018, you repeatedly found Salmonella throughout your facility, including in cereal production rooms. During this time period, you had 81 positive Salmonella environmental samples and 32 positive Salmonella vector samples (samples taken in response to finding a positive on routine testing), including four Salmonella (b)(4) samples in the cereal coating room and one Salmonella (b)(4) sample in the cereal (b)(4) room (Line (b)(4)). Further, you had repeated findings of other Salmonella species in some production lines and rooms used for the manufacture of cereal. These repeated findings of Salmonella in your environment should have resulted in a reanalysis of your food safety plan as required by 21 CFR § 117.170(b)(4) and the identification of contamination of RTE cereal with environmental pathogens as a hazard requiring a preventive control (i.e., sanitation preventive control).

 A summary of the points made in the warning letter:

1. The hazard analysis of RTE cereal process did not list environmental pathogens when the finished product was exposed to the environment prior to packaging. This was especially concerning since the facility did find Salmonella in the environment
2. Environmental controls to prevent Salmonella were not implemented sufficiently to control Salmonella. FDA found Salmonella in the processing environment as well as the facility found Salmonella.
3. Corrective actions were not properly implemented to get rid of Salmonella. There were no steps taken to remove the root cause of the Salmonella from the enviromet. Basically, a root cause analysis was not completed even though Salmonella was constantly being found.
4. Sanitation controls were not verified. The company did not follow its own SOP for environmental monitoring

There was no further information regarding the facility, but as an ingredient manufacturer, it is likely that this cereal product is made for use as an ingredient  in foods that will be further processed.   Perhaps this is why a less-than-sufficient effort.  Regardless, 1) FDA viewed this as an RTE product and that may have been difficult to convince otherwise - including providing notice to customers 2) the company should have included it in the hazard analysis, and 3) a better effort should have been made in controlling it.

FDA Warning Letter
https://www.fda.gov/ICECI/EnforcementActions/WarningLetters/ucm615073.htm
Kerry Inc 7/26/18

Sugar Smacks Dry Cereal Recalled After Linked to Salmonella Outbreak

Kellogg’s is recalling Sugar Smacks cereal after it has been likely linked to a Salmonella outbreak where 73 individuals in 31 different states have become infected.  24 have been hospitalized.  FDA continues to investigate how this may have occurred.

Dry cereal products, like this puffed wheat product, have had problems in the past with Salmonella contamintation.  Facilities that produce these products must actively control against environmental contamination because once in the environment, it can get into product.  Salmonella can surivive in dry products like cereal for long periods of time, certainly through the time product is shipped to the store and then to the consumers cereal bowl.

https://www.fda.gov/Food/RecallsOutbreaksEmergencies/Outbreaks/ucm610827.htm
FDA Investigating Multistate Outbreak of Salmonella Mbandaka Infections Likely Linked to Kellogg’s Honey Smacks Cereal
The U.S. Food and Drug Administration, along with the Centers for Disease Control and Prevention (CDC) and state and local partners, are investigating a multistate outbreak of Salmonella Mbandaka illnesses that may be linked to Kellogg’s Honey Smacks cereal.

June 15, 2018 Update

Gluten Free Cheerios Recalled Due to Transportation Error that Caused Contamination

General Mills is recalling 1.8 million boxes of gluten-free Cheerios after FDA received 125 complaints from people having an adverse reaction, primarily gastrointestinal issues associated with celiac disease, an extremely painful disorder triggered by the ingestion of gluten.

According to the report - "The company said Monday the foul-up occurred when the Lodi plant lost rail service and its gluten-free flour was transferred from rail cars to trucks.....General Mills said oat flour was contaminated when bulk rail cars full of the stuff were offloaded into bulk trucks, Foster said. The bulk trucks were believed to recently have carried wheat, she said."
An incredible error for a product purchased specifically because it is supposed to contain no gluten.

It is important to see how a monumental error can occur when responding to a crisis. In this case, people worked around the loss of rail service only to contaminate product by not considering the gluten issue in the stopgap measure - off loading into uncleaned transport vehicles.

Untrained logistics/transportation people?  This is a reminder of ensuring that all people within the organization are trained in food safety - both general food safety as well as the food safety issues specific to the activities that with which they are tasked.

From Celiac.org
https://celiac.org/celiac-disease/what-is-celiac-disease/
Celiac disease is an autoimmune disorder that can occur in genetically predisposed people where the ingestion of gluten leads to damage in the small intestine. It is estimated to affect 1 in 100 people worldwide. Two and one-half million Americans are undiagnosed and are at risk for long-term health complications

When people with celiac disease eat gluten (a protein found in wheat, rye and barley), their body mounts an immune response that attacks the small intestine. These attacks lead to damage on the villi, small fingerlike projections that line the small intestine, that promote nutrient absorption. When the villi get damaged, nutrients cannot be absorbed properly into the body.

Star Tribune
http://www.startribune.com/fda-says-125-people-complained-about-problems-from-gluten-free-cheerios/330957131/
FDA says it received 125 complaints about gluten-free Cheerios before recall
General Mills said it knows how the gluten got into its flour and has taken steps to prevent it.

Federal food regulators said Tuesday they have received 125 reports of adverse health effects — mostly gastrointestinal problems — from consumers who ate gluten-free Cheerios.

After hearing of such complaints, General Mills Inc. on Monday recalled 1.8 million boxes nationwide of gluten-free Cheerios and Honey Nut Cheerios, concluding they inadvertently contained wheat, which contains gluten.