Showing posts with label outbreak. Show all posts
Showing posts with label outbreak. Show all posts

Wednesday, September 30, 2015

Salmonella Oubreak Associated with Cucumbers....671 Affected and 3 Deaths

Update on Cucumber Salmonella Outbreak.....CDC now reports that
  • Since the last update on September 22, 2015, 113 more ill people have been reported from 19 states. Given the 14-day shelf life of cucumbers, it is not unexpected to continue to see illnesses reported after the recalls.
  • Alabama was added to the list of states with ill people, bringing the total number of states to 34.
This takes the total number of infected to 671 individuals, with 3 deaths.  Interesting, more than half of those infected, about 340, were children (<18 years old)
  Graph showing People infected with the outbreak strains of Salmonella Poona, by date of illness onset - as of September 28, 2015
 
Crate of cucumbers
 
CDC Outbreak Notice
Multistate Outbreak of Salmonella Poona Infections Linked to Imported Cucumbers
CDC, multiple states, and the U.S. Food and Drug Administration (FDA) are investigating a multistate outbreak of Salmonella Poona infections. This investigation is ongoing. CDC will provide updates when more information is available.
  • 671 people infected with the outbreak strains of Salmonella Poona have been reported from 34 states, an increase of 113 cases since the last update on September 22.
  • 131 ill people have been hospitalized, and three deaths have been reported from Arizona (1), California (1), and Texas (1).
  • 51% of ill people are children younger than 18 years.

Saturday, September 12, 2015

Salmonella Outbreak Linked to Cucumbers Up to 341 Cases in 30 States

CDC reports that there are now 341 cases of salmonelloisis related to cucumbers.  The California company issued a recall last week, for cucumbers, but still has no idea of how the product became contaminated.  In a press release, they stated that they have ceased all operations.

CDC Website
http://www.cdc.gov/salmonella/poona-09-15/index.html
Multistate Outbreak of Salmonella Poona Infections Linked to Imported Cucumbers
Posted September 9, 2015 4:30 PM ET

Read the Recall & Advice to Consumers, Restaurants, and Retailers >>
  • CDC, multiple states, and the U.S. Food and Drug Administration (FDA) are investigating a multistate outbreak of Salmonella Poona infections.
  • 341 people infected with the outbreak strains of Salmonella Poona have been reported from 30 states, an increase of 56 cases since the last update on September 4. 

Thursday, August 6, 2015

Recent Listeria Outbreaks In Ice Cream and Carmel Apples - Time to Reassess Food Safety Systems

From time to time, there are unfortunate food related outbreaks that cause food establishments to reassess their food safety systems.   The cantaloupe-Listeria outbreak was one such case that caught many off guard and prompted a new look at Listeria in fresh produce.  The Salmonella outbreak associated with chicken pot pies was another case that resulted in the need to validate microwave cooking instructions for frozen food.

Along with these, we can add the Listeria in Ice Cream and Listeria in Carmel Apples.

To this point, much of the focus of Listeria was on products that would support growth.  Ice cream, a frozen pasteurized product, was not viewed as risky as refrigerated products such as deli meats, or refrigerated products containing dairy like coleslaw or cheese.  So while indications are that the levels of Listeria in the ice cream were low, two factors come into play....one was that the ice cream impacted individuals with underlying health issues, and that the ice cream was used to make shakes and those shakes could have been held at room temperature for some time.  Research is ongoing and may provide more insight.

Camel apples weren't even on the radar.  There was concern with sliced apples, where Listeria could grow on the cut surface albeit slowly, but this was whole apples.  However in this case, the stick may have caused a similar action (surface damage) within the apple as the stick was inserted that may have provided conditions more apt to support growth.  Or high levels of the organism were forced into the apple.  Here again, research into this outbreak is ongoing.

So for products that support little or no growth potential for Listeria in their original state, we need to ask:
1) Will the level of Listeria contamination on a ready-to-eat product be high enough to impact the health of those with severe underlying health issues?  Then, maintaining a clean environment is needed prevent contamination regardless of whether the product supports growth.
2) Will the properties of the product change where those changes can support growth?  Such changes can occur anywhere downstream including other food operations, foodservice or retail establishments, or even by consumers.
3) Will the item be used as an ingredient in other products where those other products are more apt to support the growth of Listeria.  So if apples will be added to a slaw type of salad, what will be the impact in the slaw if a small level of listeria are present on the apples?

Of course one other thing that is important to consider - will product be tested by the customer, a government agency, or some other interested party.  Many recalls are started when someone tests product and find something that can be considered dangerous...including Listeria.  And it could be a strain of LM that is not overly pathogenic.

Wall Street Journal
http://www.wsj.com/articles/ice-cream-recall-sends-chill-through-food-industry-1438437781
Ice-Cream Recall Sends Chill Through Food Industry
Blue Bell’s problems prompt rethinking of measures to prevent bacteria contamination


By Jesse Newman

Updated Aug. 2, 2015 7:28 p.m. ET  63 COMMENTS  

As Blue Bell Creameries LP prepares to resume production of its ice cream after a sweeping recall, its mistakes are fueling broader rethinking of how to keep ice cream and other foods free of deadly bacteria.

Federal records show that Blue Bell failed to follow practices recommended by government and industry groups that might have prevented listeria contamination of ice cream at all three of its main plants. At the same time, some food-safety professionals say the crisis is indicative of insufficient attention, beyond Blue Bell, of the risks of listeria.

“It’s really been a wake-up call for the food industry, and not just for dairy but for other companies as well who thought they were in good shape but are now asking, could this happen to me,” said Joe Stout, a food-safety consultant who was previously a senior manager at Kraft Foods.

Thursday, July 30, 2015

Improperly Canned Potatoes Responsible for Botulism Outbreak in April, 2015

In April of  2015, a botulism outbreak occurred that was associated with food served at a Church Potluck Meal.  In this outbreak, 29 reported becoming ill.  This was the largest botulism outbreak in the last 40 years.

The source was home canned potatoes.  The potatoes were canned in hot water bath and not a pressure canner.  From the CDC:
The attendee who prepared the potato salad with home-canned potatoes reported using a boiling water canner, which does not kill C. botulinum spores, rather than a pressure canner, which does eliminate spores (2). In addition, the potatoes were not heated after removal from the can, a step that can inactivate botulinum toxin. The combined evidence implicated potato salad prepared with improperly home-canned potatoes, a known vehicle for botulism (3).
Unfortunately, we hear of too many who still use a hot water bath to can low acid foods.  Outbreaks like this remind us of the importance of following scientifically developed canning recipes, especially the use of a pressure canner for low acid foods.
 
CDC Morbidity and Mortality
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6429a6.htm?s_cid=mm6429a6_e
Notes from the Field: Large Outbreak of Botulism Associated with a Church Potluck Meal — Ohio, 2015
Weekly
July 31, 2015 / 64(29);802-803

Carolyn L. McCarty, PhD1,2; Kristina Angelo, DO2,3; Karlyn D. Beer, PhD2,3; Katie Cibulskas-White1; Kim Quinn, MS1; Sietske de Fijter, MS1; Rick Bokanyi, PhD1; Eric St. Germain1; Karen Baransi1; Kevin Barlow4; Gwen Shafer4; Larry Hanna4; Kelly Spindler4; Elizabeth Walz, MD5; Mary DiOrio, MD1; Brendan R. Jackson, MD3; Carolina Luquez, PhD3; Barbara E. Mahon, MD3; Colin Basler, DVM2,3; Kathryn Curran, PhD2,3; Almea Matanock, MD2,3; Kelly Walsh, MPH3; Kara Jacobs Slifka, MD2,3; Agam K. Rao, MD3 (Author affiliations at end of text)

On April 21, 2015, the Fairfield Medical Center (FMC) and Fairfield Department of Health contacted the Ohio Department of Health (ODH) about a patient suspected of having botulism in Fairfield County, Ohio. Botulism is a severe, potentially fatal neuroparalytic illness.* A single case is a public health emergency, because it can signal an outbreak (1). Within 2 hours of health department notification, four more patients with similar clinical features arrived at FMC's emergency department. Later that afternoon, one patient died of respiratory failure shortly after arriving at the emergency department. All affected persons had eaten at the same widely attended church potluck meal on April 19. CDC's Strategic National Stockpile sent 50 doses of botulinum antitoxin to Ohio. FMC, the Fairfield Department of Health, ODH, and CDC rapidly responded to confirm the diagnosis, identify and treat additional patients, and determine the source.

Friday, June 12, 2015

Ground Tuna Linked to Salmonella Paratyphi Outbreak

An investigation of an outbreak of Salmonella Paratyphi B has been linked to ground tuna used in sushi type products.  In this outbreak, 53 people from nine states have become ill.

In 2012, ground tuna used in sushi was the source of Salmonella that infected 150 people.

Is there a difference in ground tuna?  Certainly the grinding step can be a point of proliferation and dissemination through product.  Another issue may be that for the ground product, they are using small scraps that may not have been handled in a sanitary manner.

While I like sushi, I will be adding ground tuna products to the 'avoid' list.


CDC Notice
Multistate Outbreak of Salmonella Paratyphi B variant L(+) tartrate(+) Infections
 
Highlights
As of June 4, 2015, a total of 53 people infected with the outbreak strain of Salmonella Paratyphi B variant L(+) tartrate(+) have been reported from nine states. Ten ill people have been hospitalized. No deaths have been reported.
  • This outbreak is caused by Salmonella Paratyphi B variant L(+) tartrate(+) bacteria, formally known as Salmonella Java.
  • The illness caused by this bacteria typically includes diarrhea, fever, and abdominal cramps 12-72 hours after an exposure. Salmonella Paratyphi B variant L(+) tartrate(+) does not cause paratyphoid fever, enteric fever, or typhoid fever.
  • Most ill people in the outbreak reported eating sushi made with raw tuna in the week before becoming ill.

Thursday, May 28, 2015

FDA's Inspection Report for Apple Facility Involved in Caramel Apple Listeria Outbreak

FDA had issued a 483 Report on the Bidart Apple operation in light of the Caramel Apple Listeria outbreak.   This 483 Report made available through the Marler Blog  indicated the following:
  • Of the 110 environmental samples taken, 7 were confirmed positive for Listeria monocytogenes with 6 of these being direct food contact surfaces.  These included the polishing brushes and the wooden bins.
  • FDA observed food contact surfaces on packing equipment that were not maintained in a way that could be easily cleaned and sanitized.
  • Exposed foam padding material on a packaging line (again, something that is not only difficult to clean, but can be a collection point for contamination).
  • A bucket conveyor system made of a canvas material that had frayed ends (another material not easily cleaned).
  • Torn / cracked flaps for controlling apple flow.
In summary, this is a facility that had a number of design /maintenance issues that made cleaning the microbiological level difficult.  Listeria was found on the line  immediately before final packing (the brushes) but were also found in a bin.  These items indicate the contamination was present, but offer little information on the initial source of contamination and conditions that lead proliferation on/in the apple.


Thursday, March 12, 2015

Impact of Rapid Clinical Testing of Foodborne Pathogens on Outbreak Investigations

It is easy to make the assumption that rapid diagnostics, CIDT or Culture Independent Diagnostic Tests, would help in determining the cause of an outbreak, but this may not be the case.   While rapid testing may help with the treatment of a patient by determining the type of organism that caused the illness, without isolating the organism through good old fashion culture methods, the investigation essentially stops there.  To go beyond diagnosis of the illness to a point where the exact strain of the organism can be determined for matching purposes, isolation and cultural confirmation is needed.

An increasing number of tests completed by clinical laboratories are using CIDTs.  In some cases where a positive is found, no further isolation was attempted, and in other cases, the lab was not able to isolate the organism.  In the past, the isolated organisms would then be forwarded to the public health laboratories for further identification and characterization, including if an organism was antibiotic resistant.  The organism could be subtyped and this information is used in determining if this illness/organism is part of a wider outbreak.

The inability to culture a CIDT positive sample may also indicate a false positive, especially where the type of CIDT used was an antigen based technology.


CDC MMWR
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6409a4.htm?s_cid=mm6409a4_e
Bacterial Enteric Infections Detected by Culture-Independent Diagnostic Tests — FoodNet, United States, 2012–2014
Weekly

 March 13, 2015 / 64(09);252-257

Martha Iwamoto, MD1, Jennifer Y. Huang, MPH1, Alicia B. Cronquist, MPH2, Carlota Medus, PhD3, Sharon Hurd, MPH4, Shelley Zansky, PhD5, John Dunn, DVM6, Amy M. Woron, PhD6, Nadine Oosmanally, MSPH7, Patricia M. Griffin, MD1, John Besser, PhD1, Olga L. Henao, PhD1 (Author affiliations at end of text)

The increased availability and rapid adoption of culture-independent diagnostic tests (CIDTs) is moving clinical detection of bacterial enteric infections away from culture-based methods. These new tests do not yield isolates that are currently needed for further tests to distinguish among strains or subtypes of Salmonella, Campylobacter, Shiga toxin–producing Escherichia coli, and other organisms. Public health surveillance relies on this detailed characterization of isolates to monitor trends and rapidly detect outbreaks; consequently, the increased use of CIDTs makes prevention and control of these infections more difficult (1–3). During 2012–2013, the Foodborne Diseases Active Surveillance Network (FoodNet*) identified a total of 38,666 culture-confirmed cases and positive CIDT reports of Campylobacter, Salmonella, Shigella, Shiga toxin–producing E. coli, Vibrio, and Yersinia. Among the 5,614 positive CIDT reports, 2,595 (46%) were not confirmed by culture. In addition, a 2014 survey of clinical laboratories serving the FoodNet surveillance area indicated that use of CIDTs by the laboratories varied by pathogen; only CIDT methods were used most often for detection of Campylobacter (10%) and STEC (19%). Maintaining surveillance of bacterial enteric infections in this period of transition will require enhanced surveillance methods and strategies for obtaining bacterial isolates.

Monday, January 19, 2015

Soft Cheese Recalled in WA After Being Linked to 3 Listeria Cases

A Washington state company is recalling soft cheese products after being linked to 3 cases of Listeria monocytogenes infection. One of those cases was a death.

There have been a number of Listeria issues related to soft cheeses, especially in smaller companies who have entered into the cheese market. In this case, the company was started in the year 2000 (translated Website) and appears to have grown over time. With increasing popularity of Farmers' Markets, food entrepreneurs have found a entry channel to sell products, including soft cheeses. However, as with this case, careful attention to risk control must be made.



FDA Recall Notice
http://www.fda.gov/Safety/Recalls/ucm430730.htm
Queseria Bendita LLC Recalls Fresh Cheeses and Sour Cream Because of Possible Health Risk

Contact: Consumer:  Sandra Aquilar 509-961-8949

FOR IMMEDIATE RELEASE — January 16, 2015 — Queseria Bendita LLC of Yakima, Washington is recalling all lots of Panela, Queso Fresco, Requeson, Cotija fresh soft cheese products and Sour Cream to include those with best by dates up to 4/16/2015 because of a potential to be contaminated with Listeria monocytogenes, an organism which can cause serious and sometimes fatal infections in young children, frail or elderly people, and others with weakened immune systems. Although healthy individuals may suffer only short-term symptoms such as high fever, severe headache, stiffness, nausea, abdominal pain and diarrhea, listeria infection can cause miscarriages and stillbirths among pregnant women.

Panela, Queso Fresco, Requeson, Cotija fresh soft cheese products and Sour Cream were distributed to Hispanic grocery stores in Washington and Oregon and the firm also sold products from its on-site store in Yakima, Washington.

Monday, January 5, 2015

Update - Listeria Contaminated Caramel Apples

The CDC reports as of January 1, 32 people have become ill with 6 deaths related to Listeria contaminated caramel apples.

The FDA investigation traced the apples to Bidert Brothers Packing of CA.  Their Granny Smith and Gala Apples appear to be the likely source.   Companies which received apples from Bidert Bros issued recalls.
  • Happy Apple
  • California Snack Foods
  • Pacific Coast Fruit
  • Merb’s Candies
  • .
    FDA completed sampling of the Bidert facility, but has not yet issued a report of their findings.

    Friday, December 19, 2014

    Caramel Apples Linked to Listeria Outbreak, 5 Reported Deaths

    Caramel Apples, commercially produced and prepackaged, are being linked to a Listeria outbreak that has caused 5 deaths and 21 hospitalizations in 10 states.

     While we have recently seen recalls related to Listeria being detected on apple slices, this is one of the first cases of a Listeria outbreak related to apples.  Considering that there are as many illnesses and deaths, this is the type of outbreak that will have a huge impact on fruit packers and processors.

    At this point, there is little information on the circumstances, but certainly more will follow.

    Melted caramel is liquid in the 125F to 150F range, so depending on how fast it cooled, Listeria could survive on the surface.  It also could be forced into the apple via the wooden stake.

    At this point, it may be wise to avoid caramel apples.

    Well here is a scenario….
     
    • Apples that were probably washed, but in less-than-sanitary quality water contaminates the apple, and most importantly the calyx.  
    • Apples were stored prior to adding caramel, providing a greater chance for biofilm formation at the calyx end.
    • The stick, when shoved into the calyx of the apple, drags the inoculum into the center of the apple.
    • The core, perhaps not having as low a pH compared to the cells in the pulp, may be more apt to support the growth of Listeria.
    • Growth is further supported by the storage of those apples at room temperature..and that temperature may even be higher in that those apples were dipped in the warm caramel.
    • If the processor used bulk storage apples, the conditions for supporting biofilm would probably be greater.
    • Caramel apples can have a sell-by-date as long as one month, and this will provide more opportunity for growth, even if that growth is slow.
     
    Potential Controls for Consideration:
    • Using tree run fruit that is sorted for fresh sales.
    • Sanitizing apples followed by proper drying.  Sanitizer concentration must be controlled.
    •  Storage of fresh apples at refrigerated temperature in boxes with separators.
    •  Pre-dip the sticks in an acid sanitizing solution.
    •  Chilling apples after dipping in caramel,
    •  Storage of the caramel apples at refrigeration temperature.
    • Limit shelf-life of caramel apples.
    •  Can the calyx of the apple be removed?
      
    We will need to see what the conditions for processing these caramel apples were to get a better idea of what happened.



    CDC Outbreak Notices
    Multistate Outbreak of Listeriosis Linked to Commercially Produced, Prepackaged Caramel Apples
     
    Posted December 19, 2014 9:30 AM ET
     
    Highlights
    • Read the Advice to Consumers and Retailers>>(http://www.cdc.gov/listeria/outbreaks/caramel-apples-12-14/advice-consumers.html)
    • CDC is collaborating with public health officials in several states and with the U.S. Food and Drug Administration (FDA) to investigate an outbreak of Listeria monocytogenes infections (listeriosis) linked to commercially produced, prepackaged caramel apples. Listeria can cause a serious, life-threatening illness.
    • The information CDC has at this time indicates that commercially produced, prepackaged caramel apples may be contaminated with Listeria and may be causing this outbreak.
    • Out of an abundance of caution, CDC recommends that U.S. consumers do not eat any commercially produced, prepackaged caramel apples, including plain caramel apples as well as those containing nuts, sprinkles, chocolate, or other toppings, until more specific guidance can be provided.

    Thursday, December 18, 2014

    As US Poultry Industry Braces for the Potential of Avian Flu, H5N2, People Not at Risk

    Avian influenza has been found in wild birds on the US border.  USDA has not found it in in US poultry, but the strains H5N2 and H5N8 have been found in Canadian and European flocks.  While these strains are highly pathogenic to birds, they are not considered a risk to people.
     
    Migratory birds such as ducks are a risk factor for spreading the virus to the US poultry population.  Once infected, the flock is often culled to eliminate further risk of spreading the virus.

    Just this past year, the pork industry suffered the fate of the PED virus, or Porcine epidemic diarrhea virus.  PEDV causes severe diarrhea in pigs and has a high lethality in piglets, but poses no risk to other animals or humans.   PED and Influenza are different types of viruses. PED is from the Coronaviridae family of enveloped, positive-stranded RNA viruses.  Influenza is an Orthomyxovirus.

    CIDRAP
    H5N2, H5N8 avian flu viruses surface in US
    Robert Roos | News Editor | CIDRAP News
    http://www.cidrap.umn.edu/news-perspective/2014/12/h5n2-h5n8-avian-flu-viruses-surface-us
    Dec 16, 2014

    US authorities today reported finding wild birds in Washington state infected with two different highly pathogenic avian influenza (HPAI) viruses, H5N2 and H5N8, raising questions about possible connections with recent H5N2 outbreaks across the border in Canada and with an Asian H5N8 strain that is now hitting European poultry farms.

    In reports to the World Organization for Animal Health (OIE), the US Department of Agriculture (USDA) said H5N2 was found in a wild pintail duck, while H5N8 was found in a captive wild gyrfalcon that was fed on hunter-killed birds. Both birds were in Whatcom County, Washington, which borders the Abbotsford area of British Columbia, the site of recent H5N2 outbreaks in poultry.

    Monday, December 8, 2014

    E. coli O157:H7 Outbreak Linked to Cucumbers (Colorado, 2013)

    A 2013 outbreak of  E. coli O157:H7, where 9 individuals were infected, appears to be linked to eating sandwiches containing cucumbers.  All ill patrons ate at different shops of the same restaurant chain which all used the same lot of cucumbers.

    From the report:


    Prior to this outbreak, there have been no documented E. coli O157:H7 outbreaks associated with cucumbers in the United States, per a literature search conducted by CDPHE and by searching for outbreaks on CDC’s Foodborne Outbreak Online Database (http://wwwn.cdc.gov/foodborneoutbreaks/), which captures foodborne outbreak reports generated by local and state health departments and the CDC from 1998 through 2012. An outbreak of E. coli O157:H7 associated with consumption of cucumber salad (consisting of cucumbers, hard-boiled egg, and vinaigrette dressing) affected school-age children from England who were visiting France in 2002 (5). The investigators hypothesized that the cucumbers became contaminated in the growing field. There is evidence that cucumbers can support the growth of E. coli O157:H7 based on a 1993 study by Abdul-Raouf et al (6). The researchers inoculated sliced cucumbers with E. coli O157:H7 and found that the bacteria load increased when storage temperatures were at 21 degrees Celcius (69.8 degrees Fahrenheit). Mukherjee et al conducted microbiological analyses of fresh cucumbers produced by organic and conventional farmers in Minnesota and were not able to isolate E. coli O157:H7 but did find that cucumbers are often contaminated with coliforms, an indicator of fecal contamination (7).

    For this particular investigation, it is not clear how the cucumbers could have been contaminated. It is very unlikely that contamination occurred within the 3 implicated Jimmy John’s locations, as no major food handling violations were noted during the environmental assessments and no ill food handlers were discovered. It is more likely that the implicated stores received contaminated cucumbers. Our investigation found no evidence that would support that the cucumbers became contaminated at the Denver-based produce distributor (Colo-Pac Produce, Inc.) or during shipment to the implicated Jimmy John’s locations. 


    But it is easy to see that cucumbers can be a source. They are on the ground when harvested, and if not washed sufficiently, that contamination can be transferred to the slice when cut.
      
      
     Marler Blog / Colorado Department of Public Health and Environment
    http://www.marlerblog.com/files/2014/12/CDPHE-Final-Report-Dec.-4-2014.pdf-Adobe-Acrobat.pdf
     Outbreak #2013-00-006 - Escherichia coli O157:H7 Outbreak Associated with Cucumbers Consumed at a Sandwich Restaurant Chain – Colorado, October 2013

    Summary
     CDPHE and several Denver metropolitan area public health departments investigated an outbreak of Escherichia coli O157:H7 (E. coli O157:H7) that occurred in October 2013. Nine cases were identified, including 1 probable case and 8 laboratory-confirmed cases with matching pulsed-field gel electrophoresis (PFGE) and multiple-locus variable number tandem repeat analysis (MLVA) patterns from E. coli O157:H7 isolated from stool. All 9 cases reported eating sandwiches at Denver-area Jimmy John’s locations in early October 2013. The outbreak investigation consisted of case finding and interviews, 2 separate case-control studies, environmental investigations, produce traceback, and laboratory testing. The results of this investigation indicate that consumption of Jimmy John’s sandwiches containing cucumbers imported from Mexico was the likely cause of the outbreak. To our knowledge, this is the first E. coli O157:H7 outbreak associated with cucumbers reported in the United States. Public health and food safety officials should be aware that cucumbers may be contaminated with E. coli O157:H7, which could cause sporadic E. coli O157:H7 infections as well as outbreaks. As of the date of this report, no other cases of E. coli O157:H7 with the PFGE pattern combination seen in this outbreak were reported in Colorado.

    Monday, November 24, 2014

    Raw Sprouts Linked to Salmonella Outbreak, 87 in 11 States

    Update - As of 12/2/14, CDC reports 87 cases in 11 states.

    Raw bean sprouts have been linked to 63 cases of Salmonella Enteritidis infection.  The bean sprout product was produced by Wonton Foods, based in Brooklyn, NY.  According to CDC, about 1/4 of those infected have been hospitalized.  The cases have been seen in 10 states, mostly in the Northeast and New England.
     
    Bean and seed sprouts are considered high risk food items.  While beans and seeds are normally sanitized prior to beginning the sprouting process, any remaining pathogens on the beans or seeds, such as Salmonella or STEC E. coli, can grow under the conditions that are used to allow the beans or seeds to sprout and grow.
     
    There have been a large number of outbreaks related to sprouts (clover sprouts and E. coli - June, 2014bean sprouts and E. coli, 2011sprouts and Salmonella, 2011 to name just a few).
    No recall was conducted because the product was past the shelf-life date.
     


    CDC Outbreak Notice
    http://www.cdc.gov/salmonella/enteritidis-11-14/index.html
    Multistate Outbreak of Salmonella Enteritidis Infections Linked to Bean Sprouts

    Posted November 21, 2014 9:00 PM ET
    Highlights

    Read the Advice to Consumers and Retailers »
    As of November 21, 2014, a total of 63 people infected with the outbreak strains of Salmonella Enteritidis have been reported from 10 states.

    Monday, November 17, 2014

    Norovirus Outbreak on Cruise Ship Affects Over 170

    An outbreak of Norovirus occurred on a cruise ship a few days after leaving port where over 170 people, including both passengers and crew members, became ill.  The trip was scheduled for a one month long trip.  Because Norovirus can spread so quickly, the boat was docked to allow the sick passenger's to disembark.

    Norovirus is highly contagious and can spread quickly within a captive population such as passengers on a cruise ship, or students in a dormitory.  It is also a hardy virus, surviving for long periods of times on surfaces and withstanding normal sanitizer concentration.  Because of this, disinfection requires detail cleaning 
    using higher sanitizer concentrations (up to/over one cup of chlorine bleach per gallon of water).

    It is interesting that this boat had an earlier outbreak 6 months prior. So was something missed on a earlier cleaning, or did a passenger get on board already carrying the virus?

    For a nice print out sheet on cleaning up diarrhea and vomit, click on this link.

          Clean-up and Disinfection for Norovirus (“Stomach Bug”)


    Los Angeles Times

    http://www.latimes.com/local/lanow/la-me-ln-norovirus-princess-cruises-ship-20141116-story.html?track=rss

    Princess Cruises ship docks in San Pedro after outbreak of norovirus

    By Esmeralda Bermudez, Hugo Martin 11/16/14

    A Princess Cruises ship docked in San Pedro early Sunday after nearly 170 people on board fell ill in the ship's second outbreak of norovirus this year, officials said.

    Passengers began to show signs of the gastrointestinal sickness a few days into the month-long voyage to Hawaii and Tahiti. All the ill passengers and crew were treated on the ship. None required hospitalization when the ship, the Crown Princess, reached port, according to cruise officials.

    Monday, September 29, 2014

    Investigative Report on Foodborne Outbreak at Food Safety Conference in Baltimore

     An investigation of an foodborne illness outbreak occurring at the Food Safety Summit's Conference in Baltimore this past April indicates that the cause of the illness was Clostridium perfrignens associated with the Chicken Marsala dish.  In all, some 216 illnesses were reported with 146 reporting that they ate the Chicken Marsala dish.

    While there was no smoking gun, there were a number of issues that may have led to the outgrowth of this sporeforming pathogen.  As you know, spores of Clostridium perfringens will survive cooking, and if that product is temperature abused, the spores will germinate and the organism will multiply very rapidly.

    The issues revolved around temperature measurements during holding of the food.  The recommendations in the report provide good guidance for operations to prevent such outbreaks.

    From the report:
    Recommendations for event A and all event organizers and Caterer A and all foodservice facilities:1.) Ensure that internal food temperatures are measured at the conclusion of cooking and during the hot holding process.
     a. Temperatures should be taken while the food remains inside the hot holding cabinets at one hour intervals and from multiple locations of the food trays on different shelves.
    b. Food handlers should record the range of temperatures (versus a single temperature) as observed on log sheets. Food must maintain 135°F at all times after cooking and prior to service.
    c. Obtain representative (multiple sites, mix of locations on tray, such as center, corners, edges) temperature measurements of all food trays before serving time.

    2.) Report immediately to management or the person in charge when any food temperatures are below the required holding temperatures.

    3.) Corrective action, as specified in the facility’s approved HACCP plan, must be taken when food measures less than the 135°F critical limit.

    4.) Maintain detailed temperature logs.
    a. Retain detailed internal temperature logs of any cold and hot held food every hour for all locations and all serving lines;
    b. Log both internal and external temperature readings for all refrigeration units every 2‐4 hours to ensure that potentially hazardous foods do not exceed regulated time and temperature requirements.
    Maryland Department of Health
    http://dhmh.maryland.gov/docs/Outbreak%202014-119%20FINAL_with%20Attachments_v3.pdf
    SUMMARY REPORT
    OUTBREAK 2014-119


    September 2014

    Office of Infectious Disease Epidemiology and Outbreak Response
    Prevention and Health Promotion Administration
    Maryland Department of Health and Mental Hygiene

    INTRODUCTION
    On April 11, 2014, the Baltimore City 311 system received 3 reports of illness from attendees of Conference A. A 4th report was received on April 15. All of the reports were from conference attendees who also worked in the same building at another work location. The reporters stated that they, and several coworkers who also attended Conference A, became ill with diarrhea between April 8 and April 10. The attendees suspected that lunch served on April 9 was the source of the illnesses. All 4 reports were assigned in the 311 system to Baltimore City Health Department’s (BCHD), Bureau of Environmental Health, Environmental Inspection Services (EIS) Food Control Section. On April 16, BCHD, EIS identified that these reports were related and informed BCHD’s Office of Acute Communicable Diseases (ACD). An outbreak investigation was initiated on April 16 by BCHD. BCHD notified the  Maryland Department of Health and Mental Hygiene (DHMH) Division of Outbreak Investigation on April 16. Subsequently, the response proceeded as a joint state‐local outbreak investigation.

    Thursday, July 17, 2014

    Minnesota E. coli Outbreak Sickens 13 People

    Thirteen people have become ill from E. coli O111 in Minnesota, and this is being linked to salad served at Applebees because 7 of the 13 ate at one of five different Applebees.  This indicates it is probably a supplier issue, most likely produce related.

    Of course this doesn't stop the Applebees pile-on.  It was hard to find a supporting news story that did not contain Applebees in the title.



    Twin Cities News

    http://www.twincities.com/health/ci_26146437/e-coli-bacteria-sicken-13-minnesota-health-experts
    Minnesota E. coli bacteria sicken 13; experts search for link
    By Christopher Snowbeck
    csnowbeck@pioneerpress.com
    Posted: 07/14/2014 12:01:00 AM CDT
    Updated: 07/15/2014 06:32:12 AM CDT

    Thirteen people have been sickened, including four who were hospitalized, with food-borne illnesses linked to E. coli bacteria, state health officials said Monday.

    Investigators haven't linked the cases to a particular food item, according to an announcement Monday from the Minnesota Department of Health. But all the illnesses were caused by the same genetic strain of E. coli O111, the department said.

    Wednesday, June 25, 2014

    Extension Event Linked to Salmonella Outbreak

    A Salmonella outbreak occurred at a Cooperative Extension sponsored workshop in Alabama, resulting in at least 19 cases of salmonellosis.  Workshop volunteers and seniors became ill after eating food served during the luncheon, which featured chicken, salad, and a roll.

    This topic is one that resonates with many of us since we often sponsor events where others are responsible for serving food.  As can be seen in this case, the sponsoring organization's name is tied to it (although the church may have cooked the food).  But guess who is going to receive the negative media exposure?  In this news story, Extension Educator's name is even listed.

    Also stated in the news report is that one senior unfortunately died, although the direct link has not been established....yet.  If a link is established and a lawsuit is filed, who will have the deepest pockets - the church who made the food or the Extension system that sponsored the event?

    Whether you are contracting out production to a company, or counting on volunteers from an organization to make your food, when your name is on it, you better have more than hope that they are doing a good job?  Are the members of that organization trained?  Are they ensuring that the critical controls are being met (in this case, cooking the chicken to the right temperature)?  Do they run a clean operation with an eye on preventing cross contamination?

    So the person sponsoring the event is not an expert on food preparation? In this case, the event was focused on senior issues, but it could be 4H, Master Gardners, or even natural gas.  While we can hope, wouldn't it be better to: 1) get training, 2) ensure that the organization has the right credentials (trained, inspected, etc),  and/or 3) get someone involved who can help you ensure that food is safe.


    Decatur Daily.com
    http://www.decaturdaily.com/news/local/article_e8182216-f8e3-11e3-818e-0017a43b2370.html
    At least 19 ill after eating chicken lunch

    Staff report decaturdaily.com | 0 comments 

    Two dozen or more people who attended a workshop on senior citizens services last month in Decatur may have contracted salmonella or the E. coli virus from a chicken lunch.

    Michael Tubbs, executive director of Community Action Partnership in Decatur, said about two dozen of his volunteers and employees became sick after eating the lunch May 30 at Bridge Builders Church on Beltline Road.

    71-year-old Decatur man died six days after eating the food, but no cause of death has been confirmed.

    The Alabama Cooperative Extension Service sponsored the luncheon, and extension agent A Renee’ Heard was the contact person, Tubbs said. Heard did not return phone calls this week.

    Monday, June 16, 2014

    Clover Sprouts Linked to E. coli Outbreak

     CDC is reporting that a total of 17 people have become ill from E. coli STEC and this has been linked to raw closer sprouts.  Product was made in Idaho.  Illnesses have been identified in 5 states (ID, MI, MT, UT, and WA).

    Raw seed sprouts are a high risk food.  Sprouts have been involved in a number of outbreaks of Salmonella, and in this cases as well as the massive outbreak in Germany, STEC E. coli.



    CDC News Release
    http://www.cdc.gov/ecoli/2014/O121-05-14/index.html
    Multistate Outbreak of Shiga toxin-producing Escherichia coli O121 Infections Linked to Raw Clover Sprouts
    Posted June 10, 2014 3:30 PM ET
    Highlights
    • As of June 9, 2014, a total of 17 persons infected with the outbreak strain of Shiga toxin-producing Escherichia coli O121 (STEC O121) have been reported from five states.
    • The number of ill persons identified in each state is as follows: Idaho (3), Michigan (1), Montana (2), Utah (1), and Washington (10).
    • 47% of ill persons have been hospitalized. No ill persons have developed hemolytic uremic syndrome (HUS), and no deaths have been reported.
    • Epidemiology and traceback investigations conducted by local, state, and federal officials indicated that contaminated raw clover sprouts produced by Evergreen Fresh Sprouts, LLC of Idaho are the likely source of this outbreak.
    • In interviews, 12 (86%) of 14 ill persons reported eating raw clover sprouts in the week before becoming ill.
    • Raw clover sprouts have not been recalled from Evergreen Fresh Sprouts. Because contaminated sprouts may still be available on the market, CDC recommends that consumers do not eat any raw clover sprouts produced by Evergreen Fresh Sprouts.
    • The Washington State Department of Health and the Idaho Department of Health and Welfare are also advising people not to eat raw clover sprouts produced by Evergreen Fresh Sprouts.

    Tuesday, June 3, 2014

    Execs of Egg Company Plead Guilty to Selling Contaminated Eggs

     The executives of the Iowa Egg Producer that was responsible for selling eggs that sickened thousands with Salmonella pleaded guilty.  The company will pay 6.8 million in fines and the executives face up to a year in prison and additional fines.

    The Iowa Egg Salmonella Outbreak occurred back in 2010.  CDC reported in December of 2010 that 1,939 individuals became infected with Salmonella.  In addition to causing the illnesses, the company ,Quality Egg, pleaded guilty to "giving cash bribes to a U.S. Department of Agriculture inspector to approve and allow poor-quality chicken eggs to be sold to the public; introducing adulterated food into interstate commerce, according to the DOJ" and selling eggs mislabeled to hide how old they were by having its employees affix labels to egg shipments that had false expiration dates with the "intent to mislead state regulators and retail egg customers regarding the true age of the eggs,"

    Reuters
    http://www.reuters.com/article/2014/06/03/usa-lawsuit-foodpoisoning-idUSL1N0OK13P20140603
    UPDATE 1-Quality Egg admits to selling tainted eggs, bribing official

    Tue Jun 3, 2014 2:54pm EDT
    By P.J. Huffstutter

    CHICAGO, June 3 (Reuters) - Quality Egg LLC and two top executives on Tuesday admitted to selling substandard eggs containing a "poisonous" substance and bribing a federal inspector in a food-safety scandal that sickened tens of thousands, the U.S. Department of Justice said.

    The Iowa-based company, once among the United States' largest producers of shelled chicken eggs, along with owners Austin and Peter DeCoster, pleaded guilty Tuesday to federal charges in connection with the massive nationwide salmonella outbreak in 2010.

    Monday, June 2, 2014

    Salmonella cases linked to sprouted chia seed powder

    Sprouted Chia Seed Powder is being recalled after being linked to 12 cases of salmonellosis.

    The company, Navitas Naturals, the Superfood Company, imports chia seed from Mexico and then sprouts the seed, dries and then grinds into a powder.   So it appears that this sprouting process could be an amplification step for Salmonella.  Salmonella, coming in on the seed, could potentially grow during the sprouting process (depending on the conditions used for sprouting).  Once present in higher numbers, this bacteria would survive in the dry powder form for long periods of time (similar to how it survived in other low moisture products such as peanut butter).   Salmonella has been an issue in other sprouted seed product , as evidenced by a number of outbreaks and recalls, because of these same reason of being present on the raw seed and being amplified/grown in the sprouting process.

    Chia seed has gained in popularity for containing high levels per serving of protein, Omega 3 fatty acids and high dietary fiber.  From a functionality standpoint, it forms a gel that can be used as a thickening agent.  It imparts no real flavor, so you can add it to foods without having to worry about accounting for new flavors.  According to the company website, the nutritional benefits are increased in the sprouting process.  But so is its risk of Salmonella.


    FDA Recall Notice
    http://www.fda.gov/Safety/Recalls/ucm399151.htm
    Navitas Naturals Issues Voluntary Recall for Organic Sprouted Chia Seed Powder Products
    Contact: 
    Consumer:  Consumer Care Team  1-888-886-3879
     Media:   Media Communications Team  1-888-645-4282

    FOR IMMEDIATE RELEASE - May 28, 2014 - Navitas Naturals, the Superfood Company is voluntarily recalling products which contain Organic Sprouted Chia Powder due to possible health risks related to Salmonella contamination. “We have chosen to voluntarily recall products containing Organic Sprouted Chia Powder with the goal of utmost safety for our consumers” stated Zach Adelman, Navitas Naturals CEO.