France - E. coli Outbreak Linked to Frozen Pizza

In France, health inspectors have found a link between a brand of frozen pizza and an outbreak of pathogenic E.coli.  There have been 75 E. coli infections with 2 deaths of children (although not all cases have yet been linked).  

As you may remember, in 2007 there was an E.coli outbreak in the US that was associated with frozen pizza.  In this case, it was the pepperoni topping that was an issue.  In that outbreak, 21 were infected.  Another E. coli outbreak linked to frozen foods including frozen pizza occurred in 2013

https://www.rfi.fr/en/france/20220331-frozen-pizza-blamed-for-some-e-coli-infections-sweeping-through-france-children-nestle
Frozen pizza blamed for deadly E coli infections sweeping France
Issued on: 31/03/2022 - 12:44Modified: 31/03/2022

Manufacturer of Raw Pet Food Being Forced to Shut Down

Federal regulators are temporarily shutting down Bravo Packaging of Carney's Point NJ after ongoing issues with the products containing Salmonella and Listeria monocytogenes.  Last year, product from this facility was recalled after FDA testing found Salmonella and Listeria.  This company also recalled product in 2013 and 2014 and 2015

NJ.com
https://www.nj.com/salem/2022/04/nj-pet-food-maker-must-shut-down-correct-health-violations.html
N.J. pet food maker must shut down, correct health violations

Published: Apr. 06, 2022, 11:31 a.m.

By Matt Gray | For NJ.com

A South Jersey pet food company must temporarily shut down its operations and recall products after inspectors repeatedly found food samples contaminated with harmful bacteria, according to federal regulators.

Imported Chocolate Products Recalled That Were Linked to Facility Responsible for European Salmonella Outbreak

Ferrero U.S.A., Inc. of Parsippany, New Jersey is voluntarily recalling its Kinder ® Happy Moments Chocolate Assortment and Kinder ® Mix Chocolate Treats basket, because the product may be contaminated with Salmonella Typhimurium. The products are being recalled because they were manufactured in a facility where Salmonella typhimurium was detected. While there are no reports of illness in the United States to date, Ferrero is voluntarily recalling the products out of an abundance of caution due to reported cases of Salmonella in consumers that consumed products in Europe that were manufactured at the same facility.  In Europe, there has been 125 cases linked to the chocolate egg products from Ferrero.

https://www.fda.gov/safety/recalls-market-withdrawals-safety-alerts/ferrero-voluntarily-recalls-kinderr-happy-moments-chocolate-assortment-and-kinderr-mix-chocolate
Ferrero Voluntarily Recalls Kinder® Happy Moments Chocolate Assortment and Kinder® Mix Chocolate Treats Basket Because of Possible Health Risk
Summary
Company Announcement Date:  April 07, 2022
FDA Publish Date:  April 07, 2022
Product Type:  Food & Beverages
Reason for Announcement:  Salmonella
Company Name:  Ferrero USA, Inc.
Brand Name:  Kinder
Product Description:  Happy Moments Milk Chocolate and Crispy Wafers Assortment & Mix Chocolate Treats Basket

KY Company Recalls Chocolate Cake in-a-Mug Product After Chocolate Has Undeclared Milk Allergen

Tova Industries; LLC of Louisville, KY is voluntarily recalling Carbquik Mug Cake Double Chocolate Chunk OU-Dairy (Water and Butter Prep), because it contains an undeclared milk. "During an allergen review, our company found that the Chocolate Chips contained in the product had a small percentage (<1%) of a milk allergen, it was determined that the packaging was missing the required Milk Allergen warning, and all product was immediately removed from circulation on February 23, 2022. There is no health risk associated with this product for person who do not have a milk allergy."

Tova Industries; LLC. Issues Allergy Alert on Undeclared Milk in Carbquik Mug Cake Double Chocolate Chunk OU-Dairy | FDA
Tova Industries; LLC. Issues Allergy Alert on Undeclared Milk in Carbquik Mug Cake Double Chocolate Chunk OU-Dairy
Summary
Company Announcement Date:  April 01, 2022
FDA Publish Date:  April 07, 2022
Product Type:  Food & Beverages
Reason for Announcement:  Undeclared milk
Company Name:  Tova Industries, LLC
Brand Name:  Carbquik
Product Description:  Double Chocolate Chunk Mug Cake

Creamy Caesar Dressing Recalled for Undeclared Allergens After Wrong Back Label Applied

Van Law Food Products Inc of Fullerton, California is issuing a voluntary recall of Whole Foods Market 365 Organic Creamy Caesar Dressing because it may contain undeclared Soy and Wheat allergens.  The recall was initiated after it was discovered that the product was distributed in packaging that did not reveal the presence of Soy and Wheat allergen. Subsequent investigation indicates the problem was caused by a temporary breakdown in Van Law Food Product’s labeling and packaging processes.    In this case, based upon the pictures posted on the FDA website, the wrong back label was applied...while the front label states Creamy Caesar, the back label is for Chunky Blue Cheese.   A difficulty may be that the product title back label has very small lettering placed near the bottom of the label.

https://www.fda.gov/safety/recalls-market-withdrawals-safety-alerts/van-law-food-products-inc-issues-allergy-alert-undeclared-soy-and-wheat-product
Van Law Food Products, Inc. Issues Allergy Alert on Undeclared Soy and Wheat in Product
Summary
Company Announcement Date:  April 06, 2022
FDA Publish Date:  April 07, 2022
Product Type:  Food & Beverages
Reason for Announcement:  Undeclared soy and wheat
Company Name:  Van Law Food Products, Inc.
Brand Name:  Whole Foods Market 365
Product Description:  Organic Creamy Caesar Dressing

FDA Investigating Illnesses that May Be Linked to Lucky Charms

The NY Post reports that FDA is investigating illnesses that people claim are related to Lucky Charms cereal.  On website iwaspoisoned.com, there have been over 400 reports of consumers complaining that they began vomiting and experiencing diarrhea after eating a bowl of Lucky Charms.

A few things to note.

- The illnesses from the consumer reporting website report similar symptoms and the onset time for symptoms occur soon after consumption.  This would lead one to believe it is not an issue more often associated with cereal products, namely bacterial infection from vegetative pathogens such as Salmonella.

- FDA stated that they have not had any reported cases to their web portal.  (as reported by Fox 8)

“The FDA is aware of reports and is looking into the matter. The FDA takes seriously any reports of possible adulteration of a food that may also cause illnesses or injury. Depending on the seriousness of the problem, an FDA investigator may visit the person who made the complaint, collect product samples, and initiate inspections. Complaints of a less serious nature or those that appear to be isolated incidents are monitored and the information may be used during a future inspection of a company to help the FDA identify problem areas in a production plant. The complaints are also discussed with company management during these inspections. 

As additional background, the FDA hosts its own adverse event reporting system through our Center for Food Safety and Applied Nutrition (CFSAN). The CFSAN Adverse Event Reporting System(CAERS) is a database that contains information on adverse event and product complaint reports submitted to FDA for foods, dietary supplements, and cosmetics. The database is designed to support CFSAN’s safety surveillance program. Since 2004, the FDA’s CAERS data has received 41 reports related to Lucky Charms. However, only 3 Adverse Event Reports in 2021 with only 1 of those reports appearing to be related to the complaints listed in IWasPoisoned.com. Furthermore, the agency has received no calls at the FDA’s Food and Cosmetic Information Centerrelated to Lucky Charms.”

NY Post
FDA investigating illnesses linked to Lucky Charms (nypost.com)
FDA investigating illnesses linked to Lucky Charms
By Lisa Fickenscher
April 5, 2022 3:02pm Updated

Article Summary - Outbreak Investigation of Cyclospora cayetanensis

Food Safety Magazine features an article on Cyclospora cayetanensis and the challenges it poses to the produce industry as the incidence has increased over the past decade.
Here is a summary of that article.

• C. cayetanensis is a parasite that infects the small intestine, causing watery diarrhea with frequent, sometimes explosive, bowel movements. The organism is "transmitted when feces from an infected individual contaminates food or water; however, it is not transmitted directly from person to person because after being shed, the parasite needs time (estimated one to two weeks, at least) in the environment to become infective."
• While the organism is more commonly found in tropical and subtropical regions, "outbreaks of C. cayetanensis infections have been documented since the mid-1990s in the U.S., Canada, Europe, and Australia, and have been associated with the consumption of fresh produce, including raspberries, basil, mesclun, lettuce, snow peas, cilantro, and green onions." Note that these are produce items that are generally more delicate, and thus more difficult to thoroughly wash.

• Outbreak numbers of the past 3 years tend to be large. [data in report goes back to 2013]

2018

Salad Mix - 511 cases in 15 states

Basil - 16 cases in 2 states

Vegetable trays - 250 cases in states

Cilantro - 53 cases in 3 states

2019

Basil - 241 cases in 11 states

2020

Bagged salad - 701 cases in 14 states

• A huge challenge has been difficulty in determining clusters of cases that can be used to identify the source.
• "WGS [whole genome sequencing] is impractical for routine use in cyclosporiasis outbreak investigations for a number of reasons. One reason is that the C. cayetanensis genome is approximately tenfold larger than a bacterial genome; rarely is enough quality DNA obtained from clinical stool specimens or produce samples to sequence the entire parasite genome. Also, unlike bacterial pathogens, this parasite cannot be propagated in the laboratory." However, "FDA has developed multi-laboratory validated methodologies that detect intact oocysts of C. cayetanensis on food matrices such as basil, cilantro, and romaine lettuce, and in agricultural water."
• Identifying the specific food can be difficult. For one, there is generally a 14 day lag between consumption and symptoms. And then diagnosis can be difficult.
• Taking these two factors into account, coupled with the difficulty of finding the organism within the environment or the food, traceback is difficult.
• C. cayetanensis is resistant to most common disinfectants used in the food industry and, therefore, also poses a challenge across the food supply to prevent and eliminate contamination.
• FDA has been conducting increased surveillance of imported produce, especially herbs such as basil and cilantro. FDA has also sampled and tested domestically grown romaine for C. cayetanensis.
• "While additional prevention and control measures are being researched and developed, basic handwashing and hygiene remain critically important in preventing the spread of cyclosporiasis. FDA recently published the "Cyclospora Prevention, Response, and Research Action Plan," which outlines actions necessary to improve prevention, enhance response activities, and fill knowledge gaps to help prevent Cyclospora contamination of foods and prepare for responding to future outbreaks."

Food Safety Magazine  (April / May 2022)
https://digitaledition.food-safety.com/april-may-2022/feature-regreport
Outbreak Investigations of Cyclospora cayetanensis Infections 2013–2020: Progress Made and Challenges Remaining
Recurring outbreaks of cyclosporiasis underscore the need for a comprehensive understanding of how Cyclospora cayetanensis contaminates water and produce

By Stelios Viazis, Ph.D., Fazila K. Shakir, M.H.S., Anne Straily, D.V.M., Adrienne Goodrich-Doctor, Ph.D., Jeffery L. Sumter, Dr.P.H., and Socrates Trujillo, Ph.D.

EU - 125 Cases of Salmonella Infection Linked to Belgium Chocolate Operation

In Europe, 125 cases of salmonella food poisoning across several countries are being linked to chocolate eggs made at a Ferrero factory in Belgium.  "The 125 cases are spread across France, Germany, the Netherlands, Belgium, Ireland and Sweden, with the BBC reporting 63 cases in the U.K. alone, mostly in young children."

Politico
https://www.politico.eu/article/125-salmonella-cases-ferrero-factory-belgium/
125 salmonella cases linked to Ferrero chocolate factory in Belgium
Multiple countries have asked for Kinder products to be recalled pending further probes.

FDA Warns About Oysters from Canada Potentially Contaminated with Norovirus

The FDA is advising to avoid oysters harvested in the south and central parts of Baynes Sound, British Columbia because they have been linked to a norovirus outbreak in Canada.  FDA has confirmed that these potentially contaminated raw oysters  were distributed to restaurants and retailers in CA, CO, FL, HI, IL, MA, MN, NJ, NV, NY, OR, TX, and WA. It is possible that additional states received these oysters through further distribution within the U.S.

From the Canadian Public Health agency - "As of March 30, 2022, there have been 279 cases of norovirus and gastrointestinal illness linked to consumption of B.C. oysters reported in the following provinces: B.C. (262), Alberta (1), Saskatchewan (1), and Ontario (15). Individuals became sick between mid-January and late March 2022, and no deaths have been reported. Although not all cases of illness have been tested, testing of several cases has confirmed the presence of a norovirus infection."

Oysters are filter feeds and is Norovirus gets into the water, it can be picked up by the oysters.  Eating contaminated oysters can result in illness, especially when eaten raw.


https://www.fda.gov/food/alerts-advisories-safety-information/fda-advises-restaurants-and-retailers-not-serve-or-sell-potentially-contaminated-raw-oysters-canada
FDA Advises Restaurants and Retailers Not to Serve or Sell Potentially Contaminated Raw Oysters from Canada (April 2022)