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Outbreaks

An outbreak of Shiga toxin-producing E. coli O157:H7 has been linked to PCC Community Markets – West Seattle Co-op in Seattle, with five reported cases and one hospitalization. The outbreak appears to be over, but the investigation is ongoing.

The outbreak, which occurred between February 14 and... See More February 28, 2024, is associated with store-made guacamole purchased from the co-op on February 10, 2024. All five individuals affected exhibited symptoms of Shiga toxin-producing E. coli.

Disease Investigators conducted in-depth interviews with the affected individuals and Environmental Health Investigators visited the grocery on March 15, 2024. Laboratory testing confirmed four of the five cases as positive for E. coli O157:H7, with three of these cases genetically matching, indicating a common source of infection.

In case you are experiencing E. coli symptoms such as watery diarrhea (often bloody), vomiting; stomach cramps; and mild fever, it is important to report it. It can help to detect & resolve outbreaks early and prevent others from being harmed, and it enables better surveillance. If symptoms persist, seek medical care.

Source: kingcounty.gov
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FSIS has issued a public health alert for frozen Siluriformes products illegally imported from China. The products are deemed unfit for human consumption and ineligible for entry into the U.S. The items are believed to have been shipped to retail and wholesale locations in New York, Oklahoma,... See More and Pennsylvania. There have been no confirmed reports of adverse reactions due to consumption of these products.

The product is 12-oz. (340 g) plastic packages containing “FROZEN STRIPED PANGASIUS MAWS”. The packages lack any producing establishment information or import marks and are packed in plain white shipping cartons without labels or markings.

Retailers who have purchased the products are urged not to sell them. Consumers who purchased the products should not consume them and need to dispose of them properly. Consumers are asked to dispose of the products by double bagging them to reduce the possibility of animals accessing the products.

If you or a loved one are harmed or experiencing any symptoms, it is important to report it. Reporting can help to detect & resolve outbreaks early and prevent others from being harmed, and enables better surveillance. If symptoms persist, seek medical care.

Source: fsis.usda.gov
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The New York State Department of Agriculture and Markets issued a consumer alert due to potential Listeria monocytogenes contamination in raw milk from Big Brook Farm, located in Oneida County, New York. The New York State Department of Agriculture and Markets has not reported any illnesses associated... See More with this product to date.

A sample of the milk collected by an inspector from the Department was discovered to be contaminated with Listeria monocytogenes. On March 13, 2024, the producer was notified of a preliminary positive test result. Further laboratory testing, completed on March 18, 2024, confirmed the presence of Listeria monocytogenes in the raw milk sample. The producer is now prohibited from selling raw milk until subsequent sampling indicates that the product is free of harmful bacteria.

Listeria monocytogenes is a bacterium that can cause listeriosis, a serious infection particularly dangerous for young children, the elderly, cancer patients, and others with weakened immune systems. It can also cause miscarriages and stillbirths in pregnant women. It is important to note that raw milk does not provide the protection of pasteurization, which is the process that kills the bacteria responsible for numerous illnesses and diseases.

In case you are experiencing Listeria monocytogenes symptoms such as high fever, severe headache, stiffness, nausea, abdominal pain, and diarrhea, it is important to report it. It can help to detect & resolve outbreaks early and prevent others from being harmed, and it enables better surveillance. If symptoms persist, seek medical care.

Source: agriculture.ny.gov
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Iqbal's and Nazo brands of Apricot Seed and Kernels may potentially cause cyanide poisoning. The affected products have been distributed nationally and are primarily sold at retail level. To date, no illness has been reported.

The products recalled are Iqbal's Apricot Seed and Nazo Apricot Kernels, with... See More details as under:
- Product: Iqbal's Apricot Seed, Size: 200 g, UPC: 990010500112.
- Product: Iqbal's Apricot Seed, Size: 400 g, UPC: 990010500129.
- Product: Nazo Apricot Kernels, Size: 200 g, UPC: 990005246704.
- Product: Nazo Apricot Kernels, Size: 400 g, UPC: 990005241730.
- Product: Nazo Apricot Kernels, Size: 400 g, UPC: 990005246698.
- Product: Nazo Apricot Kernels, Size: 10 kg, Code: Item #1010; Lot: 20231024.

The recall was last updated on March 15, 2024, and the original notification was published on March 20, 2024. The recalling firm is Nazo Food Products.

If you or a loved one are harmed or experiencing any symptoms, it is important to report it. Reporting can help to detect & resolve outbreaks early and prevent others from being harmed, and enable better surveillance. If symptoms persist, seek medical care.

Source: recalls-rappels.canada.ca
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Holland America Line's Koningsdam cruise has reported a Norovirus outbreak, affecting 98 passengers and 12 crew members during its voyage from February 17 to March 24, 2024.

The Koningsdam, on its 286th voyage, carried 2,522 passengers and 961 crew members. The affected individuals, representing 3.89% of passengers... See More and 1.25% of the crew, reported predominant symptoms of diarrhea and vomiting, consistent with the Norovirus infection. The cruise traveled through various locations, but the specific areas where the outbreak occurred have not been disclosed.

The outbreak was discovered when the number of gastrointestinal illness cases aboard the ship began to rise significantly. In response, Holland America Line increased cleaning and disinfection procedures as per the ship’s outbreak prevention and response plan. Stool specimens were collected from the ill for testing, and those affected were isolated to prevent further spread of the virus. The Vessel Sanitation Program (VSP) is remotely monitoring the situation, including a review of the ship’s outbreak response and sanitation procedures.

Norovirus is very contagious and is easily transmitted from person to person most through the oral/fecal route. Considering that hand sanitizer does NOT work against this virus, it is important to wash your hands with soap frequently. Use bleach to clean and disinfect surfaces.

In case you experience Norovirus symptoms, such as vomiting, diarrhea, stomach pain, and nausea, report it now. It can help to detect & resolve outbreaks early and prevent others from being harmed, and it enables better surveillance. If symptoms persist, seek medical care

Source: cdc.gov
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Zobel Ethiopian Cuisine, a restaurant located in Seattle, has been linked to a recent outbreak of gastrointestinal illness. The incident, which is believed to be caused by a bacterial toxin, has affected two individuals from separate households who reported becoming sick on March 4, 2024. No ill... See More employees were identified at the restaurant.

The outbreak was investigated by the King County Public Health Dept., which identified symptoms and timing of illness onsets suggestive of a bacterial toxin, such as Clostridium perfringens or Bacillus cereus. The exact food ingredient or drink that caused the illnesses was not identified, a common occurrence in outbreaks associated with bacterial toxins. The two affected individuals reported symptoms consistent with a bacterial toxin, including nausea, vomiting, diarrhea, abdominal cramping, chills, and body aches.

Environmental Health investigators visited the restaurant on March 11, 2024, identifying potential risk factors for bacterial toxin growth, including improper cooling of food and inadequate refrigeration. Corrective actions were implemented immediately, and investigators provided education on proper cooling procedures for cooked foods

If you or a loved one are harmed or experiencing any symptoms, it is important to report it. Reporting can help to detect & resolve outbreaks early and prevent others from being harmed, and enable better surveillance. If symptoms persist, seek medical care.

Source: kingcounty.gov
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FDA has issued an alert regarding certain mussels from Newfoundland, Canada, due to potential contamination. The affected mussels were harvested by Allen’s Fisheries, Ltd. and distributed to various states, including Connecticut, Florida, Maryland, Massachusetts, New Jersey, New York, and Pennsylvania.

On 3/1/2024, the New Jersey Department of... See More Health advised the FDA of an outbreak of illness associated with consumption of certain mussels. The FDA's warning pertains to mussels harvested on February 7, 2024 (Julian date 24038), from harvest area AQ # 15 Newfoundland, with a final harvest date of February 18, 2024 (Julian date 24049). The mussels were shipped to distributors on or around February 21, 2024 (Julian Date 24052).

Restaurants and retailers should not serve or sell the potentially contaminated mussels. Restaurants and retailers should dispose of any products by throwing them in the garbage or contacting their distributors to arrange for return and destruction. Consumers should not eat the potentially contaminated mussels. Consumers who have symptoms should contact their health care provider to report their symptoms and receive care. 

If you or a loved one are harmed or experiencing any symptoms, it is important to report it. Reporting can help to detect & resolve outbreaks early and prevent others from being harmed, and enable better surveillance. If symptoms persist, seek medical care.

Source: fda.gov
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The Erie County Health Department has identified a case of Hepatitis A in a worker at the Cracker Barrel restaurant located at 7810 Interstate Dr. in Summit Township, Erie County, PA.

Customers who patronized the establishment between January 30 and February 21 are advised to monitor for... See More symptoms of the disease. Customers who dined in or ordered take-out from the restaurant between February 10 and 21 are advised to get vaccinated for Hepatitis A as soon as possible due to potential exposure.

Symptoms of Hepatitis A can manifest anywhere from two to seven weeks post-exposure. These symptoms include fatigue, loss of appetite, nausea, stomach pain, diarrhea, dark urine, joint pain, or jaundice. The duration of these symptoms can range from a few weeks to several months. If symptoms appear, individuals are urged to seek immediate medical attention.

In case you experience Hepatitis A symptoms, it is important to report it. It can help to detect & resolve issues and prevent others from being harmed, and it enables better surveillance. If symptoms persist, seek medical care.

Source: yourerie.com
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The North Dakota Health and Human Services (HHS) has issued a public alert about a potential Hepatitis A exposure at the University of North Dakota (UND) Memorial Union Chick-fil-A in Grand Forks. The alert follows the confirmation of one case of Hepatitis A in a food worker,... See More possibly exposed during out-of-state travel. No additional cases have been identified at this time.

The HHS has determined that individuals who consumed food at the mentioned Chick-fil-A location during the following dates and times in January and February 2024 may have been exposed to the contagious liver infection:

- January 15, 2024: 5 p.m. - 9 p.m.
- January 16, 2024: 11 a.m. - 2:15 p.m.
- January 17, 2024: 5 p.m. - 9:45 p.m.
- January 22, 2024: 5 p.m. - 9:30 p.m.
- January 23, 2024: 11 a.m. - 2 p.m.
- January 24, 2024: 5 p.m. - 9:30 p.m.
- January 26, 2024: 5 p.m. - 9:30 p.m.
- February 4, 2024: 5 p.m. - 8 p.m.
- February 6, 2024: 11 a.m. - 2 p.m.
- February 7, 2024: 5 p.m. - 8:45 p.m.

Individuals unsure if they ate food from the UND Memorial Union Chick-fil-A on the specified dates can check credit card purchases or reference their food delivery app records. The HHS advises that the best prevention method for exposed individuals is to receive a Hepatitis A vaccine as soon as possible. Those who have previously received two doses of the vaccine or have had Hepatitis A in the past do not need to be vaccinated. The vaccine should ideally be received within two weeks of exposure for maximum effectiveness.

Hepatitis A cases in the U.S. can occur due to consumption of contaminated food or drink, person-to-person contact, or other high-risk exposures. Symptoms, which include fever, tiredness, loss of appetite, nausea, abdominal discomfort, dark urine, pale stools, or jaundice, can develop 15 to 50 days (average one month) after exposure. Grand Forks Public Health will host a free Hepatitis A vaccine clinic for exposed persons on Sunday, February 18, at the UND Memorial Union.

In case you experienced Hepatitis A symptoms it is important to report it. It can help to detect & resolve issues and prevent others from being harmed, and it enables better surveillance. If symptoms persist, seek medical care.

Source: hhs.nd.gov
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An outbreak of E. coli has been linked to RAW FARM-brand Raw Cheddar cheese products. The cheese, produced by RAW FARM, LLC, of Fresno, CA, is suspected to be the common source of the infections. As of February 16, 2024, 10 people have confirmed infections in California... See More (4), Colorado (3), Texas (1), and Utah (2). Four patients have been hospitalized, with one developing hemolytic uremic syndrome (HUS), a serious condition that can lead to kidney failure. No deaths have been reported. The products were sold at retailers nationwide.

The Raw Fram products linked to this outbreak are:
- Original Flavor: all sizes of blocks and shredded packages
- Cheddar with added Jalapeño Flavor: all sizes of blocks and shredded packages

Ill people have reported purchasing RAW FARM-brand Raw Cheddar cheese at Sprouts Farmers Market and Bristol Farms. In response to the investigation, the company initiated a recall of certain lots of the cheese currently within shelf life. The investigation is ongoing to determine the source of contamination and whether additional products are linked to illnesses.

In case you are experiencing E. coli symptoms such as watery diarrhea (often bloody), vomiting; stomach cramps; and mild fever, it is important to report it. It can help to detect & resolve outbreaks early and prevent others from being harmed, and it enables better surveillance. If symptoms persist, seek medical care.

Source: fda.gov
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