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Outbreaks

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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A salmonella outbreak has been linked to charcuterie meats sold nationwide under various brands, including Aldi, Beretta, Black Bear, Busseto, Culinary Tour, Dietz and Watson, Lidl, Publix, and Salumi Artigianali. As of February 15, 2024, 87 people across 30 states have fallen ill, with 18 hospitalizations reported.... See More The states mentioned in the investigation are AZ, CA, CO, CT, FL, ID, IL, IA, KY, LA, MD, MA, MI, MN, MO, NE, NJ, NY, ND, OH, OK, OR, PA, TN, TX, UT, VT, VA, WA, and WI.

The outbreak is currently under active investigation, with the Centers for Disease Control and Prevention (CDC), public health and regulatory officials in several states, and the U.S. Department of Agriculture’s Food Safety and Inspection Service (USDA-FSIS) involved. The charcuterie meat products from Fratelli Beretta have been identified as the source of the infections. Since the last update, 40 more illnesses have been reported. Illnesses started on dates ranging from November 20, 2023, to January 20, 2024. No deaths have been reported.

Whole genome sequencing showed it is a different strain of Salmonella from ill people in this outbreak and the Antipasto collected by the Minnesota Department of Health. The true number of sick people in this outbreak is likely much higher than the number reported, as many people recover without medical care and are not tested for Salmonella.

In case you are experiencing Salmonella symptoms such as diarrhea, abdominal cramps, and 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: cdc.gov
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The CDC and the FDA are investigating a food outbreak linked to certain cinnamon-containing apple purée and applesauce products. The outbreak has been connected to elevated blood lead levels in children. The FDA's product testing has identified high levels of chromium, in addition to lead, in the... See More cinnamon samples and recalled applesauce pouch products. The CDC has received reports from 44 states, with a total of 422 cases, including 101 confirmed cases, 284 probable cases, and 37 suspect cases.

The agency found elevated levels of lead and chromium in the cinnamon-containing apple purée and applesauce products. The exact form of chromium in the recalled products is unclear, but lead chromate, a known carcinogen, has previously been reported as a contaminant in spices and foods. The health effects of consuming food contaminated with chromium compounds such as lead chromate are not well understood, but can include irritation and ulcers in the stomach and small intestine, and anemia.

The investigation is ongoing, and consumers are advised to discard all affected products and consult with their healthcare provider if they have consumed any of the recalled items.

If you are experiencing symptoms after eating this product 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 attention.

Source: cdc.gov
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The U.S. Department of Agriculture’s Food Safety and Inspection Service (FSIS) has issued a public health alert for meat and poultry products that contain FDA-regulated dairy products, which have been recalled by Rizo-Lopez Foods due to potential Listeria monocytogenes contamination. The alert pertains to products bearing the... See More USDA mark of inspection, which consumers are advised not to consume. There have been no confirmed reports of adverse reactions due to consumption of these products.

The issue was discovered when establishments informed FSIS that they used potentially contaminated FDA-regulated dairy products from Rizo-Lopez Foods to produce the poultry products. The FDA is continuing its investigation into the dairy products produced by Rizo-Lopez Foods.

The recall involves various brands and products, notably including Amazon Kitchen, RICO, Custom Made Meals, and Trader Joe’s, among others. The products range from chicken burritos, enchiladas with various sauces, bacon-wrapped jalapeno peppers, to chicken elote bowls. These items are noted for having specific lot codes, production dates, and use-by dates, indicating a targeted recall scope. Many of the products were distributed nationwide in the US and others in specific states, check the link below for the details.

FSIS is concerned that some of the affected products may still be in consumers’ or retailers’ refrigerators or freezers. Consumers who have purchased these products are urged not to consume them, and retailers are urged not to serve or sell them. These products should be discarded or returned to the place of purchase.

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: fsis.usda.gov
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SK Food Group has issued a public health alert for its ready-to-eat poultry burrito products containing FDA regulated dairy products that have been recalled by Rizo-Lopez Foods, due to concerns that the products may be contaminated with Listeria monocytogenes. The products were distributed nationwide in the US.... See More There have been no confirmed reports of adverse reactions due to consumption of these products.

Consumption of food contaminated with L. monocytogenes can cause listeriosis, a serious infection that primarily affects older adults, persons with weakened immune systems, and pregnant women and their newborns. Less commonly, persons outside these risk groups are affected. Listeriosis can cause fever, muscle aches, headache, stiff neck, confusion, loss of balance and convulsions sometimes preceded by diarrhea or other gastrointestinal symptoms. An invasive infection spreads beyond the gastrointestinal tract. In pregnant women, the infection can cause miscarriages, stillbirths, premature delivery or life-threatening infection of the newborn.

The affected product is the 10.53-oz. "amazon kitchen, CHICKEN CHILI VERDE burrito with rice, black beans & monterey jack". The items were produced between June 20, 2023, and December 30, 2023, with best-before-Julian dates starting with 0764, 1384, 1394, and 2694 with expiration dates of 3/16/24, 5/17/24, 5/18/24, and 9/25/24.

FSIS is concerned that some product may be in consumers’ refrigerators or retailers’ freezers. Consumers who have purchased these products are urged not to consume them.

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: fsis.usda.gov
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