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Outbreaks

The FDA published an update on the investigation of multiple brands of apple cinnamon fruit pouches due to Elevated Lead Levels. As of December 19, 2023, FDA has received 69 complaints/adverse events reported from several states: AL (1), AR (1), CA (1), CT (1), FL (1), GA … See More
(2), IA (1), IL (3), KY (3), LA (4), MA (3), MD (6), MI (3), MO (1), NC (5), NE (2), NH (1), NM (1), NY (8), OH (3), PA (1), SC (2), TN (1), TX (3), VA (2), WA (3), WI (2), WV (1), Unknown (3), mainly affecting children under 6. Report Date Ranges: October 17, 2023 – December 14, 2023.

Following a series of complaints, an investigation was launched to determine the cause of the sicknesses. Laboratories found a common link among the victims – elevated blood lead levels. This led the investigating team to the Austrofoods facility in Ecuador, where affected products were sourced. A lead contamination was detected in the cinnamon used in the production of apple cinnamon fruit puree pouches under the WanaBana, Schnucks, and Weis brands. While the products were distributed nationwide, additional recalled items reportedly reached markets in Cuba and the United Arab Emirates.

The affected products are:
- WanaBana apple cinnamon fruit puree pouches. They were sold nationally and are available through multiple retailers including Amazon, Dollar Tree, and other online outlets.
- Schnuck brand cinnamon-flavored applesauce pouches and variety pack. They were sold at Schnucks and Eatwell Markets grocery stores.
- Weis brand cinnamon applesauce pouches (i.e., specific lots of UPC 041497216123). They were sold at Weis grocery stores.

The CDC's National Center for Environmental Health is working with state and local health departments to identify cases related to the consumption of recalled WanaBana, Schnucks, or Weis brand fruit puree products. The CDC's case definition includes a blood lead level of 3.5 µg/dL or higher measured within 3 months after consuming the recalled products. As of December 15, the CDC has received reports of 67 confirmed cases, 122 probable cases, and 16 suspected cases, totaling 205 cases from 33 states. It's important to note that the CDC and FDA use different data sources, and the reported counts may not directly match. Additionally, some individuals may be reflected in both agencies' numbers, so the figures should not be combined.

Upon discovering the lead contamination, immediate actions were taken to prevent further illnesses. The primary cause was traced back to Negasmart, an Ecuador-based ground cinnamon supplier to Austrofoods. Notably, however, Negasmart was found not to distribute any products directly to the United States. In response to the situation, WanaBana voluntarily recalled all Apple Cinnamon Fruit Puree Pouches, regardless of expiration date or lot code. Schnucks and Weis incorporated similar measures for certain cinnamon-flavored applesauce pouches.

The FDA, working collaboratively with Ecuadorian officials and health authorities, continues to monitor the situation closely while maintaining ongoing checks for imported cinnamon from certain countries. In the meantime, consumers are urged to avoid purchasing or consuming the recalled fruit puree products.

If you or your child 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: www.fda.gov
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#amazon #dollartree #weismarkets #us

Public Health France, in conjunction with the National Reference Center for Escherichia coli (Pasteur Institute and Robert Debré Hospital in Paris) and the General Directorate of Food, in coordination with the General Directorate of Health, is investigating 6 cases of hemolytic uremic syndrome (HUS) due to the … See More
Shiga toxin-producing E.Coli bacteria (STEC) linked to raw milk cheeses. These cases were identified in a daycare center in Toulouse In November 2023.

These investigations led to the identification of convergent epidemiological, microbiological, and traceability elements, linking at least part of these cases of HUS to Morbier cheeses produced by the Route des Terroirs company, without being able at this stage to exclude other sources of contamination.

Route des Terroirs, a major cheese manufacturer, has recalled numerous products, including uncooked pressed cheeses, morbier, raclette, and tomme. These products were distributed nationally and were manufactured up until October 11, 2023. Additionally, based on examinations by the departmental directorate of employment's control services, labor, solidarity, and the protection of the populations of Jura, Route des Terroirs is facing potential suspension of its health certification.

Consumers who possess these products are urged not to consume them. Health authorities advise that raw milk and raw milk cheeses should not be consumed by children under five years old, and cooking the cheese does not pose a risk. Similar recommendations are applicable for pregnant women and individuals with a compromised immune system.

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: sante.gouv.fr
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#fr #e.coli #cheese

Update January 19, 2024

As of January 19, 2024, the CDC announced that this outbreak is over, To this date, 407 people infected with one of the outbreak strains of Salmonella have been reported from 44 states. 158 people have been hospitalized and 6 deaths have been … See More
reported. Illnesses started on dates ranging from October 15, 2023, to December 25, 2023. Recalled cantaloupes are no longer available for sale and the use-by dates have passed.

Canada also investigated this Salmonella outbreak and linked the illnesses to cantaloupes. The strain that caused illnesses in Canada was the same strain as the U.S. illnesses.

Source: CDC

December 15, 2023

The CDC published an update on the multistate outbreak of Salmonella infections linked to cantaloupes. As of December 14th, 302 people infected with one of the outbreak strains of Salmonella have been reported from 42 states. 129 people have been hospitalized and 3 deaths have been reported (2 from Minnesota and 1 from Oregon). Illnesses started on dates ranging from October 16, 2023, to November 20, 2023.

The products linked to this outbreak are:
- Malichita and Rudy brand whole cantaloupes. Might have a sticker that says “Malichita” or “Rudy,” with the number “4050”, and “Product of Mexico/produit du Mexique”.

Pre-cut fruit products made with recalled whole cantaloupes:
- Kwik Trip cantaloupe cups, mixed fruit cups, and fruit tray with sell-by dates from November 4 through December 3.
- TGD Cuts cantaloupe chunks, mixed fruits, and fruit trays with use-by dates from November 2 through November 24.
- Freshness Guaranteed and RaceTrac cantaloupe chunks, seasonal blend, melon mixes, and fruit mixes with best-by dates from November 7 through November 12.
- Vinyard cantaloupe cubes, melon medleys, and fruit medleys sold in Oklahoma stores from October 30 through November 10.
- Kroger, Sprouts Farmers Market, and Trader Joe’s cantaloupe chunks, mixed melons, fruit medleys, and fruit trays with best-by dates from October 28 through November 8.
- Cut Fruit Express cantaloupe chunks, melon mixes, and fruit mixes with use-by dates from November 4 through November 6.
- ALDI whole cantaloupes, cantaloupe chunks, and pineapple spears with best-by dates from October 27 through October 31.
- Bix Produce cantaloupe fruit cups and mixed fruit cups with sell-by dates of October 25 and October 26.

Since the last update, one additional recall for cantaloupes has been issued. Stop & Shop Recalled Trufresh Cantaloupe PLU – 4050 at 183 Store Locations, purchased from October 23 through November 11.

CDC is advising people not to eat, sell, or serve recalled fruit. Additionally, the CDC is concerned about this outbreak because the illnesses are severe and people in long-term care facilities and childcare centers have gotten sick. Do not eat pre-cut cantaloupes if you don’t know whether Malichita or Rudy brand cantaloupes were used.

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: www.cdc.gov
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#sproutsfarmersmarket #aldi #traderjoes #stopshop #kroger #us #salmonella

Wake County Public Health and Wake County Environmental Services are investigating a Norovirus outbreak linked to the Sushi Nine restaurant located at 3812 Western Blvd, Raleigh, NC. To date, 3 cases of the virus have been confirmed and all of them are now recovering. The source is … See More
not yet identified, it appears that those who reported falling ill consumed an array of menu items, making it impossible to determine a single point of contamination – a common characteristic of norovirus outbreaks.

The first report of illness connected to the restaurant came on Dec. 1, launching an immediate investigation. Subsequent reports to Wake County’s Public Health Communicable Disease team brought the total number of related complaints to 241, all from patrons who visited the restaurant between Nov. 28 and Dec. 5. Stool samples, the sole definitive test for norovirus, were requested of each complainant; only 3 sets of results have returned so far, all positive for the virus.

Sushi Nine voluntarily closed for deep cleaning on Dec. 5. An environmental health consultant has since inspected the establishment daily and confirmed no new complaints since the restaurant reopened on Dec. 8.

Wake County strongly advises anyone who visited Sushi Nine within the Nov. 28 to Dec. 5 timeframe to monitor their health closely. While norovirus is highly infectious and presents symptoms rapidly after exposure, it is usually self-limiting within several days.

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: www.wake.gov
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#raleigh #northcarolina #us #norovirus

Ready-to-eat fish products have been linked to a Listeria outbreak spanning 5 EU (European Union)/EEA (European Economic Area) countries, as per the European Centre for Disease Prevention and Control (ECDC) and the European Food Safety Authority (EFSA). 64 cases have been recorded thus far.

The outbreak, under … See More
investigation since 2016, is comprised of three sub-clusters of Listeria monocytogenes infections. To date, there have been 64 cases in sub-cluster 1, with 17 reported between 2022 and 2023. The breakdown is as follows: Austria (1), Belgium (1), Italy (8), Germany (6), and The Netherlands (1). Of these, ten cases resulted in fatalities in 2019 (2), 2020 (5), 2021 (1), 2022 (1), and 2023 (1).

The outbreak was uncovered through sequencing analysis which identified the strain in two Lithuanian fish processing plants and their products dating from 2016 to 2023. Products from these plants reached Germany and Italy's retail markets between 2022 and 2023. However, information is currently unavailable regarding the distribution of these products in the other countries reporting cases (Austria, Belgium, and the Netherlands).

Production has been halted in one of the two processing plants, potentially mitigating the infection risk. Yet, further cases are anticipated, specifically among the immunosuppressed and individuals over 75, until all contamination sources are thoroughly controlled.

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: www.ecdc.europa.eu
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#de #listeria

The FDA issued an alert advising consumers not to eat, and restaurants and food retailers not to sell or serve Red’s Best chopped clams labeled as lot numbers # 331 and # 333, harvested in Massachusetts on November 25 and 26, 2023 due to potential contamination that … See More
poses a risk of illness, especially to those with compromised immune systems. These clams were directly distributed to distributors and retailers in Connecticut, Massachusetts, New York, and Rhode Island and may have been distributed further from these states.

The affected products are Red’s Best chopped clams illegally harvested from prohibited waters in MA on 11/25/2023 and 11/26/2023, with lot numbers # 331 and # 333, with shuck dates of 23/331 and 23/333 and harvest area mhb4, packed by 13027 ma-sp. All chopped clams were packed in one-gallon (8 lbs) plastic containers with “Red’s Best” printed on the sidewall. Both the lot number and shuck date should be printed on a decal label adhered to either the lid or sidewall of each container.

Clams, being filter feeders, can accumulate bacteria and other pathogens from the water, which when ingested, can lead to food poisoning.

The Massachusetts Department of Public Health notified the FDA about the recall of these chopped clams on December 11, 2023. Following this, the FDA urged consumers, as well as food retailers and restaurants, to not consume or sell the above-mentioned clams until further notice. The FDA is still gathering additional information about the distribution of these clams and is offering assistance to state authorities in the ongoing investigation.

Restaurants and retailers are recommended to prevent cross-contamination of food processing equipment and the environment. They are advised to dispose of any contaminated products properly, sanitize containers that held the product, and ensure regular cleaning of food preparation surfaces and utensils.

Consumer vigilance is critical at this point to avoid any health risks associated with the consumption of these potentially contaminated clams. Consumers are advised not to consume these clams.

In case you experience vomiting, diarrhea, 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: www.fda.gov
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#us

Saline Area Schools (SAS); Woodland Meadows Elementary, had to shut down due to a suspected norovirus outbreak, which has caused gastroenteritis in an alarming number of students last week.

The worrying increase in gastroenteritis cases at Woodland Meadows Elementary School, primarily among second-grade students, prompted officials to … See More
take measures to contain the outbreak. After a meticulous analysis of reported illness, school authorities, in collaboration with Washtenaw County Health Department, made the decision to shut the school down temporarily.

The source of the outbreak was a challenge to track since norovirus, the identified pathogen, is a common cause of gastroenteritis and spreads easily. This ubiquitous virus is typically transmitted through contaminated surfaces, direct person-to-person contact, or via food. The problem was eventually discovered following unexpected sick leaves recorded among the students, specifically second graders.

The closure is aimed at 'breaking the cycle' during the typical incubation period and to allow for extensive cleaning efforts across the school facility. Simultaneously, the officials are working on the next steps to safeguard the health of the students, staff, and the wider community.

Children and staff have been advised to stay home until 48 hours after the symptoms have subsided to prevent further transmission of the gastrointestinal illness. Norovirus symptoms typically include nausea, vomiting, diarrhea, stomach cramping, low-grade fever, headache, weakness, and muscle aches, lasting 1 to 2 days. The school is set to reopen once the situation is under control and health standards are met.

In case you experience Norovirus symptoms, 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: www.mlive.com
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#saline #michigan #us #norovirus

Update December 14, 2023

Wake County Public Health and Wake County Environmental Services confirmed a Norovirus Outbreak linked to the Sushi Nine restaurant. To date, 3 cases have been confirmed. The source is not yet identified, it appears that those who reported falling ill consumed an array … See More
of menu items, making it impossible to determine a single point of contamination – a common characteristic of norovirus outbreaks.

The first report of illness connected to the restaurant came on Dec. 1, launching an immediate investigation. Subsequent reports to Wake County’s Public Health Communicable Disease team brought the total number of related complaints to 241, all from patrons who visited the restaurant between Nov. 28 and Dec. 5. Stool samples, the sole definitive test for norovirus, were requested of each complainant; only 3 sets of results have returned so far, all positive for the virus.

Source: Wake County Public Health

December 09, 2023

Wake County Environmental Services is investigating a foodborne illnesses outbreak linked to Sushi Nine restaurant located at 3812 Western Blvd, Raleigh, NC. To date, 140 cases have been reported. The restaurant voluntarily shut down for 48 hours to conduct thorough deep cleaning, after which it was given clearance by the county to reopen and resume operations.

The first case of foodborne illness was reported on November 30, with symptoms of nausea, vomiting, and diarrhea. Wake County Environmental Services are looking into the possibility that these symptoms could be indicative of the norovirus, though it is still too early to confirm the exact cause of the illness. The analysis includes close inspection of food storage and preparation methods at Sushi Nine. The initial complaints about the establishment were lodged on December 1, resulting in further complaints in the days following the incident that led to the recommendation for the restaurant's temporary closure.

While measures have been taken to address the issue, it is urged that anyone who ate at Sushi Nine between November 30th through December 4th and experienced subsequent sickness should report to the local health authority.

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: www.wral.com
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#raleigh #northcarolina #us

The CDC published an update on the multistate outbreak of Salmonella infections linked to cantaloupes. As of December 6th, 230 people infected with one of the outbreak strains of Salmonella have been reported from 38 states. Illnesses started on dates ranging from October 16, 2023, to November … See More
20, 2023. 96 people have been hospitalized and three deaths have been reported (two from Minnesota and one from Oregon).

The products linked to this outbreak are:
- Malichita and Rudy brand whole cantaloupes. Might have a sticker that says “Malichita” or “Rudy,” with the number “4050”, and “Product of Mexico/produit du Mexique”.

Pre-cut fruit products made with recalled whole cantaloupes:
- Kwik Trip cantaloupe cups, mixed fruit cups, and fruit tray with sell-by dates from November 4 through December 3.
- TGD Cuts cantaloupe chunks, mixed fruits, and fruit trays with use-by dates from November 2 through November 24.
- Freshness Guaranteed and RaceTrac cantaloupe chunks, seasonal blend, melon mixes, and fruit mixes with best-by dates from November 7 through November 12.
- Vinyard cantaloupe cubes, melon medleys, and fruit medleys sold in Oklahoma stores from October 30 through November 10.
- Kroger, Sprouts Farmers Market, and Trader Joe’s cantaloupe chunks, mixed melons, fruit medleys, and fruit trays with best-by dates from October 28 through November 8.
- Cut Fruit Express cantaloupe chunks, melon mixes, and fruit mixes with use-by dates from November 4 through November 6.
- ALDI whole cantaloupes, cantaloupe chunks, and pineapple spears with best-by dates from October 27 through October 31.
- Bix Produce cantaloupe fruit cups and mixed fruit cups with sell-by dates of October 25 and October 26.

CDC is advising people not to eat, sell, or serve recalled fruit. Additionally, the CDC is concerned about this outbreak because the illnesses are severe and people in long-term care facilities and childcare centers have gotten sick. Do not eat pre-cut cantaloupes if you don’t know whether Malichita or Rudy brand cantaloupes were used.

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: www.cdc.gov
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#sproutsfarmersmarket #kwiktrip #aldi #traderjoes #kroger #us #salmonella

The FDA is currently investigating a new outbreak of Listeria Monocytogenes. As of December 06, 2023, a total of 3 people infected with Listeria monocytogenes have been reported. No specific product has been linked to this investigation as of today. This investigation is ongoing.

In case you … See More
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. If symptoms persist, seek medical care.

Source: www.fda.gov
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#us #listeria

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