Romain Lettuce from Yuma: The FDA and the CDC, along with state and local health officials, are investigating an outbreak of Shiga toxin-producing E. coli O157:H7 infections.
There are 197 cases in 35 states: Alaska (8), Arkansas (1), Arizona (9), California (45), Colorado (3), Connecticut (2), Florida (1), Georgia (5), Idaho (11), Illinois (2), Iowa (1), Kentucky (1), Louisiana (1), Massachusetts (4), Michigan (5), Minnesota (12), Mississippi (1), Missouri (1), Montana (9), Nebraska (1), New Jersey (8), New York (10), North Carolina (1), North Dakota (3), Ohio (7), Oklahoma (1), Oregon (1), Pennsylvania (24), South Dakota (1), Tennessee (3), Texas (3), Utah (1), Virginia (1), Washington (7), and Wisconsin (3). 89 people have been hospitalized, including 26 people who have developed a type of kidney failure called hemolytic uremic syndrome.5 deaths have been reported from Arkansas (1), California (1), Minnesota (2), and New York (1).
The current outbreak is not related to a recent multistate outbreak of E. coli O157:H7 infections linked to leafy greens. People in the previous outbreak were infected with a different DNA fingerprint of E. coli O157:H7 bacteria.
The most recent information collected by the FDA, in conjunction with federal, state, and local partners, indicates that the romaine lettuce that ill people ate was likely grown or originated from the winter growing areas in or around the Yuma region. This region generally supplies romaine lettuce to the U.S. during November-March each year.
Del Monte Vegetable Trays: The FDA, CDC, state, and local partners are currently investigating several Cyclospora illnesses associated with recalled Del Monte 6oz and 12oz vegetable trays containing broccoli, cauliflower, carrots and dill dip that were sold by Kwik Trip/Kwik Star locations in IA, MN, and WI. Additionally, Del Monte is recalling “small veggie trays,” which are 28oz and include broccoli, cauliflower, carrots, celery and dill dip that were distributed to Illinois and Indiana.
As of June 15, 2018, CDC has reported 78 laboratory-confirmed cases of cyclosporiasis in persons from IA, MN, WI and MI who reportedly consumed the vegetable trays. The two cases from Michigan reportedly purchased the vegetable tray in Wisconsin and therefore Michigan is not impacted from this outbreak.
On June 8, 2018, Del Monte withdrew their 6oz and 12oz vegetable trays from retail market locations, and they are not currently available for purchase. However, consumers who purchased these trays before the withdrawal may still have product in their homes since the expiration date is June 17, 2018 or earlier. The 28oz vegetable trays that were distributed to IL and IN are being recalled as of June 15, 2018. Del Monte reports the recalled products were distributed to: Kwik Trip, Kwik Star, Demond’s, Sentry, Potash, Meehan’s, Country Market, FoodMax Supermarket and Peapod in Illinois, Indiana, Iowa, Michigan, Minnesota, and Wisconsin and have “Best If Enjoyed By” date of June 17, 2018 or earlier.
Kellogg’s Honey Smacks: The CDC and FDA report that as of June 15, 2018, there are 73 people ill with this strain of Salmonella in 31 states: Alabama (2), Arizona (1), California (5), Connecticut (3), Georgia (2), Illinois (1), Indiana (3), Kentucky (1), Louisiana (2), Massachusetts (5), Maryland (1), Michigan (4), Mississippi (1), Montana (1), North Carolina (3), New Hampshire (1), New Jersey (3), New York (7), Ohio (1), Oklahoma (2), Oregon (1), Pennsylvania (5), Rhode Island (2), South Carolina (1), Tennessee (1), Texas (2), Utah (1), Virginia (4), Washington (3), Wisconsin (1), West Virginia (3).The ages of the ill people range from less than one year to 87 (median 58 years) and 65% of cases are female. Reported illness onset dates range from 3/3/18 – 5/28/18. Among 55 with available information, 24 (44%) have been hospitalized. No deaths have been reported.
Epidemiologic evidence indicates that Kellogg’s Honey Smacks cereal is a likely source of this multistate outbreak. In interviews, ill people answered questions about the foods they ate and other exposures in the week before they became ill. Thirty (77%) of 39 people interviewed reported eating cold cereal. In interviews, 14 people specifically reported eating Kellogg’s Honey Smacks cereal. Ill people in this outbreak reported this cereal more often than any other cereals or food items.On June 14, 2018, the Kellogg Company recalled packages of Kellogg’s Honey Smacks cereal.
Caito Foods Cut Melons: The FDA, CDC, along with state and local officials are investigating a multi-state outbreak of Salmonella Adelaide infections. Epidemiologic and preliminary traceback evidence indicates that pre-cut melon distributed by Caito Foods, LLC is a likely source of this outbreak. The recalled products were packaged in clear, plastic clamshell containers and distributed to Alabama, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Maryland, Michigan, Minnesota, Missouri, Nebraska, North Carolina, North Dakota, Ohio, Pennsylvania, South Dakota, Tennessee, Virginia, West Virginia, and Wisconsin. The FDA is currently working with state partners to trace back the pre-cut melons to identify the source of the pathogen, to determine the full distribution of the pre-cut melons, and to learn more about how the contamination occurred. The FDA is advising consumers to discard any recalled products purchased at the listed locations.
There are 60 people ill with this strain of Salmonella in five states: IL (6), IN (11), MI (32), MO (10), OH (1). The ages of the ill people range from less than one year to 97 (median 67 years) and 65% of cases are female. Reported illness onset dates range from 4/30/18 – 5/28/18. Among 47 with available information, 31 (66%) have been hospitalized. No deaths have been reported.
FDA advises consumers not to eat recalled fresh cut watermelon, honeydew melon, cantaloupe, and fresh-cut fruit medley products containing any of these melons. Products have been distributed in Alabama, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Maryland, Michigan, Minnesota, Missouri, Nebraska, North Carolina, North Dakota, Ohio, Pennsylvania, South Dakota, Tennessee, Virginia, West Virginia, and Wisconsin. The products were packaged in clear, plastic clamshell containers under several different brands or labels and distributed to Costco, Jay C, Kroger, Payless, Owen’s, Sprouts, Trader Joe’s, Walgreens, Walmart, Whole Foods/Amazon. Other retail locations may be added to the list. Caito Foods, LLC has voluntarily recalled fruit salad mixes that contain pre-cut melons to prevent further distribution of potentially contaminated products.
Rose Acre Farms’ Shell Eggs: The CDC reported that 45 people infected with the outbreak strain of Salmonella Braenderup were reported from 10 states: Alaska (1), Colorado (1), Florida (2), New Jersey (2), New York (14), North Carolina (6), Pennsylvania (6), South Carolina (4), Virginia (8), and West Virginia (1). 11 people were hospitalized, and no deaths were reported.
After learning that all of the people who became ill ate eggs or egg dishes before the onset of illness, the FDA was able to trace back the source of some of the eggs to the Rose Acre Farms’ Hyde County farm. FDA investigators then inspected the farm and collected samples for testing. During the inspection, FDA investigators observed objectionable conditions and practices which are summarized here. FDA analysis of the samples revealed that the same rare strain of Salmonella Braenderup that caused the illnesses was present at the Hyde County Egg facility, tying the facility to the outbreak.
The FDA advised consumers not to eat recalled eggs produced by Rose Acre Farms’ Hyde County farm. These eggs were sold under multiple brand names, including Coburn Farms, Country Daybreak, Food Lion, Glenview, Great Value, Nelms, Sunshine Farms, Publix, and Sunups. Recalled eggs were also sold to restaurants.
As a result of these findings and discussions between the FDA and the firm, Rose Acre Farms voluntarily recalled shell eggs from the Hyde County egg farm. The affected Rose Acre Farms recalled eggs are identified with plant number P-1065 and Julian date ranges of 011 through date of 102 printed on either the side portion or the principal side of the carton or package. These eggs were sold under multiple brand names including Coburn Farms, Country Daybreak, Food Lion, Glenview, Great Value, Nelms, and Sunshine Farms. Recalled eggs were also sold to restaurants.
Following Rose Acre Farms’ recall, Cal-Maine Foods, Inc. voluntarily recalled eggs purchased from Rose Acre Farms and produced at the Hyde County facility. These eggs were repackaged and sold under multiple brand names, including Publix and Sunups.
Natural Grocers Dried Coconut: The CDC reports a total of 14 people were infected with the outbreak strain of Salmonella Typhimurium, across eight states and the District of Columbia: California (5), Colorado, Connecticut, District of Columbia, Idaho, Missouri, Oregon (2), Texas, and Utah. Three people have been hospitalized, but no deaths have been reported. Illnesses started on dates ranging from September 22, 2017 to February 26, 2018. Ill people ranged in age from 1 to 73 years, with a median age of 38. Among ill people, 62% were female. Three hospitalizations were reported. No deaths were reported. Whole genome sequencing (WGS) performed on bacteria isolated from ill people showed that they were closely related genetically. This means that people in this outbreak were more likely to share a common source of infection.
FDA and state health and regulatory officials collected leftover dried coconut from ill people’s homes, as well as dried coconut from Natural Grocers store locations where ill people shopped and from the Natural Grocers’ Distribution Center. FDA testing identified the outbreak strain of Salmonella Typhimurium in an unopened sample of Natural Grocers Coconut Smiles Organic collected from Natural Grocers. The outbreak strain was also identified in an opened, leftover sample of Natural Grocers Coconut Smiles Organic collected from an ill person’s home.
FDA also collected dried coconut from International Harvest, Inc. The outbreak strain of Salmonella Typhimurium was identified in samples of International Harvest Brand Organic Go Smile! Dried Coconut Raw and Go Smiles Dried Coconut Raw.
On March 16, 2018, International Harvest, Inc. recalled bags of Organic Go Smile! Raw Coconut and bulk packages of Go Smiles Dried Coconut Raw. The recalled Organic Go Smile! Raw Coconut was sold online and in stores in 9-ounce bags with sell-by dates from January 1, 2018 through March 1, 2019. Recalled bulk Go Smiles Dried Coconut Raw was sold in a 25-pound case labeled with batch/lot numbers OCSM-0010, OCSM-0011, and OCSM-0014. These products were sold in various grocery stores. The list of locations and cities where recalled bulk dried coconut was sold is available on the FDA website.
On March 19, 2018, Vitamin Cottage Natural Food Markets, Inc. recalled packages of Natural Grocers Coconut Smiles Organic labeled with barcode 8034810 and packed-on numbers lower than 18-075. Recalled Natural Grocers Coconut Smiles Organic were sold in 10-ounce clear plastic bags with the Natural Grocers label. The packed-on number can be found in the bottom left-hand corner of the label.
Fareway and Triple T Chicken Salad: The CDC collaborated with public health and regulatory officials in several state and the U.S. Department of Agriculture’s Food Safety and Inspection Service to investigate a multistate outbreak of Salmonella Typhimurium infections. A total of 265 people infected with the outbreak strains of Salmonella Typhimurium were reported from 8 states. A list of the states and the number of cases in each can be found on the Case Count Map page. WGS performed on bacteria isolated from ill people showed that they were closely related genetically. This means that people in this outbreak were more likely to share a common source of infection. Illnesses started on dates ranging from January 8, 2018, to March 20, 2018. Ill people ranged in age from less than 1 year to 89 years, with a median age of 57. Sixty-seven percent of people were female. Ninety-four hospitalizations were reported, including one person from Iowa who died.
Public health officials in Iowa first detected this outbreak and linked the illnesses to chicken salad sold at Fareway grocery stores. CDC searched the PulseNet database and identified illnesses in other states, and those illnesses were added to this outbreak. In interviews, ill people answered questions about the foods they ate and other exposures in the week before they became ill. Of 222 people interviewed, 194 (87%) reported eating chicken salad purchased from Fareway grocery stores. Triple T Specialty Meats, Inc. produced the chicken salad that ill people reported eating. On February 9, 2018, Fareway stopped selling chicken salad in all of its stores after the Iowa Department of Inspections and Appeals contacted the company about the illnesses. The Iowa Department of Public Health and the Iowa Department of Inspections and Appeals issued a consumer advisory on February 13, 2018 warning that chicken salad sold at Fareway may be contaminated with Salmonella.Investigators in Iowa collected chicken salad from two Fareway grocery store locations in Iowa for laboratory testing. An outbreak strain of Salmonella Typhimurium was identified in both samples. On February 21, 2018, Triple T Specialty Meats, Inc. recalled all chicken salad produced from January 2, 2018 to February 7, 2018. The recalled chicken salad was sold in containers of various weights from the deli at Fareway grocery stores in Iowa, Illinois, Minnesota, Nebraska, and South Dakota from January 4, 2018 to February 9, 2018.