With the Hannaford Hamburger Salmonella Outbreak of 2011 hitting the wires a few days ago, Salmonella – especially antibiotic-resistant Salmonella Outbreaks should be on manufacturers’, regulators’ and consumers’ minds. On December 16, Hannaford, a Scarborough, Maine-based grocery chain, recalled fresh ground beef products that may have been contaminated with a strain of Salmonella Typhimurium. The recall resulted from an investigation into human illness. The Centers for Disease Control and Prevention (CDC) have reported 14 ill persons with an indistinguishable PFGE pattern. Eleven of those individuals reported consuming ground beef. Seven individuals were hospitalized and no deaths have been reported. Ten of the fourteen case-patients reported purchasing ground beef at Hannaford stores in Maine, New York, New Hampshire and Vermont between October 12 and November 20.
Here is a decade of history of Antibiotic-Resistant Salmonella Outbreaks:
In early 2002, isolates of Salmonella Newport in New York State were found to be resistant to more than nine antibiotics and had a decreased susceptibility to the antibiotic, ceftriaxone. Since 1996, an increasing number of Salmonella Newport isolates had been found to be resistant to antibiotics. This particular strain was referred to as SN-MDR-AmpC. Subsequent to the discovery of cases in New York, four additional states discovered cases sharing the same strain of SN-MDR-AmpC. When the cases were investigated, it was found that consumption of undercooked ground beef was the only food that was significantly associated with a risk of infection. The risk of infection when undercooked ground beef was eaten was over 50 times greater than when well-cooked meat was eaten. A sample of ground beef provided by a case-patient was analyzed and was found to be contaminated with SN-MDR-AmpC. Traceback of the meat implicated Emmpak Foods Inc., a subsidiary of Cargill, Inc. Most patients had eaten lean, or extra-lean, ground beef. This outbreak was the first to implicate ground beef as a source of SN-MDR-AmpC. It illustrated the spread of antibiotic resistance from animal products to humans.
A cluster of Salmonella Typhimurium DT104 cases was found in the northeastern United States in late 2003. The strain was resistant to several antibiotics and was referred to as R-type ACSSuT. Illness was associated with consuming grocery store bought ground beef that was prepared at home as hamburgers. Product traceback linked the cases to a single, large ground beef manufacturer that had previously been implicated in a multistate outbreak of a highly antibiotic resistant strain of Salmonella Newport in 2002. The meat processor produced much of the ground beef from culled cows. On January 29, 2004, the USDA issued a reminder to consumers to cook beef thoroughly, but no product recall was issued. Related cases were found through April 2004. Cases were more likely than controls to have pre-existing medical problems.
Safeway markets in Arizona, California, Hawaii, Nevada, and New Mexico sold contaminated ground beef. A rare, drug resistant, strain of Salmonella Newport was isolated from the ill. No recall was issued as the Food Safety and Inspection Service could not identify the specific “establishments, lots and products” that received the ground beef. An alert was issued, on December 21 that advised Safeway customers to refrain from eating ground beef that had been purchased between September 19 and November 5.
In December, Beef Packers, Inc., owned by Cargill, recalled over 20,000 pounds of ground beef contaminated with a drug-resistant strain of Salmonella Newport. The company issued an earlier recall in August 2009, due to contamination of ground beef with the same strain of Salmonella Newport. This contaminated ground beef was produced in September and was distributed to Safeway grocery stores in Arizona and New Mexico. The Arizona Department of Health linked two illnesses to the ground beef.
A Beef Packers, Inc. plant in California owned by Cargill, distributed approximately 830,000 pounds of ground beef that was likely contaminated with Salmonella Newport. The beef was shipped to distribution centers in Arizona, California, Colorado, and Utah where it was repackaged into consumer-sized packages and sold under different retail brand names. The contaminated beef contained a strain of Salmonella resistant to several commonly used antibiotics (called MDR-AmpC resistance). At least 40 people in nine states fell ill; at least 21 of the people lived in Colorado and five lived in California. Most people became ill during late June and early July. Most of the ill in Colorado had purchased the ground beef at Safeway grocery stores. Ground beef was likely sold through other retail outlets as well. Cargill is a privately held, multinational corporation whose business activities include production of crop nutrients, grain, livestock feed, agricultural commodities, and ingredients for processed foods.
King Soopers, Inc., a supermarket chain, recalled approximately 466,236 pounds of ground beef that was linked to an outbreak of Salmonella Typhimurium DT 104 in the state of Colorado. The beef had been distributed in the states of Colorado, Kansas, Missouri, Nebraska, New Mexico, Utah, and Wyoming. The recall involved tray packs and chubs. The ground beef was produced on various dates ranging from May 23 to June 13, 2009. The Salmonella was resistant to many the antibiotics.
Jennie-O-Turkey Store, All Natural Lean White Meat Turkey Burgers were recalled on April 1, 2011, after an outbreak of Salmonella Hadar had been linked with the consumption of this product. The turkey burgers were sold exclusively in 4-pound cartons through Sam’s Club stores. Consumer turkey burger samples in two states were confirmed to be contaminated with the outbreak strain of Salmonella Hadar. The Salmonella Hadar is known to be resistant to several antibiotic drugs, including ampicillin, amoxicillin/clavulanate, cephalothin, and tetracycline. The Jenny-O Turkey Store is part of the Hormel Foods Company.
The U.S. Department of Agriculture’s Food Safety and Inspection Service (FSIS) issued a public health alert, on July 29, due to concerns about illnesses caused by Salmonella Heidelberg that associated with the use and the consumption of ground turkey. The alert was initiated after continuous medical reports; ongoing investigations and testing conducted by various departments of health across the nation determined an association between consumption of ground turkey products and illness. On August 3, Cargill Meat Solutions issued a recall of ground turkey products. The products subject to recall bear the establishment number “P-963” inside the USDA mark of inspection. On August 4, the Centers for Disease Control published their first outbreak summary. The Salmonella Heidelberg was multi-drug resistant, resistant to ampicillin, streptomycin, tetracycline, and gentamycin. The CDC began their investigation on May 23, after recognizing an “unusual clustering” of Salmonella Heidelberg cases. About the same time, routine surveillance by a federal food monitoring system found the same strain of Salmonella Heidelberg in ground turkey in stores. On July 29, the initial outbreak strain and a second, closely related, strain of Salmonella Heidelberg was isolated from a sample of leftover unlabeled frozen ground turkey from the home of an outbreak case in Ohio. Since February 27, 2011, a total of 23 ill persons were reported to PulseNet with this second, closely related, strain. Eighty-four ill persons were infected with the initial strain. The consumer product sample originated from the Cargill Meat Solutions Corporation establishment in Springdale, Arkansas. On September 11, Cargill Meat Solutions recalled an additional, approximately 185,000 pounds, of ground turkey contaminated with an identical strain of Salmonella Heidelberg that had led to the earlier recall on August 3. As of September 27, no illnesses had been linked to the additionally recalled, ground turkey products.