Most ill in Massachusetts, New York and Pennsylvania
CDC collaborated with public health officials in several states and the U.S. Food and Drug Administration (FDA) to investigate a multistate outbreak of Salmonella Enteritidis infections. Results from this investigation indicated that bean sprouts produced by Wonton Foods, Inc. were the likely source of this outbreak.
Public health investigators used the PulseNet system to identify illnesses that were part of this outbreak. PulseNet is the national subtyping network of public health and food regulatory agency laboratories coordinated by CDC. DNA “fingerprinting” is performed on Salmonella bacteria isolated from ill persons using a technique called pulsed-field gel electrophoresis, or PFGE. PulseNet manages a national database of these DNA fingerprints to identify possible outbreaks. Two PFGE patterns were included this investigation. Both PFGE patterns are rarely reported to the PulseNet database. On average, fewer than 10 types of Salmonella bacteria with these PFGE patterns are reported to PulseNet each year. Whole genome sequencing, a highly discriminatory subtyping method, was also performed on 16 of the clinical isolates, and all 16 were determined to be highly related to one another.
A total of 115 persons infected with the outbreak strains were reported from 12 states. The number of ill people identified in each state was as follows: Connecticut (8), Maine (4), Maryland (6), Massachusetts (36), Montana (1), New Hampshire (6), New York (22), Ohio (3), Pennsylvania (18), Rhode Island (7), Vermont (3), and Virginia (1). The one ill person from Montana traveled to the Eastern United States during the period when likely exposure occurred.
Illness onset dates ranged from September 30, 2014, to December 15, 2014. Ill persons ranged in age from younger than 1 year to 83 years, with a median age of 32 years. Sixty-four percent of ill persons were female. Among 75 persons with available information, 19 (25%) were hospitalized, and no deaths were reported.
This outbreak appears to be over.
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