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Surveillance & Analysis on Salmonella News & Outbreaks

More Salmonella Illnesses Linked to RAW Meal Organic Shake & Meal

As of March 21 2016, 27 people infected with the outbreak strain of Salmonella Virchow have been reported from 20 states. A list of states and the number of cases in each can be found on the Case Count Map page.

Among people for whom information is available, illnesses started on dates ranging from December 5, 2015 to March 13, 2016. Ill people range in age from less than 1 year to 84, with a median age of 35. Fifty-six percent of ill people are female. Among 19 ill people with available information, 5 (26%) reported being hospitalized, and no deaths have been reported.

Illnesses that occurred after February 28, 2016 might not be reported yet. This takes an average of 2 to 4 weeks. Please see the Timeline for Reporting Cases of Salmonella Infection for more details. The recalled products have a long shelf life and may still be in people’s homes, and illnesses may continue to be reported.

Epidemiologic and laboratory evidence indicates that RAW Meal Organic Shake & Meal products made by Garden of Life, LLC are the likely source of this outbreak.

As a result of this investigation, Garden of Life, LLC voluntarily recalled several lots of RAW Meal Organic Shake & Meal products, available in chocolate, original, vanilla, and vanilla chai, on January 29, 2016 (initial recall) and February 12, 2016 (expanded recall).

A total of 907 people infected with the outbreak strains of Salmonella Poona were reported from 40 states. A list of states and the number of cases in each can be found on the Case Count Map page.

Among people for whom information was available, illnesses started on dates ranging from July 3, 2015 to February 29, 2016. Ill people ranged in age from less than 1 year to 99, with a median age of 18. Forty-nine percent of ill people were children younger than 18 years. Fifty-six percent of ill people were female. Among 720 people with available information, 204 (28%) were hospitalized. Six deaths were reported from Arizona (1), California (3), Oklahoma (1), and Texas (1).

Epidemiologic, laboratory, and traceback investigations identified imported cucumbers from Mexico and distributed by Andrew & Williamson Fresh Produce as the likely source of the infections in this outbreak.

Several state health and agriculture departments collected and tested cucumbers from retail locations and isolated the outbreak strains of Salmonella Poona. Information indicated that these cucumbers were distributed by Andrew & Williamson Fresh Produce. Additionally, testing of cucumbers collected from the Andrew & Williamson Fresh Produce facility isolated the outbreak strains of Salmonella Poona.

Traceback information collected from the 11 illness clusters indicated that cucumbers eaten by ill people were imported from Mexico and distributed by Andrew & Williamson Fresh Produce.

Two recalls of garden variety cucumbers distributed by Andrew & Williamson Fresh Produce were announced because the cucumbers were likely contaminated with Salmonella. Recalled cucumbers were grown in Baja California, Mexico and distributed to many U.S. states. On September 4, 2015, Andrew & Williamson Fresh Produce voluntarily recalled all cucumbers sold under the Limited Edition brand label from August 1, 2015 through September 3, 2015. On September 11, 2015, Custom Produce Sales voluntarily recalled all cucumbers sold under the Fat Boy brand label starting August 1, 2015. These cucumbers were sent to Custom Produce Sales from Andrew & Williamson Fresh Produce.

RAW Salmonella Outbreak in Florida, Massachusetts, Maryland, Minnesota, New Jersey, New Mexico, North Carolina, Ohio, Oklahoma, Oregon, Rhode Island, Tennessee, Texas, Utah and Wisconsin

big-map-2-18-2016As of February 17, 2016, 18 people infected with the outbreak strain of Salmonella Virchow have been reported from 15 states. The number of ill people identified in each state is as follows: Florida (1), Massachusetts (1), Maryland (1), Minnesota (2), New Jersey (2), New Mexico (1), North Carolina (1), Ohio (1), Oklahoma (1), Oregon (1), Rhode Island (1), Tennessee (1), Texas (1), Utah (2), and Wisconsin (1).

Among people for whom information is available, illnesses started on dates ranging from December 5, 2015 to February 3, 2016. Ill people range in age from 1 year to 76, with a median age of 34. Fifty-six percent of ill people are male. Among 12 ill people with available information, four (33%) reported being hospitalized, and no deaths have been reported.

In ongoing interviews, ill people answered questions about foods eaten and other exposures in the week before they became ill. Of the 14 ill people who have been interviewed, 14 (100%) reported consuming powdered supplements or meal replacement powders in the week before illness onset; all 14 (100%) specifically reported consuming Garden of Life RAW Meal products.

The Utah Public Health Laboratory and Oklahoma Public Health Laboratory isolated the outbreak strain of Salmonella Virchow from open containers of Garden of Life RAW Meal collected from ill people’s homes in Utah and Oklahoma. Both products that were tested were from lots covered under the recalls announced by Garden of Life, LLC. FDA sampling confirmed the presence of the outbreak strain of Salmonella Virchow in Organic Moringa Leaf powder used in RAW Meal Organic Shake & Meal Replacement products.

On February 12, 2016, Garden of Life, LLC issued an expanded recall of its RAW Meal Organic Shake & Meal products available in chocolate, original, vanilla, and vanilla chai to include these additional lots.

Kansas, Missouri, Oklahoma and Pennsylvania tied to Sweetwater Farms Salmonella Outbreak

big-map-2-22-2016CDC is collaborating with public health officials in multiple states and the U.S. Food and Drug Administration (FDA) to investigate a multistate outbreak of Salmonella Muenchen infections.

A total of 13 people infected with the outbreak strain of Salmonella Muenchen have been reported from four states. The number of ill people identified in each state is as follows: Kansas (5), Missouri (3), Oklahoma (3), and Pennsylvania (2).

Illnesses started on dates ranging from December 1, 2015 to January 21, 2016. Ill people range in age from 18 years to 73, with a median age of 51. Ninety-two percent of ill people are female. Among 13 ill people with available information, 5 reported being hospitalized, and no deaths have been reported.

Collaborative investigative efforts of state, local, and federal public health and regulatory officials indicate that alfalfa sprouts produced by Sweetwater Farms of Inman, Kansas are a likely source of this outbreak.

In interviews, ill people answered questions about foods eaten and other exposures in the week before they became ill. Of the 12 ill people who were interviewed, 10 (83%) reported eating or possibly eating sprouts in the week before illness started. When asked about the type of sprouts eaten, nine (90%) of these ten ill people reported eating alfalfa sprouts. One ill person reported purchasing Sweetwater Farms brand alfalfa sprouts from a grocery store.

State and local health and regulatory officials performed traceback investigations from five different restaurant locations where ill people ate sprouts. These investigations indicated that Sweetwater Farms supplied alfalfa sprouts to all five locations.

Laboratory testing isolated Salmonella from samples of irrigation water and alfalfa sprouts collected during a recent inspection at Sweetwater Farms. Further testing is ongoing to determine the type and DNA fingerprint of Salmonella isolated in these samples.

Alabama, Arizona, Connecticut, Georgia, Michigan, Minnesota, North Dakota, Virginia and Washington linked in Salmonella Pistachios Outbreak

small-map-03-07-16-300x191CDC is collaborating with public health officials in multiple states and the U.S. Food and Drug Administration (FDA) to investigate a multistate outbreak of Salmonella Montevideo infections.

A total of 11 people infected with the outbreak strain of Salmonella Montevideo have been reported from 9 states. A list of states and the number of cases in each can be found on the Case Count Map page.

Illnesses started on dates ranging from December 12, 2015 to February 9, 2016. Ill people range in age from 9 years to 69, with a median age of 31. Seventy-three percent of ill people are male. Among 9 ill people with available information, 2 reported being hospitalized, and no deaths have been reported.

Collaborative investigative efforts of state, local, and federal public health and regulatory officials indicate that pistachios produced by Wonderful Pistachios of Lost Hills, California are a likely source of this outbreak.

Recent laboratory testing isolated the outbreak strain of Salmonella Montevideo from samples of raw pistachios collected from Paramount Farms, where Wonderful pistachios are grown.

On March 9, 2016, Wonderful Pistachios voluntarily recalled a limited number of flavors and sizes of in-shell and shelled pistachios because they may be contaminated with Salmonella. The pistachios were sold under the brand names Wonderful, Paramount Farms, and Trader Joe’s and were sold nationwide and in Canada. The pistachios, which were distributed through several retailers, food companies and manufacturers nationwide and in Canada, can be identified by a 13-digit lot code number, which can be found on the lower back or bottom panel of the package.  The specific products and lot codes affected are attached, and only product with these lot codes is subject to recall.

Alabama, Arizona, Connecticut, Georgia, Michigan, Minnesota, North Dakota, Virginia, Washington Report Salmonella Pistachios Outbreak

A total of 11 people infected with the outbreak strain of Salmonella Montevideo have been reported from 9 states. A list of states and the number of cases in each can be found on the Case Count Map page. States reporting illnesses are: Alabama 1, Arizona 2, Connecticut 1, Georgia 1, Michigan 1, Minnesota 1, North Dakota 1, Virginia 1, Washington 2.

CDC is collaborating with public health officials in multiple states and the U.S. Food and Drug Administration (FDA) to investigate a multistate outbreak of Salmonella Montevideo infections.

Illnesses started on dates ranging from December 12, 2015 to February 9, 2016. Ill people range in age from 9 years to 69, with a median age of 31. Seventy-three percent of ill people are male. Among 9 ill people with available information, 2 reported being hospitalized, and no deaths have been reported.

Collaborative investigative efforts of state, local, and federal public health and regulatory officials indicate that pistachios produced by Wonderful Pistachios of Lost Hills, California are a likely source of this outbreak.

Recent laboratory testing isolated the outbreak strain of Salmonella Montevideo from samples of raw pistachios collected from Paramount Farms, where Wonderful pistachios are grown.

On March 9, 2016, Wonderful Pistachios voluntarily recalled a limited number of flavors and sizes of in-shell and shelled pistachios because they may be contaminated with Salmonella. The pistachios were sold under the brand names Wonderful, Paramount Farms, and Trader Joe’s and were sold nationwide and in Canada.

Ohio’s Lucky’s Taproom & Eatery Cause of Salmonella Outbreak

Dayton & Montgomery County is in the early stages of investigating an outbreak of illness associated with eating at Lucky’s Taproom & Eatery between the dates of February 12 through February 29. The restaurant is located at 520 East Fifth Street in Dayton. Public Health received an initial complaint of illness on Monday, February 29 and inspected the business the same day.

As of 4 pm on Thursday, March 3, Public Health has received a total of seventy (70) reports of illness. Of the reported ill, four were admitted to area hospitals. Symptoms reported include stomach cramps, diarrhea, headache, nausea and vomiting.

During the investigation, Pubic Health obtained stool samples from the ill and food samples from the restaurant. These samples have been submitted for testing to the Ohio Department of Health Laboratory to determine what may be causing the illness. Results are expected next week. As the investigation continues, additional samples may be submitted for testing.

The restaurant owner decided to close voluntarily on February 29 to sanitize and clean the facility. Public Health is working closely with the owner to make sure all steps are being taken to ensure the restaurant is safe before it reopens.

Public Health’s Environmental Health Director, Jennifer Wentzel explained, “It’s early in the investigation and we are still waiting on testing results. Since the people we have interviewed have all eaten at the same restaurant, it leads us to believe it’s a foodborne illness.”

Kansas, Missouri, Oklahoma and Pennsylvania Link in Salmonella Sprout Outbreak

A total of 13 people infected with the outbreak strain of Salmonella Muenchen have been reported from four states. The number of ill people identified in each state is as follows: Kansas (5), Missouri (3), Oklahoma (3), and Pennsylvania (2).

Illnesses started on dates ranging from December 1, 2015 to January 21, 2016. Ill people range in age from 18 years to 73, with a median age of 51. Ninety-two percent of ill people are female. Among 13 ill people with available information, 5 reported being hospitalized, and no deaths have been reported.

Collaborative investigative efforts of state, local, and federal public health and regulatory officials indicate that alfalfa sprouts produced by Sweetwater Farms of Inman, Kansas are a likely source of this outbreak.

In interviews, ill people answered questions about foods eaten and other exposures in the week before they became ill. Of the 12 ill people who were interviewed, 10 (83%) reported eating or possibly eating sprouts in the week before illness started. When asked about the type of sprouts eaten, nine (90%) of these ten ill people reported eating alfalfa sprouts. One ill person reported purchasing Sweetwater Farms brand alfalfa sprouts from a grocery store.

State and local health and regulatory officials performed traceback investigations from five different restaurant locations where ill people ate sprouts. These investigations indicated that Sweetwater Farms supplied alfalfa sprouts to all five locations.

Laboratory testing isolated Salmonella from samples of irrigation water and alfalfa sprouts collected during a recent inspection at Sweetwater Farms. Further testing is ongoing to determine the type and DNA fingerprint of Salmonella isolated in these samples.

Salmonella Outbreak: Florida (1), Massachusetts (1), Maryland (1), Minnesota (2), New Jersey (2), New Mexico (1), North Carolina (1), Ohio (1), Oklahoma (1), Oregon (1), Rhode Island (1), Tennessee (1), Texas (1), Utah (2), and Wisconsin (1)

raw-mealAs of February 17, 2016, 18 people infected with the outbreak strain of Salmonella Virchow have been reported from 15 states. The number of ill people identified in each state is as follows: Florida (1), Massachusetts (1), Maryland (1), Minnesota (2), New Jersey (2), New Mexico (1), North Carolina (1), Ohio (1), Oklahoma (1), Oregon (1), Rhode Island (1), Tennessee (1), Texas (1), Utah (2), and Wisconsin (1).

Among people for whom information is available, illnesses started on dates ranging from December 5, 2015 to February 3, 2016. Ill people range in age from 1 year to 76, with a median age of 34. Fifty-six percent of ill people are male. Among 12 ill people with available information, four (33%) reported being hospitalized, and no deaths have been reported.

In ongoing interviews, ill people answered questions about foods eaten and other exposures in the week before they became ill. Of the 14 ill people who have been interviewed, 14 (100%) reported consuming powdered supplements or meal replacement powders in the week before illness onset; all 14 (100%) specifically reported consuming Garden of Life RAW Meal products.

The Utah Public Health Laboratory and Oklahoma Public Health Laboratory isolated the outbreak strain of Salmonella Virchow from open containers of Garden of Life RAW Meal collected from ill people’s homes in Utah and Oklahoma. Both products that were tested were from lots covered under the recalls announced by Garden of Life, LLC. FDA sampling confirmed the presence of the outbreak strain of Salmonella Virchow in Organic Moringa Leaf powder used in RAW Meal Organic Shake & Meal Replacement products.

On February 12, 2016, Garden of Life, LLC issued an expanded recall of its RAW Meal Organic Shake & Meal products available in chocolate, original, vanilla, and vanilla chai to include these additional lots.

Salmonella Virchow Outbreak in Minnesota (2), New Jersey (2), New Mexico (1), Ohio (1), Oklahoma (1), Oregon (1), Tennessee (1), Utah (1), and Wisconsin (1)

A total of 11 people infected with the outbreak strain of Salmonella Virchow have been reported from nine states. The number of ill people identified in each state is as follows: Minnesota (2), New Jersey (2), New Mexico (1), Ohio (1), Oklahoma (1), Oregon (1), Tennessee (1), Utah (1), and Wisconsin (1). Illnesses started on dates ranging from December 5, 2015, to January 21, 2016. Ill people range in age from 8 years to 76, with a median age of 35. Fifty-five percent of ill people are male. Among 10 ill people with available information, one reported being hospitalized, and no deaths have been reported.

big-map-2-1-2016

The epidemiologic and laboratory evidence available at this time suggest that RAW Meal Organic Shake & Meal products made by Garden of Life, LLC are a likely source of this outbreak. This investigation is ongoing.

In interviews, ill people answered questions about foods eaten and other exposures in the week before they became ill. Of the 10 ill people who were interviewed, 10 (100%) reported consuming powdered supplements or meal replacements powders in the week before illness onset; all 10 (100%) specifically reported consuming RAW Meal products made by Garden of Life, LLC.

On January 29, 2016, Garden of Life, LLC voluntarily recalled a limited quantity of its RAW Meal Organic Shake & Meal products available in chocolate, original, vanilla, and vanilla chai because they have the potential to be contaminated with Salmonella Virchow. The recalled products were available for purchase nationwide in many retail stores and online.

On January 31, 2016, the Utah Public Health Laboratory reported it isolated Salmonella from an open container of Garden of Life RAW Meal collected from an ill person’s home. On February 1, 2016, Oregon health officials also reported Salmonella was isolated from an open container of Garden of Life RAW Meal collected from an ill person’s home. DNA “fingerprinting” is being conducted for both samples to determine the PFGE pattern of the Salmonella isolated from this product. Results will be reported when they become available.