The Public Health Agency of Canada collaborated with provincial public health partners, the Canadian Food Inspection Agency and Health Canada to investigate an outbreak of Salmonella Enteritidis infectionsin six provinces with cases of human illness linked to frozen raw breaded chicken products. Given there have not been reported illnesses in this outbreak since October 2017, the outbreak appears to be over and the outbreak investigation has been closed.

During the outbreak, the Canadian Food Inspection Agency issued a food recall warning for the following two products:

Janes Pub Style Chicken Burgers – Uncooked Breaded Chicken Burgers (800 g) with a best before date of May 12, 2018 (2018 MA 12) and UPC: 0 69299 12491 0.
Janes Pub Style Snacks Popcorn Chicken – Uncooked Breaded Chicken Cutlettes (800 g) with a best before date of May 15, 2018 (2018 MA 15) and UPC: 0 69299 12542 9.

All products were distributed nationally. These products were linked to this outbreak investigation and therefore the Public Health Agency of Canada advised Canadians not to consume the recalled products.

Since 2015, this was the third national outbreak investigation that has led to the recall of frozen breaded chicken products.

The risk to Canadians is low. Salmonella is commonly found in raw chicken and frozen raw breaded chicken products. Illnesses can be avoided if safe food handling, preparation and cooking practices are followed when preparing these types of food products.

Although the outbreak appears to be over, this outbreak is a reminder that frozen raw breaded chicken products contain raw poultry and should be handled and prepared no differently from other raw poultry products. Always follow cooking instructions carefully and verify the internal temperature after cooking, as recommended, before consuming these products. Frozen raw breaded chicken products must be cooked to an internal temperature of at least 74°C (165°F) to ensure they are safe to eat.

In total, there were 22 cases of Salmonella Enteriditis illness in six provinces: British Columbia (1), Alberta (1), Ontario (12), Quebec (3), New Brunswick (3), and Nova Scotia (2). Eight people were hospitalized. One of the ill individuals died; however, it was not determined if Salmonella contributed to the cause of death. Individuals were sick between June and October of this year. The average age of cases was 41 years, with ages ranging between 0 to 85 years. The majority of cases (59%) were female.

Based on the investigation findings, exposure to frozen raw breaded chicken products was identified as a source of illness. Several individuals involved in the outbreak reported eating Janes Pub Style Chicken Burgers before their illness occurred. Food samples of Janes Pub Style Chicken Burgers (800 g), with best before date 2018 MA 12, and Janes Pub Style Snacks Popcorn Chicken (800 g), with best before date 2018 MA 15, tested positive for Salmonella Enteritidis. The positive food samples had the same genetic fingerprint (using whole genome sequencing) as the cases of human illness reported in this outbreak. The Canadian Food Inspection Agency issued a food recall warning for these products and worked with industry to ensure the product was removed from the retail market.

According to the CDC, as of March 20, 2018, 13 people infected with the outbreak strain of Salmonella Typhimurium have been reported from 8 states. WGS performed on bacteria isolated from ill people showed that they were closely relatedly genetically. This means that people in this outbreak are more likely to share a common source of infection.

Illnesses started on dates ranging from September 22, 2017 to February 26, 2018. Ill people range in age from 1 to 73 years, with a median age of 40. Sixty-seven percent are female. Three hospitalizations have been reported. No deaths have been reported.

Epidemiologic, laboratory, and traceback evidence indicates that dried coconut is the 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. Seven (88%) of eight people interviewed reported eating dried coconut from grocery stores. Of the seven people who reported eating dried coconut, four people purchased the product at different Natural Grocers store locations. Public health officials continue to interview ill people to learn more about what they ate in the week before becoming sick.

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. Regulatory officials are working to determine where else Organic Go Smile! Raw Coconut and Go Smiles Dried Coconut Raw were sold.

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.

 

 

The CDC reports as of March 6, 2018, 170 people infected with the outbreak strains of Salmonella Typhimurium have been reported from 7 states. Illness Count Iowa (149), Illinois (9), Nebraska (5), Minnesota (3), South Dakota (2) Indiana (1), Texas (1).

Illnesses started on dates ranging from January 8, 2018, to February 18, 2018. Ill people range in age from 7 to 89 years, with a median age of 59. Sixty-six percent of ill people are female. 62 hospitalizations and no deaths have been reported.

Illnesses that occurred after February 12, 2018, might not yet be reported due to the time it takes between when a person becomes ill and when the illness is reported. This takes an average of two to four weeks.

WGS analysis did not identify predicted antibiotic resistance in 67 of 72 isolates (70 ill people and 2 food samples). Five isolates from ill people contained genes for resistance to all or some of the following antibiotics: amoxicillin-clavulanic acid, ampicillin, cefoxitin, ceftriaxone, gentamicin, streptomycin, sulfamethoxazole, and tetracycline. This resistance is unlikely to affect the treatment of most people, but some infections might be difficult to treat with antibiotics usually prescribed and may require a different antibiotic. Testing of outbreak isolates using standard antibiotic susceptibility testing methods is currently underway in CDC’s National Antimicrobial Resistance Monitoring System (NARMS)laboratory.

State and local health officials continue to interview ill people to ask about the foods they ate and other exposures in the week before they became ill. Of 159 people interviewed, 131 (82%) reported eating chicken salad from Fareway stores. Triple T Specialty Meats, Inc. produced the chicken salad that ill people reported eating.

It takes an average of two to four weeks from when a person becomes ill with Salmonella to when the illness is reported to CDC or health officials. Because of this reporting lag, the additional 105 people added to this investigation likely became ill from eating chicken salad recalled by Triple T Specialty Meats, Inc. which is no longer available for purchase. The last reported illness began on February 18, 2018.

The Weld County Department of Public Health and Environment (WCDPHE) continues to investigate an outbreak of Salmonella illness at several locations in Weld County. The source of the outbreak is the Burrito Delight restaurant, which has voluntarily closed both of its locations in Fort Lupton and Dacono. It is still under investigation as to what is the specific source. The investigation continues around possible food sources.

To date, there are 21 laboratory-confirmed cases of Salmonella and the number of probable cases continues to rise.  There have been 4 hospitalizations.

The breakdown of the laboratory-confirmed cases by county includes:

  • Weld = 14
  • Larimer = 3
  • Bolder = 2
  • Morgan = 1
  • Adams = 1

Cases by Event

  • Aims Event on February 6th = 3
  • Aims Event on February 12th = 9
  • Restaurant Dine-in (Ft. Lupton) = 5
  • Takeout to Place of Employment = 4

Cases by Restaurant

  • Fort Lupton = 20
  • Dacono = 1

Symptoms of Salmonella illness include diarrhea, upset stomach, fever, and occasionally vomiting. Symptoms typically last 4 to 7 days, and most people recover on their own. Anyone who suspects they became ill should contact their health care provider. For some people, the diarrhea may become so severe that they require hospitalization. Symptoms typically appear 6-72 hours after eating contaminated food and will typically last for 4 to 7 days without treatment. However, in severe cases, the symptoms may last longer.

The Weld County Health Department has created a “Salmonella Investigation Report Update” that can be found at: www.weldhealth.org (Click on Health Hot Topics).

For anyone who suspects they became sick with Salmonella in February, please call the Weld County Health Department Salmonella triage line: 970.400.2374 (staffed M-F, 8-5; messages can be left after hours).

A non-staffed hotline (available 24/7), is also available at: 970.400.4457.

The Weld County Department of Public Health and Environment (WCDPHE) is investigating an outbreak of Salmonella illness at Aims Community College. This illness may be associated with catered events held at Aims on February 9 and February 13, 2018. The February 9 event has 1confirmed Salmonella case that had about 70 people attend. The February 13 event has 2 confirmed cases that was attended by 400 people. Of the 8 confirmed Salmonella cases, 6 adults reside in Weld County, 1 in Larimer, and 1 in Boulder county. The events were catered by an outside restaurant, the Burrito Delight, located in Fort Lupton. The public is not at risk and the restaurant is now closed for the duration of the investigation.

“Salmonella is a bacteria that causes symptoms like diarrhea, upset stomach, fever, and occasionally vomiting,” said Mark E. Wallace, MD, MPH, Executive Director of the Weld County Health Department. “Symptoms typically last 4 to 7 days, and most people recover on their own. Anyone who suspects they became ill should contact their health care provider.” For some people, the diarrhea may become so severe that they require hospitalization. Symptoms typically appear 6-72 hours after eating contaminated food and will typically last for 4 to 7 days without treatment. However, in severe cases, the symptoms may last longer.

28 sick – Confirmed Case Definition:

Persons with Salmonella Typhimurium (confirmed or visual match to Pattern JPXX01.0275) with illness onset since January 1, 2018 reporting consumption of chicken salad from Fareway (any store) in the 7 days prior to illness onset.

66 sick – Probable Case Definition:

Persons that are epi linked to a confirmed case (all confirmed cases are laboratory confirmed), OR Persons who test positive by CIDT or culture (with serotype and PFGE pending) with illness onset since January 1, 2018 reporting consumption of chicken salad from Fareway (any store) in the 7 days prior to illness onset.

The U.S. Department of Agriculture’s Food Safety and Inspection Service (FSIS) is issuing a public health alert out of an abundance of caution due to concerns about illnesses reported in the state of Iowa that may be caused by Salmonella associated with a chicken salad product. This product was sold at all Fareway grocery stores in Iowa, as well as Illinois, Minnesota, Nebraska and South Dakota.

Minnesota has one case associated with this outbreak so far, in a Martin County resident.

The chicken salad item for this public health alert was produced between Dec. 15, 2017 and Feb. 13, 2018. The following product is subject to the public health alert:

  • Varying weights of “Fareway Chicken Salad” sold in plastic deli containers with a Fareway store deli label.

This product was shipped to all Fareway grocery stores in Iowa, Illinois, Minnesota, Nebraska and South Dakota and sold directly to consumers who shopped at Fareway.  The problem was discovered following reports of illness in Iowa.

On Feb. 9, 2018, the Iowa Department of Public Health notified FSIS of an investigation of Salmonella related illnesses, within the state of Iowa.  FSIS continues to work with public health partners at the Iowa Department of Public Health and Department of Inspections and Appeals on this investigation. Updated information will be provided as it becomes available.

FSIS is concerned that some product may be in consumers’ refrigerators or freezers.

Consumers who have purchased these products are urged not to consume them.

The woman is identified at Denise Castaneda of Westminster according to the Adams County coroner.

We talked with her mother who says they ordered take-out carnitas at La California. Soon after Denise started throwing up. Her mother says Denise was hospitalized, had surgery and then she died. “I`m pretty upset. She died not knowing what she had. I didn`t expect her to die before me. I didn`t get as sick,” Denise’s mother told us.

FOX31 first brought you the story Thursday of 33 people who were sickened after they ate at La California restaurant in Aurora in November 2017. The Tri-County Health Department said the salmonella outbreak killed one person and three others were hospitalized. La California is at East 17th Avenue and Peoria Street.

The health department said lab tests show the family combination meal might have led to the poisoning. The meal includes ingredients such as meat, beans and cilantro.

But investigators could not pinpoint what started the outbreak.

The health department said the outbreak affected people who ate at La California from Nov. 4-26. Almost all of the people infected experienced diarrhea and abdominal cramping.

La California earned an “F” in the Restaurant Report Card for 30 critical violations in its March 2015 health inspection.

Minnesota health officials say two children in the Twin Cities area got sick from salmonella poisoning after coming in contact with tainted pet food.

The Minnesota Department of Health said Friday that testing found the same salmonella DNA patterns in the siblings. One of the children was hospitalized last month with a painful bone condition.

An investigation found the children’s home contained Raws for Paws Ground Turkey Food, and that the pet food was contaminated.

The contaminated raw turkey pet food was produced on Oct. 12 and sold online on the Raws for Paws website. The product was recalled Monday by the manufacturer.

Health officials are urging pet owners to discard or return pet food with this brand, and to thoroughly clean bowls or surface areas.

Fox 31 News reports that the Tri-County Health Department has confirmed to FOX31’s Erika Gonzalez that one person has died from Salmonella poisoning related to eating at a restaurant in Aurora.

The health department tells FOX31 that 33 people were sickened by eating at La California restaurant on Peoria Street in November 2017. One person died from issues related to salmonella.

The health department says lab tests show the family combo meal may have led to the poisoning.

The health department says the outbreak affected people who ate at La California from November 4 to November 26, 2017.

La California is at 1685 Peoria Street in Aurora.

The health department’s report says 13 of the 33 cases are confirmed, and 20 of the cases are probable for Salmonella. The illnesses involved 32 restaurant patrons and one employee.

Twenty-five cases had exposures at the restaurant with their meals with a 5-day period from November 10 to November 14, 2017.

La California earned an ‘F’ in FOX31’s Restaurant Report Card two years ago for 30 critical violations in its March 2015 health inspection.

The Louisiana’s Department of Health is investigating a Salmonella outbreak in Caldwell Parish that has sickened more than 100 and may have contributed to one death. Local and state authorities trying to determine if the death of a 56-year-old man, Duane Reitzell, was connected to a mass illness.

Samantha Hartmann, press officer for the Louisiana Department of Health, said preliminary tests of samples have returned positive for Salmonella.

As of Thursday, 49 cases of a gastrointestinal illness were confirmed with 31 people hospitalized, the Department of Health reported. The ages of those with a confirmed illness range from 15 to 70.

State officials also reported Thursday samples taken from five people have tested positive for salmonella.

Sheriff Clay Bennett, who also is sick, said more than 100 residents have sought medical treatment. Bennett said workers at the sheriff’s office also fell ill Tuesday afternoon. He said employees ate jambalaya from a local softball fundraiser, but no one was certain about the origin of the illness. Bennett said the illness could have come from anything.

Virginia Health officials say about 150 people living in eight states have been sickened by salmonella after attending a chili cook-off in Virginia.

Dr. David Matson, director of the state’s Eastern Shore Health District, said by phone Wednesday that half of them have sought medical treatment. Some have been hospitalized.

More than 2,000 people attended the 18th Annual Chincoteague Chili Chowder Cook-Off and Car Show on Sept. 30.

Matson said most people sickened by the bacteria have already become ill with diarrhea, vomiting and fever.

Officials are asking cook-off attendees to fill out a survey as they determine the bacteria’s source.

People who’ve gotten sick live in Virginia, Maryland, Delaware, New Jersey, New York, Pennsylvania, West Virginia and North Carolina.