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CDC is working with public health and regulatory officials in Missouri, several other states, and the U.S. Food and Drug Administration (FDA) to investigate a multistate outbreak of Salmonella Oranienburg infections.

Eight people infected with the outbreak strain of Salmonella Oranienburg have been reported from three 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 April 23, 2016 to August 24, 2016. Ill people range in age from 1 year to 85, with a median age of 44. Sixty-three percent of ill people are female. Among seven people with available information, two (29%) have been hospitalized. No deaths have been reported.

WGS showed that isolates from ill people are closely related genetically to one another. This close genetic relationship means that people in this outbreak are more likely to share a common source of infection.

The strain of Salmonella Oranienburg in this outbreak also is closely related genetically to a Salmonella Oranienburg strain from a 2015 outbreak linked to the Good Earth Egg Company. In the 2015 outbreak, 52 people infected with the outbreak strain were reported from six states. In response to the 2015 outbreak, Good Earth Egg Company recalled all of its shell eggs on January 9, 2016.

Epidemiologic, laboratory, and traceback investigations identified shell eggs distributed by Good Earth Egg Company of Bonne Terre, Missouri as the likely source of this outbreak.

In interviews, ill people answered questions about the foods they ate and other exposures in the week before they became ill. Of the six ill people who were interviewed, all six (100%) reported eating or possibly eating shell eggs in the week before illness started. Ill people reported eating eggs in restaurants as well as at home.

Federal, state, and local health and regulatory officials performed a traceback investigation from one restaurant location in Missouri where three ill people reported eating eggs. This investigation indicated that Good Earth Egg Company supplied eggs to that restaurant.

Missouri health officials collected and tested shell eggs from the Missouri restaurant location and isolated the outbreak strain of Salmonella Oranienburg. Additionally, environmental samples taken at the Good Earth Egg Company processing facility isolated the outbreak strain of Salmonella Oranienburg. WGS showed that the isolates of Salmonella Oranienburg from eggs distributed by Good Earth Egg Company are closely related genetically to isolates from ill people in this outbreak and from ill people and environmental samples in the 2015 outbreak. This close genetic relationship provides additional evidence that ill people in this outbreak and in the 2015 outbreak got sick from eating shell eggs distributed by Good Earth Egg Company of Bonne Terre, Missouri.

CDC recommends that consumers do not eat and restaurants and retailers do not serve or sell shell eggs distributed by Good Earth Egg Company at this time. Eggs distributed by Good Earth Egg Company were sold under different brand names. If you don’t know if your eggs were distributed by Good Earth Egg Company, ask the store where you bought them or the restaurant where they were served.

This investigation is ongoing, and we will update the public when more information becomes available. CDC and state and local public health partners are continuing laboratory surveillance through PulseNet to identify additional ill people and to interview those people about foods they ate before they got sick.

The Chapel Hill Creamery in Chapel Hill, NC, is recalling all of its cheese products because they have been linked to a growing Salmonella outbreak in North Carolina and elsewhere.

A local county health officer said Thursday that the outbreak has sickened at least 50 people in North Carolina and about the same number in other states, and that it’s the same strain found in samples of raw milk from the Chapel Hill Creamery. Nine of those sickened in North Carolina have been hospitalized so far.

The products being recalled include all codes, packages and sizes of 14 varieties of cheese manufactured by the Chapel Hill Creamery and distributed through retail locations, farmers markets and restaurants throughout North Carolina, Tennessee, South Carolina, Virginia and Georgia.

The cheese varieties are: Quark, Danziger, Swiss, Paneer, Calvander, Hot Farmers Cheese, Dairyland Farmers Cheese, Smoked Mozzarella, Fresh Mozzarella, Burrata, Hickory Grove, Carolina Moon, Smoked Farmers Cheese, New Moon, and Pheta.

Last month, Tacoma-Pierce County Health Department learned of a foodborne illness outbreak in Snohomish County associated with food supplied by a Pierce County caterer, Mr. Rick’s Catering. The state Department of Health continues to investigate the outbreak, which could impact as many as 175 people in King, Kitsap, Pierce, Spokane, and other counties. While the effort to learn how many people were sickened is still underway, laboratory tests have confirmed the illness is Salmonella.

Tacoma-Pierce County Health Department has notified Mr. Rick’s Catering not to operate several times since 2012, and as a result of the incident in Snohomish County, recently issued a $710 fee for continuing to operate without a permit. In the interest of protecting public health, and because the business owner continues to advertise as a viable business, Tacoma-Pierce County Health Department has opted to name the unpermitted caterer.

“Public health focuses on keeping people safe in places where they live, learn, work and play,” said Jefferson Ketchel, environmental health director for the Snohomish Health District. “Public health partners around the region work together to advance food safety and give residents information they need to make informed decisions when eating out.”

Thirty people infected with the outbreak strains of Salmonella have been reported from nine states – Colorado 13, Kansas 8, Minnesota 1, Missouri 1, Nebraska 2, New York 1, Oregon 1, Texas 1 and Wyoming 2.

Of those ill people, 24 were infected with Salmonella Reading, 1 was infected with Salmonella Abony, and 5 were infected with both.

Illnesses started on dates ranging from May 21, 2016 to July 20, 2016. Ill people range in age from less than 1 year to 72, with a median age of 30. Fifty-three percent of ill people are female. Five ill people have been hospitalized, and no deaths have been reported.

Epidemiologic and traceback evidence available at this time indicate that alfalfa sprouts supplied by Sprouts Extraordinaire of Denver, Colorado are the likely source of this outbreak. Ill people in the current outbreak reported eating raw alfalfa sprouts on sandwiches from several different restaurants.

Federal, state, and local health and regulatory officials performed a traceback investigation from five restaurants where ill people reported eating alfalfa sprouts. This investigation indicated that Sprouts Extraordinaire supplied alfalfa sprouts to all five of these locations.

On August 5, 2016, Sprouts Extraordinaire recalled its alfalfa sprout products from the market due to possible Salmonella contamination. These products were sold in 5-pound boxes labeled “Living Alfalfa Sprouts.” CDC recommends that restaurants and other retailers do not sell or serve and consumers do not eat recalled alfalfa sprouts supplied by Sprouts Extraordinaire.

According the FDA’s own 1999 advisory, Recommendations on Sprouted Seeds, sprouts have been increasingly implicated in foodborne outbreaks.  Perhaps it is time for a sprout warning?

Barfblog does a great job of tracking sprout outbreak through 2012.  Outbreak Database carries on – through 2014.

The Chapel Hill Creamery in Chapel Hill, NC, is recalling all of its cheese products because they have been linked to a growing Salmonella outbreak in North Carolina and elsewhere.

A local county health officer said Thursday that the outbreak has sickened at least 50 people in North Carolina and about the same number in other states, and that it’s the same strain found in samples of raw milk from the Chapel Hill Creamery. Nine of those sickened in North Carolina have been hospitalized so far, she said.

http://www.dreamstime.com/royalty-free-stock-photography-jersey-cows-farm-field-image819287
These Jersey cows are the same kind as those at the Chapel Hill Creamery.
“This is way more than usual, which is why we started doing the investigation. We hit clusters of Salmonella, especially in the summertime, but we started seeing dozens and that’s when we started doing questionnaires to identify a common source,” said Colleen Bridger, director of the Orange County Health Department in Chapel Hill.

Bridger said not all of the 50-plus in-state cases have been interviewed, but the “vast majority” of those who have recalled eating cheese from the Chapel Hill Creamery.

“We’ve been monitoring the Salmonella cases for about three weeks and started doing questionnaires about a week ago, and it was just yesterday that we felt we had enough information to say this is probably the Chapel Hill Creamery. We didn’t want to make the declaration until we were sure,” she added.

The products being recalled include all codes, packages and sizes of 14 varieties of cheese manufactured by the Chapel Hill Creamery and distributed through retail locations, farmers markets and restaurants throughout North Carolina, Tennessee, South Carolina, Virginia and Georgia.

The cheese varieties are: Quark, Danziger, Swiss, Paneer, Calvander, Hot Farmers Cheese, Dairyland Farmers Cheese, Smoked Mozzarella, Fresh Mozzarella, Burrata, Hickory Grove, Carolina Moon, Smoked Farmers Cheese, New Moon, and Pheta.

“Although there is not yet a definitive link between the CHC cheese and the illnesses, there is enough evidence to implicate the cheese and we are asking customers to not consume these cheeses or use them in food service,” said Portia McKnight, Creamery co-founder.

Chapel Hill Creamery has asked its wholesale customers to remove any CHC cheese from their shelves and dispose of it. Consumers who have this product in their home should not consume it and should throw it away.

Customers are also being reminded to thoroughly wash their hands and any utensils or equipment that may have contacted the cheese in warm, soapy water.

Chapel Hill Creamery is working in cooperation with the North Carolina Department of Agriculture, North Carolina Department of Health and Human Services, and the Orange County Health Department to identify the source of the Salmonella and which of its cheeses are affected.

The Creamery plans to provide updated information on its website as it becomes available.

Chapel Hill Creamery cheeseBridger noted that some of the Creamery’s cheese products are made with raw milk and some are not. She also said it was the first such incident she knows of involving the local business.

The U.S. Centers for Disease Control and Prevention (CDC) is aware of the outbreak and has been assisting the other states, Bridger said, while North Carolina state and local health officials are coordinating on their part of the investigation.

“We’re working with public health and with agriculture to try and figure out what the next step is to make sure we’ve resolved the problem and that they can resume production and selling their cheese again,” she said.

Orange County has provided a hotline at (919) 245-2378 for anyone in North Carolina who has questions about the outbreak.

Most persons infected with Salmonella experience fever, diarrhea, nausea, vomiting and abdominal pain. People who are concerned they might have Salmonella infections should contact their doctor to discuss testing and treatment.

The illness typically lasts four to seven days, and most people recover without treatment. However, in some people, the diarrhea may be so severe that the patient needs to be hospitalized.

Cheese in North Carolina, Tennessee, South Carolina, Virginia and Georgia.

Chapel Hill Creamery in Chapel Hill, NC, is recalling all of its cheese products because they have been linked to a growing Salmonella outbreak in North Carolina and elsewhere.

A local county health officer said Thursday that the outbreak has sickened at least 50 people in North Carolina and about the same number in other states, and that it’s the same strain found in samples of raw milk from the Chapel Hill Creamery. Nine of those sickened in North Carolina have been hospitalized so far, she said.

“This is way more than usual, which is why we started doing the investigation. We hit clusters of Salmonella, especially in the summertime, but we started seeing dozens and that’s when we started doing questionnaires to identify a common source,” said Colleen Bridger, director of the Orange County Health Department in Chapel Hill.

Bridger said not all of the 50-plus in-state cases have been interviewed, but the “vast majority” of those who have recalled eating cheese from the Chapel Hill Creamery.

“We’ve been monitoring the Salmonella cases for about three weeks and started doing questionnaires about a week ago, and it was just yesterday that we felt we had enough information to say this is probably the Chapel Hill Creamery. We didn’t want to make the declaration until we were sure,” she added.

The products being recalled include all codes, packages and sizes of 14 varieties of cheese manufactured by the Chapel Hill Creamery and distributed through retail locations, farmers markets and restaurants throughout North Carolina, Tennessee, South Carolina, Virginia and Georgia.

The cheese varieties are: Quark, Danziger, Swiss, Paneer, Calvander, Hot Farmers Cheese, Dairyland Farmers Cheese, Smoked Mozzarella, Fresh Mozzarella, Burrata, Hickory Grove, Carolina Moon, Smoked Farmers Cheese, New Moon, and Pheta.

Potato Salad in Iowa.

The Iowa Department of Inspections and Appeals (DIA) and the Iowa Department of Public Health (IDPH) today jointly issued a consumer advisory for potato salads made in and sold by Big G Food Store in Marengo, Iowa.  Big G’s “Zesty Potato Salad” and “Traditional Potato Salad” have been implicated in several cases of foodborne illness reported in Iowa County.  Presumptive test results from the State Hygienic Laboratory at the University of Iowa indicate the presence of salmonella in these products.

Big G Food Store has voluntarily pulled the potato salads from its shelves, and is working with the state departments in the investigation of the reported illnesses.  The suspect salads were prepared in the store during the month of July.  Neither potato salad has been sold to the consuming public since last Friday evening, DIA Food & Consumer Safety Bureau Chief Steven Mandernach said.

IDPH is investigating several cases of possible illness associated with the potato salad. “The bottom line is that no one should eat this product,” said IDPH Medical Director, Dr. Patricia Quinlisk. “If you have it in your refrigerator, you should throw it away.”

Pacific Coast Fruit Company posted the following recall notice:

Reason:  Salmonella

Pack/Codes:  The Minnesota Department of Health (MDH) and the Minnesota Department of Agriculture (MDA) are investigating an outbreak of foodborne illnesses associated with eating Taylor Farms Organic Kale Medley “power greens” mix in Minnesota. The mix contains spinach, kale, chard, and shredded carrots.

Distribution:  [Nationwide U.S.]: Sam’s Club pulled Taylor Farms Organic Kale Medley from store shelves nationwide on April 4 and is notifying customers who purchased the product in Minnesota since March 1.

Illnesses:  [Illnesses Reported]: Six people with Salmonella Enteritidis infections with the same rare DNA fingerprint pattern were reported to MDH in April. The people range in age from 7 to 69 and are from Dakota, Hennepin, Itasca, Olmsted and St. Louis counties. Their illnesses began between April 3 and April 26. One person was hospitalized, and all are recovering. Five of the ill people in Minnesota reported eating Taylor Farms Organic Kale Medley purchased at several Sam’s Club locations, and the source of the sixth person’s illness is under investigation.

According to the FDA website, Kale was also recalled by Trader Joe’s due to Salmonella concerns.

big-map-4-21-16A total of 33 people infected with the outbreak strain of Salmonella Virchow were reported from 23 states. Among people for whom information was available, illnesses started on dates ranging from December 5, 2015 to March 18, 2016. Ill people ranged in age from less than 1 year to 84, with a median age of 35. Fifty-three percent of ill people were female. Among 27 ill people with available information, 6 (22%) were hospitalized, and no deaths were reported.

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

State and local public health officials interviewed ill people to obtain information about foods they might have eaten and other exposures in the week before they became ill. Of the 30 ill people who were interviewed, 28 (93%) reported consuming powdered supplements or meal replacement powders in the week before illness onset; 27 of these 28 (96%) ill people 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 had the potential to be contaminated with Salmonella Virchow. The recalled products were available for purchase nationwide in many retail stores and online.

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 additional lots that contained the contaminated Organic Moringa Leaf powder.

This outbreak investigation is over. However, the recalled products have a long shelf life and may still be in people’s homes. Consumers unaware of the recalls could continue to eat the products and get sick.

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).

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.