FDA Updates Its Alfalfa Sprout Investigation And Continues To Ban Their Consumption; Tells About The Seeds of Destruction

 Here are the highlights of an update just posted from the United States Food and Drug Administration (FDA) on the sprout-caused Salmonella Saintpaul outbreak that has impacted at least 14 states:

  •  A preliminary report of the investigation is available from CDC's, the Morbidity and Mortality Weekly Report, MMWR adobe portable document format icon [PDF - 114 KB].
  • Since February 2009, 235 persons from 14 states have been infected with the outbreak strain of Salmonella Saintpaul. Patients range in age from < 1 to 85 years old with reports of 3% persons hospitalized and no deaths.
  • Collaborative investigative efforts of many local, state, and federal public health, agriculture and regulatory agencies led to the implication of alfalfa sprouts.
  • The alfalfa sprouts were produced at several sprout growers and appear to involve only seeds sold by one seed company that originated from one grower which strongly suggests that the seeds were contaminated.
  • This outbreak may indicate a need to determine how well existing FDA guidance is being implemented (since it is voluntary), as well as to explore additional studies of measures that can be taken to prevent, detect, and eliminate contamination of seeds and sprouts.
  • FDA and CDC continue to recommend that consumers not eat raw alfalfa sprouts, including sprout blends containing alfalfa sprouts, until further notice because the product has been linked to Salmonella serotype Saintpaul contamination. Other types of sprouts have not been implicated.

 Cases Infected with the Outbreak Strain of Salmonella Saintpaul Via Alfalfa Sprouts

United States, by State, as of May 7, 2009 (n=235)

A map displaying cases infected with the outbreak strain of Salmonella Saintpaul in the United States of America, by state, as of May 7, 2009.

As of May 7, 2009, 235 persons infected with the outbreak strain of Salmonella Saintpaul have been reported from 14 states. The number of ill persons identified in each state is as follows: Nebraska (111), Iowa (35), South Dakota (38), Michigan (19), Kansas (8), Pennsylvania (7), Minnesota (5), Ohio (3), Illinois (2), Virginia (2), West Virginia (2), Florida (1), North Carolina (1), and Utah (1).

 

Among the 234 persons with known illness onset dates, illnesses began between February 1 and April 15, 2009. Patients range in age from < 1 to 85 years; 68% are female. Among persons with available information, 3% reported being hospitalized. No deaths have been reported.

The outbreak can be visually described with a chart (see below) showing the number of persons who became ill each day. This chart is called an epidemic curve or epi curve. It shows that illnesses began in early February, peaked in early March and have been tapering off in April. Illnesses that occurred after April 17, 2009 may 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 2 to 3 weeks. Please see the Salmonella Outbreak Investigations: Timeline for Reporting Cases for more details.

For more from the current update, go here 

Infections with the Outbreak Strain of Salmonella Saintpaul

 By Date of Illness Onset by State (n=234*)

Infections with the outbreak strain of Salmonella Saintpaul, by date of illness onset

 

Salmonella-tainted Sprouts Pulled From Market

Kowalke Family Sprouts Inc., which distributes through Farmer's Markets, Whole Foods and Gelson's Supermarkets,  is recalling all its alfalfa sprout products because the seeds used to grow them were found to be contaminated with Salmonella.

No illnesses have yet been associated with the Kowalke sprouts.   The California Department of Public Health announced the recall, which was said to be voluntarily made by Kowalke.

The CDPH said:

All alfalfa, onion/alfalfa mix, cauliflower/alfalfa mix and dinner salad mix products are affected by the recall. Alfalfa products are in 4-ounce, 8-ounce, 1-pound and 5-pound packages.   The dinner salad is in an 8-ounce package.  The cauliflower/alfalfa combo and onion/alfalfa mix are in 4-ounce packages.  The products in question have sell-by dates from March 4 through March 26. The codes are located on the front label of the packages.

Go here for CDPH news.

P.S.  We are all but certain there are none of those rizty markets in Alamosa, CO.

Salmonella risk from bean sprouts remains

The consumption of raw sprouts has been linked to more than 30 outbreaks of foodborne illness throughout North America in the past 15 years, affecting tens of thousands of people.

The first consumer warning about sprouts was issued by the U.S. Centers for Disease Control in 1997. By July 9, 1999, FDA had advised all Americans to be aware of the risks associated with eating raw sprouts and that the best way to control the risk was to simply not eat raw sprouts. The FDA stated that it would monitor the situation and take any further actions required to protect consumers.

At the time, Canadian media depicted the U.S. response as panic at the disco, quoting Health Canada officials who said while some people were at risk, sprouts were generally a low-risk product.

Last year, a salmonella outbreak sickened 650 people in Ontario, Canada due to contaminated mung bean sprouts. Today, the risk of contracting salmonella from bean sprouts remains the same due to the way they are grown and that they are nearly impossible to wash.
 

Sprout redux

After 15 students at Queen's University in Kingston, Ontario, visited the emergency ward, they tested positive for the same strain of Salmonella. A link was made to raw bean sprouts, and the city decided on Nov. 23, 2006 to warn the public, according to Douglas Powell of the Food Safety Network.

As part of the warning, Dr. Sheela Basrur, Ontario's Chief Medical Officer of Health, advised the entire province not to eat raw or cooked bean sprouts, including those from grocery stores, home refrigerators or those served at restaurants.

As the number of confirmed sick people rose into the hundreds, the Canadian Food Inspection Agency on November 25, 2005, finally issued an advisory for mung bean sprouts manufactured by Toronto Sun Wah Trading Inc. -- the largest sprout growth facility in the province.

The consumption of raw sprouts has been linked to over 30 outbreaks of foodborne illness throughout North America in the past 15 year affecting tens of thousands of people.

Sprouts, by nature, present a special food safety challenge because the way they are grown.  High moisture and high temperature makes it an ideal environment for bacterial growth. Sprouts are also impossible to wash, making CFIA's standby warning to consumers to wash their produce extremely difficult to follow.