In August 2011, CDC identified a sustained increase in the number of Salmonella Heidelberg isolates with the outbreak strain reported to PulseNet from New York and New Jersey. Based on the previous 5 years of reports to PulseNet, New York and New Jersey would expect approximately 5 cases per month, but in June through August 2011, these states experienced approximately 30-40 cases a month. No sustained increase in the number of illnesses above baseline has been identified in other states. USDA-FSIS’s ongoing investigation determined that the “kosher broiled chicken livers” were distributed to the following states: New York, New Jersey, Pennsylvania, Maryland, Minnesota, Ohio, Rhode Island, and Florida. As the investigation progresses, additional states may be identified.

From April 1 to November 16, 2011, a total of 179 illnesses due to Salmonella Heidelberg with this PFGE pattern were reported in states where the “kosher broiled chicken livers” were distributed. The number of ill persons identified in each state the product is distributed to is as follows: New York (99), New Jersey (61), Pennsylvania (10), Maryland (6), Ohio (2), and Minnesota (1). Rhode Island and Florida have not identified any cases linked to this outbreak during this period.