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Since the last update on November 8, 2018, 52 ill people from 26 states and the District of Columbia have been added to this investigation. As of December 18, 2018, 216 people infected with the outbreak strain of Salmonella Reading have been reported from 38 states and the District of Columbia. A list of the states and the number of cases in each can be found on the Map of Reported Cases page.

Illnesses started on dates from November 20, 2017, to December 6, 2018. Ill people range in age from less than 1 year to 99, with a median age of 40. Fifty-five percent of ill people are female. Of 175 people with information available, 84 (48%) have been hospitalized. One death has been reported from California.

Whole genome sequencing analysis (WGS) did not identify predicted antibiotic resistance in 132 isolates from 61 ill people and 71 food and animal samples. However, 80 isolates from ill people and 97 isolates from food, animal, and environmental samples contained genes for resistance or decreased susceptibility to all or some of the following antibiotics: ampicillin, streptomycin, sulfamethoxazole, tetracycline, kanamycin, gentamicin, nalidixic acid, ciprofloxacin, and fosfomycin. Testing of six outbreak isolates using standard antibiotic susceptibility testing by CDC’s National Antimicrobial Resistance Monitoring System (NARMS) laboratory confirmed these results. Most of the infections in this outbreak are susceptible to the antibiotics that are commonly used for treatment, so this resistance likely will not affect the choice of antibiotic used to treat most people.

State and local health departments continue to interview ill people about the foods they ate and other exposures in the week before they became ill. Fifty-eight (54%) of the 108 ill people interviewed reported preparing or eating turkey products that were purchased raw, including ground turkey, turkey pieces, and whole turkey. Ill people reported buying many different brands of raw turkey products from multiple stores. Also, 3 of the 108 ill people interviewed became sick after pets in their home ate raw ground turkey pet food. Four of the 108 ill people interviewed worked in a facility that raises or processes turkeys, or lived with someone who did.

Public health officials in Arizona and Michigan collected unopened Jennie-O brand ground turkey from the homes of two ill people. WGS showed that Salmonella bacteria isolated from the ill persons and from the ground turkey were closely related genetically. This result provides more evidence that people in this outbreak got sick from eating turkey.

On November 15, 2018, Jennie-O Turkey Store Sales, LLC, in Barron, Wisconsin recalledapproximately 91,388 pounds of raw ground turkey products. On December 21, 2018, Jennie-O Turkey Store Sales, LLC, in Faribault, Minnesota recalled approximately 164,210 pounds of raw ground turkey products.

Ill people in this outbreak report buying many different brands of raw turkey products from multiple stores. Available data indicate that this strain of Salmonella Reading may be present in live turkeys and in raw turkey products. A single, common supplier of raw turkey products or of live turkeys has not been identified that could account for the whole outbreak.

As of November 5, 2018, 164 people infected with the outbreak strain of Salmonella Reading have been reported from 35 states.

Illnesses started on dates from November 20, 2017, to October 20, 2018. Ill people range in age from less than one year to 91, with a median age of 45. Fifty-six percent of ill people are female. Of 135 people with information available, 63 (47%) have been hospitalized. One death has been reported from California.

State and local health departments continue to interview ill people about the foods they ate and other exposures in the week before they became ill. Of 85 people interviewed, 44 (52%) people interviewed reported preparing or eating turkey products that were purchased raw, including ground turkey, turkey pieces, and whole turkey. Ill people reported buying many different brands of raw turkey products from multiple stores. Also, 3 of the 85 ill people interviewed became sick after pets in their home ate raw ground turkey pet food. Three of the 85 ill people interviewed worked in a facility that raises or processes turkeys, or lived with someone who did.

The outbreak strain of Salmonella Reading has been identified in samples from raw turkey pet food in Minnesota, from live turkeys from several states, and from raw turkey products collected from ill people’s homes. The raw turkey samples collected from ill people’s homes are still being investigated to determine the source of the turkey.

The outbreak strain was also identified in samples from raw turkey products from 22 slaughter and 7 processing establishments. The samples collected by FSIS at these slaughter and processing establishments were part of FSIS’s routine testing under the Salmonella performance standards. Furthermore, whole genome sequencing (WGS) showed that the Salmonella strain isolated from these samples is closely related genetically to the Salmonella strain from ill people. This result provides more evidence that people in this outbreak got sick from preparing raw turkey products.

Jennie-O Turkey Store Sales, LLC, a Barron, Wis. establishment, is recalling approximately 91,388 pounds of raw ground turkey products that may be associated with an illness outbreak of Salmonella Reading, the U.S. Department of Agriculture’s Food Safety and Inspection Service (FSIS) announced today.

The raw ground turkey products items were produced on September 11, 2018. The following products are subject to recall:

  • 1-lb. packages of “Jennie-O GROUND TURKEY 93% LEAN | 7% FAT” with “Use by” dates of 10/01/2018 and 10/02/2018.
  • 1-lb. packages of “Jennie-O TACO SEASONED GROUND TURKEY” with a “Use by” date of 10/02/2018.
  • 1-lb. packages of “Jennie-O GROUND TURKEY 85% LEAN | 15% FAT” with a “Use by” date of 10/02/2018.
  • 1-lb. packages of “Jennie-O ITALIAN SEASONED GROUND TURKEY” with a “Use by” date of 10/02/2018.

The products subject to recall bear establishment number “P-190” inside the USDA mark of inspection. These items were shipped to retail locations nationwide.

FSIS, and its public health partners, including the Centers for Disease Control and Prevention (CDC) and the Arizona Department of Health Services, have been conducting traceback activities for a sample of Jennie-O brand ground turkey in an intact, unopened package from a case-patient’s home. The patient tested positive for Salmonella Reading and the sample from the ground turkey matches the outbreak strain.

According to the CDC, as of November 15, 2018, 246 people infected with the outbreak strain of Salmonella Newport have been reported from 25 states. Arizona 42, California 66, Colorado 50, Connecticut 1, Hawaii 4, Idaho 3, Iowa 1, Illinois 1, Indiana 1, Kansas 1, Kentucky 1, Massachusetts 1, Minnesota 2, Missouri 3, Montana 8, New, Mexico 9, Nevada 3, Ohio 9, Oklahoma 4, Oregon 1, South Dakota 6, Texas 13, Utah 9, Washington 3 and Wyoming 4.

Illnesses started on dates ranging from August 5, 2018 to October 16, 2018. Ill people range in age from less than one year to 88, with a median age of 38. Fifty-six percent are male. Of 168 people with information available, 59 (35%) have been hospitalized. No deaths have been reported.

Illnesses 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 2 to 4 weeks.

Whole genome sequencing analysis did not identify predicted antibiotic resistance in 180 Salmonella bacteria isolates from 176 ill people and four food samples.

State and local health departments continue to ask ill people questions about the foods they ate and other exposures in the week before they became ill. Of 137 people interviewed, 123 (90%) reported eating ground beef at home. This percentage is significantly higher than results from a survey of healthy people in which 40% of respondents reported eating any ground beef at home in the week before they were interviewed.

Epidemiologic, laboratory, and traceback evidence indicates that ground beef produced by JBS Tolleson, Inc. is a likely source of this outbreak.

On October 4, 2018, JBS Tolleson, Inc. recalled approximately 6.9 million pounds of beef products that may be contaminated with Salmonella Newport.

Officials in Arizona collected an unopened package of ground beef from an ill person’s home. The outbreak strain of Salmonella Newport was identified in the ground beef. Whole genome sequencing showed that the Salmonella identified in the ground beef was closely related genetically to the Salmonella in samples from ill people. The ground beef was one of the products recalled on October 4, 2018.

Conagra Brands is collaborating with health officials in connection with a positive finding of Salmonella in a retail sample of Duncan Hines Classic White cake mix that may be linked to a Salmonella outbreak that is currently being investigated by CDC and FDA. While it has not been definitively concluded that this product is linked to the outbreak and the investigation is still ongoing, Conagra has decided to voluntarily recall the specific Duncan Hines variety identified (Classic White) and three other varieties (Classic Butter Golden, Signature Confetti and Classic Yellow) made during the same time period out of an abundance of caution.

Recalled Duncan Hines cake mixes

Five occurrences of illnesses due to Salmonella are being researched by CDC and FDA as part of this investigation. Salmonella is an organism which can cause serious and sometimes fatal infections in young children, frail or elderly people, and others with weakened immune systems. Healthy persons infected with Salmonella often experience fever, diarrhea (which may be bloody), nausea, vomiting and abdominal pain. In rare circumstances, infection with Salmonella can result in the organism getting into the bloodstream and producing more severe illnesses such as arterial infections (i.e., infected aneurysms), endocarditis and arthritis.

Several of the individuals reported consuming a cake mix at some point prior to becoming ill, and some may have also consumed these products raw and not baked. Consumers are reminded not to consume any raw batter. Cake mixes and batter can be made with ingredients such as eggs or flour which can carry risks of bacteria that are rendered harmless by baking, frying or boiling. Consumers are reminded to wash their hands, work surfaces, and utensils thoroughly after contact with raw batter products, to follow baking instructions, and to never eat raw batter.

The products covered by this recall were distributed for retail sale in the U.S. and limited international exports; the specific product information is listed below.

The Public Health Agency of Canada is collaborating with provincial and territorial public health partners, the Canadian Food Inspection Agency and Health Canada to investigate outbreaks of Salmonella infections across Canada linked to raw chicken, including frozen raw breaded chicken products.

As of November 2, 2018, there have been 474 laboratory-confirmed cases of Salmonella illness investigated as part of the illness outbreaks across the country: British Columbia (38), Alberta (70), Saskatchewan (17), Manitoba (22), Ontario (166), Quebec (107), New Brunswick (25), Nova Scotia (12), Prince Edward Island (2), Newfoundland and Labrador (11), Northwest Territories (1), Yukon (1), and Nunavut (2). There have been 90 individuals hospitalized as part of these outbreaks. Three individuals have died; however, Salmonella was not the cause of death for two of those individuals, and it was not determined whether Salmonella contributed to the cause of death for the third individual. Infections have occurred in Canadians of all ages and genders.

All active and future Salmonella outbreak investigations linked to raw chicken, including frozen raw breaded chicken products, and related food recall warnings will be listed in the next section of the public health notice to remind Canadians of the ongoing risk associated with these types of food products.

And, do not forget the 6 sick in Washington.

The Public Health Agency of Canada is collaborating with provincial public health partners, the Canadian Food Inspection Agency and Health Canada to investigate an outbreak of Salmonella infections involving five provinces: British Columbia, Alberta, Saskatchewan, Manitoba, and Quebec. The illness reported in Quebec was related to travel to British Columbia.

Based on the investigation findings to date, exposure to long English cucumbers has been identified as the likely source of the outbreak. Many of the individuals who became sick reported eating long English cucumbers before their illness. However, more information is needed to determine the possible causes of contamination. The outbreak appears to be ongoing, as illnesses continue to be reported.

The Public Health Agency of Canada is issuing this updated public health notice to inform residents in western Canada of the investigation findings to date and to share important safe food handling practices to help prevent further Salmonella infections. At this time, there is no evidence to suggest that residents in eastern Canada are affected by this outbreak.

As of November 2, 2018, there have been 50 laboratory-confirmed cases of Salmonella Infantis illness investigated in the following provinces: British Columbia (42), Alberta (5), Saskatchewan (1), Manitoba (1), and Quebec (1). The individual from Quebec reported traveling to British Columbia before becoming ill. Individuals became sick between mid-June and early-October 2018. Ten individuals have been hospitalized. No deaths have been reported. Individuals who became ill are between 1 and 92 years of age. The majority of cases (58%) are female.

The Canadian Food Inspection Agency continues to collaborate with the overall outbreak investigation. If contaminated food products are identified, they will take the necessary steps to protect the public, including recalling the product as required. Currently there are no Food Recall Warnings associated with this outbreak.

On October 19, 2018, Washington State health officials announced a Salmonella outbreak linked to English cucumbers sold at Costco. The outbreak investigation identified 6 confirmed cases of Salmonella infections in the state of Washington. The last reported illness happened on September 15, 2018. Counties affected include:

King
Pierce
Snohomish
Thurston
Yakima

Barcelona Nut Company of Baltimore, Maryland is recalling 239 cases of roasted and salted in shell pistachios, because it has the potential to be contaminated with Salmonella, an organism that can cause serious and sometimes-fatal infections in young children, frail or elderly people, and others with weakened immune systems. Healthy persons infected with Salmonella often experience fever, diarrhea (which may be bloody), nausea, vomiting and abdominal pain. In rare circumstances, infection with Salmonella can result in the organism getting into the bloodstream and producing more severe illnesses such as arterial infections (i.e., infected aneurysms), endocarditis and arthritis.

The roasted and salted in shell pistachios were distributed in Washington D.C., Maryland, Pennsylvania, Delaware, New York, California, Virginia, Ohio, New Jersey, and Georgia through retail stores and direct delivery. The pistachios are Barcelona Nut Company brand, packaged in Red White and Blue window plastic film, and come in sizes:

2.75 oz., UPC 030239130001 with expiration date 9/18/2019
2.25 oz., UPC 030239149034 with expiration date 9/17/2019 and 10/9/2019
1.50 oz., UPC 030239591154 with expiration date 10/9/2019 and 9/17/2019
1.25 oz., UPC 030239991060 with expiration date 10/8/2019
1 oz. Green plastic film package pictured UPC 030239510148 with expiration dates 10/4/2019 and 10/10/2019.

No illnesses have been reported to date.

Barcelona Nut Company’s processor and supplier, ARO, voluntarily initiated the recall after a separate and unaffiliated manufacturer, performed a routine test which revealed salmonella. Since Barcelona Nut Company received product from the same lot, it is necessary to take precautions. Barcelona Nut Company has ceased the production and distribution of this particular lot of roasted and salted in shell pistachios as the FDA and the companies involved continue their investigation.

The Canadian Food Inspection Agency (CFIA) says Sofina Foods Inc. is recalling Janes brand Pub Style Chicken Burgers from the marketplace due to possible Salmonella contamination.

The agency says the uncooked breaded chicken burgers were sold across the country in 800-gram packages with a best before date of May 14, 2019 (UPC code 0 69299 12491 0).

In its recall warning the CFIA says Salmonella investigations led by the Public Health Agency of Canada have linked frozen raw breaded chicken products to 25 illnesses in nine provinces — one in B.C., three in Alberta, three in Saskatchewan, one in Manitoba, 12 in Ontario, two in Quebec, one in New Brunswick, one in P.E.I., and one in Newfoundland and Labrador.

Sixty-three more ill people from 14 states were added to this investigation since the last update on October 4, 2018. Six more states reported ill people: Hawaii, Kansas, New Mexico, Oklahoma, Texas, and Washington.

As of October 23, 2018, 120 people infected with the outbreak strain of Salmonella Newport have been reported from 22 states.  Thirty-three people have been hospitalized. No deaths have been reported.

Illnesses started on dates ranging from August 5, 2018 to September 28, 2018. Ill people range in age from less than one year to 88, with a median age of 42. Fifty-nine percent are male. Of 95 people with information available, 33 (35%) have been hospitalized. No deaths have been reported.

State and local health departments continue to ask ill people questions about the foods they ate and other exposures in the week before they became ill. Sixty-six (93%) of 71 people interviewed reported eating ground beef at home.

Epidemiologic and traceback evidence indicates that ground beef produced by JBS Tolleson, Inc. is a likely source of this outbreak. On October 4, 2018, JBS Tolleson, Inc. recalled approximately 6.5 million pounds of beef products that may be contaminated with Salmonella Newport.

JBS Tolleson, Inc., a Tolleson, Ariz. establishment, is recalling approximately 6,937,195 pounds of various raw, non-intact beef products that may be contaminated with Salmonella Newport, the U.S. Department of Agriculture’s Food Safety and Inspection Service (FSIS) announced today.

The raw, non-intact beef items, including ground beef, were packaged on various dates from July 26, 2018 to Sept. 7, 2018. The following products are subject to recall: [Products List (PDF) (or XLSX) | Product Labels (PDF only) | Distribution List (PDF)]

The products subject to recall bear establishment number “EST. 267” inside the USDA mark of inspection. These items were shipped to retail locations and institutions nationwide.

On September 5, 2018, FSIS was notified of an investigation of Salmonella Newport illnesses with reported consumption of several different FSIS-regulated products by case-patients. The first store receipt potentially linking the purchase of FSIS-regulated product to a case-patient was received on September 19, 2018; FSIS was then able to begin traceback of ground beef products. To date, eight case-patients have provided receipts or shopper card numbers, which have enabled product traceback investigations.  FSIS, the Centers for Disease Control and Prevention (CDC), and state public health and agriculture partners have now determined that raw ground beef was the probable source of the reported illnesses. Traceback has identified JBS as the common supplier of the ground beef products. The epidemiological investigation has identified 57 case-patients from 16 states with illness onset dates ranging from August 5 to September 6, 2018. FSIS will continue to work with public health partners and will provide updated information should it become available.

Consumption of food contaminated with Salmonella can cause salmonellosis, one of the most common bacterial foodborne illnesses. The most common symptoms of salmonellosis are diarrhea, abdominal cramps, and fever within 12 to 72 hours after eating the contaminated product. The illness usually lasts 4 to 7 days. Most people recover without treatment. In some persons, however, the diarrhea may be so severe that the patient needs to be hospitalized. Older adults, infants, and persons with weakened immune systems are more likely to develop a severe illness. Individuals concerned about an illness should contact their health care provider.

FSIS is concerned that some product may be frozen and in consumers’ freezers. Consumers who have purchased these products are urged not to consume them.