CDC reports 641 cases of Cyclospora linked to recalled salad mixes nationwide

Since the last case count update on July 9, 2020, the U.S. Centers for Disease Control reported 132 new laboratory-confirmed Cyclospora infections have been reported, including 16 from three new states: Georgia, Pennsylvania, and South Dakota.

As of  July 22, 2020, a total of 641 people with laboratory-confirmed Cyclospora infections associated with this outbreak have been reported from 11 states: Georgia (1), Illinois (198), Iowa (195), Kansas (5), Minnesota (73), Missouri (57) Nebraska (55), North Dakota (6), Pennsylvania (2), South Dakota (13) and Wisconsin (36). The ill person from Georgia purchased and ate a bagged salad product while traveling in Missouri.

Illnesses started on dates ranging from May 11, 2020 to July 5, 2020. Ill people range in age from 10 to 92 years with a median age of 59 and 52% are female. Of 636 people with available information, 37 people (6%) 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 4 to 6 weeks. If the number of cases reported by CDC is different from the number reported by state or local health officials, data reported by local jurisdictions should be considered the most up to date. Any differences may be due to the timing of reporting and website updates.

This investigation is ongoing.

The CDC says that it is specifically examining salad ingredients (iceberg lettuce, carrots, red cabbage) for the purposes of its investigation. The affected products include salad mixes made by Fresh Express, Hy-Vee Inc., Little Salad Bar, Signature Farms, Marketside and Hy-Vee. The products were sold at ALDI, Giant Eagle, Hy-Vee, Jewel-Osco, ShopRite, and Walmart locations.

The products were manufactured in Streamwood, Illinois at a Fresh Express production facility.

“Cyclosporiasis is an intestinal infection caused by the Cyclospora parasite,” the CDC says. “A person may become infected after ingesting contaminated food or water. Common symptoms include severe abdominal pain, diarrhea, nausea and vomiting, body aches and fatigue. The infection is treated with antibiotics and most people respond quickly to treatment.”

Specifically, the CDC says the products with a Z178 code or lower and “Best by” date that runs through July 14, 2020 are the ones potentially affected by the contamination.

However, only Georgia, Illinois, Iowa, Kansas, Minnesota, Missouri, Nebraska, North Dakota, Pennsylvania, South Dakota and Wisconsin have reported cases of Cyclospora related to eating the salad mix. According to the CDC, the dates of the illness range from May 11, 2020 to July 5, 2020, with 37 people hospitalized as of Friday. Patients are ages 10 to 92 years with a median age of 59 years as of Friday’s data. No related deaths have been reported. People can go 4 to 6 weeks before noticing any symptoms of Cyclospora, the CDC says.

Write down what you ate in the two weeks before you started to get sick.

Report your illness to the health department.

Assist public health investigators by answering questions about your illness.

The CDC issued its recall warnings June 19, and Giant Eagle issued a recall on its Fresh Express products on June 29.

On June 27, 2020, Fresh Express Fresh Express brand and private label brand salad products produced at its Streamwood, IL facility that contain iceberg lettuce, red cabbage, and/or carrots due to possible Cyclospora contamination.

The Public Health Agency of Canada is investigating an outbreak of Cyclospora infections occurring in three Canadian provinces. Exposure to certain Fresh Express brand salad products containing iceberg lettuce, carrots, and red cabbage, has been identified as a likely source of the outbreak.

  • Epidemiologic and traceback evidence indicates that bagged salad mix containing iceberg lettuce, carrots, and red cabbage produced by Fresh Express is a likely source of this outbreak.
  • CDC and FDA continue to investigate to determine which ingredient or ingredients in the salad mix was contaminated and whether other products are a source of illnesses.
  • CDC will provide updates when more information is available.

US Cyclospora infections from salads rise, found in Canada

Chris Koger of The Packer reports that cases of Cyclospora infection linked to Fresh Express salads continue to rise, according to the Centers for Disease Control and Prevention, and Canada is reporting its first cases.

Lab-confirmed cases thought to be linked to iceberg lettucecarrots or red cabbage in garden salads were 509 in the U.S, as of July 9, according to the CDC. The Canadian Food Inspection Agency on July 8 reported 37 cases in Ontario, Quebec and Newfoundland and Labrador.

The salads, including private-label bagged garden salads, were processed at Fresh Express’ Streamwood, Ill., facility, according to the FDA.

Fresh Express has recalled salads from the plant containing the three ingredients under investigation, along with Aldi, Giant Eagle, Hy-Vee, Jewel-Osco, ShopRite and Walmart issuing recalls of private label salads.

The Canadian Food Inspection Agency reported on June 28 Fresh Express had recalled products in Canada. They were distributed nationwide by Crescent Multi-Foods, Federated Co-Operatives Ltd., Fresh Express and Walmart Canada Corp., according to the Canadian Agency.

An edited version of the latest CDC update is below:

On June 27, 2020, Fresh Express recalled Fresh Express brand and private label brand salad products produced at its Streamwood, IL facility that contain iceberg lettuce, red cabbage, and/or carrots due to possible Cyclospora contamination.

509 people with laboratory-confirmed Cyclospora infections and who reported eating bagged salad mix before getting sick have been reported from 8 Midwestern states (Illinois, Iowa, Kansas, Minnesota, Missouri, Nebraska, North Dakota, and Wisconsin).

Illnesses started on dates ranging from May 11, 2020 to July 1, 2020.

33 people have been hospitalized. No deaths have been reported.

The Public Health Agency of Canada  is investigating an outbreak of Cyclospora infections occurring in three Canadian provinces. Exposure to certain Fresh Express brand salad products containing iceberg lettuce, carrots and red cabbage, has been identified as a likely source of the outbreak.

Epidemiologic and traceback evidence indicates that bagged salad mix containing iceberg lettuce, carrots, and red cabbage produced by Fresh Express is a likely source of this outbreak.

CDC and FDA continue to investigate to determine which ingredient or ingredients in the salad mix was contaminated and whether other products are a source of illnesses. CDC will provide updates when more information is available.

Since the last case count update on June 26, 2020, 303 new laboratory-confirmed Cyclospora infections have been reported.

As of July 8, 2020, a total of 509 people with laboratory-confirmed Cyclospora infections associated with this outbreak have been reported from 8 states: Illinois (151), Iowa (160), Kansas (5), Minnesota (63), Missouri (46) Nebraska (48), North Dakota (6), and Wisconsin (30).

Illnesses started on dates ranging from May 11, 2020 to July 1, 2020. Ill people range in age from 11 to 92 years with a median age of 60 and 53% are female. Of 506 people with available information, 33 people (7%) 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 4 to 6 weeks. If the number of cases reported by CDC is different from the number reported by state or local health officials, data reported by local jurisdictions should be considered the most up to date. Any differences may be due to the timing of reporting and website updates.

Additionally, the Public Health Agency of Canada  is investigating an outbreak of Cyclospora infections occurring in three Canadian provinces where exposure to certain Fresh Express brand salad products containing iceberg lettuce, carrots and red cabbage, has been identified as a likely source of the outbreak.

Looks like I missed this one too: ‘My mom’s death was needless’ Families want answers after Salmonella outbreak at Winnipeg care home

Tessa Vanderhart of CBC reported last month a Winnipeg care home where two residents recently died has confirmed it served frozen food from Thailand that was later linked to the Canada-wide outbreak of salmonella. 

Golden West Centennial Lodge executive director Joyce Kristjansson told staff and families in an email on Tuesday morning it had given residents cream puffs that are now on the recall list. 

Two residents at the 116-bed personal care facility in the Sturgeon Creek neighbourhood died in March, and a third was sickened. All three tested positive for salmonella.

The Public Health Agency of Canada confirmed the three cases at Golden West are linked to the outbreak which has struck 73 people nationwide. 

Investigators have linked the bacteria-caused gastrointestinal illnessto Celebrate-brand frozen profiteroles and mini chocolate eclairs.

51 sick in Canada and U.S. from Salmonella linked to cucumbers

I’ve been waiting for more info on this outbreak but it’s not there.

Cucumbers have been linked to at least 45 Salmonella illnesses in western Canada.

A further six people in Washington state – that’s also in the west – have been stricken by what seems to be the same bacterium linked to cucs, sold at Costco.

58 sick, 2 dead, possible link to romaine lettuce

Over the past seven weeks, 58 people in the U.S. and Canada have become ill and two have died from E. coli O157H7, linked by Canadians to romaine lettuce, probably grown in California, given the timing of illnesses.

On Dec. 11, 2017, the Public Health Agency of Canada did its public duty and notified Canadians that at least 21 people were sick with E. coli O157:H7 and the probable source was romaine lettuce.

A couple of retailers in Canada pulled all romaine lettuce from the shelves, but the others shrugged and said, not enough is known.

By Dec. 28, 2017, the Canadian numbers had jumped to 41 sick and one dead, and the U.S. Centers for Disease Control chimed in to say there were 17 sick in the U.S. with a similar strain but they wouldn’t say it was linked to romaine lettuce, with the Trumpesque language of “CDC is unable to recommend whether U.S. residents should avoid a particular food.”

Outbreaks are hard, but where’s the tipping point between protecting public health and protecting a commodity and all the growers, retailers, involved?

Everyone went off and enjoyed New Year’s, and then people woke up again on Jan. 2, 2018 (happy new year), to be told by the Toronto Star (that’s in Canada) that of the 17 U.S. cases, five people have been hospitalized, one of whom has died. Two have developed hemolytic uremic syndrome.

That’s 58 sick and two dead.

On Jan. 3, 2018, Trisha Calvo of Consumer Reports wrote the group’s food safety types advise “consumers stop eating romaine lettuce until the cause of the outbreak is identified and the offending product is removed from store shelves.”

“Even though we can’t say with 100 percent certainty that romaine lettuce is the cause of the E. coli outbreak in the U.S., a greater degree of caution is appropriate given that lettuce is almost always consumed raw,” says James Rogers, Ph.D., director of food safety and research at Consumer Reports.

“There is not enough epidemiologic evidence at this time to indicate a specific source of the illnesses in the United States,” says Brittany Behm, MPH, a CDC spokesperson. “Although some sick people reported eating romaine lettuce, preliminary data available at this time shows they were not more likely than healthy people to have eaten romaine, based on a CDC food consumption survey.” Health officials, Behm says, take action when there is clear and convincing information linking illness to a contaminated food.

“The FDA should follow the lead of the Canadian government and immediately warn the public about this risk,“ said Jean Halloran, Director of Food Policy Initiatives at Consumers Union, the policy and mobilization division of Consumer Reports.

“The available data strongly suggest that romaine lettuce is the source of the U.S. outbreak,” she says. “If so, and people aren’t warned, more may get sick.”

That got attention, and many media outlets chimed in.

barfblog.com’s Ben Chapman told Rachael Rettner of Live Science that, “[To] say ‘avoid romaine for now,’ I don’t know if I have enough information to agree with that statement,”  Benjamin Chapman, an associate professor and food safety specialist at North Carolina State University.

“Avoiding just romaine may or may not be enough,” because other lettuces or foods could also be affected, Chapman told Live Science. “It could be that there’s a different [food] source of this exact same pathogen,” he said.

Another possibility is that the E. coli strain causing illness in the United States is actually slightly different from the strain in Canada. “We could be looking at two different outbreaks at the same time,” Chapman said.

About four times a day I’ll get a tweet from the Leafy Green Marketing Agreement – the folks who set themselves up after the spinach outbreak of E. coli O157:H7 in 2006 that killed four and sickened 200 – blowing themselves about how great they are, and how their products are so safe.

If you want that kind of PR, then you have to take the hits as well.

LGMA never talks about an outbreak linked to leafy greens (publicly).

To me, they’ve succeeded best at lowering the leafy greens cone of silence and intimidating public health types into delaying reports of outbreaks.

But late on Jan. 4, 2018, LGMA finally made a public statement, below, with my comments.

A group of produce industry associations today issued the following statement to update consumers on a recent e.coli outbreak being investigated in Canada in the U.S.:

It’s E coli. You folks should be well-versed in that.

The U.S. Centers for Disease Control and Prevention has not identified what food likely caused this foodborne illness.  No public agency has contacted any Romaine lettuce grower, shipper or processor and requested that they either stop shipping or recall product already in the marketplace.

Defensive.

Even if this outbreak is actually confirmed to be caused by Romaine lettuce, it’s important to recognize this is a highly perishable product with a limited usable shelf life and it’s highly unlikely a specific affected lot would still be available for sale or in a home refrigerator with the last U.S. illness being reported on December 8th.

Carry on, it’s all gone.

Food safety remains a top priority of leafy greens farmers, shippers and processors and the industry has robust food safety programs in place that incorporate stringent government regulatory oversight.

The Pinto defense. Audits and inspections are never enough, and saying we have government oversight does nothing to build trust with the consuming public, as research shows.

Our leading produce industry associations have and will continue to cooperate fully with public health officials investigating this foodborne illness outbreak.

Play nice in the sandbox.

Anytime we see an outbreak of any foodborne illness, our hearts go out to the victims.

This is what you should have led with. Now it reads like a tack-on.

If the leafy green marketing folks want to be truly transparent, they will make actual inspection data public for mere mortals to review, they will market microbial food safety at retail, and stop stonewalling every time there is an outbreak linked to leafy greens.

I have lots of respect for individual farmers who make a go of it and produce the bounty of produce we enjoy.

I have no respect for self-serving associations with bad soundbites.

A table of leafy green related outbreaks is available at https://www.barfblog.com/wp-content/uploads/2018/01/lettuce-leafy-greens-outbreaks-table-_1-5-18.xlsx

At least 20 sick with Cyclospora in Canada

Health-types in Canada are investigating locally acquired Cyclospora infections in two provinces. The source of the outbreak has not been identified. Previous outbreaks in Canada and the United States (US) have been linked to imported fresh produce. The investigation is ongoing.

In Canada, a total of 20 cases have been reported in two provinces: British Columbia (5) and Ontario (15). Individuals became sick between May and early June of this year. The majority of cases (60%) are male, with an average age of 53 years. The investigation into the source of the outbreak is ongoing. To date, no multi-jurisdictional outbreaks of Cyclospora have been linked to produce grown in Canada.

The outbreak investigation is active and the public health notice will be updated on a regular basis as the investigation evolves.

People living or travelling in tropical or subtropical regions of the world who eat fresh produce or drink untreated water may be at increased risk for infection because the parasite is found in some of these regions.

7 sick: Outbreak of Salmonella infections linked to raw frozen breaded chicken thingies in Canada, again

The Public Health Agency of Canada is collaborating with lotsa other bureau-types to investigate an outbreak of Salmonella Enteritidis infections in four provinces with cases of human illness linked to frozen raw breaded chicken products.

PHAC feels compelled to tell Canadians the risk is low and illnesses can be avoided if safe food handling, preparation and cooking practices are followed when preparing these types of food products. 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.

It’s the just-cook-it stance, which doesn’t account for cross-contamination, and utterly fails to account for the BS marketing that companies use to market this shit (see video below, when we had no idea how to shoot video).

Currently, there are seven cases of Salmonella illness in four provinces: British Columbia (1), Alberta (4), Ontario (1) and New Brunswick (1). Two people have been hospitalized. No deaths have been reported. Individuals became sick between April and May of this year. The majority of cases (71%) are male. The average age of cases is 26 years.

It’s the end of June. How much time is needed to go public with an identifiable foodborne risk? And no company identified? A public health disgrace.

Direct video observation of adults and tweens cooking raw frozen chicken thingies (not the real title)

01.nov.09

British Food Journal, Vol 111, Issue 9, p 915-929

Sarah DeDonder, Casey J. Jacob, Brae V. Surgeoner, Benjamin Chapman, Randall Phebus, Douglas A. Powell

http://www.emeraldinsight.com/Insight/viewContentItem.do;jsessionid=6146E6AFABCC349C376B7E55A3866D4A?contentType=Article&contentId=1811820


Abstract:

Purpose – The purpose of the present study was to observe the preparation practices of both adult and young consumers using frozen, uncooked, breaded chicken products, which were previously involved in outbreaks linked to consumer mishandling. The study also sought to observe behaviors of adolescents as home food preparers. Finally, the study aimed to compare food handler behaviors with those prescribed on product labels.


Design/methodology/approach – The study sought, through video observation and self-report surveys, to determine if differences exist between consumers’ intent and actual behavior.


Findings – A survey study of consumer reactions to safe food-handling labels on raw meat and poultry products suggested that instructions for safe handling found on labels had only limited influence on consumer practices. The labels studied by these researchers were found on the packaging of chicken products examined in the current study alongside step-by-step cooking instructions. Observational techniques, as mentioned above, provide a different perception of consumer behaviors.


Originality/value – This paper finds areas that have not been studied in previous observational research and is an excellent addition to existing literature.

Handle flour like raw meat: More Canadian flour and people sickened with E. coli O121

In April 2017, health-types in Canada said E.coli O121 had sickened 26 people that was linked to Robin Hood All Purpose Flour, Original.

On May 26, 2017, the Canadian Food Inspection Agency said Ardent Mills is recalling various brands of flour and flour products due to possible E. coli O121 contamination. Consumers should not consume the recalled products described below.

This recall was triggered by findings by the CFIA during its investigation into a foodborne illness outbreak. The CFIA is conducting a food safety investigation, which may lead to the recall of other products. If other high-risk products are recalled, the CFIA will notify the public through updated Food Recall Warnings.

The CFIA is verifying that industry is removing recalled products from the marketplace.

There have been reported illnesses associated with flour; however, at this time, there have been no confirmed illnesses associated with the products identified in this Food Recall Warning.

But there have been with Roger flour in B.C.

On May 21, 2017 the B.C. Centre for Disease Control (BCCDC) alerted British Columbians after six people in BC were infected with the same strain of E. coli O121 between February and April, 2017.

A sample of flour from one of the ill people was tested by the BCCDC Public Health Laboratory and found positive for the same strain of E. coli O121 as seen in all the illnesses.

While it is unknown at this time whether the other ill people consumed the same flour, the BCCDC recommends consumers:

Dispose of Rogers all-purpose flour in a 10kg bag with the lot number MFD 17 Jan 19 C.  This flour was available to Costco customers in B.C. beginning in January 2017.

Although this outbreak is occurring at the same time as a national outbreak involving a different strain of E. coli O121 that has been linked to various flours and flour products, it is unclear whether there is a link between the two outbreaks.

The national outbreak has affected 30 people from six provinces: British Columbia (13), Saskatchewan (4), Alberta (5), Ontario (1), Quebec (1) and Newfoundland and Labrador (5). One of the 30 cases was a visitor to Canada. The illness onset dates range from November 2016 to April 2017.

These are the questions that remain about the interactions between Robin Hood, Ardent, Rogers and their flour: Do you folks all get your flour from the same place and slap your name on it like Trump slaps his name on towers? If so, where is the common processor, and why the fuck is there E. coli O121 in it? What are companies prepared to do, like offering pasteurized flour, especially so the medically vulnerable can continue to bake without fretting about flour dust?And when will the Public Health Agency of Canada move beyond boilerplate fairy tales like wash hands, and offer something meaningful to Canadians who bake?

Overpaid bureacrats, worried about their retirement savings rather than a nasty bug like E. coli O121.

Inhale the dust, assholes.

The outpouring of compassion for the victims is underwhelming.

24 sick: E. coli O121 outbreak shows failures of food safety safety net

 

Chapman was always the kinder, gentler version of me, and he goes too easy on Canadian boffins who announced today there are now 24 people sick with E. coli O121 in British Columbia (12), Saskatchewan (4), Alberta (3) and Newfoundland and Labrador (5).

That the outbreak missed Manitoba, Ontario, Quebec, Nova Scotia, New Brunswick and PEI should give epidemiologists solid clues, ones that the Public Health Agency of Canada is not ready to divulge.

The initial public announcement was Jan. 12, 2017.

A couple of months later, the case count has doubled, and the only advice PHAC has is wash your fucking hands.

The last two major North American outbreaks of E. coli O121 were in flour, last year, and in sprouts, a few years earlier (please, let it be sprouts, please).

Five months into the outbreak, I’m sure the dedicated Canadian public servants have had time to match the genetic fingerprint of the outbreak strain with the U.S.-based outbreaks, but don’t expect PHAC to answer such simple questions.

They could have done whole genome sequencing in the time it took to have miniions craft a press release that said … nothing.

“The Government of Canada is committed to food safety. The Public Health Agency of Canada leads multi-jurisdictional human health investigations of outbreaks and is in regular contact with its federal and provincial partners to monitor and take collaborative steps to address outbreaks.”

Eat me completely.

Public Health Agency of Canada MIA again: Mr. Christie’s brand Arrowroot Biscuits recalled due to potential off-taste

If there’s been reported illnesses, shouldn’t the Public Health Agency of Canada be reporting those illnesses?

m-christieNo, they’re busy collecting their pensionable hours in meaningless meetings.

And it’s nothing new.

It’s the Potomac two-step (Ottawa River version).

I still don’t dance.

The food recall warning issued on October 21, 2016 has been updated to include additional codes. This additional information was identified during the Canadian Food Inspection Agency’s (CFIA) food safety investigation.

Mondelēz Canada is recalling certain date codes of Mr. Christie’s brand Arrowroot Biscuits from the marketplace due to potential off-taste. Consumers should not consume the recalled products described below.

Mr. Christie’s Arrowroot Biscuits, 350 g, Best Before 2017 MR 01, UPC: 0 66721 01046 9

Mr. Christie’s Arrowroot Biscuits, 3.6 kg- 300x 12 g (2-pack), Best Before 2017 MA 13, UPC: 1 00 66721 51404 9

If you think you became sick from consuming a recalled product, call your doctor.

jauce-jordan-weddingCheck to see if you have recalled products in your home. Recalled products should be thrown out or returned to the store where they were purchased.

This recall was triggered by the company. The CFIA is conducting a food safety investigation, which may lead to the recall of other products. If other products are recalled, the CFIA will notify the public through updated Food Recall Warnings.

The CFIA is verifying that industry is removing recalled product from the marketplace.

There have been reported illnesses associated with the consumption of these products.

And that’s not a happy M. Christie baby. This is a happy baby, with one of my daughters, and I take credit for my grandson’s curls, but they probably belong to their dad.