Updates: Botulism in Nacho Cheese, Salmonella in Maradol Papaya, Listeria in the Environment, and Our New Trending Page
California Department of Public Health confirms that botulism outbreak was Linked to Retail PracticesIn May we reported on a Botulism outbreak resulting from the consumption of nacho cheese sauce served at the Valley Oak Food and fuel gas station in Walnut Grove, California. The outbreak included 10 cases of laboratory confirmed C. botulinum toxin type A. All patients were hospitalized and one death was reported. Customers spread the nacho cheese sauce on chips from a counter-top self-service warming dispenser. According to a memo from the California Department of Public Health, the operators at the gas station were mainly responsible for the outbreak because the reasons for the outbreak were:
- The bag of nacho cheese (5 lb) collected at the retail location on May 5, 2017, was consumed past the “Best By” date.
- The gas station did not maintain records of the time in which the bag nacho cheese was added to the warming unit. Therefore, the cheese might have been left too long in the warmer.
- The designated tool to open the nacho cheese bag was not used to open the bag of cheese.
Multistate Outbreak of Salmonella Anatum Infections Linked to Imported Maradol PapayasThe CDC reports on the newest outbreak relating to papayas from Mexico. This is the fourth investigation involving to papayas from Mexico this year. On September 4, 2017, the CDC reported that 14 people in 3 states were infected with the outbreak strain of S. anatum. Five hospitalizations and one death resulted from this outbreak. Epidemiological and laboratory data indicated that papaya from Mexico imported by Bravo Produce Inc. of San Ysidro, California is the probable source of the outbreak. On September 10, the FDA and the distributor withdrew the product from the market. The CDC pulseNet data base identified 6 more individuals with the same DNA fingerprint that recently became ill.
Environmental sampling of a plant in Germany linked to Listeria OutbreakWith the increase in environmental sampling mandated by the FSMA, and the numerous recalls resulting from the program, I find it interesting that environmental sampling was inked to a Listeriosis outbreak in Germany. A conveyor belt in a meat processing plant, moving product before packaging, was most likely the source of the contamination. In 2015, an outbreak of Listeriosis was reported in Germany, caused by L. monocytogenes ½ a. In Emerging Infectious Diseases Volume 23, Number 10—October 2017, Molecular Tracing to Find Source of Protracted Invasive Listeriosis Outbreak, Southern Germany, 2012–2016 Kleta et al. using forensic microbiology, had identified several products from one manufacturer contaminated with the outbreak genotype Listeria. Their conclusion was based on the facts that:
- L. monocytogenes outbreak strain was isolated from several products of the same manufacturer
- The outbreak strain was absent in other products collected during the same period
- Epidemiological findings suggested that the source of the outbreak was from this single factory
- The meat processing plant predominantly supplied grocery stores of a single company
- Patience food consumption histories were compatible with the molecular typing results