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CORE update of November 15, 2023: the CORE list of outbreaks and adverse events includes five activity cases and two new outbreaks. A new outbreak of Listeria monocytogenes (ref #989) linked to a not yet identified product has been added to the table. FDA has initiated sample collection and analysis. Another new investigation of E. coli O103 (ref #1192) linked to a not yet identified product has been added to the table. FDA has initiated a traceback investigation. For the investigation of illnesses (ref #1198) linked to apple cinnamon fruit puree pouches, the FDA has updated the advisory to include expanded recall information from the firm and additional reports of illness. @ https://www.fda.gov/food/outbreaks-foodborne-illness/investigations-foodborne-illness-outbreaks?utm_medium=email&utm_source=govdelivery

The Public Health Agency of Canada (PHAC) is collaborating with provincial public health partners, the CFIA and Health Canada, to investigate an outbreak of extensively drug-resistant (XDR) Salmonella infections in six provinces. As of November 11, 2023, there are 40 confirmed cases of XDR Salmonella I 4,[5],12:i:- illness in six provinces: Manitoba (1), Ontario (14), Quebec (21), New Brunswick (1), Nova Scotia (2), and Prince Edward Island (1). Individuals became sick between July 2020 and September 2023. Thirteen individuals have been hospitalized. No deaths have been reported. Individuals who became ill are between 0 and 91 years of age. Just under half (43%) of the cases are in children 5 years or younger. About half of the cases (53%) are female. Using whole genome sequencing, it was determined that the same outbreak strain caused some Salmonella illnesses dating back to 2020 as those in 2023. @ https://www.toronto.com/news/sick-dogs-salmonella-outbreak-linked-to-raw-pet-food-leaves-animals-dead-and-dozens-of/article_9668b245-1106-529e-83f8-6ddc899bdfae.html

The CFIA reported that the food recall warning issued on 2023-11-01 has been updated to include additional product information identified during the CFIA food safety investigation. There have been no reported illnesses associated with the consumption of this product. The cantaloupes were distributed in Alberta, British Columbia, New Brunswick, Newfoundland and Labrador, Nova Scotia, Ontario, Prince Edward Island, and Quebec. Affected products were sold between October 11, 2023, and November 14, 2023. The same brand was also recalled in the US. @ https://recalls-rappels.canada.ca/en/alert-recall/malichita-brand-cantaloupes-recalled-due-salmonella?utm_source=gc-notify&utm_medium=email&utm_content=en&utm_campaign=hc-sc-rsa-22-23

The Public Health Agency of Canada (PHAC) issued a public health notice on an ongoing outbreak of “extensively drug resistant Salmonella outbreak. The outbreak has spread across six provinces, affecting many children aged five and under, prompting a public health notice. The PHAV and CFIA investigated the salmonella outbreak, revealing that raw pet food and cattle contact were likely culprits. “Many individuals who became sick are children five years or younger. Illnesses associated with this outbreak strain may be difficult to treat with commonly recommended antibiotics if antibiotic treatment is needed,” PHAC said in a statement. There are two sources for the outbreak; the first was linked to exposure to raw meat prepared for pets. PHAC said some individuals who became sick reported exposure to raw pet food before the illness occurred. However, a single supplier of raw pet food has not been identified. Contact with cattle, particularly calves, was linked as the second source of the outbreak. PHAC’s investigation also found this outbreak strain of salmonella has been found in sick dogs and cattle, and some of these animals have died. There have been 40 confirmed cases of the salmonella strain as of Nov. 11, PHAC said. Illnesses have been reported in Manitoba, Ontario, Quebec, New Brunswick, Nova Scotia, and Prince Edward Island. Between July 2020 and September 2023, the reported individuals fell ill, resulting in 13 hospitalizations, with no reported deaths. @ https://globalnews.ca/news/10088282/salmonella-outbreak-drug-resistant-canada/#:~:text=On%20Saturday%2C%20the%20Public%20Health,cattle%20contact%20as%20likely%20culprits