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Food Safety News reports that the Swedish authorities are investigating a Salmonella outbreak that has affected 14 people from April 13 to 24, 14. The people have been infected with Salmonella Braenderup in 10 different regions of the country. According to the Public Health Agency of Sweden (Folkhälsomyndigheten) WGS has shown the patients to be linked. The source of infection has not been identified but is suspected to be a food widely distributed in Sweden. A Salmonella outbreak in Denmark has now affected 40 people with 24 of them needing hospital treatment since November 2020. People were infected with Salmonella Typhimurium between mid-November 2020 and mid-April 2021, according to the Statens Serum Institut (SSI). Three people positive for the Salmonella strain linked to the outbreak died. All three had underlying diseases but Salmonella infection is considered to be a contributing cause of death. The source of infection was traced to capsules of HUSK Psyllium imported from India and sold by Orkla care.  Orkla Care also found a Salmonella positive sample during self-controls but supplements were discarded before being sold. Products were sent to Sweden, Finland, Iceland, Norway, Belgium, Luxembourg, Spain and Bulgaria, according to a RASFF notice. German and Polish authorities have also publicized national recalls. In Poland, this includes the Colon brand dietary supplement as it contains Psyllium seed husks. @ https://www.foodsafetynews.com/2021/05/salmonella-sickens-14-in-sweden-40-sick-in-danish-outbreak/?utm_source=Food+Safety+News&utm_campaign=570504bbcf-RSS_EMAIL_CAMPAIGN&utm_medium=email&utm_term=0_f46cc10150-570504bbcf-40253059

The Canadian Food Inspection Agency (“CFIA”) reported that Goldenway International Trade Co. (Mississauga, Ontario) recalled Golden Mushroom brand Enoki Mushroom from the Canadian marketplace due to possible Listeria monocytogenes contamination. Golden Mushroom Enoki Mushrooms, a fresh vegetable product marketed, sold, and delivered in 200-gram clear plastic bags; affected batch/lots: all products sold up to and including May 7, 2021, with a UPC of 8 809201 000039. These food products may be close to or past their use-by dates; they may be in your freezers or storage chillers. The recalled products have been marketed, distributed, and sold in the Canadian provinces of Ontario and Quebec.  @ https://healthycanadians.gc.ca/recall-alert-rappel-avis/inspection/2021/75561r-eng.php

An article in Current Opinion in Food Science (Volume 39, June 2021, Pages 83-92 by  Zwietering, Garre, Wiedmann, and Buchanan) discusses why all foods have an inherent residual risk. As risk-based approaches are increasingly recognized and used to manage food safety hazards, their implementation requires recognition and appreciation of residual risk. Because foodborne pathogens are endemic to most food systems, a situation of zero risk in food production is unattainable with the technology available nowadays, and a residual risk always remains. Microbial Risk Assessment (MRA) makes a clear distinction between hazard and risk. Nowadays, the MRA methodology is one of the tools used by food industries and regulatory bodies to estimate the risk associated with different food products. Assessment of residual risks (e.g., for produce) will also facilitate future risk-benefit analyses (e.g., population-level foodborne disease risk versus nutritional benefits associated with affordable produce) that will help define acceptable residual risk. Testing is a verification method but not a control method.@ https://www.sciencedirect.com/science/article/pii/S2214799320301739

MMWR published a report on Multistate Outbreak of Escherichia coli O26 Infections Linked to Raw Flour (MMWR Morb Mortal Wkly Rep 2021;70:600–601).  On February 20, 2019, PulseNet, identified six Shiga toxin-producing Escherichia coli (STEC) O26:H11 infections with the same PFGE pattern combination. The PFGE pattern matched that of infections from a July 2018 outbreak (ground beef).  The CDC initiated an investigation to identify the outbreak source and implement prevention measures. Twenty-one cases were reported from nine states. Three patients were hospitalized, and none died. On May 21, 2019, the Rhode Island Department of Health testing identified STEC O26 from an intact bag of all-purpose flour in the same grocery store brand reported by other patients. PulseNet confirmed that the STEC O26 isolated from the flour was highly related to clinical isolates. Product distribution records collected by the FDA indicated that the store brand flour purchased by six patients in three states was produced in a single milling facility in Buffalo, New York. As a result, the store chain recalled all lots of products from its retail locations in 11 states. The milling company also recalled all lots of the product and several other lots of flour produced in that facility. Flour is increasingly recognized as a cause of STEC outbreaks. Raw flour is not a ready-to-eat product, and this outbreak highlights the continuing risk for illness associated with the consumption of flour and raw dough or batter. @ http://dx.doi.org/10.15585/mmwr.mm7016a4