09/04,2012
ISSUE:511
 

                                                    
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2 deaths, 204 sickened, 79 hospitalized from Salmonella in Cantaloupe
Source : http://blog.usfoodsafety.com/2012/09/03/2-deaths204-sickened-79-hospitalized-from-salmonella-in-cantaloupe/
By foodsafeguru (Sep 03, 2012)
A total of 204 individuals infected with the outbreak strain of Salmonella Typhimurium have been reported from 22 states from cantaloupe, according to the CDC.
The 26 new cases are from 12 states:
Arkansas (2),
Florida (1),
Georgia (1),
Illinois (3),
Indiana (4),
Iowa (1),
Kentucky (7),
Minnesota (1),
Missouri (1),
North Carolina (2),
Ohio (1), and
Tennessee (2).
Among 149 persons for whom information is available, illness onset dates range from July 7, 2012 to August 18, 2012.
Ill persons range in age from less than 1 year to 100 years.
Fifty-nine percent of ill persons are female. Among 149 persons with available information, 78 (52%) reported being hospitalized. Two deaths have been reported in Kentucky.
Illnesses that occurred after August 7, 2012 might not yet be reported due to the time it takes between when a person becomes ill and when the illness is reported.

Forget sharks or airplanes or venomous snakes. These days, cantaloupe is more deadly than them all.
Source : http://www.marlerblog.com/legal-cases/forget-sharks-or-airplanes-or-venomous-snakes-these-days-cantaloupe-is-more-deadly-than-them-all/
By Bill Marler (Sep 03, 2012)
Ouch!
That was the opening sentence in the National Law Journal’s Jenna Greene’s article this morning – “Ripe for litigation.”  (You need a subscription to read the article).
With Listeria-tainted cantaloupe killing at least 33 and sickening 147 last year according to the CDC, and with the CDC tracking 2 dead and 204 sickened (so far) with Salmonella-tainted cantaloupe, her description seems apt.
And, not only does the cantaloupe industry need to contend with being compared to sharks, snakes and crashing airplanes, but “[w]idespread food poisoning means widespread litigation.”
Regarding last year’s Listeria outbreak linked to Jensen Farms:
The plaintiffs, many of them elderly, “never thought they could get sick from cantaloupe — ever. And it either killed them or nearly killed them,” said William Marler, a name partner at Seattle food poisoning boutique Marler Clark, who represents 43 people who got listeriosis from cantaloupe.
And, then there is this year’s Salmonella Typhimurium outbreak linked to Chamberlain Farms:
“The adulterated food product that the defendants manufactured, distributed, and/or sold was, at the time it left the defendants’ control, defective and unreasonably dangerous for its ordinary and expected use,” alleges the complaint, which was filed by … Marler Clark.
Litigation aside, the cantaloupe industry – growers, processors, shippers and retailers – need to change the discussion by fixing the problem.

E. coli and Hemolytic Uremic Syndrome (HUS) Sites Updated
Source : http://www.marlerblog.com/lawyer-oped/e-coli-and-hemolytic-uremic-syndrome-hus-sites-updated/
By Bill Marler (Sep 03, 2012)
Shortly after I resolved the 1996 Odwalla E. coli O157:H7 outbreak on behalf of five kids that suffered Hemolytic Uremic Syndrome (HUS), and long before Google became synonymous with searching on the Internet, we had compiled more information about this nasty bug, and its frightening and potentially deadly impact, than anyone outside a few major teaching hospitals.
After I started Marler Clark in 1998 along with Bruce Clark, Denis Stearns and Andy Weisbecker, E. coli O157:H7 cases – especially those linked to ground beef – arrived at our offices at a far too frequent rate.  So too came the calls and questions from media trying to understand what was happening to kids and the All-American hamburger.
For those who do not recall Prodigy or Netscape, in 1998 few could envision that the Internet would be more than a place to park what in essence were online Word documents.  So, in early 1999 we placed everything we knew about E. coli O157:H7 and HUS on www.about-ecoli.com and www.about-hus.com.  The idea was when someone called you would direct them to the site to read for themselves about the dangers of E. coli O157:H7 and HUS.  I think few at the time – certainly not me – thought that people would search for these things for themselves by using “search terms.”
Over the years both sites have gone through substantive changes – both in content quality and look.  We have had the opportunity and honor to work with the best pediatric nephrologists in the world, and the patients they cared for.  In the last month both sites have undergone edited content and an updated look – here are the highlights:
E. coli
Escherichia coli (or E. coli) is the most prevalent infecting organism in the family of gram-negative bacteria known as enterobacteriaceae.  E. coli bacteria were discovered in the human colon in 1885 by German bacteriologist Theodor Escherich.  Dr. Escherich also showed that certain strains of the bacterium were responsible for infant diarrhea and gastroenteritis, an important public health discovery. Although E. coli bacteria were initially called Bacterium coli, the name was later changed to Escherichia coli to honor its discoverer.
E. coli is often referred to as the best or most-studied free-living organism.  More than 700 serotypes of E. coli have been identified.  The “O” and “H” antigens on the bacteria and their flagella distinguish the different serotypes.  It is important to remember that most kinds of E. coli bacteria do not cause disease in humans.  Indeed, some E. coli are beneficial, while some cause infections other than gastrointestinal infections, such as urinary tract infections.
The E. coli that are responsible for the numerous reports of contaminated foods and beverages are those that produce Shiga toxin, so called because the toxin is virtually identical to that produced by Shigella dysenteria type 1.  The best-known and also most notorious E. coli bacteria that produce Shiga toxin is E. coli O157:H7.  The Centers for Disease Control and Prevention (CDC) has estimated that every year at least 2,000 Americans are hospitalized, and about 60 die as a result of E. coli infection and its complications.
E. coli are classified by their O and H antigens (e.g., E. coli O157:H7, E. coli O26:H11) and broadly categorized as Shiga toxin-producing E. coli (STEC) O157 or non-O157 STEC.  For many years, most recognized STEC outbreaks were associated with STEC O157. Despite the dominance of STEC O157, at least 150 non-O157 strains of E. coli are known to cause human illness and have been associated with outbreaks.
In the US, documented outbreaks of non-O157 E. coli include 10 involving O111; 6 involving O26; 3 involving O45; 2 involving O145, O104, and O6; and, one each involving O51; O103; O27; and, O84. Non-O157 STEC outbreaks are rare, but tend to primarily be due to contaminated food and person-to-person transmission.
In recent years, improved diagnostic assays for non-O157 STEC have contributed to an increased appreciation of the severity of disease caused by these strains, including hemolytic uremic syndrome (HUS).  Notably, the number of non-O157 STEC cases reported to CDC’s FoodNet has risen steadily each year; from 2000-2006, there was an overall 4-fold increase in incidence (0.12 cases per 100,000 to 0.42 cases per 100,000 population) at FoodNet sites. The most common serogroups reported to cause foodborne illness in the United States are O26, O111, O103, O121, O45, and O145.  These six serotypes account for 75% of human infections.
Worldwide, non-O157 STEC outbreaks emerged in the 1980s, and the first reported outbreaks in the United States occurred in the 1990s.  The number of reported outbreaks due to non-O157 STECs remains relatively low in the United States, but experts agree that documented outbreaks probably represent the “tip of the iceberg.”  From 1983-2002, seven non-O157 STEC outbreaks were reported in the United States.  During the following five-year period from 2003-2007, CDC documented an additional five non-O157 STEC outbreaks (CDC Outbreak Surveillance Data.  A study of non-O157 STEC concluded that these strains may account for up to 20 to 50% of all STEC infections in the United States.
For more on E. coli, visit www.about-ecol.com.
•An Introduction to E. coli, a Foodborne Pathogen
•E. coli O157:H7
•Non-O157 Shiga Toxin-Producing E. coli
•Sources of E. coli: Where does E. coli come from?
•Transmission of and Infection with E. coli
•Symptoms of E. coli Infection
•Complications of E. coli Infection
•Diagnosis of E. coli Infection
•Treatment for E. coli Infection
•Preventing E. coli Infection
•E. coli Outbreaks
•Real Life Impacts of E. coli Infection
•Foods Recalled for E. coli Contamination
•Consumer Resources
•References
Hemolytic Uremic Syndrome
Post-diarrheal Hemolytic Uremic Syndrome is a severe, life-threatening complication that occurs in about 10% of those infected with Escherichia coli (E. coli) O157:H7 or other Shiga toxin-producing E. coli.
Post-diarrheal HUS is usually signified as “D+ HUS,” while HUS not preceded by diarrhea is signified as “D- HUS.”  (For the ease of reference, we will use HUS throughout this site unless some more specific terminology is needed.)
HUS was first described in 1955, but was not known to be secondary to E. coli infections until 1982.  It is now recognized as the most common cause of acute kidney failure in infants and young children.  Adolescents and adults are also susceptible, as are the elderly, who often die as a result of the disease.
The chain of events leading to HUS begins with the ingestion of Shiga toxin-producing E. coli—for example, E. coli O157: H7—in contaminated food or beverages, or as a result of exposure to animals carrying the bacteria, or from person-to-person transmission.
These E. coli rapidly multiply in the intestine, causing colitis (diarrhea), and tightly bind to cells that line the large intestine.  This snug attachment facilitates absorption of the toxin into the intestinal capillaries and into the systemic circulation where it becomes attached to weak receptors on white blood cells, thus allowing the toxin to “ride piggyback” to the kidneys where it is transferred to numerous avid (strong) Gb3 receptors that grasp and then hold on to the toxin.
Organ injury is primarily a function of receptor location and density. The receptors are probably diversely distributed in the major body organs, and this may explain why some patients develop injury in different organs—for example, the brain or pancreas.
Once the Shiga toxins attach to receptors, they move into the interior of the cell (cytoplasm), where the toxins shut down the protein machinery, resulting in cellular injury or death.  Injury activates blood platelets and the “coagulation cascade.” This coagulation causes the formation of clots in the very small vessels of the kidney, resulting in acute kidney injury and failure.
The red blood cells are either destroyed by the Shiga toxin (hemolytic destruction), or they are damaged as the cells attempt to pass through partially obstructed microvessels. Blood platelets, which are required for normal blood clotting, become trapped in the tiny blood clots, or they are damaged and destroyed by the spleen.
For more on Hemolytic Uremic Syndrome, visit www.about-hus.com.
•An Introduction to Hemolytic Uremic Syndrome
•Symptoms and Diagnosis of HUS
•Hospitalization & Treatment for HUS
•Expected Outcomes for HUS Patients
•Kidney Transplantation
•Research
•Glossary of HUS Terms

FDA Must Act On Chinese Dog Treats, Consumer Groups Say
Source : http://foodpoisoningbulletin.com/2012/fda-must-act-on-chinese-dog-treats-consumer-groups-say/
By foodpoisoning bulletin (Sep 01, 2012)
Consumer advocates are urging the U.S. Food and Drug Administration (FDA) to move swiftly to prevent any more pets from becoming sick or dying from tainted treats produced in China.
Food & Water Watch and pet food safety advocates Mollie Morrissette and Susan Thixton asked FDA Commissioner Margaret Hamburg in a letter to take stronger actions on the issue and submitted a petition signed by nearly 18,000 consumers.
“Since 2007, thousands of American dogs have fallen ill or died after eating jerky treats made in China,” said Wenonah Hauter, executive director of Food & Water Watch. “The FDA has shirked its responsibility to keep U.S. citizens and their pets safe, and it must step up and block these potentially deadly treats from harming more animals.”
Over the last five years, thousands of dogs have become sick or died after eating jerky treats made in China.  But although the agency has performed numerous tests on the treats, it has been unable to discover specifically what about them makes dogs so sick.  Private diagnostic labs will now begin testing the treats to see if they can find anything the FDA has missed.
Recently, the FDA revealed that, in April, while the agency’s inspectors were in China to inspect the manufacturing plants, Chinese officials refused to let them collect samples of the treats for independent analysis or inspect the poultry slaughter facilities that produce the meat from which the treats are made.
No specific brands have been identified as problematic. Until more information is available, consumers should avoid buying dog or pet treats made in China.

Bagged lettuce or bulk? Experts offer food safety advice
Source : http://vitals.nbcnews.com/_news/2012/08/29/13554719-bagged-lettuce-or-bulk-experts-offer-food-safety-advice?lite
By JoNel Aleccia, NBC News (AUG 31, 2012)
A recall this week of 8,000 cases of Fresh Express Hearts of Romaine salad marks the sixth time since April that the nation’s top producers of bagged lettuce have pulled products because of worries about food safety.
Listeria was the problem that forced Fresh Express officials to recall certain 10-ounce bags of the greens, the same potentially dangerous bug that led Dole Fresh Vegetables to withdraw bagged salads four times since spring, most recently on Aug. 22.
No illnesses have been tied to the voluntary withdrawals and company press releases describe each one as an “isolated incident” unlikely to harm human health.
But for consumers roaming the produce aisles at the grocery store, each new recall raises the question: How safe is my salad?
Food safety experts say they hear all the time from shoppers wondering which is better, bagged lettuce or the loose variety.
“We call it faith-based food safety,” says Doug Powell, a professor of food safety of Kansas State University. “And most of it is faith-based.”
Powell and Christina Bruhn, a researcher in food science and technology at UC Davis, say that while figuring out what fraction of the lettuce may make you sick is a gamble, they still place their bets on the bagged stuff.
“I do know some professionals who do not buy bagged lettuce,” says Bruhn. “I buy it. I like the convenience. I think they do the best job of anyone of cleaning the product, better than I do. They use chlorinated water. They wash it really thoroughly.”
She figures the big manufacturers, including Dole and Fresh Express, have a huge stake in safety and an incentive to get it right.
“They have the size of staff and the resources to use the most up-to-date processes,” she said.
Powell, too, says he usually opts for bagged lettuce.
“I go to the biggest grocery store I can find,” he said. “They have requirements for what they put on the shelf.”
Some consumers, haunted by the 2006 outbreak of E. coli O157 in spinach that sickened 205 people and killed three, have sworn off bagged greens.
Others, worried about contamination from fields and shipping, cringe at the thought of gritty bulk lettuce and take comfort in the “triple-washed” claims on the shiny bags. Still others swear by farmer’s market produce -- or eat only the greens they grow themselves.
About 9 billion pounds of lettuce is produced in the U.S. each year, according to the U.S. Department of Agriculture, and, to be sure, the vast proportion of it is safe.
Live Poll
Q: Which type of salad greens do you prefer?
Bagged
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.Story: Garden Fresh recalling 7 tons of packaged salads
Indeed, Marty Ordman, a spokesman for Dole, said the company has hired two third-party listeria experts in the wake of the recent recalls, which were prompted in part by Food and Drug Administration inspections. The experts hope to help identify any potential improvements to the processes and procedures used in Dole's bagged salad plants.
Additionally, Dole scientists have been working "very closely" with the FDA to find alternative methods of sanitizing products to control contamination while still providing fresh, high quality products, Ordman added.
But Seattle food safety lawyer Bill Marler, who regularly represents clients hurt or killed by tainted produce, isn't convinced. Asked what kind of lettuce he prefers, he said: "Not bagged."
Even the crisp heads of lettuce in a farmer's market stall can be suspect, said Powell. They may be fresh and local, but that’s no guarantee of safety.
“The lettuce was sitting swamped in water for days,” he said. “If I go to a farmer’s market, I don’t want to know that it’s lovingly grown. I want to know you’ve taken steps for microbiological safety. If you can't answer those questions, I don't want to buy your lettuce."
Both Bruhn and Powell acknowledge that the big growers can have problems, as evidenced by the recent recalls. And both are big proponents of companies posting their food testing results publicly and marketing the safety of their products as a selling point.
Bruhn is also a staunch advocate of irradiation, which she says can ensure food safety.
She encourages consumers to take steps to avoid compromising bagged lettuce. Buy only bags kept very cold in the grocery store and pay attention to sell-by dates. Once you’ve got it home, open the bag and dump it directly into a clean bowl.
“Don’t stick your own hands in there,” she said.
She also urges home cooks not to re-wash bagged greens because of the possibility of cross-contamination with other bacteria already in the kitchen.
If you want to use bulk lettuce, make sure to clean it correctly, Bruhn said. First, wash your hands and also the sink with hot soapy water.
Then, break off each lettuce leaf individually, rinse it under cold running water while rubbing gently. Dry in a salad spinner or with paper towels, not with cloth towels, which may transmit bacteria.
“Keep in mind, you only get about 90 percent (of the pathogens) off,” she said. “Ninety percent sounds like a lot to a lay person, but to a microbiologist, it’s hardly anything. You can’t get it all off.”
Related stories:
•Home cooks' safety flubs caught on camera
•Listeria prompts recall of 1,000 cases of Dole bagged salads
•Listeria fears trigger recall of 2,598 cases of Dole salad

FDA Tests Confirm Cantaloupe From Indiana Farm Is An Outbreak Source
Source : http://foodpoisoningbulletin.com/2012/fda-tests-confirm-cantaloupe-from-indiana-farm-is-an-outbreak-source/
By Carla Gillespie (AUG 29, 2012)
Lab tests on samples of cantaloupe from Chamberlain Farms of Owensville, Indiana confirm that the melons are a source of a deadly Salmonella outbreak that has killed two people and sickened 176 others in 21 states, according to the latest information from the U.S. Food and Dug Administration (FDA). The DNA fingerprint of the Salmonella Typhimurium found in the cantaloupe samples is a genetic match to the one found in victims of the outbreak, results of the lab test show. The FDA’s sampling and testing of the cantaloupe were conducted in cooperation with the Indiana State Department of Health, the agency said.
Confirmation that the cantaloupe is a source of the outbreak comes one week after the farm in southwestern Indiana announced a recall of melons which have sickened a total of 178 people. By state, the tally of confirmed cases is as follows: Alabama (13), Arkansas (3), California (2), Georgia (3), Illinois (21), Indiana (18), Iowa (7), Kentucky (56), Massachusetts (2), Michigan (6), Minnesota (4), Mississippi (5), Missouri (12), New Jersey (2), North Carolina (3), Ohio (4), Pennsylvania (2), South Carolina (3), Tennessee (6), Texas (2), and Wisconsin (4). Sixty two people have been hospitalized, the two people who died were from Kentucky.
Prior to the recall, Chamberlain Farms had withdrawn cantaloupe from the market and stopped distribution for the rest of the growing season based on preliminary information from the FDA. The formal recall was announced to speed removal of the product from the market and raise public awareness, the agency said. A retail distribution list has not been released. However, Kroger, Marsh, Meijer, Schnucks and Walmart have all removed cantaloupe from their store shelves.
Symptoms of a Salmonella infection include nausea, abdominal cramps, fever and diarrhea which usually set in six to 72 hours after exposure and last up to seven days. Health officials recommend that anyone who develops these symptoms should see a health care provider.

Mexican mangoes may have sickened 100
Source : http://vitals.nbcnews.com/_news/2012/08/28/13528836-mexican-mangoes-may-have-sickened-100?lite
By JoNel Aleccia, NBC News (AUG 29, 2012)
Health officials in the U.S. and Canada are investigating a possible outbreak of salmonella poisoning from mangoes imported from Mexico that may have sickened more than 100 people.
At least 73 people in California have been infected with a strain of salmonella Braenderup linked to mangoes, said Matt Conens, a spokesman for the California Department of Public Health. Of those, about 67 percent reported eating the fruit.
Those cases are in addition to 22 illnesses from the same strain of salmonella confirmed last weekend by officials with the Canadian Food Inspection Agency. And, in late July, six cases of salmonella Braenderup possibly linked to mangoes were reported in residents of Washington state, said Donn Moyer, a health department spokesman.
Advertise | AdChoicesOfficials with the Centers for Disease Control and Prevention are working with state officials to determine the cause and scope of the outbreak, said spokeswoman Lola Russell. The genetic fingerprint of the cases in the U.S. is the same as that found in the cases in Canada, "therefore, mangoes are the likely source," she added.
Neither the CDC nor California health officials have confirmed a recall of contaminated mangoes, or named specific brands.
"We will update the public when more information becomes available," Russell said.
But Larry Nienkirk, founder of Splendid Products, a distributor in Burlingame, Calif., said his firm has issued a voluntary recall of Daniella brand mangoes imported from Mexico, which are shipped to grocery stores and other retailers nationwide. Nienkirk declined to estimate the volume of mangoes recalled since contamination was detected in mid-July.
"Our thoughts are with anybody who has been affected by this," said Nienkirk, whose firm has specialized in mangoes for 37 years. "We're doing everything we can to get to the bottom of this."
Canadian officials warned consumers last week not to eat the Daniella brand mangoes.
Canadian officials said the mangoes there were sold as individual fruit, with stickers bearing the PLU #4959. They were sold at retail locations between July 12, 2012 and Aug. 14, 2012.
Health officials in Washington state and California are continuing to investigate the apparent outbreak.
Salmonella poisoning can cause fever, headache, vomiting nausea, abdominal cramping and diarrhea. In people with weakened immune systems, including children and the elderly, it can cause serious illness and death.
Related stories:
•FDA IDs farm in salmonella cantaloupe outbreak
•Salmonella in cantaloupes sickens 141, kills 2
•Salmonella by mail? Hatchery sparks 8-year outbreak

CDC Adds Three More Deaths to 2011 Jensen Farms Listeria Cantaloupe Toll
Source : http://foodpoisoningbulletin.com/2012/cdc-adds-three-more-deaths-to-2011-jensen-farms-listeria-cantaloupe-toll/
By Kathy Will (AUG 28, 2012)
The Centers for Disease Control and Prevention (CDC) has raised the official death toll of last year’s Jensen Farms cantaloupe Listeria monocytogenes outbreak from 30 to 33. A total of 147 people in 28 states were part of the outbreak. In addition, seven pregnant women were sickened in this outbreak. One suffered a miscarriage, and three infants were born with listeriosis.
After the government issued its final update on December 8, 2011, a fifth outbreak-associated subtype of Listeria monocytogenes was found on a cantaloupe that was in a patient’s home. A search of PulseNet database identified the same subtype on a cantaloupe collected during the investigation. That subtype matches the bacteria isolated from one patient who had not been included in the outbreak total.
Ten other deaths not attributed to listeriosis occurred among patients who were infected with an outbreak strain. State and local public health officials looked at those cases to determined whether or not to attribute the deaths to the cantaloupe outbreak or to another, underlying cause.
The total number of cases were distributed among these states: Alabama (1), Arkansas (1), California (4), Colorado (40), Idaho (2), Illinois (4), Indiana (3), Iowa (1), Kansas (11), Louisiana (2), Maryland (1), Missouri (7), Montana (2), Nebraska (6), Nevada (1), New Mexico (15), New York (2), North Dakota (2), Oklahoma (12), Oregon (1), Pennsylvania (1), South Dakota (1), Texas (18), Utah (1), Virginia (1), West Virginia (1), Wisconsin (2), and Wyoming (4). Most ill persons were over the age of 60, and 58% of the patients were female.

Campylobacter in Skinless, Boneless Chicken
Source : http://foodpoisoningbulletin.com/2012/campylobacter-in-skinless-boneless-chicken/
By Linda Larsen (AUG 26, 2012)
A study published in BMC Microbiology looked at the prevalence of Campylobacter in skinless, boneless chicken breasts, tenderloins, and thighs. The meat was purchased in food stores in Alabama from 2005 to 2011. Campylobacter bacteria was found in 41% of the meat samples. This study reinforces the fact that consumers should avoid cross-contamination with raw poultry and should cook chicken to well-done, or 165 degrees F.
Researchers found that there was no statistical difference over the years. They also found that seasonality did not affect the presence of Campylobacter jejuni, but did affect the prevalence of Campylobacter coli. And the prevalence of C. coli varied by brand, plant, season, state, store, and year, but the presence of C. jejuni varied by brand, product, state, and store.
Tenderloins had the lowest amount of bacteria. The scientists said that more research and larger databases are needed to help predict the risk of infection associated with each type of cut.
Campylobacter is one of the most common causes of food poisoning and diarrheal illness in the united States. About 13 cases are diagnosed every year for every 100,000 people in the population, adding up to about 2.4 million cases every year. The illness campylobacteriosis occurs much more often in the summer months.
The long-term consequences of a Campylobacter infection include Guillain-Barré syndrome that can lead to paralysis. Scientists believe that up to 40% of Guillain-Barré syndrome cases in this country are triggered by the Campylobacter bacteria. Most cases are linked to raw or undercooked poultry or cross-contamination by contact with raw poultry. Just one drop of juice from a raw chicken can cause an infection.

Food safety law is being delayed
Source : http://www.washingtonpost.com/opinions/food-safety-law-is-being-delayed/2012/08/24/ab514ff4-ee1f-11e1-afd6-f55f84bc0c41_story.html
By The Washington Post (AUG 25, 2012)
THE FOOD AND DRUG Administration is recalling cantaloupes grown in southern Indiana that may have been a source of a salmonella outbreak that has led to two deaths in Kentucky and sent 62 people to hospitals. Last year, cantaloupes grown in Colorado contaminated with listeria killed 33 people and sickened 147. When peanut products were contaminated with salmonella in early 2009, one father fretted about his young daughter eating a peanut butter sandwich. “No parent should have to worry that their child is going to get sick from their lunch,” he said.
That father was President Obama. In his weekly radio address March 14, 2009, he also declared, “There are certain things only a government can do. And one of those things is ensuring that the foods we eat, and the medicines we take, are safe and don’t cause us harm.” In 2011, the president signed the Food Safety Modernization Act, the most ambitious overhaul of the nation’s food safety system since the 1930s, which passed Congress with broad bipartisan support and industry backing.

Wenonah Hauter Rips FDA’s Probe Of Contaminated Dog Treats From China
Source : http://foodpoisoningbulletin.com/2012/wenonah-hauter-rips-fdas-probe-of-contaminated-dog-treats-from-china/
By  Carla Gillespie (AUG 25, 2012)
Food and Water Watch’s Wenonah Hauter says the U.S. Food and Drug Administration has failed to protect dogs from serious illness caused by contaminated jerky treats from China. In a scathing statement released Friday, Hauter, the organization’s executive director,  blasted the FDA’s handling of a five-year probe of  illnesses and deaths linked to chicken jerky dog treats from China.
Since 2007, thousands of dogs have become sick or died after eating jerky treats made in China. This week, the FDA released heavily redacted reports of  April inspections of Chinese manufacturing facilities and revealed  that China refused to let inspectors collect samples for independent analysis.”The FDA waited until it received 2,000 reports of illnesses and deaths in U.S. dogs before launching its investigation. Although the China investigation took place in April, it took the FDA four months to admit that they were denied permission from collecting samples from the Chinese facilities. As the FDA dragged its feet, the suspect treats remained on store shelves and put thousands of dogs at risk,” Hauter said in a statement.
“What’s more disgraceful than the FDA’s dawdling is the fact that it has full authority under Section 306 of the Food Safety Modernization Act to refuse shipments of these treats from China now. Enough is enough. It’s time for the FDA to issue an import alert on all pet food manufactured in China before more animals and the humans that love them suffer needlessly,” she said.
Although numerous tests have been performed on the treats over the last five years, the FDA has been unable to discover what about them makes dogs so sick.  Private diagnostic labs have now been recruited to solve the mystery, In the meantime, consumers should not buy dog or pet food treats made in China.

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Ebola in Uganda – update
Source : http://www.who.int/csr/don/2012_09_03/en/index.html
By WHO(Sep 03, 2012)
There have been no new confirmed cases of Ebola haemorrhagic fever reported in Kibaale district, Uganda, since 3 August 2012, indicating that the outbreak is coming to an end. A total of 24 probable and confirmed cases including 17 deaths have been reported since the beginning of the outbreak. Of these, 11 cases were laboratory confirmed by the Uganda Virus Research Institute (UVRI) in Entebbe. The last confirmed case was discharged on 24 August 2012 following recovery.
All contacts of probable and confirmed cases have been followed up daily and have completed the recommended 21 days of monitoring for any possible signs or symptoms of Ebola.
The partners who are involved in the response to the Ebola outbreak are transferring capacity to national and district authorities to sustain the essential functions, including enhanced surveillance and response, psychosocial support and infection prevention and control in health care facilities.
The Ebola isolation facilities in Kibaale District Hospital and at Mulago National Referral Hospital in Kampala remain on stand-by for receiving any suspected cases.
The ecological studies team in Kibaale district has collected samples from bats, primates and livestock to study the possible natural history of Ebola virus and putative initial human infection from wildlife.
Neighbouring countries
At the time of this update, an Ebola outbreak is on-going in the Province Orientale of the Democratic Republic of Congo. These two Ebola outbreaks are not epidemiologically linked and have been caused by two different Ebola subtypes; (Uganda: Ebola subtype Sudan, Democratic Republic of Congo Ebola subtype Bundibugyo).
With respect to this event, WHO does not recommend that any travel or trade restrictions are applied to Uganda.
General information on Ebola subtypes:
There are five identified subtypes of Ebola virus. The subtypes have been named after the location they have been first detected in Ebola outbreaks. Three subtypes of the five have been associated with large Ebola haemorrhagic fever (EHF) outbreaks in Africa: Ebola-Zaire, Ebola-Sudan and Ebola-Bundibugyo. EHF is a febrile haemorrhagic illness which causes death in 25-90% of all cases. The Ebola Reston species, found in the Philippines, can infect humans, but no illness or death in humans has been reported to date.

National Mango Board Selective With Facts On Salmonella Outbreak
Source : http://foodpoisoningbulletin.com/2012/national-mango-board-selective-with-facts-on-salmonella-outbreak/
By Carla Gillespie (Sep 02, 2012)
The best thing to do during a mango Salmonella outbreak is limit speculation and share the facts, according to the National Mango Board (NMB), an industry promotion and research group. And the NMB promises to share those facts with consumers as soon as the U.S. Food and Drug Administration (FDA) makes a “formal announcement” about the Salmonella outbreak, William Watson, NMB’s executive director says in a letter.
What constitutes a formal announcement?  Not all of those recalls the FDA has posted for Daniella mangoes and products made from them that tell consumers not to eat the mangoes. Nor the same advice from the Centers for Disease Control and Prevention (CDC) and the California Department of Public Health (CPPH). And the word of 70 percent of outbreak victims with confirmed cases of Salmonella infection interviewed so far who say they ate mangoes during the week prior to becoming ill don’t count as formal announcements.
What Watson is waiting for is an announcement from the FDA of genetic proof that a mango tested positive for the same strain of Salmonella that has sickened 105 in 16 states. At that point, he says, “our plan to reach out to media, trade, importers and exporters will be launched immediately.”
At the point Watson is waiting it’s not clear how many people will be sick. The outbreak began in early July and cases are still being reported. What is clear is that consumers who are looking for information to help them now, should probably look elsewhere. The NMB has no recall information or links to the agencies who are monitoring the outbreak.

First Swine Flu Death in Ohio
Source : http://foodpoisoningbulletin.com/2012/first-swine-flu-death-in-ohio/
By Linda Larsen (Sep 01, 2012)
The Ohio Department of Health announced on Friday that the country’s first known swine flu death took place in their state. A 61-year-old Madison county women was infected with the H3N2v virus and died. She had had direct contact with swine at the Ross County fair and had “multiple other underlying medical conditions” according to the statement.
There are currently 102 cases of the H3N2v virus in Ohio. The age range of patients is between 6 months and 61 years. Most of the patients had only a mild illness, and there have been few hospitalizations in this outbreak.
David Daniels, director of the Ohio Department of Agriculture, said, “swine flu is not uncommon, especially when temperatures have been high, as they have been this summer.” Dr. Tony Forshey, state veterinarian at the Ohio Department of Agriculture said “there are veterinarians in the barn at every fair. Heat-stressed swine are more likely to become ill and contagious.”
This type of flu is only transmissible through contact with live pigs. You cannot get the flu through properly handled and cooked pork. This virus is different from seasonal influenza, but it is transmitted in the same way: through coughing and sneezing by people who are infected. Most of the patients this year have been children.
To protect yourself, wash your hands with soap and water, especially after you’ve been around animals at the fair. Avoid touching eyes, nose, and mouth. Do not drink or eat near animals, and do not bring food into the barns when you visit a fair. And limit time around animals. Young children, pregnant women, the elderly, and those with weakened immune systems should avoid exposure to pigs and swine barns.
If you develop a flu-like illness, with symptoms including fever, tiredness, lack of appetite, coughing, runny nose, sore throat, nausea, vomiting, and diarrhea, see your healthcare provider. And make sure to tell her that you have been in contact with swine or other people who are sick. For questions or help, call the Ohio Department of Agirculture’s Division of Animal Health at 614-728-6220.

Cantaloupe Salmonella Outbreak Hits Illinois Hard
Source : http://foodpoisoningbulletin.com/2012/cantaloupe-salmonella-outbreak-hits-illinois-hard/
By Carla Gillespie (AUG 31, 2012)
Illinois has been hard hit by the cantaloupe Salmonella outbreak that has sickened 204 people in 22 states, according to the latest update from the Centers for Disease Control and Prevention (CDC).  Illinois residents account for about 12 percent of all reported cases nationwide. So far, 24 people from 11 counties in that state have confirmed cases of Salmonella poisoning. And at least eight of them had cases so severe that they needed to be hospitalized.
The tainted cantaloupes were grown on Chamberlain Farms Produce, Inc. of Owensville, Indiana and were distributed throughout the country. Retailers who reported removing cantaloupes from their shelves include Walmart, Krogers, Schnucks, Meijer and Marsh.
“Illinois consumers should check for and ask about the origin of recently purchased cantaloupe, and discard any cantaloupe grown in southwestern Indiana,” said Dr. LaMar Hasbrouck, director of the Illinois Department of Public Health. “Anyone who becomes ill after eating cantaloupes grown in southwestern Indiana should seek medical attention immediately.”
Symptoms of a Salmonella infection include diarrhea, fever and abdominal cramps developing 12 to 72 hours after exposure and lasting up to seven days. For some people, the diarrhea may be so severe that hospitalization is required. Those most at risk include older adults, infants, and those with impaired immune systems. Infections that travel from the GI tract to the bloodstream can be fatal id they are not treated quickly with antibiotics. In this outbreak 78 people have been hospitalized, and two people from Kentucky have died.
Case counts by state are as follows: Alabama (13), Arkansas (5), California (2), Florida (1), Georgia (4), Illinois (24), Indiana (22), Iowa (8), Kentucky (63), Massachusetts (2), Michigan (6), Minnesota (5), Mississippi (5), Missouri (13), New Jersey (2), North Carolina (5), Ohio (5), Pennsylvania (2), South Carolina (3), Tennessee (8), Texas (2), and Wisconsin (4).

More cantaloupe & mango Salmonella cases, cholera in Sierra Leone
Source : http://www.cidrap.umn.edu/cidrap/content/fs/food-disease/news/aug3112foodscan.html
By CIDRAP(AUG 31, 2012)
Multistate cantaloupe Salmonella outbreak grows to 204 cases
The multistate outbreak of Salmonella Typhimurium linked to Indiana-grown cantaloupe has increased to 204 cases, up 26 in the past week, the Centers for Disease Control and Prevention (CDC) reported yesterday. Of the 204, 78 have been hospitalized, and 2 deaths have been reported in Kentucky. State, local, and federal investigators have determined that cantaloupe from Chamberlain Farms Produce Inc. of Owensville, Ind., is a source of the outbreak, the CDC said in an update. The US Food and Drug Administration (FDA) announced a recall of Chamberlain cantaloupes on Aug 22, and all who have bought the cantaloupes are encouraged to discard them. The numbers of cases by state are: Alabama (13), Arkansas (5), California (2), Florida (1), Georgia (4), Illinois (24), Indiana (22), Iowa (8), Kentucky (63), Massachusetts (2), Michigan (6), Minnesota (5), Mississippi (5), Missouri (13), New Jersey (2), North Carolina (5), Ohio (5), Pennsylvania (2), South Carolina (3), Tennessee (8), Texas (2), and Wisconsin (4).
Aug 30 CDC update
Aug 22 FDA recall notice
CDC reports 2 more salmonellosis cases linked to mangoes
A total of 105 people have now been sickened by Salmonella Braenderup likely linked to eating mangoes, the CDC said in an update yesterday. That number includes two new cases since the CDC first reported this outbreak 2 days ago. Of the 105, 25 have been hospitalized, with no deaths reported. Eighty cases are from California. "Collaborative investigation efforts of state, local, and federal public health and regulatory agencies indicate that mangoes are a likely source of this outbreak," the CDC said in the update. On Aug 29, Splendid Products of Burlingame, Calif., voluntarily recalled certain lots of Daniella mangoes from Mexico because they may be contaminated with Salmonella. On Aug 24, the Canadian Food Inspection Agency (CFIA) issued an alert about mangoes from Mexico following cases of Salmonella Braenderup in that country. US outbreak cases listed by state are: California (80), Delaware (1), Hawaii (3), Idaho (1), Illinois (1), Louisiana (1), Maine (1), Michigan (1), Montana (1), Nebraska (1), New Jersey (1), New York (3), Oregon (1), Texas (2), Washington (6), and Wisconsin (1).
Sierra Leone cholera outbreak reaches almost 14,000 cases
Sierra Leone has recorded 13,934 cholera cases this year, including 232 deaths, with the outbreak picking up pace rapidly this month, the World Health Organization (WHO) reported yesterday in a health alert. Eleven of the country's 13 districts have registered cases, with Western Area and Port Loko the most affected, and President Ernest Bai Koroma has declared the epidemic a humanitarian crisis. The country has established a presidential task force and multi-sector response, with help from the WHO Country Office in Freetown. This approach was used effectively for a cholera outbreak in Zimbabwe in 2008-09, according to the alert.
Aug 30 WHO alert

Cantaloupes and Mangoes in Illinois, Wisconsin, New Jersey, Texas, California and Michigan?
Source : http://www.marlerblog.com/legal-cases/whats-up-with-cantaloupes-and-mangoes-in-illinois-wisconsin-new-jersey-texas-california-and-michigan/
By Bill Marler (AUG 31, 2012)
Over the last weeks the CDC and FDA have reported that a total of 204 persons infected with the outbreak strain of Salmonella Typhimurium have been reported from 22 states linked to cantaloupe grown in Indiana. The number of ill persons identified in each state is as follows: Alabama (13), Arkansas (5), California (2), Florida (1), Georgia (4), Illinois (24), Indiana (22), Iowa (8), Kentucky (63), Massachusetts (2), Michigan (6), Minnesota (5), Mississippi (5), Missouri (13), New Jersey (2), North Carolina (5), Ohio (5), Pennsylvania (2), South Carolina (3), Tennessee (8), Texas (2), and Wisconsin (4). 78 ill persons have been hospitalized. Two deaths have been reported in Kentucky.
This week the CDC and FDA have reported that a total of 105 persons infected with the outbreak strain of Salmonella Braenderup have been reported from 16 states since July 1, 2012 linked to mangoes grown in Mexico. The number of ill persons identified in each state is as follows: California (80), Delaware (1), Hawaii (3), Idaho (1), Illinois (1), Louisiana (1), Maine (1), Michigan (1), Montana (1), Nebraska (1), New Jersey (1), New York (3), Oregon (1), Texas (2), Washington (6), and Wisconsin (1). 25 ill persons have been hospitalized. No deaths have been reported.
The states with Salmonella illnesses caused by both cantaloupes and mangoes are in purple and are: Illinois (25), Wisconsin (5), New Jersey (3), Texas (4), California (82) and Michigan (7).
Not sure exactly what that means. Perhaps people in those states eat a lot of fruit? Perhaps people in those states are simply not very lucky? Or, perhaps the heath investigators in those states are just that good?

309 sickened by Salmonella Cantaloupe or Mangoes (so far) – What can be long-term consequences?
Source : http://www.marlerblog.com/lawyer-oped/309-sickened-by-salmonella-cantaloupe-or-mangoes-so-far-what-can-be-long-term-consequences/
By Bill Marler (AUG 31, 2012)
A total of 204 persons infected with the outbreak strain of Salmonella Typhimurium have been reported from 22 states linked to cantaloupes.  The number of ill persons identified in each state is as follows: Alabama (13), Arkansas (5), California (2), Florida (1), Georgia (4), Illinois (24), Indiana (22), Iowa (8), Kentucky (63), Massachusetts (2), Michigan (6), Minnesota (5), Mississippi (5), Missouri (13), New Jersey (2), North Carolina (5), Ohio (5), Pennsylvania (2), South Carolina (3), Tennessee (8), Texas (2), and Wisconsin (4).  78 ill persons have been hospitalized. Two deaths have been reported in Kentucky.
A total of 105 persons infected with the outbreak strain of Salmonella Braenderup have been reported to from 16 states since July 1, 2012 linked to mangoes.  The number of ill persons identified in each state is as follows: California (80), Delaware (1), Hawaii (3), Idaho (1), Illinois (1), Louisiana (1), Maine (1), Michigan (1), Montana (1), Nebraska (1), New Jersey (1), New York (3), Oregon (1), Texas (2), Washington (6), and Wisconsin (1).  25 ill persons have been hospitalized. No deaths have been reported.
Assuming you survive the outbreak and recover acutely, what can be the long-term consequences of a Salmonella infection.
A.        Reactive Arthritis
The term reactive arthritis refers to an inflammation of one or more joints, following an infection localized at another site distant from the affected joints.  The predominant site of the infection is the gastrointestinal tract.  Several bacteria, including Salmonella, induce septic arthritis.[1] The resulting joint pain and inflammation can resolve completely over time or permanent joint damage can occur.[2]
The reactive arthritis associated with Reiter’s may develop after a person eats food that has been tainted with bacteria. In a small number of persons, the joint inflammation is accompanied by conjunctivitis (inflammation of the eyes), and uveitis (painful urination). Id.  This triad of symptoms is called Reiter’s Syndrome.[3] Reiter’s syndrome, a form of reactive arthritis, is an uncommon but debilitating syndrome caused by gastrointestinal or genitourinary infections. The most common gastrointestinal bacteria involved are Salmonella, Campylobacter, Yersinia, and Shigella. Reiter’s syndrome is characterized by a triad of arthritis, conjunctivitis, and urethritis, although not all three symptoms occur in all affected individuals.[4]
Although the initial infection may not be recognized, reactive arthritis can still occur. Reactive arthritis typically involves inflammation of one joint (monoarthritis) or four or fewer joints (oligoarthritis), preferentially affecting those of the lower extremities; the pattern of joint involvement is usually asymmetric. Inflammation is common at enthuses—i.e., the places where ligaments and tendons attach to bone, especially the knee and the ankle.
Salmonella has been the most frequently studied bacteria associated with reactive arthritis. Overall, studies have found rates of Salmonella-associated reactive arthritis to vary between 6 and 30%.[5]  The frequency of postinfectious Reiter’s syndrome, however, has not been well described.  In a Washington State study, while 29% developed arthritis, only 3% developed the triad of symptoms associated with Reiter’s syndrome.[6]  In addition, individuals of Caucasian descent may be more likely those of Asian descent to develop reactive arthritis,[7] and children may be less susceptible than adults to reactive arthritis following infection with Salmonella.[8]
A clear association has been made between reactive arthritis and a genetic factor called the human leukocyte antigen (HLA) B27 genotype. HLA is the major histocompatibility complex in humans; these are proteins present on the surface of all body cells that contain a nucleus, and are in especially high concentrations in white blood cells (leukocytes). It is thought that HLA-B27 may affect the elimination of the infecting bacteria or an individual’s immune response.[9] HLA-B27 has been shown to be a predisposing factor in one-half to over two-thirds of individuals with reactive arthritis.[10]  While HLA-B27 does not appear to predispose to the initial infection itself, it increases the risk of developing arthritis that is more likely to be severe and prolonged. This risk may be slightly greater for Salmonella and Yersinia-associated arthritis than with Campylobacter, but more research is required to clarify this.[11]
B.        Irritable Bowel Syndrome
A recently-published study surveyed the extant scientific literature and noted that post-infectious irritable bowel syndrome (PI-IBS) is a common clinical phenomenon first-described over five decades ago.[12]  The Walkerton Health Study further notes that:
Between 5% and 30% of patients who suffer an acute episode of infectious gastroenteritis develop chronic gastrointestinal symptoms despite clearance of the inciting pathogens.[13]
In terms of its own data, the “study confirm[ed] a strong and significant relationship between acute enteric infection and subsequent IBS symptoms.”[14]  The WHS also identified risk-factors for subsequent IBS, including: younger age; female sex; and four features of the acute enteric illness—diarrhea for > 7 days, presence of blood in stools, abdominal cramps, and weight loss of at least ten pounds.[15]
Irritable bowel syndrome (IBS) is a chronic disorder characterized by alternating bouts of constipation and diarrhea, both of which are generally accompanied by abdominal cramping and pain.[16]  In one recent study, over one-third of IBS sufferers had had IBS for more than ten years, with their symptoms remaining fairly constant over time.[17]  IBS sufferers typically experienced symptoms for an average of 8.1 days per month.[18]
As would be expected from a chronic disorder with symptoms of such persistence, IBS sufferers required more time off work, spent more days in bed, and more often cut down on usual activities, when compared with non-IBS sufferers.[19]  And even when able to work, a significant majority (67%), felt less productive at work because of their symptoms.[20]  IBS symptoms also have a significantly deleterious impact on social well-being and daily social activities, such as undertaking a long drive, going to a restaurant, or taking a vacation.[21]  Finally, although a patient’s psychological state may influence the way in which he or she copes with illness and responds to treatment, there is no evidence that supports the theory that psychological disturbances in fact cause IBS or its symptoms.[22]
[1]           See J. Lindsey, “Chronic Sequellae of Foodborne Disease,” Emerging Infectious Diseases, Vol. 3, No. 4, Oct-Dec, 1997.
[2]           Id.
[3]           Id. See also, Dworkin, et al., “Reactive Arthritis and Reiter’s Syndrome following an outbreak of gastroenteritis caused by Salmonella enteritidis,” Clin. Infect. Dis., 2001 Oct. 1;33(7): 1010-4; Barth, W. and Segal, K., “Reactive Arthritis (Reiter’s Syndrome),” American Family Physician, Aug. 1999, online at www.aafp.org/afp/990800ap/499.html.
[4]           Hill Gaston JS, Lillicrap MS.  (2003).  Arthritis associated with enteric infection. Best Practices & Research Clinical Rheumatology.  17(2):219-239.
[5]           Id.
[6]           Dworkin MS, Shoemaker PC, Goldoft MJ, Kobayashi JM.  “Reactive arthritis and Reiter’s syndrome following an outbreak of gastroenteritis caused by Salmonella enteritidis.  Clin. Infect. Dis. 33(7):1010-1014.
[7]           McColl GJ, Diviney MB, Holdsworth RF, McNair PD, Carnie J, Hart W, McCluskey J, “HLA-B27 expression and reactive arthritis susceptibility in two patient cohorts infected with Salmonella Typhimurium,”  Australian and New Zealand Journal of Medicine 30(1):28-32 (2001).
[8]           Rudwaleit M, Richter S, Braun J, Sieper J, “Low incidence of reactive arthritis in children following a Salmonella outbreak,” Annals of the Rheumatic Diseases. 60(11):1055-1057 (2001).
[9]           Hill Gaston and Lillicrap, supra Note 7.
[10]          Id.; Barth WF, Segal K., “Reactive arthritis (Reiter’s syndrome).” American Family Physician.  60(2):499-503, 507 (1999).
[11]          Hill Gaston and Lillicrap, supra Note 7.
[12]          J. Marshall, et al., Incidence and Epidemiology of Irritable Bowel Syndrome After a Large Waterborne Outbreak of Bacterial Dysentery, Gastro., 2006; 131;445-50 (hereinafter “Walkerton Health Study” or “WHS”). The WHS followed one of the largest E. coli O157:H7 outbreaks in the history of North America. Contaminated drinking water caused over 2,300 people to be infected with E. coli O157:H7, resulting in 27 recognized cases of HUS, and 7 deaths. Id. at 445.  The WHS followed 2,069 eligible study participants. Id.  For Salmonella specific references, see Smith, J.L., Bayles, D.O., Post-Infectious Irritable Bowel Syndrome: A Long Term Consequence of Bacterial Gastroenteritis, Journal of Food Protection. 2007:70(7);1762-1769.
[13]          Id. at 445 (citing multiple sources).
[14]          WHS, supra note 34, at 449.
[15]          Id. at 447.
[16]          A.P.S. Hungin, et al., Irritable Bowel Syndrome in the United States: Prevalence, Symptom Patterns and Impact, Aliment Pharmacol. Ther. 2005:21 (11); 1365-75.
[17]          Id.at 1367.
[18]          Id.
[19]          Id. at 1368.
[20]          Id.
[21]          Id.
[22]          Amy Foxx-Orenstein, DO, FACG, FACP, IBS—Review and What’s New, General Medicine 2006:8(3) (Medscape 2006) (collecting and citing studies).  Indeed, PI-IBS has been found to be characterized by more diarrhea but less psychiatric illness with regard to its pathogenesis. See Nicholas J. Talley, MD, PhD, Irritable Bowel Syndrome: From Epidemiology to Treatment, from American College of Gastroenterology 68th Annual Scientific Meeting and Postgraduate Course (Medscape 2003).

Salmonella Cantaloupe Sickens 204 in 22 States and Kills 2
Source : http://www.marlerblog.com/legal-cases/salmonella-cantaloupe-sickens-204-in-22-states-and-kills-2/
By Bill Marler (AUG 30, 2012)
A total of 204 persons infected with the outbreak strain of Salmonella Typhimurium have been reported from 22 states.
The number of ill persons identified in each state is as follows: Alabama (13), Arkansas (5), California (2), Florida (1), Georgia (4), Illinois (24), Indiana (22), Iowa (8), Kentucky (63), Massachusetts (2), Michigan (6), Minnesota (5), Mississippi (5), Missouri (13), New Jersey (2), North Carolina (5), Ohio (5), Pennsylvania (2), South Carolina (3), Tennessee (8), Texas (2), and Wisconsin (4).
78 ill persons have been hospitalized. Two deaths have been reported in Kentucky.
Collaborative investigation efforts of state, local, and federal public health and regulatory agencies indicate that cantaloupe originating from Chamberlain Farms Produce, Inc. of Owensville, Indiana is a source of this outbreak.  On August 22, 2012, the U.S. Food and Drug Administration (FDA) announced a recall of cantaloupes originating from Chamberlain Farms Produce, Inc.

Multistate Outbreak of Salmonella Linked to Cantaloupe is Growing
Source : http://foodpoisoningbulletin.com/2012/multistate-outbreak-of-salmonella-linked-to-cantaloupe-is-growing/
By Linda Larsen (AUG 30, 2012)
The Centers for Disease Control and Prevention has just updated the Salmonella Typhimurium outbreak linked to cantaloupes originating at Chamberlain Farms in Indiana. Now 204 people are ill in 22 states. Seventy-eight people have been hospitalized. Two people in Kentucky have died.
The number of patients in each state is as follows: Alabama (13), Arkansas (5), California (2), Florida (1), Georgia (4), Illinois (24), Indiana (22), Iowa (8), Kentucky (63), Massachusetts (2), Michigan (6), Minnesota (5), Mississippi (5), Missouri (13), New Jersey (2), North Carolina (5), Ohio (5), Pennsylvania (2), South Carolina (3), Tennessee (8), Texas (2), and Wisconsin (4). State, local, and federal agencies have been working to isolate the source of the bacteria, and the outbreak strain of Salmonella Typhimurium was found on cantaloupes obtained from the farm.
The 26 new cases are from 12 states: Arkansas (2), Florida (1), Georgia (1), Illinois (3), Indiana (4), Iowa (1), Kentucky (7), Minnesota (1) Missouri (1), North Carolina (2), Ohio (1), and Tennessee (2). Public health officials have interviewed 149 patients. Seventy-eight of them, or 52%, have been hospitalized, which means this is a virulent strain of the bacteria. Illness onset dates range from July 7, 2012 to August 18, 2012. The age range is less than 1 year to 100 years; median age is 50 years. Fifty-five percent of ill persons are female.
The cantaloupe may have been sold at WalMart, Schnucks, Meijer, and Marsh stores in the United States. If you have purchased cantaloupes, especially at these retail facilities, contact them to see if you have one of the recalled melons.
Salmonella infections cause symptoms of diarrhea, fever, abdominal cramps, chills, nausea, and vomiting. If you or anyone you know has experienced these symptoms, see your healthcare provider. If you have eaten cantaloupe in the last week and are ill, tell your doctor. He can perform stool tests to discover if you are part of this outbreak.
Since food poisoning illness outbreaks are so underreported, the CDC uses a multiplier to estimate the actual number of cases. For Salmonella that number is 30.3. So that means there are most likely 6,181 people ill with the outbreak strain of the bacteria in the United States. Because long term consequences of a Salmonella infection can be severe, more ill persons should see their doctors.

Salmonella Braenderup Tainted Mangoes Sicken 105 in 16 States
Source : http://www.marlerblog.com/legal-cases/salmonella-braenderup-tainted-mangoes-sicken-105-in-16-states/
By Bill Marler (AUG 30, 2012)
A total of 105 persons infected with the outbreak strain of Salmonella Braenderup have been reported to PulseNet from 16 states since July 1, 2012.
The number of ill persons identified in each state is as follows: California (80), Delaware (1), Hawaii (3), Idaho (1), Illinois (1), Louisiana (1), Maine (1), Michigan (1), Montana (1), Nebraska (1), New Jersey (1), New York (3), Oregon (1), Texas (2), Washington (6), and Wisconsin (1).
25 ill persons have been hospitalized. No deaths have been reported.
Collaborative investigation efforts of state, local, and federal public health and regulatory agencies indicate that mangoes are a likely source of this outbreak.
On August 24, the Canadian Food Inspection Agency (CFIA) issued a health hazard alert related to certain mangoes following an investigation by Canadian health authorities into an outbreak of illness caused by Salmonella Braenderup.
On August 29, Splendid Products of Burlingame, California issued a voluntary recall of certain lots of Daniella brand mangoes because they may be contaminated with Salmonella bacteria.

124 Sickened by Salmonella-Tainted Mangoes in Canada and US
Source : http://www.marlerblog.com/legal-cases/124-sickened-by-salmonella-tainted-mangoes-in-canada-and-us/
By Bill Marler (AUG 29, 2012)
As of today, there have been 21 confirmed cases of Salmonella Braenderup in Canada with 16 in British Columbia and 5 in Alberta according to the Public Health Agency of Canada.
In the US the CDC reported today that a total of 103 persons infected with the outbreak strain of Salmonella Braenderup have been reported from 16 states. The majority of ill persons have been reported from California. Food Safety News and eFoodAlert report that the following states have reported illnesses: California (78), Oregon (1), Washington (6), Texas (2) and New York (3), which leaves 13 cases unaccounted for.
Most persons became ill during July. Among persons for whom information is available, illness onset dates range from July 3, 2012 to August 11, 2012. Ill persons range in age from 1 to 86 years, with a median age of 32 years old. Fifty-five percent of ill persons are female. Among 69 persons with available information, 25 (36%) patients reported being hospitalized.
Mex Y Can Trading, Inc., North American Produce Sales, Fresh Start Foods, Splendid Products LLC and Charlie’s Produce have recalled Daniella Brand Mangoes that have been distributed to at least:

Aldi, BI-LO, LLC, Copps, Costco, El Super, Food4Less, Giant Eagle, Giant Food, Kroger, Mariano’s, Martin’s Food Market, Metro Market, Pick ‘n Save, Rainbow, Ralph’s, Savemart, Stop & Shop, Topco, TOP Food & Drug, TOPS, Walmart and Whole Foods.

Multistate Outbreak of Salmonella Braenderup
Source : http://foodpoisoningbulletin.com/2012/multistate-outbreak-of-salmonella-branderup/
By Linda Larsen (AUG 29, 2012)
The CDC has announced a multistate outbreak of Salmonella Braenderup that may be linked to Daniella mangoes imported from Mexico. According to the latest report, 103 people are ill in 16 states. Twenty-five people have been hospitalized out of the 69 who have been interviewed.
The government has not released the state by state case count, but they do say that California has the majority of illnesses, at 78. Most people became ill during the month of July. For people who have been interviewed, illness dates range from July 3, 2012 to August 11, 2012. The age range of patients is from 1 to 86 years; the median age is 32. Fifty-five percent of the patients are female.
The Canadian Food Inspection Agency released a recall and an outbreak announcement on August 24, 2012. Twenty-two people are ill in that country. The pulsed-field gel electrophoresis, or PFGE pattern, associated with the U.S. cases is the same as the Canadian cases that are linked to the recalled mangoes.
While many stores have recalled Daniella mangoes with PLU numbers 3114, 4051, 4311, 4321, 4961, 4584 or 4959, public health officials have not identified a specific type of source for the mangoes that are causing this outbreak. There is no specific consumer advice at this time. Once a definitive source has been pinpointed, public health officials will make an announcement.
Advice to the public to avoid Salmonella infections includes: wash hands, work surfaces, and utensils with soap and water after they have been in contact with meat and poultry. Use separate cutting boards, plates, and utensils for raw produce and for raw meat, poultry, seafood, and eggs. Always wash produce under running water with a scrub brush before peeling or slicing.
The symptoms of salmonellosis, the disease caused by the Salmonella bacteria, include diarrhea, abdominal cramps, chills, fever, and sometimes vomiting. If you or anyone you know ate mangoes are are exhibiting these symptoms, see your healthcare provider immediately. The long-term consequences of a Salmonella infection can be severe.

Canada, California and Washington Likely Linked to Salmonella Braenderup Mango Outbreak
Source : http://www.marlerblog.com/case-news/canada-california-and-washington-likely-linked-to-salmonella-braenderup-mango-outbreak/
By Bill Marler (AUG 27, 2012)
According to USA Today and Food Safety News, California has had 73 cases of Salmonella Braenderup, and 67% of those people reported that they ate mangoes. Washington State has had six cases of Salmonella Braenderup that match the genetic fingerprint of the Canadian cases but has not yet linked them directly to the Mexican mangoes. Canada reports that mangoes are linked to 22 infections in Canada with Salmonella Braenderup.
The Canadian Food Inspection Agency (CFIA) expanded the public warning issued on August 24, 2012, to include additional dates of sale affected by the recall. The CFIA and North American Produce Sales are warning the public not to consume the Daniella brand Mangoes described below because they may be contaminated with Salmonella Braenderup bacteria. The affected Daniella brand Mangoes, product of Mexico, were sold as individual fruit with a sticker bearing PLU# 4959 and other information. These mangoes were sold at various retail stores between July 12 and August 24, 2012. Consumers are advised to contact the retailer to find out if you have the affected mangoes. If you have illness symptoms or any health concerns possibly associated with these mangoes, please contact your family doctor. These mangoes may have been distributed in British Columbia, Alberta, Saskatchewan, Manitoba, Northwest Territories, Nunavut and Yukon.