sábado, 5 de septiembre de 2015

FDA Foodborne Illness Outbreak Investigation Update



FDA Investigates Multistate Outbreak of Salmonella Poona Linked to Cucumbers

What is the Problem and What is Being Done About It?
The FDA, CDC, and state and local officials are investigating a multistate outbreak of Salmonella Poona linked to “slicer” cucumbers, supplied by Andrew and Williamson Fresh Produce and grown in Baja, Mexico.  This type of cucumber can also be called “American” cucumbers.
According to the CDC, as of September 3, 2015, 285 people infected with the outbreak strains of Salmonella Poona have been reported from 27 states. The number of ill people reported from each state is as follows: Alaska (8), Arizona (60), Arkansas (6), California (51), Colorado (14), Idaho (8), Illinois (5), Kansas (1), Louisiana (3), Minnesota (12), Missouri (7), Montana (11), Nebraska (2), Nevada (7), New Mexico (15), New York (4), North Dakota (1), Ohio (2), Oklahoma (5), Oregon (3), South Carolina (6), Texas (9), Utah (30), Virginia (1), Washington (9), Wisconsin (2), and Wyoming (3). Illnesses started on dates ranging from July 3, 2015 to August 26, 2015.  One death has been reported from California, and 53 people have reported being hospitalized.
In interviews, ill people answered questions about foods eaten and other exposures in the week before their illness began. Fifty-eight (73%) of 80 people interviewed reported eating cucumbers. This proportion was significantly higher than results from a survey of healthy people in which 55% reported eating cucumbers in the month of July in the week before they were interviewed.
Federal and state authorities identified clusters of people made ill in separate geographic areas and worked to trace the distribution of the food they ate back to a common supplier. The results of the traceback investigation indicate that Andrew and Williamson Fresh Produce, of San Diego, Calif., was a common supplier of cucumbers that were eaten by the people in these illness clusters. 
Several state health and agriculture departments are collecting leftover cucumbers from restaurants and grocery stores where ill people reported eating or shopping to test for the presence of Salmonella. The San Diego County Health and Human Services Agency isolated Salmonella from cucumbers collected during a visit to the Andrew & Williamson Fresh Produce facility. Results of additional product testing will be reported once available.
On September 3, 2015, FDA and the California Department of Public Health (CDPH) briefed the management of Andrew and Williamson Fresh Produce on the status of the investigation thus far.  Andrew and Williamson has issued a recall of all cucumbers sold under its Limited Edition label during the period from August 1, 2015 through September 3, 2015. 
Andrew and Williamson Fresh Produce reports that the Limited Edition cucumbers were distributed in the states of Alaska, Arkansas, Arizona, California, Colorado, Florida, Idaho, Illinois, Kansas, Kentucky, Louisiana, Mississippi, Minnesota, Montana, New Jersey, New Mexico, Nevada, Oklahoma, Oregon, South Carolina, Texas, and Utah and reached customers through retail, food service companies, wholesalers, and brokers.  Andrew and Williamson Fresh Produce lists many companies they supply to on their website.
The company further reports that these cucumbers are shipped in a black, green, yellow, and craft colored carton which reads “Limited Edition Pole Grown Cucumbers.”  This variety is often referred to as a “Slicer” or “American” cucumber.  It has a dark green color.  It typically has a length of 7 to 10 inches and a diameter of 1.75 to 2.5 inches.  In retail it is typically is sold in a bulk display without any individual packaging or plastic wrapping.  In food service it is typically served as part of a salad.
The investigation is ongoing, and FDA will continue to provide updates and advice when new information is available. 
What are the Symptoms of Salmonella?
Most people infected with Salmonella develop diarrhea, fever, and abdominal cramps. The illness usually lasts 4 to 7 days, and most people recover without treatment.

How Soon do Symptoms Appear After Exposure?
Most people infected with Salmonella develop diarrhea, fever, and abdominal cramps 12 to 72 hours after infection.
What are the Complications of Salmonella Infections?
In some people, the diarrhea may be so severe that they need to be hospitalized. In these patients, the Salmonella infection may spread from the intestines to the blood stream, and then to other body sites and can cause death unless the person is treated promptly with antibiotics.
Who is at Risk?
Children are the most likely to get salmonellosis. The rate of diagnosed infections in children less than five years old is higher than the rate in all other people. Children younger than 5 years of age, the elderly, and those people with weakened immune systems are more likely to have severe infections. It is estimated that approximately 400 persons in the United States die each year with acute salmonellosis.
What Do Restaurants and Retailers Need To Do?
Restaurants and retailers should not serve or sell cucumbers supplied by Andrew and Williamson Fresh Produce and should ask their suppliers what company supplied their cucumbers. 

Restaurants and retailers should follow the steps below:
• Wash and sanitize display cases and refrigerators where potentially contaminated products were stored.
• Wash and sanitize cutting boards, surfaces, and utensils used to prepare, serve, or store potentially contaminated products.
• Wash hands with warm water and soap following the cleaning and sanitation process.
• Retailers, restaurants, and other food service operators who have processed and packaged any potentially contaminated products need to be concerned about cross contamination of cutting surfaces and utensils through contact with the potentially contaminated products.
• Regular frequent cleaning and sanitizing of food contact surfaces and utensils used in food preparation may help to minimize the likelihood of cross-contamination.
What Do Consumers Need To Do?
Consumers should not eat cucumbers from Andrews and Williamson Fresh Produce, and should ask their retailer or restaurant what company supplied their cucumbers. 
Andrew and Williamson Fresh Produce reports that these cucumbers are shipped in a black, green, yellow, and craft colored carton which reads “Limited Edition Pole Grown Cucumbers.”  This variety is often referred to as a “Slicer” or “American” cucumber.  It has a dark green color.  It typically has a length of 7 to 10 inches and a diameter of 1.75 to 2.5 inches.  In retail it is typically is sold in a bulk display without any individual packaging or plastic wrapping.  In food service it is typically served as part of a salad. 
The company reports that the Limited Edition cucumbers were distributed in the states of Alaska, Arkansas, Arizona, California, Colorado, Florida, Idaho, Illinois, Kansas, Kentucky, Louisiana, Mississippi, Minnesota, Montana, New Jersey, New Mexico, Nevada, Oklahoma, Oregon, South Carolina, Texas, and Utah and reached customers through retail, food service companies, wholesalers, and brokers.  Andrew and Williamson Fresh Produce lists many companies they supply to on their website.
Consumers may return Andrews and Williamson cucumbers to the place of purchase or throw them out.  If in doubt about your cucumbers, do not eat them. 
Consumers should always practice safe food handling and preparation measures.  Wash hands, utensils, and surfaces with hot, soapy water before and after handling food. At home, keep raw meat, poultry, and seafood separate from produce and ready-to-eat foods, cook foods to the proper temperature; and refrigerate perishable foods promptly. Wash hands, utensils, and surfaces with hot, soapy water before and after handling food.
Who Should be Contacted?
People who think they might have become ill from eating possibly contaminated cucumbers should talk to their health care providers. Contact your healthcare provider if you have diarrhea that lasts for more than 3 days, or is accompanied by high fever, blood in the stool, or so much vomiting that you cannot keep liquids down and you pass very little urine.
The FDA encourages consumers with questions about food safety to call 1-888-SAFEFOOD Monday through Friday between 10 a.m. and 4 p.m. Eastern time, or to consult http://www.fda.gov.

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