Contaminated Almonds Sicken 37 In Australia

Thirty-seven people in six Australian states have suffered from salmonellosis after consuming raw almonds contaminated with Salmonella Typhimurium, according to a report issued over the weekend by Australia’s Department of Health and Aging (ADHA).

The youngest outbreak victim was one year old, the oldest was 76. Five people required a hospital stay. The most recent reported illness onset date was October 6, 2012.

Epidemiologic data, traceback investigations and lab results implicated raw almonds supplied by Select Harvests Limited (Thomastown, Victoria).

Australians first learned of the outbreak on October 23rd, when Food Standards Australia New Zealand (FSANZ) released the following statement:

“Food Standards Australia New Zealand (FSANZ) today urged consumers to check their pantries for raw almonds that might be contaminated with Salmonella.

FSANZ Deputy Chief Executive Officer Melanie Fisher said state, territory and federal government authorities were investigating an outbreak of Salmonella gastroenteritis associated with some batches of raw almonds.

 “There have been two recalls associated with this outbreak, one conducted nationally by Woolworths and one in southeast Queensland by Flannerys ,” Ms Fisher said.

The products recalled were supplied by Select Harvests and sold as Woolworths Almond Kernels (with best before dates of 05/02/13; 06/04/13; 07/04/13; 12/04/13) and as Flannerys Own Almonds in 500gm and 1kg zip-lock sealed pouch (with best before dates between 02/07/13 and 05/10/13).

Ms Fisher said consumers should check the brand of almonds in their pantry and if the product had been recalled they should either dispose of any remaining product or return packets to the place of purchase for a full refund. If consumers have almonds in their pantry and are unsure of the source then they should consider disposing of the product.

“The food recalls were notified earlier this month but we want to ensure consumers are carefully checking their pantries as packaged raw almonds are often bought to use later,” she said.

Raw almonds can be identified by the brown skin on the outside of the almond. Roasted almonds (which also have brown skin but will be labelled as ‘roasted’), and processed almonds e.g. blanched almonds, almond slivers and processed product containing almonds, are not affected by these recalls.

Twenty-seven confirmed or suspected cases of salmonellosis linked to the recalled products have been reported in six states and territories.

Symptoms of salmonellosis include diarrhoea, fever, and abdominal cramps 12 to 72 hours after eating contaminated food. The illness usually lasts 4 to 7 days and most people recover within a few days. However for very young children (under five years of age), older people and people with weak immune systems, salmonellosis can be much more serious.

If you think you or your family might have become ill from eating raw almonds, you should consult your doctor.”

Neither federal agency has identified the six states that reported outbreak-associated cases of Salmonella Typhimurium. On October 27th, the Western Australia Department of Health released its own consumer alert and reported that ‘…at least three Western Australians...”  were affected by the outbreak.

Australian federal health officials have known about this outbreak for at least a month. On October 4th, Woolworths Ltd. recalled Woolworths Almond Kernels (Best before 05/02/13, 06/04/13, 07/04/13 and 12/04/13) due to Salmonella contamination. Six days later, Nnylonit Pty Ltd, trading as Flannerys Natural & Organic Supermarket, recalled Flannerys Own Almonds (All Best before dates between 2/07/2013 to 5/10/13), due to Salmonella contamination. Both of these companies obtained their almonds from Select Harvests Limited.

Select Harvests issued its own recall notice on October 5th. The notice made no mention of the outbreak, but simply reported that the “…voluntary recall was initiated after laboratory testing identified the potential presence of Salmonella in [some] almonds supplied to Woolworths.” The company updated its recall announcement on October 23rd, reporting that “… extensive testing has been conducted which indicates that the source of potential contamination is isolated to some almonds from one farm. Additional precautionary and voluntary recalls of some products to a number of small, independent, customers have been made.” Once again, no mention of any illnesses.

This is not the first time that raw almonds have been implicated in an outbreak of salmonellosis. In 2003-2004, raw almonds supplied by Paramount Farms (Lost Hills, CA) were linked to at least 29 cases of Salmonella Enteritidis in 12 US states and one Canadian province. Paramount’s almonds were sold under the Kirkland Signature (Costco), Trader Joe’s and Sunkist labels. The raw nuts also were exported to France, Italy, Japan, Korea, Malaysia, Mexico, Taiwan and the United Kingdom.

As a result of that outbreak, the Almond Board of California worked with USDA to develop and institute an industry-wide almond pasteurization program in the USA. As of September 2007, all almonds must be pasteurized before being sold to consumers in North America. Select Harvests, according to its October 23rd Announcement has ordered pasteurizing equipment, which it hopes will be operational in the New Year.

Advice to Consumers

  • Check the brand of almonds in your pantry and, if the product has been recalled, either dispose of any remaining product or return it to the place of purchase for a refund.
  • If in doubt, throw it out.
  • Symptoms of salmonellosis include diarrhea, fever and cramps, most commonly developing 12-72 hours after eating contaminated food. If you think that you or a family member has become ill from eating raw almonds, consult your doctor.

Recalls and Alerts: October 26, 2012

Here is today’s list of food safety recalls, product withdrawals, allergy alerts and miscellaneous compliance issues. The live links will take you directly to the official recall notices and company news releases that contain detailed information for each recall and alert.

If you would like to receive automatic email alerts for all new articles posted on eFoodAlert, please submit your request using the sidebar link.

For current information on retail distribution of peanut butter products recalled due to Salmonella Bredeney, please consult the Trader Joe’s/Sunland Peanut Butter Recalls tab.

For current information on retail distribution of beef products containing Canadian beef recalled due to E. coli O157:H7 contamination please consult the Canada/USA Beef Recall tab.

United States

  • Allergy Alert: Tropical Valley Foods recalls various Dark Chocolate, Organic Dark Chocolate and Trail Mix items (sold in bulk; shipped 09/26/2011 through 09/25/2012), due to the presence of undeclared wheat, soy and/or tree nuts. The recalled items (please consult the recall notice for a detailed list) were shipped to distributors and retailers in California, Colorado, Connecticut, Florida, Georgia, Illinois, Iowa, Maine, Maryland, Massachusetts, Michigan, Minnesota, Montana, Nebraska, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oregon, Pennsylvania, South Carolina, South Dakota, Texas, Vermont, Virginia, Washington, Wisconsin, Quebec City (Quebec, Canada), Hong Kong and Dubai (UAE).
  • Allergy Alert: Wegmans recalls Wegmans Gluten Free Chocolate Cake Mix (15.3oz; UPC 7789028333; All lot codes), Wegmans Gluten Free Honey Cornbread Mix (16 oz; UPC 7789030343; All lot codes) and Wegmans Gluten Free All Purpose Baking Mix (16 oz; UPC 7789030341; All lot codes), because the products may contain undeclared soy.
  • Food Safety Recall: Bumble Bar recalls Gluten Free Café Chocolate Sesame Bar (UPC 70795-03450; Lot codes 01MAY13, 30APR13, 18MAR13, 20OCT12, 19OCT12, 17OCT12, 16OCT12, 04JUL12, 26APR12, 21MAR12) and Gluten Free Café Cinnamon Sesame Bar (UPC 70795-03551; Lot codes 16APR13, 17APR13, 15MAR13, 22SEP12, 22AUG12, 23AUG12, 29JUN12, 24MAY12, 25APR12, 02MAR12), because the Sesame Bars contain Sunland peanut products and may be contaminated with Salmonella. The recalled products were distributed nationwide from June, 2011 to October, 2012, and exported primarily to retail stores, and through internet orders.
  • Food Safety Recall: Bee Well Natural Foods, Inc. (Lakewood, OH) recalls WOW Wheatgrass Juice (7 x 1-oz frozen units; All packages available for sale prior to October 17, 2012), because the product has not been pasteurized and may contain harmful bacteria. The recalled products were sold at grocery and health food stores in Kentucky, Maryland, Ohio, Pennsylvania, Virginia and Washington, DC.
  • Outbreak Alert Final Update: CDC reports that a total of 195 persons infected with the outbreak strains of Salmonella Infantis, Salmonella Newport and Salmonella Lille were reported from 27 states. Epidemiologic, laboratory and traceback findings linked the outbreak to contact with live poultry from Mt. Healthy Hatchery in Ohio. This outbreak is now thought to be over.
  • Outbreak Alert Update: CDC reports that a total of 22 persons infected with Listeria monocytogenes have been reported from 13 states and the District of Columbia; 20 people were hospitalized. Four deaths are associated with this outbreak, which has been traced to contaminated Frescolina Marte brand ricotta salata cheese imported from Italy.

Canada

  • Allergy Alert: Tropical Valley Foods recalls various Dark Chocolate, Organic Dark Chocolate and Trail Mix items (sold in bulk; shipped 09/26/2011 through 09/25/2012), due to the presence of undeclared wheat, soy and/or tree nuts. The recalled items (please consult the recall notice for a detailed list) were shipped to distributors and retailers in California, Colorado, Connecticut, Florida, Georgia, Illinois, Iowa, Maine, Maryland, Massachusetts, Michigan, Minnesota, Montana, Nebraska, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oregon, Pennsylvania, South Carolina, South Dakota, Texas, Vermont, Virginia, Washington, Wisconsin, Quebec City (Quebec, Canada), Hong Kong and Dubai (UAE).
  • Allergy Alert: Les Aliments P.G. recalls various Les Aliments P.G. brand pizzas, subs and sandwiches, due to the presence of undeclared mustard, peanuts, egg, soy, sesame seeds, nuts, dairy protein and sulfites. Please refer to the recall notice for a complete list of affected products. The recalled products were sold in certain establishments in the Abitibi-Témiscaminque region of Quebec.
  • Allergy Alert: L’Épi doré (Montreal, QC) recalls Pain de soya et millet/Soy & Millet Bread (550g; All product sold up to and including 10 October) and Pain de seigle et tournesol/Rye & Sunflower Bread (550g; All product sold up to and including 10 October), due to the presence of undeclared wheat.
  • Food Safety Recall: Herboristerie La Clef Des Champs Inc. (Val-David, QC) recalls Organic Ginger Ground Root (200g; UPC 6 97026 92441 2; Codes BF011441B08 & BF011441B09), Organic Curry Spices Culinary Mix (35g; UPC 6 97026 74967 1; Codes CC0112 967B07 & CC0812 967B01), Organic Curry Spices Culinary Mix (257g; UPC 6 97026 69967 9; Codes CC0112 967B08 & CC0812 967B02), Organic Curry Spices Culinary Mix (500g; UPC 6 97026 70967 5; Codes CC0112 967B05, CC0112 967B06, CC0112 967B09 & CC0812 967B03), Organic Spice Cake Culinary Mix (45g; UPC 6 97026 74974 9; Code CC0312 974B01) and Organic Ginger Root Powder (20 kg; UPC 6 97026 70441 0; Code BF011441B), because the products may be contaminated with Salmonella. The recalled products were distributed nationally.

Europe

  • Allergy Alert (UK): Sainsbury’s recalls Kids Chicken Curry by Sainsbury’s (225g; Use by up to and including 31 October 2012), due to the presence of undeclared wheat (gluten) and celery.
  • Food Safety Recall (UK): Cleone Foods Ltd. recalls Island Delight Jerk Chicken snack pack (6 x 50g; Best before 11 April 2014), due to an incorrect “best before” date. The product should have been labeled with a “use by” date of 31 October 2012.
  • Food Withdrawal (UK): Farmfoods withdraws all date codes of Farmfoods Cooked Ham (200g), Farmfoods Honey Roast Ham (300g), Farmfoods Lean Ham (300g), Farmfoods Lean Breaded Ham (300g), Farmfoods Pork Luncheon Meat (250g), Farmfoods Garlic Sausage (250g) and Farmfoods Wafer Thin Ham (400g), because the packaging incorrectly states ‘best before’ rather than ‘use by’.
  • Outbreak Alert Update (Northern Ireland): The outbreak of E. coli O157 linked to Flicks restaurant (Cityside Mall, Belfast) stands at 130 confirmed cases and 163 probable cases. The number of new illness reports is decreasing.
  • Food Safety Notification (EU #2012.1498): Inadequate thermal processing of chilled paté of liver from Sweden; distributed to Sweden.
  • Food Safety Notification (EU #2012.1499): Aflatoxins in raw chilled milk from Hungary; distributed to Slovenia.
  • Animal Feed Safety Notification (EU #2012.1500): Salmonella in meat meal from the Netherlands; distributed to Italy.

Asia, Africa and the Pacific Islands

  • Allergy Alert: Tropical Valley Foods recalls various Dark Chocolate, Organic Dark Chocolate and Trail Mix items (sold in bulk; shipped 09/26/2011 through 09/25/2012), due to the presence of undeclared wheat, soy and/or tree nuts. The recalled items (please consult the recall notice for a detailed list) were shipped to distributors and retailers in California, Colorado, Connecticut, Florida, Georgia, Illinois, Iowa, Maine, Maryland, Massachusetts, Michigan, Minnesota, Montana, Nebraska, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oregon, Pennsylvania, South Carolina, South Dakota, Texas, Vermont, Virginia, Washington, Wisconsin, Quebec City (Quebec, Canada), Hong Kong and Dubai (UAE).

Australia and New Zealand

  • Food Safety Recall (Australia): Patties Foods Ltd. recalls Four’N Twenty Angus Beef Potato Pies (800g 4-pack; Best before 04 07 12 and 05 07 12), because of potential foreign matter contamination. The recalled product was sold nationally at Woolworths, Coles, Bi-Lo, IGA and other independent supermarkets.
  • Food Safety Recall (New Zealand): Charlie’s Trading Company Ltd. recalls Phoenix Organics brand Apple & Orange Mango Juice (275mL glass bottle; Best before 12/09/13), Apple & Feijoa Juice (275mL glass bottle; Best before 12/09/13), Apple & Mango Passion Juice (275mL glass bottle; Best before 12/09/13), Apple & Pomegranate Juice (275mL glass bottle; Best before 12/09/13), Apple & Blackcurrant Juice (275mL glass bottle; Best before 12/09/13), and Apple & Guava Juice (275mL glass bottle; Best before 12/09/13), due to impact damage to the bottle cap that may result in potential chip in the glass thread of the bottle. The recalled juices were sold in cafés, corner stores and supermarkets throughout New Zealand.
  • Food Safety Alert (New Zealand): The Waikato District Health Board has issued a public health warning on shellfish harvested from Mohakatino in northern Taranaki, north to Manukau Harbour. The warning includes Kawhia, Aotea and Raglan harbours. According to The New Zealand Herald, shellfish samples taken from Kawhia and Raglan have shown levels of paralytic shellfish poisoning toxin above the safe limit.
  • Outbreak Alert (New Zealand): Thirty-three elderly patients at Auckland Hospital have been isolated after thirteen patients and four staff members at the hospital developed symptoms of norovirus infections.

Some supermarket chains post recall notices on their web sites for the convenience of customers. To see whether a recalled food was carried by your favorite supermarket, follow the live link to the supermarket’s recall web site.

*The Kroger umbrella encompasses numerous supermarket, marketplace and convenience store chains, listed on the Kroger corporate home page.
**Includes Safeway, Vons, Pavilions, Dominick’s, Genuardi’s, Randalls, Tom Thumb, Carrs and Pak N’ Save.

Fungal Meningitis Outbreak – FDA Inspection Report

Aspergillus fumigatus (courtesy of CDC)

Twenty-five people are dead; 331 are suffering from fungal meningitis; an additional 7 people havedeveloped fungal infections in other joints (knees, elbows, etc). All courtesy of a pharmaceutical compounding facility that is filthier than many dog kennels!

FDA released its Preliminary Inspection Report (Form 483) today, and the observations are nauseating. A small sampling of the specifics include:

1. On 10/02/2012, we observed approximately eighty-three (83) vials out of a bin containing 321 vials of methylprednisolone acetate (preservative free) 80mg/mL from Lot #08102012@51 (shipped to customers between 8/17/12 – 9/25/12 …), a sterile injectable drug, to contain what appeared to be greenish black foreign matter. Seventeen (17) vials from the same bin… were observed to contain … white filamentous material.

The sterility sample taken by the firm … from lot 08102012@51 resulted in a sterile result… However, the FDA analysis of … Lot #08102102@51 collected from the firm, confirmed the presence of viable microbial growth in 50/50 vials tested. One vial examined microscopically showed fungal morphological features.

2. Although the formula worksheets state the raw materials are sterile, the Pharmacy Director stated that the firm uses non sterile active pharmaceutical ingredients (APIs) and raw materials, with the exception of sterile water for injection…The firm provided no documentation or evidence to support that the steam autoclave cycle used to sterilize suspensions formulated using non-sterile API and raw materials is effective.

3. The firm’s environmental monitoring program yielded … (bacteria and mold) within Clean Room 1 and Clean Room 2, used for the production of sterile drug products, between January 2012 and September 2012.

There was no investigation conducted by the firm when levels exceeded their actions limits and there was no identification of the isolates. No documented corrective actions were taken to remove the microbial contamination … from the facility.

And there’s much, much more.

The bottom line is that New England Compounding Center (NECC) used non-sterile materials to manufacture a sterile injectable drug It did so under “Clean Room” conditions that would put a student undergraduate microbiology lab to shame. AND the company neglected to act on lab results that clearly demonstrated that the environment was badly contaminated with bacteria and mold.

Exserohilum rostratum (courtesy of CDC)

As a result of the company’s cavalier attitude, innocent patients in eighteen states have suffered fungal meningitis – in some cases, resulting in stroke – or septic arthritis after receiving injections from one of three lots of methylprednisolone acetate produced by NECC. Although one of the patients was infected with Aspergillus fumigatus and one with Cladosporium, most of the infections were due to a fungus called Exserohilum rostratum – the same mold found by FDA in unopened vials of the “sterile” medication.

NECC “voluntarily” recalled 40 mg/ml and 80 mg/ml strengths of Methylprednisolone Acetate on October 3rd, and extended the recall to all lots of its remaining products the following day. Please consult the Commonwealth of Massachusetts notice for a detailed list of recalled products.

As of October 26th, illnesses have been reported from the following states:

  • Florida: 19 cases (3 deaths)
  • Georgia: 1 case
  • Idaho: 1 case
  • Illinois: 1 case
  • Indiana: 43 cases (3 deaths)
  • Maryland: 19 cases (1 death)
  • Michigan: 82 cases (5 deaths)
  • Minnesota: 9 cases
  • New Hampshire: 11 cases
  • New Jersey: 18 cases
  • New York: 1 case
  • North Carolina: 2 cases (1 death)
  • Ohio: 11 cases
  • Pennsylvania: 1 case
  • South Carolina: 1 case
  • Tennessee: 74 cases (10 deaths)
  • Texas: 1 case
  • Virginia: 43 cases (2 deaths)

Heathcare facilities in 23 states were supplied with the contaminated medication.

California

  • CYPRESS SURGERY CENTER. 559-740-4094; Visalia, CA
  • ENCINO OUTPATIENT SURGICENTER. 818-986-1037; Encino, CA
  • UKIAH VALLEY MEDICAL CENTER. 707-463-7345; Ukiah, CA
  • UNIVERSAL PAIN MANAGEMENT. 661-267-6876 x166; Palmdale, CA

Connecticut

  • INTERVENTIONAL SPINE AND SPORTS MED. 203-598-7246; Middlebury, CT

Florida

  • FLORIDA PAIN CLINIC. 352-237-5906; Ocala, FL
  • INTERVENTIONAL REHABILITATION CENTER. 850-484-8800; Pensacola, FL
  • MARION PAIN MANAGEMENT CENTER. 352-622-1845; Ocala, FL
  • NORTH COUNTY SURGICENTER. 561-626-6446; Palm Beach Gardens, FL
  • ORLANDO CENTER FOR OUTPATIENT SURGERY. 407-426-8331; Orlando, FL
  • PAIN CONSULTANTS OF WEST FLORIDA. 850-494-0000. Pensacola, FL
  • SURGERY CENTER OF OCALA. 352-237-5906; Ocala, FL
  • SURGICAL PARK CENTER. 305-271-9100 x226; Miami, FL

Georgia

  • FORSYTH STREET AMBULATORY SURGURY CENTER. 478-749-1610; Macon, GA

Idaho

  • PAIN SPECIALISTS OF IDAHO. 208-522-7246; Idaho Falls, ID
  • WALTER KNOX MEMORIAL HOSPITAL. 208-365-3561 x3342; Emmett, ID

Illinois

  • APAC CENTERS FOR PAIN MANAGEMENT. 708-483-7007; Westchester, IL
  • APAC CENTERS FOR PAIN MANAGEMENT. 773-935-2760; Chicago, IL
  • THOREK MEMORIAL HOSPITAL. 773-975-6734; Chicago, IL

Indiana

  • AMBULATORY CARE CENTER LLC. 812-475-1800; Evansville, IN
  • FORT WAYNE PHYSICAL MEDICINE. 260-436-9337; Fort Wayne, IN
  • OSMC OUTPATIENT SURGERY CENTER. 574-266-4173; Elkhart IN
  • SOUTH BEND CLINIC. 574-237-9372; South Bend, IN
  • UNION HOSPITAL. 812-238-4964; Terre Haute, IN
  • WELLSPRING . 812-376-0700; Columbus, IN

Maryland

  • BALTIMORE PAIN MANAGEMENT. 410-682-5040; Baltimore, MD
  • BERLIN INTERVENTIONAL PAIN MANAGEMENT.  410-641-3759; Berlin, MD
  • BOX HILL SURGERY CENTER. 410-877-8141; Abingdon, MD
  • GREENSPRING SURGERY CENTER. 410-653-0077; Baltimore, MD
  • HARFORD COUNTY ASC, LLC. 410-538-7000; Edgewood, MD
  • PAIN MEDICINE SPECIALISTS. 410-825-6945; Towson, MD
  • SURGCENTER OF BEL AIR. 410-638-5523; Bel Air, MD

Michigan

  • MICHIGAN NEUROSURGICAL INSTITUTE. 810-606-7112; Grand Blanc, MI
  • MICHIGAN PAIN SPECIALISTS. 734-995-7246; Brighton, MI
  • NEUROMUSCULAR & REHABILITATION. 231-935-0860; Traverse City, MI
  • SOUTHEAST MICHIGAN SURGICAL HOSPITAL. 586-427-1000; Warren, MI

Minnesota

  • MAPS-EDINA MEDICAL PAIN CLINIC. 763-537-6000; Minneapolis, MN
  • MAPS-MEDICAL ADVANCED PAIN. 763-537-6000; Fridley, MN
  • MEDICAL ADVANCED PAIN SPECIALISTS. 763-537-6000 x238; Shakopee, MN
  • MEDICAL ADVANCED PAIN SPECIALISTS. 763-537-6000; Maple Grove, MN
  • MINNESOTA SURGERY CENTER. 763-767-7139; Edina, MN
  • MINNESOTA SURGERY CENTER. 763-537-6000; Maple Grove, MN

North Carolina

  • HIGH POINT SURGERY. 336-878-6048; High Point, NC
  • NORTH CAROLINA ORTHOPAEDIC CLINIC. 919-403-5148; Durham, NC
  • SURGERY CENTER OF WILSON. 252-237-5649; Wilson, NC

New Hampshire

  • DR. O’CONNELL’S PAIN CARE CENTER. 603-335-5070; Merrimack, NH
  • DR. O’CONNELL’S PAIN CARE CENTERS, INC. 603-692-3166; Somersworth, NH

New Jersey

  • CENTRAL JERSEY ORTHOPEDICS SPECIALISTS PC. 908-561-2122; South Plainfield, NJ
  • EDISON SURGICAL CENTER. 732-452-0123; Edison, NJ
  • IF PAIN ASSOCIATES / ISAIAH FLORENCE. 201-287-1100; Teaneck, NJ
  • PREMIER ORTHOPEDICS SURG. ASSOC., LLC. 856-690-1750; Vineland, NJ
  • COMPREHENSIVE PAIN MANAGEMENT. 973-796-5216; Sparta, NJ
  • SOUTH JERSEY HEALTH CARE. 856-363-1558; Elmer, NJ
  • SOUTH JERSEY HEALTHCARE. 856-641-7557; Vineland, NJ

Nevada

  • SAHARA SURGERY CENTER. 702-362-7874; Las Vegas, NV (all vials that were sent to Nevada were recalled prior to use)

New York

  • BUTANI, SUNIL H., PHYSICIAN PC. 516-747-5042; Mineola, NY
  • OBOSA MEDICAL SERVICES. 914-530-2323; Mount Vernon, NY
  • ROCHESTER BRAIN AND SPINE. 585-334-5560; Rochester, NY

Ohio

  • BKC PAIN SPECIALISTS, LLC. 740-387-7246; Marion, OH
  • CINCINNATI PAIN MANAGEMENT. 513-891-0022; Cincinnati, OH
  • MARION PAIN CLINIC. 740-375-0200; Marion, OH
  • ORTHO-SPINE REHABILITATION CENTER, INC. 614-793-8817; Dublin, OH

Pennsylvania

  • ALLEGHENY PAIN MANAGEMENT. 814-940-2000; Altoona, PA
  • SOUTH HILLS PAIN & REHAB ASSOCIATES. 412-469-7722; Jefferson Hills, PA

Rhode Island

  • NEW ENGLAND ANESTHESIOLOGY (NEA). 401-490-7530; Warwick, RI
  • OCEAN STATE PAIN MANAGEMENT. 401-766-7700; Woonsocket, RI
  • OCEAN STATE PAIN MANAGEMENT. 401-884-6070; East Greenwich, RI

South Carolina

  • INTERVENE MD. 843-216-4844; Mount Pleasant, SC

Tennessee

  • PCA PAIN CARE CENTER. 865-835-5196; Oak Ridge, TN
  • SPECIALTY SURGERY CENTER. 931-484-2500 x125; Crossville, TN
  • ST. THOMAS OUTPATIENT NEUROSURGICAL. 615-341-3425; Nashville, TN

Texas

  • DALLAS BACK PAIN MANAGEMENT. 214-445-5077; Dallas, TX
  • HARRIS METHODIST SOUTHLAKE CENTER. 817-748-8778; Southlake, TX

Virginia

  • INSIGHT IMAGING-ROANOKE. 540-581-0882; Roanoke, VA
  • NEW RIVER VALLEY SURGERY CENTER. 540-639-5888; Christiansburg, VA

West Virginia

  • PARS INTERVENTIONAL PAIN. 304-865-7277; Parkersburg, WV

CDC has posted the following advice for patients of these facilities:

Find out if you received a potentially contaminated medication.

If you are concerned about which product was used in your procedure, you should first contact the physician who performed your procedure.

Recalled lots of injectable methylprednisolone acetate received by 23 states

  • The facilities that received one of the three lots of methylprednisolone acetate (a steroid product) recalled by New England Compounding Center (NECC) on September 26, 2012, are actively contacting patients to find out if they are feeling well. This is the medication that has been associated with fungal infections in patients.
  • The list of facilities that received medication from one of these three lots is available at http://www.cdc.gov/hai/outbreaks/meningitis-facilities-map.html.
  • As of October 20, 97 percent of patients who received medication from one of the three lots have been contacted.

Other NECC products under investigation

  • Out of an abundance of caution, the FDA is advising doctors, to follow-up with patients who received an NECC injectable product shipped after May 21, 2012, including an ophthalmic drug that is injectable or used in conjunction with eye surgery, and a cardioplegic solution. CDC does not have firm evidence that fungal infections have been caused by exposure to other NECC products.
  • If patients have taken or used medications from NECC, and they are worried that they are sick because of use of one of these products, they should seek medical attention.

If you have received a potentially contaminated medication, seek medical attention if you have symptoms.

You may have very mild symptoms that are only slightly worse than usual. For example, many infected patients who received epidural or paraspinal injections have had slight weakness, slightly worsened back pain, or even a mild headache.

Patients who received injections into a joint have experienced increasing pain and swelling of the joint. Patients with infections have typically developed symptoms within 1-4 weeks after their injection. However, shorter and longer timeframes between injection and onset of symptoms have been reported. Therefore, patients need to closely watch for these symptoms for at least several months following the injection. If you do develop these symptoms, you should see a doctor.