Profiling Salmonella (non-typhoid)

In addition to Salmonella typhi and Salmonella paratyphi, there are more than 2,200 known Salmonella serotypes. Most are pathogenic. Salmonella is one of the top two recognized bacterial causes of foodborne disease (Campylobacter is the other).

Some history

The first non-typhoidal Salmonella to be isolated was the agent that causes hog cholera – Salmonella Cholerae-suis – described initially in 1885. Each new Salmonella was, at first, named for the disease syndrome; then, as the apparently different “species” became more numerous, they were named for the location (city, state or country) where they were first reported (e.g., Salmonella London, Salmonella Tennessee, Salmonella Java)

What is Salmonella, and where is its natural habitat?

Salmonella inhabits the intestinal tract of virtually all species of insects, warm-blooded animals, fish, reptiles and birds around the world. With just a few exceptions – and humans are the main exceptions – the microbe causes no illness to its animal host.

How is Salmonella transmitted? What is the incubation period of the infection?

Salmonella is transmitted most often through the consumption of contaminated food or water, or by hand-to-mouth contact with a carrier animal, reptile or insect. Secondary person-to-person transmission also can occur. The incubation period usually is 1 to 3 days.

What illnesses are caused by Salmonella? How long does it take to develop?

Salmonella infections most often cause salmonellosis – a form of gastroenteritis. Symptoms usually develop in 1 to 3 days following ingestion of an infective dose of the bacteria, and typically last from 4 to 7 days.

What are the symptoms of salmonellosis?

Symptoms of non-typhoidal Salmonella infections (salmonellosis) usually include diarrhea, fever, cramps and vomiting.

What is the prognosis of Salmonella infections?

The disease is largely self-limiting; however, some patients experience secondary consequences, including endocarditis or bacteremia. Osteomyelitis also is an occasional complication, as is Reiter’s syndrome – a reactive arthritis.

What foods carry Salmonella?

Virtually any food – meat, poultry, dairy, produce, spices, candy, chocolate, – may be contaminated with Salmonella. In addition, small pets – rodents, snakes and lizards – are common carriers of this pathogen. Food items that are Salmonella-free may become contaminated through improper handling (cross-contamination) during preparation.

How can susceptible people protect themselves from infection?

The US Centers for Disease Control and Prevention (CDC) offers some tips for avoiding the spread of Salmonella:

  • Cook poultry, ground beef, and eggs thoroughly. Do not eat or drink foods containing raw eggs, or raw (unpasteurized) milk.
  • If you are served undercooked meat, poultry or eggs in a restaurant, don’t hesitate to send it back to the kitchen for further cooking.
  • Wash hands, kitchen work surfaces, and utensils with soap and water immediately after they have been in contact with raw meat or poultry.
  • Be particularly careful with foods prepared for infants, the elderly, and the immunocompromised.
  • Wash hands with soap after handling reptiles, birds, or baby chicks, and after contact with pet feces.
  • Avoid direct or even indirect contact between reptiles (turtles, iguanas, other lizards, snakes) and infants or immunocompromised persons.
  • Don’t work with raw poultry or meat, and an infant (e.g., feed, change diaper) at the same time.
  • Mother’s milk is the safest food for young infants. Breastfeeding prevents salmonellosis and many other health problems.

For more information on Salmonella and other food-borne pathogens, visit the CDC website or read Food Safety: Old Habits, New Perspectives.

Recalls and Alerts: November 7, 2011

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.

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United States

  • Food Recall: Price Chopper recalls Price Chopper Apple Pie (8-inch; Purchased Oct 3 – Nov 3) and Price Chopper Pumpkin Pie (8-inch; Purchased Oct 3 – Nov 3), because the products are not up to quality standards.
  • Outbreak Alert: Thirty-five people fell ill with vomiting and diarrhea a day after eating lunch last week in the University of Wisconsin-Madison Pyle Center’s Alumni Lounge, according to an item in the Wisconsin State Journal.

Canada

  • Allergy Alert: All The Best Fine Foods recalls its own brand of Maple Pecans (150g; UPC 20002954; Lot code 119061), due to the presence of undeclared wheat. As a result of a packaging error, the packages contain Maple Shortbread instead of Maple Pecans. The recalled product was distributed nationally.

Europe

  • Allergy Alert (Netherlands): Kruidvat and Prijsmepper recall Kinder Joy Chocolate Eggs (Bar code 80310891), because the product contains undeclared nuts.
  • Food Alert (Ireland): Diageo Ireland advises that two batches of Guinness 568ml brown crowned bottles (Lot codes L1277GD001 and L1290GD001) have been mislabelled. The labels carry incorrect UK units of alcohol (labeled as 1.8, whereas the labels should read 2.4). The product poses no health risk, but consumers may be mislead as to the amount of alcohol consumed.
  • Food Safety Notification (EU #2011.1574): Escherichia coli in clams from Turkey; distributed to Greece.
  • Food Safety Notification (EU #2011.1575): Listeria monocytogenes in smoked rainbow trout from Greece; distributed to the Netherlands.
  • Food Safety Notification (EU #2011.1576): Yeast in remoulade sauce from Denmark; distributed to Sweden.
  • Food Safety Notification (EU #2011.1577): Histamine in frozen sardine fillets from Tunisia; distributed to Italy.
  • Food Safety Notification (EU #2011.1578): Escherichia coli in frozen mechanically separated poultry meat from Poland; distributed to Romania.
  • Animal Feed Safety Notification (EU #2011.1579): Salmonella typhimurium in fish feed from Spain; distributed to Italy.
  • Food Safety Notification (EU #2011.1580): Salmonella spp. in paan leaves from Bangladesh; distributed to the United Kingdom.
  • Food Safety Notification (EU #2011.1581): Methomyl in fresh mint from Israel; distributed to the Czech Republic.
  • Food Safety Notification (EU #2011.1583): Cadmium in chilled tiger prawns from Senegal; distributed to Germany.

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.

Pine Nut Recall Expands; CDC Updates Outbreak Data

Forty-two people were infected with Salmonella Enteritidis after consuming contaminated Turkish pine nuts, according to CDC.

Illnesses  have been reported by five states: Maryland (1), New Jersey (2), New York (27), Pennsylvania (8), and Virginia (4). Two people were hospitalized; the oldest victim was 94, and the youngest was less than one year old. None of the outbreak patients died.

An earlier report, issued by CDC on October 26th, included Arizona in the list of cases. But supplementary DNA profiling carried out by CDC determined that the Arizona case was unrelated to the Pine Nut outbreak, according to Dr. Robert Tauxe of CDC.

CDC reports that some of the outbreak victims consumed prepared dishes – such as homemade pesto,  that contained raw pine nuts. Both Virginia and New York state agencies have recovered the outbreak strain of Salmonella Enteritidis from samples of pine nuts (purchased by outbreak victims from bulk bins at Wegmans supermarket stores), and homemade pesto made from bulk-purchased pine nuts. Wegmans recalled the implicated bulk pine nuts on October 26, 2011.

Salmonella contamination in Turkish pine nuts should not be a total surprise. In August of this year, Greece rejected two consignments of pine nuts from Turkey after samples from both consignments were found to containSalmonella (RASFF Notification #2011.BQS and 2011.BQM).

The Turkish pine nuts were imported into the USA by Sunrise Commodities (Englewood Cliffs, NJ) and distributed in bulk to various food vendors in Florida, New Jersey, New York and Canada. Sunrise recalled 4 lots – totally approximately 21,000 pounds – of pine nuts, after FDA confirmed the presence of Salmonella on the pine nuts. Testing is in progress to determine whether any of FDA’s isolates are a genetic match for the outbreak strain.

CDC offers the following advice to consumers:

  • Consumers should check their homes, including refrigerators and freezers, for Turkish pine nuts purchased from bulk bins at Wegmans stores between July 1, 2011 and October 18, 2011 and not eat them. Consumers should also not eat any foods prepared with the recalled product, including pesto, salads, and baked goods.
  • Restaurants and food service operators should not serve the recalled product.
  • Consumers, retailers, and others who have any of the recalled product should dispose of it in a closed plastic bag placed in a sealed trash can. This will prevent people or animals from eating it.
  • Persons who think they might have become ill from eating possibly contaminated recalled products should consult their health care providers. Infants, older adults, and persons with impaired immune systems are more likely than others to develop severe illness.

It’s very likely that additional recall notices will be posted in coming days, as the extent of the pine nut distribution is determined. Please refer to the Turkish Pine Nuts Recall Distribution List for more information on where the pine nuts were sold.