24 hospitalized in Salmonella outbreak linked to Kellogg cereal

Kellogg’s® Honey Smacks® sweetened puffed wheat cereal has been linked to 73 cases of Salmonella Mbandaka illnesses in 31 states across the USA according to a report released yesterday evening (June 14th) by CDC.

Epidemiological evidence, based on interviews of some of the outbreak victims, pointed the finger at the Kellogg’s cereal.

The Kellogg Company announced an entire year’s range of ‘Best if used by’ dates in a recall notice posted shortly before the CDC news release.

The recalled items are:
Kellogg’s® Honey Smacks® cereal (23-oz pkg; UPC 3800014810; Best if used by JUN 14, 2018 through JUN 14, 2019)
Kellogg’s® Honey Smacks® cereal (15.3-oz pkg; UPC 3800039103; Best if used by JUN 14, 2018 through JUN 14, 2019)

Both package sizes were distributed nationwide in the USA. There was also limited distribution of the 15.3-oz package sizes in Costa Rica, Guatemala, Mexico, the Caribbean, Guam, Tahiti and Saipan.

According to the recall notice, the Honey Smacks cereal was manufactured for Kellogg by a third party. FDA has launched an inspection of the manufacturing facility.

The outbreak began the first week in March, with the most recent illness onset reported as May 28th. CDC warns that more recent illnesses likely have not yet been reported, and the toll of the outbreak is expected to grow. It usually takes 2-4 weeks between the time a person falls ill with salmonellosis and the time CDC receives a report.

Of the 73 confirmed outbreak victims, roughly two-thirds are female. Ages of the victims range from less than one year to 87 years of age. Twenty-four of the outbreak victims have been hospitalized.

Confirmed cases have been reported from the following states: Alabama (2), Arizona (1), California (5), Connecticut (3), Georgia (2), Illinois (1), Indiana (3), Kentucky (1), Louisiana (2), Massachusetts (5), Maryland (1), Michigan (4), Mississippi (1), Montana (1), North Carolina (3), New Hampshire (1), New Jersey (3), New York (7), Ohio (1), Oklahoma (2), Oregon (1), Pennsylvania (5), Rhode Island (2), South Carolina (1), Tennessee (1), Texas (2), Utah (1), Virginia (4), Washington (3), Wisconsin (1), West Virginia (3).

CDC offers the following advice to consumers, restaurants and retailers

  • Do not eat recalled Kellogg’s Honey Smacks cereal. Check your home for the recalled cereal and throw it away, or return it to the place of purchase for a refund.
    • Even if some of the cereal was eaten and no one got sick, throw the rest of it away or return it for a refund.
    • If you store cereal in another container without the packaging and don’t remember the brand or type, throw it away.
    • Thoroughly wash the container with warm, soapy water before using it again, to remove harmful germs that could contaminate other food.
  • Contact a healthcare provider if you think you got sick from consuming recalled Kellogg’s Honey Smacks cereal
  • Retailers should not sell or serve recalled Kellogg’s Honey Smacks cereal.

The recalled cereal – especially in the 15.3-oz size – was in wide distribution across the USA. As of June 15, the following retailers have posted their own recall notices and product alerts. Please follow the links to access your retailer’s web site. This is not a comprehensive list, as some retailers are faster to respond than others.

Big Y
Brookshires
Department of Defense Commissary Agency – both 15.3-oz and 23-oz package sizes
Food City
Food Lion
Giant Food
Hannaford
Harris Teeter
Kroger Group – Kroger stores located in Georgia; South Carolina; Auburn, Alabama; Greater Cincinnati (including Northern Kentucky and Dayton, Ohio plus South Eastern Indiana); Central and Northwest Ohio; Northwestern Virginia panhandle; Michigan; Indiana (except SE Indiana, -Evansville-); Illinois; Eastern Missouri;  Hopkinsville and Bowling Green, Kentucky; Nashville and Knoxville, Tennessee; Huntsville, Alabama; Greater Memphis area, Tennessee; Arkansas; Mississippi; Western Kentucky; Jay-C, Roundy’s Wisconsin, Dillons, King Soopers, Fry’s, Kwik Stop, Fred Meyer, Ralphs, Food 4 Less, Foods Co, QFC, Smiths
Lucky
Martin’s
Meijer
Price Chopper
Publix
Rite Aid
Save Mart
Schnucks
ShopRite
Stop & Shop
Super 1 Foods
Target
Walmart

 

Another year, another Salmonella outbreak linked to backyard poultry flocks

Twenty-one people have been hospitalized with Salmonella contracted through contact with backyard poultry flocks since February 2018, according to a report by the Centers for Disease Control and Prevention (CDC) released today.

States reporting Salmonella illnesses linked to backyard poultry.

As of June 1st, 124 illnesses have been reported from 36 states. Nearly one-third of the outbreak victims are children of 5 years of age or younger.

The Salmonella outbreak has been linked to contact with live poultry – mainly chicks and duckings – in backyard flocks. The birds were obtained from multiple sources.

Several types of Salmonella have been found in outbreak victims, including:  Salmonella Seftenberg, Salmonella Montevideo, Salmonella Infantis, Salmonella Enteritidis, Salmonella Indiana, and Salmonella Litchfield.

Since 2000, contact with backyard poultry has been responsible for 4,794 documented Salmonella illnesses in 70 separate outbreaks. Seven people died in these outbreaks, and 894 required hospitalization. Ten outbreaks occurred in 2017 alone, sickening more than 1100 individuals in 48 states, killing one, and sending 249 of them to hospital.

Keeping backyard flocks has become increasing popular in recent years, with more and more cities amending their by-laws to permit residents to do so. According to a 2017 article in the Los Angeles Times, more than 1% of US households now keep chickens.

All too often, apparently healthy baby chicks and ducklings carry Salmonella. Children are especially drawn to these animals, which are small enough for tiny hands to hold. Unfortunately, a toddler or young child is all too likely to neglect to wash his or her hands after cuddling a feathered pet, and is especially susceptible to becoming infected with Salmonella as a result.

CDC offers the following advice for staying healthy while enjoying the benefits of a backyard flock:

Tips for staying healthy
  • Always wash your hands with soap and water right after touching live poultry or anything in the area where they live and roam.
    • Adults should supervise handwashing by young children.
    • Use hand sanitizer if soap and water are not readily available.
  • Don’t let live poultry inside the house, especially in areas where food or drink is prepared, served, or stored.
  • Set aside a pair of shoes to wear while taking care of poultry and keep those shoes outside of the house.
  • Don’t let children younger than 5 years, adults older than 65, or people with weakened immune systems from conditions such as cancer treatment, HIV/AIDS or organ transplants, handle or touch chicks, ducklings, or other live poultry.
  • Don’t eat or drink in the area where the birds live or roam.
  • Don’t kiss your birds or snuggle them and then touch your face or mouth.
  • Stay outdoors when cleaning any equipment or materials used to raise or care for live poultry, such as cages or feed or water containers.
  • Buy birds from hatcheries that participate in the U.S. Department of Agriculture National Poultry Improvement Plan (USDA-NPIP). This program is intended to reduce the incidence of Salmonella in baby poultry in the hatchery, which helps prevent the spread of illness among poultry and people.

 

‘Millions’ of roaches plagued maker of Pedigree, IAMS, Cesar, other pet foods

This story by Phyllis Entis first appeared in Food Safety News and is reposted here with permission

The Mars Petcare U.S. Inc. low-acid canned pet food production facility in Columbus, OH, was crawling with an infestation of German cockroaches between October 2016 and July 2017. Mars markets wet dog and cat foods in cans, plastic tubs, and laminated pouches under the Pedigree, Cesar, Whiskas, Nutro and IAMS brands.

Pet food from the plant also generated  consumer complaints about finding hard plastic pieces and a complaint about a elastic material in Mars’ pet foods.

On Oct. 7, 2016, Mars initiated a recall of 54,255 cases of CESAR Classics Filet Mignon Flavor canned dog food after the complaints about plastic. The recalled products were shipped to 36 states, including to three government facilities.

Ensuing inspections found the company had not completed repairs as promised.

Documents obtained by Food Safety News show that, during a July 2017 inspection of the Columbus facility, investigators from the Food and Drug Administration observed two significant deviations from current Good Manufacturing Practices (cGMP):

  • Failure to inspect, segregate, or otherwise handle raw materials and ingredients used in manufacturing under conditions that will protect the animal food against contamination and minimize deterioration; and
  • Failure to take effective measures to exclude pests from [the] plant and protect against contamination of animal food by pests.

Roaches and other pests
The infestation was first documented during an Oct. 27, 2016, comprehensive low-acid canned food (LACF) inspection by FDA, according to documents obtained under the Freedom of Information Act.

Although Mars management undertook to address and remedy the infestation in October 2016, FDA investigators observed a live roach in the manufacturing area adjacent to an area where in-process raw materials and ingredients are maintained, and another near the main hand-wash station at the entrance to the manufacturing area during the July 2017 inspection.

According to the company’s Employee Pest Sighting Log, there were 99 instances of pest activity observed during a 72-day period from Nov. 10, 2016, to July 14, 2017, including one instance described as “millions of roaches.”

Employees also reported birds, spider webs, beetles, multiple flies, maggots and larvae on several occasions. 

Mars contracts with a pest control operator (PCO) for routine rodent and insect control.

During their review of the PCO’s reports, FDA investigators found references to photographic evidence of pest activity, disrepair of dock doors, general disrepair of the building — including areas of ingress and egress — excessive spills of raw materials and damaged cans “covered” in flies. The photographs had not been retained by the company.

Several of the PCO observations regarding necessary repairs were repeated in multiple consecutive reports. For example, damage to a dock door was first reported on or about Sept. 26, 2016. The report was repeated after each visit until the door was finally repaired on or about Nov. 3, 2016.

Foreign objects – pieces of plastic
In addition to ongoing pest problems, Mars logged repeated violations related to the pieces of hard plastic that spurred the Oct. 7, 2016, recall.

During a March 31, 2017, recall follow-up inspection, Mars informed FDA that the firm had fully implemented corrective actions/preventative actions (CAPAs), including changing all food-contact white plastic material to a blue plastic material, enabling the presence of white plastic foreign objects to be detected more easily.

Despite this assurance, FDA inspectors were told on July 11, 2017, that only the “majority” of the belts and plastic wear plates on critical equipment had been changed out by that date.

As of the July 2017 inspection, Mars acknowledged that it was still receiving complaints from customers about foreign objects in its finished products.

FDA has received two new consumer complaints for plastic foreign objects in Mars canned, tubbed or pouched products since the inspection, according to an agency spokesperson. One of these was for an elastic-type object and the other was for two small, hard plastic pieces. The consumer did not provide a product lot number in the second case, and it is unclear whether the two complaints concerned product manufactured in the Columbus facility.

Refusals and obstruction
The Establishment Inspection Report (EIR) documents a lack of cooperation on the part of Mars management during the July 2017 inspection.

FDA investigators reported Mars officials refusing to cooperate on three points three during the course of the inspection, including:

  • Refusal to permit photography
  • Refusal to permit the review of consumer complaints
  • Refusal to provide photocopies of consumer complaints, manufacturing, shipping and pest control records.

In addition to the outright refusals reported in the EIR, investigators encountered delays in the production of requested documents and information, and denial of complete access to all areas of the facility. 

When faced with a refusal, FDA investigators are expected to call attention to the relevant section of the Food, Drug and Cosmetic Act or the Public Health Service Act, and then to complete the inspection, according to Chapter 5 of the FDA Investigations Operations Manual (2018).

The company’s lack of cooperation resulted in a delay in the completion of the inspection, which was begun on July 11, 2017, but was not completed for more than two weeks, on July 26.

According to an FDA spokesperson, the Office of Regulatory Affairs issued an Untitled Letter to Mars subsequent to the July 2017 inspection. An Untitled Letter is used “…for violations that may not meet the threshold of regulatory significance for a warning letter and request correction of the violations.”

The investigation triggered by the recall is now closed.