Two dead, 28 hospitalized in new US Listeria outbreak

Two people are dead and twenty-eight (28) have been admitted to hospital in an outbreak of Listeria monocytogenes linked to meats sliced at deli counters, according to a report from the US Centers for Disease Control and Prevention (CDC).

A total of twenty-eight confirmed outbreak cases have been reported so far by twelve states, including: Georgia (2), Illinois (1), Maryland (6), Massachusetts (2), Minnesota (1), Missouri (2), New Jersey (2), New York (7), North Carolina (1), Pennsylvania (1), Virginia (2), and Wisconsin (1).

The two deaths occurred in Illinois and New Jersey.

Sixteen out of eighteen people (89%) interviewed by public health officials reported eating meats sliced at a deli, most commonly deli-sliced turkey, liverwurst, and ham. Meats were sliced at a variety of supermarket and grocery store delis.

The US Department of Agriculture’s Food Safety and Inspection Service (FSIS) is working to identify the suppliers of deli meats, sliced at deli counters, purchased by people in this outbreak.

The CDC warns that the number of sick people in this outbreak is likely higher than the number reported, and the outbreak may not be limited to the states with known illnesses.

CDC advises people who are pregnant, aged 65 or older, or have a weakened immune system to contact their healthcare provider if they have any Listeria symptoms.  Additionally, CDC advises people to take steps to protect themselves from getting Listeria from deli meats by avoiding eating meats sliced at the deli unless they are heated before eating.

  • Symptoms usually start within 2 weeks after eating food contaminated with Listeria, but may start as early as the same day or as late as 10 weeks after.
    • Pregnant people usually have fever, muscle aches, and tiredness.
    • People who are not pregnant usually have fever, muscle aches, and tiredness. They may also get a headache, stiff neck, confusion, loss of balance, or seizures.
  • Listeria is especially harmful to people who are pregnant, aged 65 or older, or have weakened immune systems. This is because Listeria is more likely to spread beyond their gut to other parts of their body, resulting in a severe condition known as invasive listeriosis.
  • For people who are pregnantListeria can cause pregnancy loss, premature birth, or a life-threatening infection in their newborn.
  • For people who are 65 years or older or who have a weakened immune systemListeria often results in hospitalization and sometimes death.

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More than 165 infected with Salmonella in raw milk outbreak

This story by Coral Beach first appeared in Food Safety News and is reposted here with permission.

More than 165 people, mostly children, have been sickened so far by raw milk products from Raw Farm LLC.

In reports obtained by Food Safety News from the California Division of Communicable Disease Control and the California Department of Health, the Salmonella outbreak has sickened 165 people across four states. Previously the department of health was reporting a dozen sick. The most recent of the reports is from February this year. The most recent illness was recorded this past month.

“Over the last 30 plus years of practice I have been a vocal advocate for robust public health involvement in disease – especially foodborne illness prevention. It is beyond me to comprehend why public health would remain mute in the face of at least 165 sick, 20 hospitalized and 40 percent of the ill five years or younger – especially raw milk – a risky elixir, The more I think about this the harder it is to figure out why public health would sit on the scientific fact that a food producer of a known high-risk food is sickening hundreds. This includes overwhelming epidemiological evidence of the same WGS pattern in both humans and in milk. Setting aside the “food freedom” argument for a moment that people should be able to eat or drink what they want and feed their kids the same; what about simply informing the public of the facts and letting the public decide for themselves?” said Bill Marler, a Seattle food safety attorney and publisher of Food Safety News.

The number of patients in the outbreak is likely much higher than the numbers reported by the Division of Communicable Disease Control because of underreporting. The U.S. Centers for Disease Control and Prevention says that for every confirmed patient in a Salmonella outbreak, there are 29 unreported patients.

Raw Farm LLC, formerly doing business as Organic Pastures, is implicated in the outbreak.

Portions of two reports obtained by Food Safety News were redacted. The outbreak covered in the reports began in the fall of 2023. The median age of patients in the outbreak that sickened 165 people was seven.

“Organic Pastures, aka Raw Farm, a brand of raw milk and other brands of raw milk have been linked to multiple previous outbreaks (of) STEC O157, STEC O103, Campylobacter,” according to the report from the Division of Communicable Disease Control.

The agency reported that the Salmonella outbreak, which affected 165 patients, is the largest in the past decade associated with raw milk. Tests of raw milk from the Raw Farm dairy and raw milk in patient homes matched the outbreak strain of Salmonella.

Fourteen percent of patients with known information required have hospitalization.

Raw Farm ceased production and issued a recall on Oct. 24, 2023, but resumed sales on Oct. 31. Of the patients with information available, 93 percent reported consuming Raw Farm LLC raw milk.

February 2024 E. coli Raw Milk Cheese Outbreak and Recall

May 2023 Campylobacter Raw Milk Recall
August 2023 Salmonella Cheese Recall 

Started OPDC in 2000 – Changed name to Raw Farm LLC in 2020

September 2006 Raw Milk E.coli Outbreak: 6 ill/2 HUS 
September 2007 Raw Cream Listeria Recall
December 2007 Raw Milk Campylobacter Outbreak: 8 ill 
September 2008 Raw Cream Campylobacter Recall
November 2011 Raw Milk E. coli Outbreak: 5 ill/3 HUS 
May 2012 Campylobacter Raw Milk/Cream Outbreak: 10 ill, reported illnesses from Jan. thru April
October 2015 Campylobacter Raw Milk Recall
January 2016 E. coli Raw Milk Outbreak: 9 ill/2 HUS

According to the California Division of Communicable Disease Control, raw milk, or unpasteurized milk, is not grass-fed of organic labels. It is about pasteurization. Milk that has not been pasteurized has been shown in numerous recalls and outbreaks to be contaminated with one or more pathogens, including E. coli, Salmonella, Listeria, Campylobacter, and Brucella.

From 2009 through 2021, unpasteurized raw milk was associated with 143 outbreaks.

“Pasteurization is considered one of public health’s most effective food safety interventions,” according to the California Division of Communicable Disease.

“Before its use, millions became sick and died from tuberculosis, scarlet fever, typhoid fever, and other diseases.”

Pasteurization was initially developed for wine in the 1850s and adopted for milk about 20 years later. In the 1920s and 1930s, pasteurization of milk became the norm. Now, the sale of raw milk across state lines is prohibited by federal law.

Pasteurization has repeatedly been shown to not decrease milk’s beneficial properties. 

Contaminated cucumbers send 125 to hospital

Cucumbers grown and packed by Bedner Growers, Inc. (Boynton Beach, Florida) are responsible for 449 confirmed cases of Salmonella infections in 31 states and the District of Columbia, according to updated information released by the US Centers for Disease Control and Prevention (CDC) and the US Food and Drug Administration (FDA).

Two outbreak strains have been identified: Salmonella Africana (234 cases) and Salmonella Braenderup (215 cases). There have been no deaths reported.

On June 1, 2024, Fresh Start Produce Sales, Inc. recalled 6167 cases of Whole Cucumbers grown in Florida after the Pennsylvania Department of Agriculture (PDA) found Salmonella in a sample of the company’s cucumbers.

The recalled cucumbers are beyond shelf life and should no longer be available for sale to consumers in stores.

The FDA conducted an onsite inspection at Bedner Growers, and samples collected during the inspection, and Salmonella Braenderup was detected in samples of untreated canal water. Whole genome sequencing determined that the strain found in the water was identical to the strain recovered from some of the outbreak patients.

Other strains of Salmonella also were found in soil and water samples at Bedner Growers. CDC and FDA are working together to determine whether those strains have been associated with any reported illnesses.

Bedner Growers’ growing and harvesting seasons are over. There is no product from this farm on the market and likely no ongoing risk to the public, according to the FDA.

Bedner is just one among many cucumber growers in the state of Florida, and the CDC reports that Bedner’s cucumbers do not account for all of the outbreak cases.

The FDA is continuing to conduct traceback investigations to identify other possible sources.

Follow these four food safety steps to prevent getting sick from Salmonella.

  • Clean: Wash your hands, utensils, and surfaces often. Rinse fruits and vegetables under running water before eating, cutting, or peeling.
  • Separate: Keep food that won’t be cooked separate from raw meat, poultry, and seafood.
  • Cook: Use a food thermometer to make sure you have cooked your food to a temperature high enough to kill germs.
  • Chill: Refrigerate perishable food (food that goes bad) within 2 hours. If the outside temperature is hotter than 90°F, refrigerate within 1 hour. Thaw food in the refrigerator, not on the counter.

Call your healthcare provider if you have any of these severe Salmonella symptoms:

  • Diarrhea and a fever higher than 102°F
  • Diarrhea for more than 3 days that is not improving
  • Bloody diarrhea
  • So much vomiting that you cannot keep liquids down
  • Signs of dehydration, such as:
    • Not peeing much
    • Dry mouth and throat
    • Feeling dizzy when standing up

TAINTED formats 3
“Reads like a true crime novel” – Food Safety News

Interested in learning more about food safety and the history of foodborne disease outbreaks and investigations?

Click on the link to listen to a short excerpt, then follow the buy links to add a digital, print or audio copy to your personal library.

Chapter 6. Birth of a Pathogen

TAINTED is available in digital format from all major on-line retailers. Press the button to go directly to your preferred digital bookstore.