Boar’s Head deli meats fingered in deadly US Listeria outbreak

A strain of Listeria monocytogenes found in a sample of Boar’s Head liverwurst is a genetic match for the outbreak strain responsible for two deaths, 33 hospitalizations, and 34 illnesses in 13 states.

The pathogen was recovered from an unopened package of liverwurst collected and analyzed by the Maryland Department of Health as part of the outbreak investigation.

Outbreak cases have been reported in Georgia (2), Illinois (1), Indiana (1), Maryland (6), Massachusetts (2), Minnesota (1), Missouri (2), New Jersey (2), New York (12), North Carolina (1), Pennsylvania (1), Virginia (2), and Wisconsin (1).

Illinois and New Jersey have each reported one fatality.

Outbreak victims range in age from 32 to 94 years, with a median age of 74 years.

People 65 years of age or older are considered to be especially susceptible to more severe illness, as are pregnant women and individuals who have a weakened immune system.

Boar’s Head Provisions Co., Inc. has announced an expansion of its earlier recall in response to the lab finding. The company is recalling approximately 7 million additional pounds of ready-to-eat meat and poultry products.

This expansion includes 71 products produced between May 10, 2024, and July 29, 2024, under the Boar’s Head and Old Country brand names. These items include meat intended for slicing at retail delis as well as some packaged meat and poultry products sold at retail locations. These products have “sell by” dates ranging from 29-JUL-2024 through 17-OCT-24.

The recalled products were distributed to retail locations across the United States, and some were exported to the Cayman Islands, Dominican Republic, Mexico, and Panama. 

Listeria is especially harmful if you are pregnant, are aged 65 or older, or have a weakened immune system due to certain medical conditions or treatments. Other people can be infected with Listeria, but they rarely become seriously ill.

If you are pregnant, are aged 65 or older, or have a weakened immune system:

  • Do not eat recalled deli meats. Throw them away or contact stores about returns.
  • In addition, do not eat any other deli meats you get sliced at deli counters, unless it is reheated to an internal temperature of 165°F or until steaming hot. Let it cool before you eat it.
    • Listeria can grow on foods kept in the refrigerator, but it is easily killed by heating food to a high enough temperature.
  • Clean your refrigerator, containers and surfaces that may have touched sliced deli meats.
    • This is especially important if you purchased any of the recalled deli products.
  • Call your healthcare provider right away if you have any of these symptoms:
    • 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.
    • Pregnant people usually have fever, muscle aches, and tiredness. However, Listeria can cause pregnancy loss or premature birth. It can also cause serious illness or death in newborns.

For people who are generally healthy and not at higher risk of serious infection:

  • Do not eat recalled meats. Throw them away or contact stores about returns.
  • Check your refrigerator for any recalled deli meats and throw them away or return them to the store. Listeriacan grow on foods kept in the refrigerator.
  • Clean your refrigerator, containers and surfaces that may have touched recalled meats.
  • For delis that received recalled meats:
    • Thoroughly clean and sanitize all food and non-food surfaces.
    • Throw away any open meats and cheeses in the deli.
    • USDA-FSIS is advising delis to not use any opened deli products because recalled products can cross-contaminate other deli meats and cheeses.
  • Always follow USDA-FSIS best practices for controlling Listeria contamination in deli areas.

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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 pregnant, Listeria 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 system, Listeria 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.