BREAKING NEWS – Red Onions from USA Blamed for Cross-border Salmonella Outbreak

Red onions grown in the United States and imported into Canada are the source of an outbreak of Salmonella Newport infections which has sickened 114 people in five Canadian provinces and more than 200 people in the United States.

According to the Public Health Agency of Canada (PHAC), the following provinces have reported illnesses associated with this outbreak: “British Columbia (43), Alberta (55), Manitoba (13), Ontario (2), and Prince Edward Island (1). The individual from Prince Edward Island reported travelling to Alberta before becoming ill. Saskatchewan has not reported any confirmed illnesses related to this outbreak, but provincial public health authorities are investigating some Salmonella Newport illnesses in the province.”

Sysco has recalled all IMPERIAL FRESH brand Red Onions – Jumbo (10-lb and 25-lb bags) imported into Canada from the United States since May 24th. The recalled onions were distributed in Alberta, British Columbia, Manitoba, Ontario, and Saskatchewan.

The Public Health Agency of Canada advises individuals in British Columbia, Alberta, Saskatchewan, Manitoba, and Ontario to not eat any red onions imported to Canada from the U.S., including any food products that contain raw red onions imported from U.S.. Retailers and restaurants in these locations are also advised not to use, sell or serve red onions imported from the U.S.. Red onions grown in Canada are not affected by this advice.

Although PHAC states that it has been exchanging information with the US, there has been no word yet today from CDC or FDA on these developments.

PHAC has offered the following guidance to consumers, retailers and the food service industry:

Individuals in British Columbia, Alberta, Saskatchewan, Manitoba, and Ontario are advised to not eat any red onions imported to Canada from the U.S., including any food products that contain raw red onions imported from U.S..

Retailers and restaurants in these locations are also advised not to use, sell or serve red onions imported from the U.S.. Red onions harvested in Canada are not affected by this advice. 

Individuals are asked to check their homes for red onions, including whole, sliced, or chopped, as well as prepared foods that contain red onions as an ingredient, such as premade salads, sandwiches, wraps, or dips. 

  • If you have red onions at home:
    • Look for a label showing where the red onion was grown. It may be printed on the package or on a sticker. 
    • If the packaging or sticker shows that it is from the U.S., don’t eat it. Throw it away and wash your hands.
    • If it isn’t labeled, don’t eat it. Throw it away and wash your hands.
    • If you don’t know whether the red onion found in a premade salad, sandwich, wrap or dip contains red onion from the U.S., don’t eat it. Throw it away and wash your hands.
    • Wash and sanitize drawers or shelves in areas (such as fridges and cupboards) where red onions were stored.
  • If you buy red onions at a store:
    • Look for a label showing where the red onion was grown. It may be printed on the package or on a sticker.
    • If the packaging shows that it is from the U.S., don’t buy it.
    • If it is an unpackaged product, or is not labelled, ask the retailer whether the red onion comes from the U.S.
    • If you can’t confirm that the red onion in stores is not from the U.S., don’t buy it.
  • If you order salad or any other food item containing red onions at a restaurant or food establishment, ask the staff whether the red onions come from the U.S. If they did, or they don’t know, don’t eat it.
  • Restaurants and retailers should check the label on bags or boxes of red onions, or ask their suppliers about the source of their red onions.
  • Suppliers, distributors and others in the supply chain should not ship or sell red onions imported from the U.S.
  • If you have been diagnosed with a Salmonella infection or any other gastrointestinal illness, do not cook food for other people.
  • Contact your local public health authority to report any food safety concerns at restaurants or grocery stores, or if you suspect food poisoning from a restaurant or other food establishments.

US exports Cyclospora outbreak to Canada

From cdc.gov

The Public Health Agency of Canada (PHAC) has received reports of 37 confirmed cases of Cyclospora illnesses in Ontario (26), Quebec (10) and Newfoundland and Labrador (1).

The infections developed between mid-May and mid-June. One person has been hospitalized.

PHAC considers the outbreak to be ongoing, as the agency continues to receive reports of recent illnesses.

At least some of the outbreak victims report having eaten certain Fresh Express brand salad products containing iceberg lettuce, red cabbage and carrots before they fell ill. The rest of the cases are still under investigation.

On June 29, 2020, the Canadian Food Inspection Agency announced a recall of twelve varieties of Fresh Express brand salad products, which had been imported from the USA.

At the time of the recall, no Canadian illnesses associated with these products had been reported to PHAC.

The salad mixes implicated in this outbreak, and in a concurrent 8-state outbreak in the US, were produced at the Fresh Express facility located in Streamwood, Illinois. FDA is conducting a detailed traceback investigation into the source of the contamination.

The Cyclospora outbreak in the US has spread to 8 midwestern states, and has sickened at least 509 individuals as of CDC’s most recent (July 9, 2020) update. Thirty-three people have been hospitalized.

Lab-confirmed cases have been reported in Illinois (151), Iowa (160), Kansas (5), Minnesota (63), Missouri (46) Nebraska (48), North Dakota (6), and Wisconsin (30).

The following companies have announced product recalls in the USA due to Cyclospora contamination. Please click on the links for additional information on recalled products.

The recalled products have been distributed nationwide across Canada and in the following US states: Arkansas, Connecticut, Delaware, Iowa, Illinois, Indiana, Kansas, Kentucky, Massachusetts, Maryland, Maine, Michigan, Minnesota, Missouri, Montana, North Carolina, North Dakota, Nebraska, New Hampshire, New Jersey, New York, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Dakota, Tennessee, Virginia, Vermont, Wisconsin, West Virginia, and the District of Columbia. 

Products may have been further distributed and sent to retailers in additional states, according to FDA.

Consumers in Canada and the USA should check their refrigerators and discard any recalled products with production codes beginning with lot code “Z177” or a lower number and have best before dates up to and including 20JUL08 – 20JUL14. This includes Fresh Express brand products in Canada and both Fresh Express and the above-mentioned store brands in the USA.

Symptoms of Cyclospora infection usually begin within one week of consuming a contaminated product and may include: watery diarrhea, abdominal bloating and gas, fatigue (tiredness), stomach cramps, loss of appetite, weight loss, mild fever, and/or nausea. Symptoms may disappear and then return over a period of several weeks without treatment.

If you think you may have eaten a recalled product and are experiencing these symptoms, please consult a health care professional without delay.

 

 

 

Case count surges in mid-western Cyclospora outbreak

More than 200 people in eight US states have become infected with Cyclospora since the first half of May, according to the US Centers for Disease Control and Prevention (CDC). Twenty-three people have been hospitalized.

Epidemiological and traceback investigations are pointing the finger at bagged salads containing iceberg lettuce, carrots, and red cabbage produced by Fresh Express.

A total of 206 cases of cyclosporiasis have been confirmed in Illinois (57), Iowa (74), Kansas (1), Minnesota (25), Missouri (10) Nebraska (20), North Dakota (6), and Wisconsin (13).

Four Cyclospora oocysts from fresh stool stained using a modified acid-fast stain. The oocysts are variably acid fast (that is, they range from unstained to light pink to deep red or purple). (Credit: CDC/DPDx)

The average incubation period for Cyclospora is 1 week. Symptoms of infection can appear from 2 days to 2 weeks following ingestion of a contaminated food and may include: watery diarrhea, loss of appetite, weight loss, cramping, bloating, increased gas, nausea and fatigue. Some patients may also experience vomiting and low-grade fever.

Jewel-Osco, Fresh Express, ALDI and Hy-Vee have recalled bagged iceberg lettuce salad in recent days, including the following items:

  • Signature Farms Garden Salad (12-oz bags; BEST IF USED BY dates of May 16 through July 4; UPC 21130 98135; Plant #S5417). Sold in Jewel-Osco stores in Illinois, Indiana, and Iowa.
  • Marketside Classic Iceberg Salad (12-oz bags (UPC 6 81131 32894 4) and 24-oz bags (6 81131 32895 1); Best if used by May 19 to July 04). Sold in Wal-Mart stores in Iowa, Minnesota Michigan, Nebraska, North Dakota, South Dakota, and Wisconsin.
  • Little Salad Bar Garden Salad (12-oz bags; Best If Used By dates of May 1 through June 29; UPC 4099100082975). Sold in ALDI stores in Arkansas, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, North Dakota, South Dakota and Wisconsin.
  • Hy-Vee Bagged Garden Salad (All UPCs and expiration dates). Sold in Hy-Vee stores in Iowa, Illinois, Missouri, Kansas, Nebraska, South Dakota, Minnesota and Wisconsin.

CDC warns that the items recalled so far do not account for all reported outbreak cases. Additional suspect products may be identified and added to the recall list.

Do not eat or serve any of the recalled items. Check your home for any of these recalled salads. Throw any remaining salad away, even if some of it has been eaten and no one has gotten sick.

If you live in Arkansas, Illinois, Indiana, Iowa, Kansas, Michigan, Minnesota, Missouri, Nebraska, North Dakota, South Dakota, or Wisconsin and don’t know whether the bagged salad mix you have in your home is one of these recalled salads, do not eat it. Throw it away.

FDA is working with Fresh Express to identify other retailers that may have received the implicated bagged salad mix, and is working with retailers to ensure that all of the recalled products have been removed from the marketplace.

CDC requests that anyone experiencing symptoms of Cyclospora infection should do the following:

  • Talk to your healthcare provider.
  • Write down what you ate in the two weeks before you started to get sick.
  • Report your illness to the health department.
  • Assist public health investigators by answering questions about your illness.