Frozen veggies suspected source of US Listeria outbreak

Frozen vegetables grown and processed in Egypt may be linked to a mysterious outbreak of Listeria monocytogenes infections that erupted in three stages in 2024 and 2025.

According to information obtained by eFoodAlert from the FDA in response to a Freedom of Information Act request, the outbreak was first investigated by the CDC in April 2024 without success. The investigation was reopened in August 2024 when additional cases appeared on the CDC’s radar screen. Again, the investigation was closed without a possible source having been determined.

In June 2025, the CDC reopened the investigation once more after an additional five cases attributed to the same outbreak strain were found. One of those cases occurred in December 2024; the other four from January to May 2025.

Although the outbreak comprised 27 cases overall in 13 states, according to the FDA investigation report, the CDC map provided as part of the report only shows locations for 25 of the cases: Connecticut (1), Florida (2), Illinois (1), Massachusetts (2), Maryland (1), Michigan (1), Minnesota (1), Missouri (1), New Jersey (1), New York (8), Pennsylvania (4), Rhode Island (1), and Virginia (1).

Ages of outbreak victims ranged from less than one to 97 years, with a median age of 72 years. Twenty-five of the victims were hospitalized and one person died. Two of the outbreak patients were pregnant women.

The FDA did not conduct an official traceback investigation for this outbreak, as the CDC could not supply strong epidemiological evidence for a possible source. However, the agency did conduct a “limited distribution analysis” for two of the cases.

Although many of the details as to the suspected source have been redacted from the investigation report, the FOIA officials left enough breadcrumbs for eFoodAlert to follow.

The FDA collected records and samples from possible suppliers of the suspect food and, on August 20, 2025, reported positive samples with possible connection to clinical outbreak cases. Eight days later, the CDC advised the FDA that samples collected from one of the suppliers (name redacted in the investigation report supplied to eFoodAlert) was a genetic match for the outbreak strain. Samples collected from the other [unidentified] manufacturer did not match the outbreak strain.

On September 2, 2025, Endico Potatoes Inc. of Mount Vernon, NY recalled two lots of frozen vegetables due to possible Listeria monocytogenes contamination. The recall included one lot each of “frozen peas and carrots” and “mixed vegetables.” According to the Enforcement Report details, the vegetables were imported from Egypt.

In June 2024, the FDA conducted a comprehensive inspection of Endico Potatoes (Inspection ID #1232874) relating to the Foreign Supplier Verification Program. The inspection did not uncover any significant deviations or discrepancies and the results were classified as “No Action Indicated.”

Excerpt from redacted FDA investigation report

The recalled lots of frozen vegetables were manufactured after the last of the outbreak cases was detected, and the recall notice states that no illnesses were reported. Nevertheless, on September 30, 2025, the manufacturer of the frozen vegetables was added to FDA’s Import Alert 99-23, Detention Without Physical Examination of Produce Due to Contamination With Human Pathogens.

The manufacturer and supplier of the recalled vegetables was International Company For Agricultural Production & Processing (ICAPP), headquartered in Cairo, and with production facilities in Ramadan City, Ash Sharqiyah, Egypt. Both the headquarters location and the production plant site were listed in the Import Alert.

On October 22, 2025, the FDA added another supplier to Import Alert 99-23. This supplier, whose samples were positive for Listeria monocytogenes but did not match the outbreak strain, is identified in the Import Alert as Warminskie Zaklady Przetworstwa Owocowo – Warzywnego sp. o.o of Pomorskie, Poland.

Excerpt from FDA Investigation Report

This would not be the first time that frozen vegetables have been linked to an outbreak of Listeria monocytogenes. In 2016, nine people were infected as a result of consuming frozen vegetables produced by CRF Frozen Foods of Pasco, Washington. A Connecticut resident died as a result of the infection, and two other outbreak victims died from other causes.

A separate outbreak between 2015 and 2018 was responsible for at least 47 illnesses and 9 deaths in Austria, Denmark, Finland, Sweden and the United Kingdom. That outbreak was traced to frozen corn and frozen vegetable mixes from a Hungarian freezing plant.

The author(s) of the FDA investigation report acknowledge that frozen vegetables are an “established vehicle” for Listeria monocytogenes, that the suspect products had an extended shelf life, and that contaminated product might still be in consumers’ homes.

The smoking gun (finding the outbreak strain in a sample of frozen vegetables) wasn’t enough for the FDA and CDC to reach a firm conclusion in this case. Instead, they identifed frozen vegetables as the “suspect vehicle” and withheld this information from the public.

Despite knowing that consumers might still be exposed to contaminated product, and despite the likelihood that frozen vegetables were the source of more than two dozen cases of Listeria monocytogenes, including one death, the FDA and the CDC remained silent.

The FDA could have issued an advisory at the time to alert consumers to the risk. This could have been done without naming the importer or the manufacturer.

The FDA should have alerted the public to this hazard, reminding consumers that frozen vegetables are not ready-to-eat products, but must be cooked thoroughly before being consumed.

The redacted FDA investigation report is an excellent example of redaction overreach.

The FOIA officer redacted information on the number of outbreak cases and their geographic distribution, even though that information was readily available in the CDC outbreak map included in the same report.

Other information that was redacted even though the information was publicly available included: the identity of the companies added to Import Alert 99-23, the details of the 2016 Listeria monocytogenes in the United States, and the details of the 2015-2018 outbreak in several European countries.

Certainly, proprietary information (e.g., product formulations and supply chain information) should be redacted as a matter of course. But, there is absolutely no justification to redacting information that is readily available to the public from other published sources.

Here is a link to the full redacted FDA Investigation Report as supplied to eFoodAlert in response to our FOIA request.


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Chapter 6. Birth of a Pathogen

OP-ED: It’s time for states to step up for food safety

Donald Trump and his acolyte, RFK, Jr., vowed to “Make America Healthy Again.”

They lied.

Watch what they do, not what they say.

Rachel Maddow, MSNBC host
  • RFK, Jr. fired every single member of FDA’s media communications team, including its director.
  • The proposed 2026 budget for the FDA outlines plans to shift the responsibility for routine food safety inspections to the states.
  • The 2026 FDA budget also proposes an overall reduction in full-time equivalent staffing for the Human Foods Program of 7.6%, with the Office of Investigations and Inspections reduced by 2.0%, and the Field Laboratory Operations by 54.4%.
  • Staff cuts at the FDA have already put the brakes on the agency’s ability to trace the source of foodborne disease outbreaks. In 2024, the agency investigated a total of 26 outbreaks and identified the source of 20 (77%). In 2025, the FDA has closed its investigation of 11 outbreaks after identifying the source of only 4 (36%); an additional 11 investigations remain under investigation, with a food source having been identified in four (36%).
  • The CDC has reduced its active surveillance of foodborne pathogens from six target organisms to just two, claiming lack of funding.
  • RFK, Jr. and Secretary of Agriculture, Brooke Rollins proposed allowing bird flu to “rip through” infected poultry flocks instead of culling the flocks to prevent further spread.
  • The USDA withdrew its proposed rule that, for the first time, would have placed (very lenient) limits on the presence of certain Salmonella strains in raw poultry.
  • Staff cuts at the USDA’s Animal and Plant Health Inspection Service have reduced the agency’s ability to combat livestock diseases, including bird flu.
  • The US Justice Department unit that used to handle drug and food safety cases on behalf of the FDA has been disbanded.
  • The EPA has rolled back clean air standards and eased limits on pesticide use.

What can US consumers expect as a result of these roll-backs?

  • More foodborne disease, including more hospitalizations and deaths
  • More outbreaks going unreported and unsolved
  • Inconsistent food safety inspection standards from state to state

I have been a food safety microbiologist for more than fifty years. I have worked both in government and in the private sector.

During my entire career, I have advocated for a single agency to oversee food safety—an agency with Cabinet-level representation that would replace the current fragmented regulatory system in the United States.

But desperate times require desperate measures. The federal government is not doing its job. Nor does it plan to in the future.

The various states that have the resources to do so must take action to protect their population from the failures of the federal government.

Democrat-led states on both coasts have already acted to counter the CDC vaccine panel’s new recommendations that would restrict access to respiratory (Covid-19, influenza, and RSV), MMRV, and Hepatitis B vaccines.

The West Coast Alliance is comprised of California, Oregon, Washington, and Hawaii. The Northeast Public Health Collaborative includes New York, Pennsylvania, New Jersey, Connecticut, Massachusetts, Maine and Rhode Island, as well as New York City’s Department of Health.

If a state government can override federal recommendations on vaccine access, the state also can superimpose its own food safety regulations on those handed down by the FDA and USDA in order to protect its population from disease.

I propose that the West Coast Alliance be extended to encompass food safety, including the following actions:

  • Develop and implement a common set of inspection standards for produce and processed foods originating in California, Oregon, Washington, and Hawaii.
  • Embargo all shipments of produce and processed foods originating from outside the borders of its member states unless each individual shipment is accompanied by a Certificate of Analysis issued by an accredited laboratory.
  • Regulate discharge emanating from concentrated animal feeding operations (CAFOs) in the member states—discharge that pollutes the soil in which crops are grown and the water used to irrigate those crops.

I am not suggesting these actions will be easy or inexpensive. But, as the federal government no longer appears to be interested in protecting the public from unsafe food, the states that are able to do so must take over.


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

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Chapter 6. Birth of a Pathogen

10 Listeria monocytogenes illnesses linked to ready-to-eat foods

100% OF PERSONS INTERVIEWED WERE ALREADY HOSPITALIZED BEFORE BECOMING INFECTED

The US Centers for Disease Control and Prevention (CDC) is investigating an outbreak of ten Listeria monocytogenes infections that have been linked to a strain of the pathogen found recently by the US Food and Drug Administration (FDA) in an environmental sample collected during a site inspection at Fresh & Ready Foods, LLC (San Fernando, CA).

The outbreak strain was first recovered from a patient in December 2023, and the most recent confirmed case dates back to September 2024. No cases have been reported in 2025.

The CDC investigated this outbreak in 2024. Epidemiological evidence revealed that the outbreak victims were in healthcare settings such as hospitals prior to becoming sick, and the likely source was a food served in those types of institutions. However, there was not enough information available to link the illnesses to a specific food or supplier.

The CDC reopened its investigation in April 2025, when it learned that the outbreak strain had been found during an FDA site inspection at Fresh & Ready Foods.

Outbreak victims range in age from 41 to 87 years, with a median age of 60. Nine of the ten victims were male. Eight of the ten victims lived in California; the other two resided in Nevada at the time they became ill.

Investigators from state and local public health agencies are interviewing outbreak victims to determine what foods they may have eaten in the weeks before becoming ill. Of the six people with information, all six (100%) were hospitalized before becoming sick. Records reviewed from facilities indicated that ready-to-eat foods made by Fresh & Ready Foods were served in at least three of the facilities.

The company has recalled more than 80 products bearing USE-BY dates from 4/22/2025 to 05/19/2025. The recalled products, which were sold under the brand names Fresh & Ready Foods, City Point Market Fresh Food to Go, and Fresh Take Crave Away, were distributed between 04/18/2025 and 04/28/2025 in vending and breakroom areas within corporate offices, medical buildings, and healthcare facilities located in Arizona, California, Nevada, and Washington. 

Fresh & Ready Foods, LLC is under the joint jurisdiction of the USDA’s Food Safety and Inspection Service (Establishment numbers M39892+P39892+V39892) and the FDA.

The FDA inspected the company’s San Fernando, CA, facility on seven occasions between 2009 and 2022. On six of the seven occasions, the operations were classified as either Voluntary Action Indicated (VAI) or Official Action Indicated (OAI).

No Warning Letter appears to have been issued in response to the 2017 (OAI) inspection.

2009: Voluntary Action Indicated

  • Gloves used in food handling are not maintained in an intact, clean, and sanitary condition
  • Sanitizing agents are unsafe under conditions of use
  • Failure to hold ingredients in bulk or in suitable containers so as to protect against contamination.

2010: Voluntary Action Indicated

  • Suitable outer garments are not worn that protect against contamination of food and food contact surfaces
  • Your HACCP plan lists monitoring frequencies that do not ensure compliance with the critical limit
  • Your HACCP plan includes a corrective action plan that is not in accordance with 21 CFR 123.7(b) to ensure affected producct is not entered into commerce
  • Your verification procedures do not include, at a minimum, reassessment of the HACCP plan whenever modifications to the process are made
  • Your records do not include the date and time of the activitiy the record reflects
  • Your sanitation control records do not accurately document the conditions or practices observed at your firm

2011: No Action Indicated

2015: Voluntary Action Indicated

  • You are not monitoring the sanitation conditions and practices with sufficient frequency to assure conformance with Current Good Manufacturing Practices including protection of food, food packaging material, and food contact surfaces from adulteration.
  • You did not maintain your plant in a clean and sanitary condition and keep your plant in repair
  • You did not implement the monitoring procedures listed in your HACCP plan
  • Your HACCP plan does not list the food safety hazards that are reasonably likely to occur
  • Your HACCP plan does not list one or more critical control points that are necessary for each of the identified food safety hazards

2018: Voluntary Action Indicated

  • You did not implement the monitoring procedures listed in your HACCP plan
  • You are not monitoring the sanitation conditions and practices with sufficient frequency to assure conformance with Current Good Manufacturing Practices including prevention of cross-contamination from insanitary objects

2022: Voluntary Action Indicated

  • Your hazard analysis did not identify a known or reasonably foreseeable hazard that required a preventive control
  • Your process controls procedures did not include appropriate parameters and maximum/minimum values
  • Your HACCP plan does not list the food safety hazards that are reasonably likely to occur
  • Your HACCP plan lists monitoring procedures and frequencies that do not ensure compliance with the critical limit

The joint investigation by the CDC, the FDA, and the USDA is ongoing. Here are the FDA’s recommendations for keeping yourself and your loved ones safe.

Recommendations

  • Consumers, distributors, and foodservice customers, who purchased or received recalled Ready-to-Eat (RTE) foods manufactured by Fresh & Ready Foods, LLC, should not eat, sell, or serve these products. 
  • Foodservice customers, retailers and consumers who purchased or received the recalled products, should carefully clean and sanitize any surfaces or containers that it touched. Follow FDA’s safe handling and cleaning advice to reduce the risk of cross-contamination. Listeria can survive in refrigerated temperatures and can easily spread to other foods and surfaces.
  • If you or your family member have symptoms of listeriosis you should contact your health care provider to report your symptoms and receive care.
     

Recommendations for At-Risk Groups

  • Listeria is most likely to sicken pregnant women and newborns, adults aged 65 or older, and people with weakened immune systems. Other people can be infected with Listeria, but they rarely become seriously ill.
  • Pregnant women typically experience only fever, fatigue, and muscle aches. However, Listeria infection during pregnancy can lead to miscarriage, stillbirth, premature delivery, or life-threatening infection of the newborn.
  • Call your healthcare provider right away if you have symptoms of a Listeria infection.

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