CDC Updates Numbers for Salmonella Outbreak Linked to Cargill Ground Turkey
The CDC has released updated information on the Salmonella outbreak linked to ground turkey processed by Cargill Meat Solutions Corporation in Springdale, Arkansas. A total of 136 persons infected with the outbreak strain of Salmonella Heidelberg were reported from 34 states with illness onset dates between February 27 and September 13, 2011. The number of ill persons identified in each state was as follows: Alabama (1), Arkansas (1), Arizona (3), California (7), Colorado (4), Connecticut (1), Georgia (2), Illinois (16), Indiana (2), Iowa (2), Kansas (3), Kentucky (2), Louisiana (1), Massachusetts (4), Maryland (1), Michigan (12), Minnesota (2), Mississippi (2), Missouri (7), Nebraska (2), Nevada (1), New Jersey (1), New York (3), North Carolina (4), Ohio (12), Oklahoma (2), Oregon (1), Pennsylvania (8), South Dakota (3), Tennessee (2), Texas (18), Utah (1), Vermont (1), and Wisconsin (4).

Among persons for whom information was available, illnesses began on or after February 27, 2011. Ill persons ranged in age from less than 1 year to 90 years old, with a median age of 23 years old. Fifty-five percent were male. Among the 94 ill persons with available information, 37 (39%) were hospitalized. One death was reported.
Evidence Implicating Cargill Ground Turkey
Collaborative investigative efforts of state, local, and federal public health and regulatory agencies indicated that ground turkey was the likely source of this outbreak.
Among the 94 ill persons with available information, 51 (54%) reported consuming ground turkey. This proportion was significantly higher than results from a survey of healthy persons in which 11% of persons interviewed reported consuming ground turkey in the 7 days before they were interviewed. Product information (such as date and location of purchase of ground turkey) was collected from ill persons and was used by local, state, and federal public health, agriculture, and regulatory agencies to further the investigation.
Cultures of five ground turkey samples purchased from five retail locations between March 7 and June 27, 2011, yielded Salmonella Heidelberg with the outbreak strain. PFGE patterns from these Salmonella bacteria were added to the PulseNet database between April 11 and July 12, approximately a month after each sample was collected. Preliminary information indicated that all of these products originated from a common food-production establishment (Cargill Meat Solutions Corporation in Springdale, Arkansas). These products were obtained as part of routine sampling in the National Antimicrobial Resistance Monitoring System (NARMS) and were not linked to illnesses. In addition, a sample of leftover, unlabeled frozen ground turkey was collected by public health officials from the home of an ill person infected with the outbreak strain of Salmonella Heidelberg in Ohio. Culture of the ground turkey sample yielded the outbreak strain on July 29, 2011.
In addition to the outbreak strain, with the “initial” PGFE pattern, a Salmonella Heidelberg with a second closely related PFGE pattern was identified in the contaminated leftover product. Since February 27, 2011, a total of 27 ill persons have been reported to PulseNet with this closely related PGFE pattern. Among the 13 such patients who have been interviewed, 12 (92%) reported consumption of ground turkey in the week before their illness began. The closely related PGFE pattern was also found in a retail sample of ground turkey taken as part of NARMS surveillance. This retail sample originated from Cargill Meat Solutions Corporation establishment in Springdale, Arkansas. Based on these findings, the 27 ill persons with this second closely related PFGE pattern of Salmonella Heidelberg were included in the total count of outbreak cases.
Drug Resistant Strain of Salmonella Heidelberg
This was a multi-drug resistant strain of Salmonella Heidelberg. As of September 12, 2011, investigators collected antibiotic resistance information on isolates from 12 samples of ground turkey collected at retail and from 23 ill persons infected with the outbreak strain of Salmonella Heidelberg. The isolates from the ground turkey samples were resistant to antibiotics including ampicillin, streptomycin, tetracycline, and gentamicin. The sensitivity testing results indicated that isolates from humans were also resistant to ampicillin and tetracycline, and some were resistant to streptomycin and gentamicin. All human isolates were sensitive to several common antibiotics used in clinical practice such as ciprofloxacin, ceftriaxone, and trimethoprim-sulfamethoxazole. Antimicrobial resistance may increase the risk of hospitalization or possible treatment failure in infected individuals.
Cargill Ground Turkey Recall
On August 3, 2011, Cargill Meat Solutions Corporation, a Springdale, Arkansas, establishment, recalled approximately 36 million pounds of ground turkey products that may have been contaminated with a multi-drug resistant strain of Salmonella Heidelberg. The products subject to recall were all comprised of ground turkey meat and had the establishment number "P-963" inside the USDA mark of inspection.
On September 11, 2011, Cargill Meat Solutions Corporation recalled another 185,000 pounds of ground turkey products after product samples at the plant tested positive for the outbreak strain of Salmonella Heidelberg based on sample results from an intensive in-plant investigation performed by FSIS. On September 27, 2011 FSIS reported
that one positive sample was confirmed to have the outbreak strain and the isolate was multidrug resistant.

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Davies is now surveying Fair attendees In order to identify specific activities at the Fair which may have been the source of illness. Her investigators need to interview people who attended the Fair but did not get sick and they will be calling some participants randomly to ask even more questions.

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Jimmy John’s restaurants have voluntarily suspended serving alfalfa sprouts at their Illinois franchise locations and the Food and Drug Administration has warned consumers not to eat Tiny Greens Organic Farm’s Alfalfa Sprouts and Spicy Sprouts.
The FDA said that nearly all Illinois victims ate Jimmy John's sandwiches containing sprouts. Jimmy John’s has stopped serving sprouts on its sandwiches at all Illinois locations.
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National food safety law firm Pritzker Olsen is representing various victims of this cheese E. coli outbreak and has established a claims center for members of the public to receive free case consultations for litigation purposes. The number to call is 1-888-377-8900 (toll free) or complete the contact form on the side of this Web site.
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Bravo Farms Co-owner Bill Boersma told the
“The investigation of this outbreak may take time. We are calling on Costco and Bravo Farms to pay the medical bills of the E. coli victims immediately,” said
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Besides Colorado, the Costco cheese E. coli outbreak has sickened 11 in Arizona, 1 in California, 3 in New Mexico and 2 in Nevada. The Centers for Disease Control and Prevention (CDC) indicates that nine of these Gouda cheese E. coli outbreak victims were hospitalized, including one possible case of
The state health department ordered Sangar to stop processing food and recall all products shipped form the plant since January. According to a story in the San Antonio Express newspaper, Sangar President Kenneth Sanquist Jr. is refuting the state's findings.
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At that time, the cause wasn't known. But this week the Texas Department of State Health Services confirmed a link to Listeria bacteria found in chopped celery from the Sangar plant. The state ordered a recall of all products shipped from Sangar Fresh Cut Produce since January. The illnesses occurred in Bexar, Travis and Hidalgo counties.
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The announcement regarding this California Salmonella Egg outbreak came the same day that Iowa-based Wright County Egg expanded its
Since mid-May in Texas, there have been more than 150 
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The USDA's Food Safety and Inspection Service (FSIS) said the recall was prompted by possible 
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On average, food poisoning costs $1,850 per case nationwide, or $152 billion annually.
The FDA has announced in a press release that microbiological testing of ingredients manufactured by a supplier to Daniele has found the outbreak strain of Salmonella Montevideo in crushed red pepper.
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“As a customer of NSP (National Steak and Poultry) we took immediate action when learning of this recall,'' Applebee's spokeswoman Nancy Mays said.
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According to the final CDC update on the outbreak, two samples from opened packages of ground beef recovered from a patient's homes were tested by the Massachusetts and Connecticut Departments of Health and yielded .jpg)
