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CIDRAP FOOD OUTBREAK SCAN: Crab meat Vibrio outbreak; Cyclospora outbreak expands

Shiloh

Editor, Senior Moderator
Source: http://www.cidrap.umn.edu/news-perspective/2018/07/food-outbreak-scan-jul-16-2018


Food Outbreak Scan for Jul 16, 2018
Crab meat Vibrio outbreak; Cyclospora outbreak expands

Filed Under:
Vibrio; Cyclospora; Foodborne Disease


Imported crab meat linked to multistate Vibrio outbreak Federal health officials are investigating a Vibrio parahaemolyticus outbreak linked to fresh crab meat imported from Venezuela that has sickened 12 people in three states and the District of Columbia.
The US Centers for Disease Control and Prevention (CDC) said in a Jul 13 announcement that illness onsets range from Apr 1 to Jul 3, and four people have been hospitalized. No deaths have been reported. Cases are in Maryland, Louisiana, and Pennsylvania.
Health officials are using PulseNet, the national subtyping network, to identify other illnesses that might be part of the outbreak. Whole-genome sequencing has shown that the isolates from sick patients are closely related, suggesting a common illness source.
Maryland's health department first detected the outbreak when it identified Vibrio infections in people who ate crab meat, the CDC said. The preliminary trace-back investigation revealed that the crab meat was imported from Venezuela.
The CDC recommends that consumers not eat, restaurants not serve, and retailers not sell precooked fresh crab meat imported from Venezuela.
Food and Drug Administration (FDA) and state officials are determining if the crab meat was sold in other states. In its announcement on the investigation, the FDA said most people experience symptoms?which include diarrhea, vomiting, abdominal cramps, and fever?about 24 hours after exposure to food contaminated with V parahaemolyticus.
Jul 13 CDC outbreak announcement
Jul 14 FDA outbreak announcement


[h=3]Cyclospora outbreak tied to McDonald's salads sickens 61 in 7 states[/h] A Cyclospora outbreak with a suspected link to salads sold at McDonald's restaurants has sickened 61 people in seven states, the FDA said in a Jul 13 statement.
Infections and the suspected connection to McDonald's salads were first announced a few days ago by health officials in Indiana and Iowa. Affected states are Iowa, Illinois, Minnesota, Missouri, Nebraska, South Dakota, and Wisconsin.
The FDA said McDonald's has voluntarily stopped selling salads at affected restaurants across 14 states?those with cases plus Ohio, Indiana, Michigan, Montana, North Dakota, Kentucky, and West Virginia.
FDA Commissioner Scott Gottlieb, MD, said in the agency's statement that a lot has yet to be learned about the outbreak and that McDonald's is actively working with the FDA to identify common ingredients in salads eaten by patients who got sick and trace the items through the supply chain.
So far, there's no evidence that this Cyclospora outbreak is linked to the one associated with Del Monte fresh vegetable trays. Caused by the Cyclospora cayetanensis parasite, cyclosporiasis symptoms include watery diarrhea, appetite loss, cramping, bloating, and fatigue.
Jul 13 FDA statement
 
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