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CIDRAP- NEWS BRIEFS December 2, 2024

Lance

MPH, CSP & CIT Retired, CHMM Emeritus
https://www.cidrap.umn.edu/all-news

New 68-case Salmonella outbreak linked to cucumbers from Mexico



News brief

Today at 1:30 p.m.
Stephanie Soucheray, MA
Topics

Salmonella

Foodborne Disease

Federal health officials have announced a Salmonella outbreak tied to cucumbers imported from Mexico that has sickened 68 people across 19 states.

SunFed Produce, LLC, has issued a voluntary recall for the vegetables sold from October 12, 2024, to November 26, 2024. The Food and Drug Administration (FDA) said the American slicer cucumbers were packaged in bulk cardboard containers labeled with the SunFed label in a generic white box or black plastic crate with a sticker that reads, "Agrotato, S.A. de C.V."

"FDA is working with SunFed Produce, LLC and their direct customers to determine if additional downstream customer recalls are necessary," the agency said.

According to the Centers for Disease Control and Prevention (CDC), as of November 26, 2024, a total of 68 people infected with the outbreak strain of Salmonella have been reported in 19 states. Illness-onset dates range from October 12, 2024, to November 16, 2024.

18 people hospitalized


Of the 50 people for whom information is available, 18 have been hospitalized. No deaths have been reported. Of 33 people interviewed by health officials, 27 (82%) reported eating cucumbers in the days prior to illness.

Montana has reported the most cases, with 16. Colorado follows with 8 and Oregon with 7. Texas has 5 cases and South Dakota has 4. The median age of those sickened is 27, and 66% are females.

CDC and states identified six illness sub-clusters at two assisted living facilities, three school districts, and one restaurant.

"CDC and states identified six illness sub-clusters at two assisted living facilities, three school districts, and one restaurant," the CDC said in its outbreak report. "An illness sub-cluster is a group of unrelated people who all ate at the same location or event, such as a restaurant, long-term care facility, or school. Cucumbers were served at these six sub-cluster locations."


UK reports fifth imported mpox case


News brief

Today at 1:20 p.m.
Stephanie Soucheray, MA
Topics

Mpox
The United Kingdom (UK) has reported its fifth clade 1b mpox case, which isn't part of the family cluster involving the previous four cases. The new case is in a patient from Leeds who had recently traveled to Uganda.

This case has no links to the previous cases identified.

"This is the fifth case of Clade Ib mpox confirmed in England in recent weeks. This case has no links to the previous cases identified. All 4 previous cases were from the same household and all have now fully recovered," said the UK Health Security Agency in a report.

Clade 1b has been causing mpox outbreaks across Africa, especially in the Democratic Republic of the Congo (DRC). It has also been detected in the UK, Canada, Sweden, India, Thailand, and Germany.

UK health officials said the overall threat to the UK population remains low.

2,680 new cases in Africa


In related news, late last week Africa CDC reported 2,680 new cases in the most recent reporting week, mostly from Burundi, the DRC, and Uganda. Cameroon reported new cases after six weeks, and cases have been reported from a new part of Ivory Coast.

The DRC and Burundi accounted for 96% of new cases. Children under the age of 15 account for 38% of the cases, and men make up 53.3% of cases overall.

Several African nations are now entering their fourth week with no new cases: South Africa, Cameroon, Gabon, Guinea, and Rwanda.


First CWD cases in deer outside of containment zone reported in West Virginia


News brief

Today at 12:41 p.m.
Mary Van Beusekom, MS
Topics

Chronic Wasting Disease
The first cases of chronic wasting disease (CWD) outside of West Virginia's Potomac Highlands and Eastern Panhandle management zone have been discovered in captive white-tailed deer in the north-central part of the state, MetroNews reports.

Kent Leonhardt, West Virginia Commissioner of Agriculture, told the news outlet that the first positive CWD test was documented in September after a number of captive deer on a farm died of epizootic hemorrhagic disease (EHD), which affected deer in many parts of the state this year amid drought. He said the deer likely died of EHD but also had CWD.

The farmer has been very cooperative and we're trying to get a very humane depopulation done so that it doesn't continue to spread, but at the same time we've got to make sure the farmer is properly compensated.

Kent Leonhardt

They were the state's first CWD cases from a captive-deer facility, which has been quarantined. "Right now we believe it has been contained," Leonhardt said. "The farmer has been very cooperative and we're trying to get a very humane depopulation done so that it doesn't continue to spread, but at the same time we've got to make sure the farmer is properly compensated."

One CWD-positive deer from the farm had been transferred to another facility in the state 2 days before its CWD status was known. That facility wasn't quarantined.

West Virginia's CWD containment zone was established more than a decade ago after detections in wild deer.

CWD caused by prions, EHD by virus


Caused by misfolded infectious proteins called prions, CWD is a fatal neurodegenerative disease that affects cervids such as deer, elk, moose, and reindeer. CWD can spread from animal to animal and through environmental contamination. The disease isn't known to infect humans, but authorities advise against eating meat from a sick animal and recommend using precautions when handling carcasses.

EHD is a viral disease transmitted primarily to white-tailed deer by tiny biting flies called midges. The fatal disease can also affect mule deer, pronghorn antelope, and domestic sheep, cows, and goats. It typically causes fever, loss of appetite, weakness, loss of fear of humans, and swelling of the head or neck. Death usually occurs within 8 to 36 hours of symptom onset.

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