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CIDRAP NEWS SCAN: Cyclospora outbreak grows; Variant H1N2 flu case in Brazil

Shiloh

Editor, Senior Moderator
Source: https://www.cidrap.umn.edu/news-perspective/2020/07/news-scan-jul-10-2020

News Scan for Jul 10, 2020
Cyclospora outbreak grows; Variant H1N2 flu case in Brazil
Filed Under:
Cyclospora; Foodborne Disease; Influenza, General; Swine Influenza



CDC confirms 300 more Cyclospora cases in bagged salad outbreak

The Centers for Disease Control and Prevention (CDC) said there were 303 additional cases of cyclosporiasis in a multistate outbreak linked to bagged salads sold at major grocery stores.
The CDC said 509 people in eight states have been sickened. Thirty-three people have been hospitalized, but there have been no deaths.
"Products were sold in many states under either the brand name Fresh Express or the store brand labels ALDI Little Salad Bar, Giant Eagle, Hy-Vee, Jewel-Osco Signature Farms, ShopRite Wholesome Pantry, and Walmart Marketside," the CDC said. On Jun 27, Fresh Express recalled brand and private label brand salad products produced at its Streamwood, Illinois, facility because of possible Cyclospora contamination.
Cases have been identified in eight Midwestern states—Illinois, Iowa, Kansas, Minnesota, Missouri, Nebraska, North Dakota, and Wisconsin—with symptom-onset dates ranging from May 11 to Jul 1.
The Public Health Agency of Canada is also investigating a 37-case outbreak of Cyclospora infections occurring in three Canadian provinces. The CDC said exposure to Fresh Express brand salad is the likely source of that outbreak, as well.
Jul 9 CDC update

H1N2v flu infection reported in Brazilian slaughterhouse worker

Brazil has reported a variant H1N2 (H1N2v) influenza infection in a 22-year-old woman from Parana state who worked in a swine slaughterhouse, the World Health Organization (WHO) said yesterday.
The woman's flulike symptoms began on Apr 12, and after seeking medical care a few days later, health workers obtained a respiratory specimen as part of routine surveillance. She was treated with oseltamivir, wasn't hospitalized, and has since recovered.
After the public health lab identified an unsubtypable influenza A virus, genetic sequencing at the Oswaldo Cruz Institute on Jun 22 identified an H1N2v flu virus. Further characterization of the virus is still under way.
On Jun 26, local health officials launched an investigation at the slaughterhouse and in the communities where its workers live, which found that another slaughterhouse worker had respiratory symptoms when the woman did, but no samples had been collected. The WHO said further investigation will yield information to assess the likelihood of human-to-human transmission.
The WHO said 26 H1N2v cases have been reported to the WHO since 2005, including 2 from Brazil. Most patients had mild infections, and no evidence of person-to-person spread was observed. The agency added that most infections are related to swine exposure, and because the viruses continue to be detected in swine populations globally, more human cases are expected.
Jul 9 WHO statement
 
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