Friday, August 31, 2018

PRO/AH/EDR> Salmonellosis, st I 4,[5],12:i:- - USA (02): kosher chicken, alert, CDC

SALMONELLOSIS, SEROTYPE I 4,[5],12:I:- - USA (02): KOSHER CHICKEN,
ALERT, CDC
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Date: Wed 29 Aug 2018
Source: CDC, _Salmonella_ Homepage, 2018 Outbreaks [edited]
<https://www.cdc.gov/salmonella/chicken-08-18/index.html>


Outbreak of _Salmonella_ infections linked to chicken
-----------------------------------------------------
CDC, public health and regulatory officials in several states, and the
US Department of Agriculture's Food Safety Inspection Service
(USDA-FSIS) are investigating a multistate outbreak of _Salmonella_ I
4,[5],12:i:- infections linked to kosher chicken.

Public health investigators are using the PulseNet system to identify
illnesses that may be part of this outbreak. PulseNet is the national
subtyping network of public health and food regulatory agency
laboratories coordinated by CDC. DNA fingerprinting is performed on
_Salmonella_ bacteria isolated from ill people by using techniques
called pulsed-field gel electrophoresis (PFGE) and whole genome
sequencing (WGS). CDC PulseNet manages a national database of these
DNA fingerprints to identify possible outbreaks. WGS gives a more
detailed DNA fingerprint than PFGE. WGS performed on _Salmonella_ from
ill people in this outbreak showed that they are closely related
genetically. This means that the ill people are more likely to share a
common source of infection.

As of 27 Aug 2018, 17 people infected with the outbreak strain of
_Salmonella_ I 4,[5],12:i:- have been reported from 4 states.

State / Ill people
Maryland / 1
New York / 11
Pennsylvania / 4
Virginia / 1
Total / 17

Illnesses started on dates from 25 Sep 2017 to 4 Jun 2018. Ill people
range in age from less than 1 year to 76, with a median age of 14. 53
percent are female. Of 16 people with information available, 8 (50%)
have been hospitalized, including a death reported from New York.
Illnesses may continue to be reported due to the time it takes between
when a person becomes ill and when the illness is reported.

Investigation of the outbreak
-----------------------------
In interviews, ill people answered questions about the foods they ate
and other exposures in the week before they became ill. Of 14 people
interviewed, all (100%) reported eating chicken products. Of 9 people
who reported brand information, 7 reported specifically eating Empire
Kosher brand chicken.

The outbreak strain of _Salmonella_ I 4,[5],12:i:- has been identified
in samples from raw chicken collected at 2 facilities, including one
that processes Empire Kosher brand chicken. The samples collected by
USDA-FSIS at the slaughter and processing establishments were part of
USDA-FSIS' routine testing under the _Salmonella_ performance
standards. WGS showed that the _Salmonella_ strain from these samples
is closely related genetically to the _Salmonella_ strain from ill
people.

Available data indicate that some kosher chicken products are
contaminated with this strain of _Salmonella_ I 4,[5],12:i:- and have
made people sick. Consumers should be aware that any raw chicken may
be contaminated with germs and should always follow steps to prevent
salmonellosis from these products.

--
Communicated by:
ProMED-mail
<promed@promedmail.org>

[This is the CDC report regarding an outbreak of salmonellosis
associated with kosher chicken occurring in 4 eastern USA states,
primarily New York. Since salmonellosis is a hazard from a variety of
foodstuffs including chicken, any raw chicken should be appropriately
cooked, practicing good kitchen hygiene to avoid contamination of the
kitchen and the food after it is cooked. - Mod.LL

HealthMap/ProMED map available at:
United States: <http://healthmap.org/promed/p/106>]

[See Also:
Salmonellosis, st I 4,[5],12:i:- - USA: kosher chicken, alert
http://promedmail.org/post/20180828.5991209
Salmonellosis - USA (10): (MO) cluster, church picnic
http://promedmail.org/post/20180820.5977244
Salmonellosis - USA (09) : (WA) smoothies, st Braenderup
http://promedmail.org/post/20180820.5975357
Salmonellosis - USA (08): (MO) cluster, unclear source
http://promedmail.org/post/20180813.5963548
Salmonellosis, st Sandiego, subsp IIIb - USA: pasta salad, alert,
recall http://promedmail.org/post/20180803.5944174
Salmonellosis - USA (07): live poultry, multiple serotypes
http://promedmail.org/post/20180801.5941685
Salmonellosis, st Reading - USA (02): raw turkey products
http://promedmail.org/post/20180723.5920197
Salmonellosis, st Mbandaka - USA (02): breakfast cereal, alert, recall
http://promedmail.org/post/20180713.5902536
Salmonellosis, serotype Adelaide - USA (02) : pre-cut melon, increased
cases http://promedmail.org/post/20180621.5866494
Salmonellosis, st Mbandaka - USA: breakfast cereal, alert, recall
http://promedmail.org/post/20180615.5858005
Salmonellosis - USA (06): live poultry, multiple serotypes
http://promedmail.org/post/20180610.5848079
Salmonellosis, st Adelaide - USA: pre-cut melon
http://promedmail.org/post/20180609.5848045
Salmonellosis, st I 4,[5,12:b:- - USA (05): kratom, multiple serotypes
http://promedmail.org/post/20180527.5820928
Salmonellosis - USA (05): (Chicago) jail inmates
http://promedmail.org/post/20180510.5791825
Salmonellosis, st Newport - USA: ground beef from dairy cows,
2016-2017 http://promedmail.org/post/20180428.5771197
Salmonellosis, st. Braenderup - USA: eggs, recall
http://promedmail.org/post/20180416.5748263
Salmonellosis, st I 4,[5,12:b:- - USA (04): kratom, mult. st, FDA
mand. recall http://promedmail.org/post/20180406.5729074
Salmonellosis, st Typhimurium - USA (04): dried coconut
http://promedmail.org/post/20180324.5706748
Salmonellosis, st I 4,[5,12:b:- - USA (03): kratom, multiple serotypes
http://promedmail.org/post/20180317.5692509
Salmonellosis, st Agbeni - USA: pet turtles
http://promedmail.org/post/20180314.5686835
Salmonellosis, st Typhimurium - USA (03): chicken salad, CDC report
http://promedmail.org/post/20180308.5674217
Salmonellosis, st Enteritidis - USA: guinea pig exposure
http://promedmail.org/post/20180307.5671605
Salmonellosis, st I 4,[5,12:b:- - USA (02): kratom
http://promedmail.org/post/20180303.5663068
Salmonellosis - USA (04) : (CO) restaurant chain
http://promedmail.org/post/20180228.5656936
Salmonellosis, st Typhimurium - USA (02): chicken salad, CDC report
http://promedmail.org/post/20180223.5646560
Salmonellosis, st I 4,[5,12:b:- - USA: kratom
http://promedmail.org/post/20180220.5640222
Salmonellosis, st Typhimurium - USA: (IA, MN) chicken salad, alert,
recall http://promedmail.org/post/20180218.5635548
Salmonellosis, st I 4,[5,12:b:- and Newport - USA (02): frozen
coconut, recall http://promedmail.org/post/20180217.5633342
Salmonellosis - USA (03): (IA) chicken salad, alert, recall
http://promedmail.org/post/20180214.5628958
Salmonellosis - USA (02): (CO) restaurant, fatal
http://promedmail.org/post/20180212.5622263
Salmonellosis, st Reading - USA: (MN) children, raw pet food, alert,
recall http://promedmail.org/post/20180211.5620484
Salmonellosis, st Montevideo - USA: restaurant chain, sprouts
http://promedmail.org/post/20180121.5574088
Salmonellosis, st I 4,[5,12:b:- and Newport - USA: frozen coconut,
alert, recall http://promedmail.org/post/20180117.5565073
Salmonellosis - USA: frozen coconut, alert, recall
http://promedmail.org/post/20180110.5550279]
.................................................ll/mj/dk
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