Wednesday, September 5, 2018

PRO/AH/EDR> Salmonellosis, st Mbandaka - USA (03): breakfast cereal, alert, recall

SALMONELLOSIS, SEROTYPE MBANDAKA - USA (03): BREAKFAST CEREAL, ALERT,
RECALL
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Date: Tue 4 Sep 2018
Source: CDC, _Salmonella_ Homepage, 2018 Outbreaks [edited]
<https://www.cdc.gov/salmonella/Mbandaka-06-18/index.html>


Multistate outbreak of _Salmonella_ Mbandaka infections linked to
Kellogg's Honey Smacks Cereal
----------------------------------------------------------------------
Case count update
-----------------
Since the last update on 12 Jul 2018, 30 ill people have been added to
this investigation. As of 30 Aug 2018, 130 people infected with the
outbreak strain of _Salmonella [enterica_ serotype] Mbandaka have been
reported from 36 states.

State / Case count
------------------
Alabama / 2
Arizona / 3
California / 11
Colorado / 2
Connecticut / 4
Delaware / 1
Florida / 3
Georgia / 2
Illinois / 1
Indiana / 4
Kentucky / 2
Louisiana / 3
Maine / 1
Maryland / 2
Massachusetts / 9
Michigan / 4
Minnesota / 1
Mississippi / 2
Montana / 2
North Carolina / 5
New Hampshire / 2
New Jersey / 5
New York / 15
Ohio / 2
Oklahoma / 2
Oregon / 2
Pennsylvania / 11
Rhode Island / 2
South Carolina / 2
Tennessee / 3
Texas / 3
Utah / 3
Virginia / 5
Washington / 3
Wisconsin / 2
West Virginia / 4
-----------------
Total / 130

Illnesses started on dates from 3 Mar 2018 to 7 Aug 2018. Ill people
range in age from less than one year to 95, with a median age of 57.
Of ill people, 69 percent are female. Out of 98 people with
information available, 34 (35 percent) have been hospitalized. No
deaths have been reported.

Illnesses that occurred after 4 Aug 2018, might not yet be reported
due to the time it takes between when a person becomes ill and when
their illness is reported. This takes an average of 2 to 4 weeks.

Investigation update
--------------------
State and local health officials continue to interview ill people and
ask questions about the foods they ate and other exposures in the week
before they became ill. In interviews, 61 (77 perent) of 79 people
specifically reported eating Kellogg's Honey Smacks cereal. Ill people
in this outbreak reported this cereal more often than any other
cereals or food items.

The Kellogg Company recalled all Honey Smacks products that were on
the market within the cereal's one-year shelf-life. However, Honey
Smacks products with earlier dates could also potentially be
contaminated. People who recently became ill report eating Kellogg's
Honey Smacks cereal that they had in their homes. Do not eat Kellogg's
Honey Smacks cereal of any size package or with any "best if used by"
date.

If you see Kellogg's Honey Smacks cereal available for sale, do not
buy it. Retailers should not sell or serve any Kellogg's Honey Smacks
cereal.

CDC will provide updates when more information is available.

--
Communicated by:
ProMED-mail Rapporteur Mary Marshall

[Breakfast cereal is an unusual vehicle for salmonellosis, but it has
occurred previously. No details are yet available regarding the method
of contamination of the product. Cases are occurring after the initial
recall announcement. This is either because the recall has not removed
all the Honey Smacks from the shelves or the breakfast cereal remains
"active" in peoples homes. - Mod.LL

HealthMap/ProMED-mail map of the United States:
<http://healthmap.org/promed/p/106>]

[See Also:
Salmonellosis, st I 4,[5],12:i:- - USA (02): kosher chicken, alert,
CDC http://promedmail.org/post/20180831.5999770
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/mpp
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