From: U.S. Food & Drug Administration (FDA) [mailto:fda@service.govdelivery.com]
Sent: Wednesday, September 09, 2015 5:00 PM
To: Vern L. Johnson
Subject: FDA Foodborne Illness Outbreak Investigation Update
You are subscribed to" FDA Foodborne Illness Outbreak investigation Update." There is new information available on this topic below, and for your convenience the update is below with new information in bold print.
http://www.fda.gov/Food/RecallsOutbreaksEmergencies/Outbreaks/ucm461317.htm
What is the Problem and What is Being Done About It?
The FDA, CDC, and state and local officials are investigating a multistate outbreak of
Salmonella Poona linked to “slicer” cucumbers, supplied by Andrew and Williamson Fresh Produce and grown in Baja, Mexico. This type of cucumber can also be called “American” cucumbers.
According
to the CDC,
as of September 8, 2015, 341 people infected with the outbreak strains of Salmonella Poona have been reported from 30 states. The number of ill people reported from each state
is as follows: Alaska (9), Arizona (66), Arkansas (6), California (72), Colorado (14), Hawaii (1), Idaho (8), Illinois (6), Kansas (1), Kentucky (1), Louisiana (4), Minnesota (12), Missouri (8), Montana (10), Nebraska (2), Nevada (7), New Mexico (18), New
York (4), North Dakota (1), Ohio (2), Oklahoma (8), Oregon (8), Pennsylvania (2), South Carolina (7), Texas (18), Utah (30), Virginia (1), Washington (10), Wisconsin (2), and Wyoming (3). Illnesses started on dates ranging from July 3, 2015 to August 30, 2015.
Seventy people have been hospitalized, and two deaths have been reported from California (1) and Texas (1).
In interviews, ill people answered questions about foods eaten and other exposures in the week before their illness began.
Ninety-one (68%) of 134 people interviewed reported eating cucumbers. This proportion was significantly higher than results from a survey of healthy people in which 55% reported eating
cucumbers in the month of July in the week before they were interviewed.
Federal and state authorities identified clusters of people made ill in separate geographic areas and worked to trace the distribution of the
food they ate back to a common supplier. The results of the traceback investigation indicate that Andrew and Williamson Fresh Produce, of San Diego, Calif., was a common supplier of cucumbers that were eaten by the people in these illness clusters.
Several state health and agriculture departments are collecting and testing leftover cucumbers from retail locations for the presence
of Salmonella. The Nevada Department of Health and Human Services isolated one of the outbreak strains of Salmonella Poona from a cucumber collected from a retail location. The Arizona Department of Health Services and the Montana Department of Public Health
and Human Services isolated Salmonella from cucumbers collected from retail locations. Preliminary information indicates that these cucumbers were distributed by Andrew & Williamson Fresh Produce. Additionally, the San Diego County Health and Human Services
Agency isolated Salmonella from cucumbers collected during a visit to the Andrew & Williamson Fresh Produce facility.
Results of additional product testing will be reported once available.
On September 3, 2015, FDA and the California Department of Public Health (CDPH) briefed the management of Andrew and Williamson Fresh Produce
on the status of the investigation thus far. Andrew and Williamson has issued a recall of all cucumbers sold under its Limited Edition® label during the period from August 1, 2015 through September 3, 2015.
Andrew and Williamson Fresh Produce reports that the Limited Edition cucumbers were distributed in the states of Alaska, Arkansas, Arizona,
California, Colorado, Florida, Idaho, Illinois, Kansas, Kentucky, Louisiana, Mississippi, Minnesota, Montana, New Jersey, New Mexico, Nevada, Oklahoma, Oregon, South Carolina, Texas, and Utah and reached customers through retail, food service companies, wholesalers,
and brokers. Andrew and Williamson Fresh Produce lists many companies they supply to on their
website.
The company further reports that these cucumbers are shipped in a black, green, and yellow and colored carton which reads “Limited Edition Pole Grown Cucumbers.” This variety is often referred to as
a “Slicer” or “American” cucumber. It has a dark green color. It typically has a length of 7 to 10 inches and a diameter of 1.75 to 2.5 inches. In retail it is typically is sold in a bulk display without any individual packaging or plastic wrapping. In food
service it is typically served as part of a salad. The investigation is ongoing, and FDA will continue to provide updates and advice when new information is available.
What are the Symptoms of Salmonella?
Most people infected with
Salmonella develop diarrhea, fever, and abdominal cramps. The illness usually lasts 4 to 7 days, and most people recover without treatment.
How Soon do Symptoms Appear After Exposure?
Most people infected with
Salmonella develop diarrhea, fever, and abdominal cramps 12 to 72 hours after infection.
What are the Complications of
Salmonella Infections?
In some people, the diarrhea may be so severe that they need to be hospitalized. In these patients, the
Salmonella infection may spread from the intestines to the blood stream, and then to other body sites and can cause death unless the person is treated promptly with antibiotics.
Who is at Risk?
Children are the most likely to get salmonellosis. The rate of diagnosed infections in children less than five years old is higher than the
rate in all other people. Children younger than 5 years of age, the elderly, and those people with weakened immune systems are more likely to have severe infections. It is estimated that approximately 400 persons in the United States die each year with acute
salmonellosis.
What Do Restaurants and Retailers Need To Do?
Restaurants and retailers should not serve or sell cucumbers supplied by Andrew and Williamson Fresh Produce and should ask their suppliers
what company supplied their cucumbers.
Restaurants and retailers should follow the steps below:
·
Wash and sanitize display cases and refrigerators where potentially contaminated products were stored.
·
Wash and sanitize cutting boards, surfaces, and utensils used to prepare, serve, or store potentially contaminated products.
·
Wash hands with warm water and soap following the cleaning and sanitation process.
·
Retailers, restaurants, and other food service operators who have processed and packaged any potentially contaminated products need to be concerned about
cross contamination of cutting surfaces and utensils through contact with the potentially contaminated products.
·
Regular frequent cleaning and sanitizing of food contact surfaces and utensils used in food preparation may help to minimize the likelihood of cross-contamination.
What Do Consumers Need To Do?
Consumers should not eat cucumbers from Andrews and Williamson Fresh Produce, and should ask their retailer or restaurant what company supplied
their cucumbers.
The company further reports that these cucumbers are shipped in a black, green, and yellow and colored carton which reads “Limited Edition Pole Grown Cucumbers.” This variety is often referred to as a “Slicer” or “American” cucumber. It has
a dark green color. It typically has a length of 7 to 10 inches and a diameter of 1.75 to 2.5 inches. In retail it is typically is sold in a bulk display without any individual packaging or plastic wrapping. In food service it is typically served as part of
a salad. The investigation is ongoing, and FDA will continue to provide updates and advice when new information is available.
The company reports that the Limited Edition cucumbers were distributed in the states of Alaska, Arkansas, Arizona, California, Colorado, Florida, Idaho, Illinois, Kansas, Kentucky,
Louisiana, Mississippi, Minnesota, Montana, New Jersey, New Mexico, Nevada, Oklahoma, Oregon, South Carolina, Texas, and Utah and reached customers through retail, food service companies, wholesalers, and brokers. Andrew and Williamson Fresh Produce lists
many companies they supply to on their
website.
Consumers may return Andrews and Williamson cucumbers to the place of purchase or throw them out. If in doubt about your cucumbers, do not eat
them.
Consumers should always practice safe food handling and preparation measures. Wash hands, utensils, and surfaces with hot, soapy water before and after handling food. At home, keep raw meat, poultry, and seafood separate from produce and
ready-to-eat foods, cook foods to the proper temperature; and refrigerate perishable foods promptly. Wash hands, utensils, and surfaces with hot, soapy water before and after handling food.
Who Should be Contacted?
Consumers with questions about the recall may contact Andrew and Williamson Fresh Produce at (844)-483-3864.
People who think they might have become ill from eating possibly contaminated cucumbers should talk to their health care providers. Contact
your healthcare provider if you have diarrhea that lasts for more than 3 days, or is accompanied by high fever, blood in the stool, or so much vomiting that you cannot keep liquids down and you pass very little urine.
The FDA encourages consumers with questions about food safety to call 1-888-SAFEFOOD Monday through Friday between 10 a.m. and 4 p.m. Eastern
time, or to consult
http://www.fda.gov.
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