Published Date: 2007-07-21 16:00:06
Subject: PRO/AH/EDR> Salmonellosis, serotype Wandsworth - N America (05): 2nd serotype
Archive Number: 20070721.2336
SALMONELLOSIS, SEROTYPE WANDSWORTH - NORTH AMERICA (05): 2ND SEROTYPE
********************************************************************
A ProMED-mail post
<http://www.promedmail.org>
ProMED-mail is a program of the
International Society for Infectious Diseases
<http://www.isid.org>
Date: Wed 18 Jul 2007
Source: CDC [edited]
<http://www.cdc.gov/salmonella/wandsworth.htm>
As of 18 Jul 2007 at 11 AM ET, 65 persons infected with _Salmonella
enterica_ serotype] Wandsworth have been reported to CDC from 20
states: California, Colorado, Connecticut, Georgia, Illinois,
Indiana, Massachusetts, Maryland, Minnesota, New Hampshire, New
Jersey, New York, Oregon, Pennsylvania, Tennessee, Texas, Vermont,
Virginia, Washington, and Wisconsin. Among the patients for whom
clinical information is available, all had diarrhea, 76 percent had
bloody stools, and 6 patients were hospitalized. No deaths have been
attributed to these infections.
Onset dates, which are known for 64 patients, ranged from 26 Feb to
27 Jun 2007. Most (91 percent) cases have occurred in children aged
10 months to 3 years. During the initial phase of the outbreak, the
number of cases gradually increased, with only 8 cases reported to
PulseNet (the nationwide network of public health laboratories that
sub-type bacteria) from 6 states before 1 May 2007. Health
department and CDC investigators worked for weeks conducting
interviews with parents of ill children to develop theories about
possible sources of infection.
A multi-state case-control study demonstrated a strong association
between illness and consumption of Veggie Booty, a snack of puffed
rice and corn with a vegetable coating. CDC OutbreakNet staff shared
this information with colleagues at the Food and Drug Administration
(FDA) on 27 Jun 2007. After being informed about the outbreak by FDA,
the company that manufactures the product issued a voluntary recall
on 28 Jun 2007. None of the 65 known illnesses from _S._ Wandsworth
began after the product was recalled. Persons are advised to discard
any product in their possession.
OutbreakNet officials at CDC and in state and local health
departments, FDA, and the marketing and manufacturing companies are
working collaboratively to learn more about production of Veggie
Booty to determine how it may have become contaminated. The Minnesota
Department of Agriculture Laboratory (MDAL) has isolated the outbreak
strain of _S._ Wandsworth from sealed bags of Veggie Booty obtained
from retail stores. The outbreak strain has also been isolated from
sealed bags of Veggie Booty by the FDA laboratory and the New York
State Department of Health Wadsworth Center Laboratory. Preliminary
testing suggests that the seasoning mix used in Veggie Booty may be
the source of the contamination.
MDAL also isolated _S._ Typhimurium, a different strain of
Salmonella, from a sealed bag of Veggie Booty collected at the same
time as the bags positive for serotype Wandsworth. PulseNet
identified 10 persons who had illness caused by this strain of _S._
Typhimurium between 1 Jun and 27 Jun 2007. OutbreakNet officials
have interviewed 8 of the 10 ill persons with this strain of _S._
Typhimurium and determined that all 8 consumed Veggie Booty during
the week before their illnesses began.
On 2 Jul 2007, the company expanded the recall to include Super
Veggie Tings Crunchy Corn Sticks. This was done due to the company's
concern that Veggie Booty and Super Veggie Tings share ingredients
that could be contaminated. Persons should discard any Super Veggie
Tings in their possession. CDC is not aware of any human illnesses
associated with the consumption of Super Veggie Tings.
--
Contributed by:
ProMED-mail
<promed@promedmail.org>
[The number of cases related to serotype Wandsworth and the number of
states affected have increased only slightly since the last posting.
It had already been known that _S._ Typhimurium had been found in the
product but this posting reveals that human cases of this serotype
were also linked to the product. - Mod.LL]
See Also
Salmonellosis, serotype Wandsworth - N America (04) 20070717.2294Salmonellosis, serotype Wandsworth - N America (03) 20070712.2229
Salmonellosis, serotype Wandsworth - N America (02) 20070706.2148
Salmonellosis, serotype Wandsworth - N America: recall 20070629.2092
Salmonellosis, serotype Tennessee, peanut butter - USA (multistate)
(17) 20070603.1796
Salmonellosis, serotype Oranienburg - USA (AZ) 20070305.0779
Salmonellosis, serotype Tennessee, peanut butter - USA
(multistate) 20070215.0563
Salmonellosis, meat slicer - USA (GA) (02): 2006 20070116.0217
Salmonellosis, meat slicer - USA (GA): 2006 20070116.0208
2006
----
Salmonellosis, serotype Norfolk, tomatoes - USA: corr Newport 20061204.3421
Salmonellosis, serotype Norfolk, tomatoes - USA (Multistate) 20061202.3409
Salmonellosis, serotype Typhimurium - N. America (03) 20061109.3214
Salmonellosis, serotype Typhimurium - N. America (USA, Canada) 20061104.3168
Salmonellosis, serotype Typhimurium - Canada (NB, PEI) 20061103.3156
Salmonellosis, serotype Typhimurium - USA (multistate) (03) 20061103.3152
Salmonellosis, boiled peanuts - USA (SC) 20061102.3135
Salmonellosis, serotype Typhimurium - USA (multistate): RFI 20061030.3110
........................................ll/ejp/jw
*##########################################################*
************************************************************
ProMED-mail makes every effort to verify the reports that
are posted, but the accuracy and completeness of the
information, and of any statements or opinions based
thereon, are not guaranteed. The reader assumes all risks in
using information posted or archived by ProMED-mail. ISID
and its associated service providers shall not be held
responsible for errors or omissions or held liable for any
damages incurred as a result of use or reliance upon posted
or archived material.
************************************************************
Become a ProMED-mail Premium Subscriber at
<http://www.isid.org/ProMEDMail_Premium.shtml>
************************************************************
Visit ProMED-mail's web site at <http://www.promedmail.org>.
Send all items for posting to: promed@promedmail.org
(NOT to an individual moderator). If you do not give your
full name and affiliation, it may not be posted. Send
commands to subscribe/unsubscribe, get archives, help,
etc. to: majordomo@promedmail.org. For assistance from a
human being send mail to: owner-promed@promedmail.org.
############################################################
############################################################