Published Date: 2012-09-24 20:48:07
Subject: PRO/AH/EDR> Salmonellosis, serotype Bredeney - USA (02): peanut butter, alert
Archive Number: 20120924.1306988

SALMONELLOSIS, SEROTYPE BREDENEY - USA (02): PEANUT BUTTER, ALERT
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Date: Sat 22 Sep 2012
Source: CDC, _Salmonella_ Homepage, Outbreaks [edited]
http://www.cdc.gov/salmonella/bredeney-09-12/index.html


CDC is collaborating with public health officials in several states and the FDA to investigate a multistate outbreak of _Salmonella [enterica_ serotype] Bredeney infections. Preliminary results from this ongoing joint investigation indicate that Trader Joe's Valencia Creamy Salted Peanut Butter made with Sea Salt is a likely source of this outbreak.

A total of 29 ill persons infected with the outbreak strain of _S._ Bredeney have been reported from 18 states. This number may change as more cases are confirmed.

Among persons for whom information is available, illness onset dates range from 11 Jun 2012 to 2 Sep 2012. Ill persons range in age from less than 1 year to 77 years, with a median age of 7 years. 76 percent of ill persons are children under 18 years old. 64 percent of ill persons are male. Among 11 ill persons with available information, 4 (36 percent) reported being hospitalized. No deaths have been reported.

This PFGE pattern has rarely been seen before in PulseNet, and in the past typically caused 5-8 cases per year. Illnesses that occurred after 29 Aug 2012 might not be reported yet due to the time it takes between when a person becomes ill and when the illness is reported.

Investigation of the outbreak
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State public health officials are interviewing ill persons to obtain information regarding foods they might have eaten and other exposures in the week before illness. Preliminary information indicates that Trader Joe's Valencia Creamy Salted Peanut Butter made with Sea Salt is a likely source for the _S._ Bredeney infections. 14 (100 percent) of 14 ill persons interviewed report shopping at Trader Joe's locations across the USA. 12 (86 percent) of 14 ill persons report eating Trader Joe's Valencia Creamy Salted Peanut Butter made with Sea Salt in the week before becoming ill. This peanut butter is sold at Trader Joe's grocery stores nationwide and on the internet. Investigations are ongoing to determine if any other foods sold primarily at Trader Joe's grocery stores are also a source in this outbreak.

CDC and state and local public health partners are continuing laboratory surveillance through PulseNet to identify additional ill persons and to interview ill persons about foods eaten before becoming ill. FDA is continuing to work closely with CDC and state partners during this investigation. CDC will update the public on the progress of this investigation as information becomes available.

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[The eFoodAlert website http://efoodalert.net/ reports that "CDC has not released a list of affected states; however, some of the states have issued their own alerts. These include:

Maryland (1 case): a child under 18 years old, who was not hospitalized and who has recovered.
Massachusetts (3 cases)
Minnesota (1)
New York (1 case): one illness in New York City
North Carolina (1 case): a child
Pennsylvania (2 cases)
Rhode Island (1 case)" - Mod.LL

A HealthMap/ProMED-mail map can be accessed at: http://healthmap.org/r/1hiS.]

See Also

Salmonellosis, serotype Bredeney - USA: peanut butter, alert 20120922.1304996
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Salmonellosis - USA (11): st. Typhimurium, melon 20120831.1275161
Salmonellosis, st Braenderup, N America (02): mangoes, alert, recall 20120830.1273238
Salmonellosis - USA (10): (AR) prison, chicken salad 20120829.1270980
Salmonellosis - N America: st Braenderup, mangoes, alert, recall 20120828.1268001
Salmonellosis - Canada (05): serotype Braenderup, mangoes, alert, recall 20120825.1263283
Salmonellosis - USA (09): (MN) turkey jerky, recall 20120824.1261489
Salmonellosis - USA (08): (AR), prison, chicken salad susp 20120824.1261257
Salmonellosis, multiple serotypes - USA (06): chick, duckling exposure 20120822.1257180
Salmonellosis - USA (07): st. Typhimurium, melon 20120820.1251635
Salmonellosis - USA (06): (KY), melon 20120817.1249665
Salmonellosis, multiple serotypes - USA (04): pet turtle 20120814.1243731
Salmonellosis - USA (05): (NE) rehabilitation center 20120814.1243728
Salmonellosis, serotype Enteritidis - USA (03): ground beef, recall 20120810.1238525
Salmonellosis - USA (04): (TN) picnic 20120808.1233536
Salmonellosis, serotype Bareilly - USA (12): tuna, 2nd serotype 20120727.1217660
Salmonellosis, serotype Hadar - USA: live poultry contact 20120724.1212956
Salmonellosis, serotype Enteritidis - USA (02): (CT, ME, NY)ground beef, recall 20120723.1211614
Salmonellosis, serotype Infantis (03) - N America: human, dog food 20120719.1208225
Salmonellosis, serotype Montevideo - USA (02): (MN) restaurant 20120716.1202652
Salmonellosis - USA (03): (CA) nosocomial, neonatal 20120713.1200477
Salmonellosis - USA (02): (CA) nosocomial, neonatal 20120712.1199298
Salmonellosis, multiple serotypes - USA (03): pet turtle, strains 20120702.1186450
Salmonellosis, serotype Montevideo - USA: live poultry contact 20120626.1180922
Salmonellosis - USA: (WA) laboratory link 20120625.1178945
Salmonellosis, serotype Bareilly - USA (11): tuna, 2nd serotype 20120623.1178586
Salmonellosis, serotype Infantis (02) - N America: human, dog food 20120614.1168060
Salmonellosis, multiple serotypes - USA: chick, duckling exposure 20120531.1151135
Salmonellosis, serotype Paratyphi B - USA (07): (NC) recall 20120523.1142196
Salmonellosis - International: human, dog & cat food recall 20120520.1138960
Salmonellosis, serotype Paratyphi B - USA (06): (NC) tempeh source 20120520.1138961
Salmonellosis, serotype Paratyphi B - USA (05): (NC) tempeh source 20120511.1129950
Salmonellosis, serotype Paratyphi B - USA (04): (NC), tempeh 20120510.1128989
Salmonellosis, serotype Paratyphi B - USA (03): (NC), tempeh 20120509.1127709
Salmonellosis, serotype Infantis - USA: human, dog food 20120504.1122720
Salmonellosis, serotype Bareilly - USA (09): tuna, 2nd st 20120503.1121817
Salmonellosis, serotype Paratyphi B - USA (02): (NC) tempeh 20120502.1119408
Salmonellosis, serotype Paratyphi B - USA: (NC) 20120428.1116448
Salmonellosis, serotype Bareilly - USA (08): tuna, 2nd st 20120427.1115922
Salmonellosis, serotype Bareilly - USA (07) tuna 20120425.1113957
Salmonellosis, serotype I 4,5,12,i- - USA: feeder rodents 20120419.1107037
Salmonellosis, serotype Bareilly - USA (06): tuna product, more cases 20120418.1105458
Salmonellosis, serotype Bareilly - USA (05): tuna product, recall 20120415.1101361
Salmonellosis, serotype Bareilly - USA (04): possible sushi link 20120412.1098523
Salmonellosis, serotype Bareilly - USA (03): possible sushi link 20120409.1094597
Salmonellosis, serotype Bareilly - USA (02): possible sushi link, CDC report 20120405.1091349
Salmonellosis, serotype Bareilly - USA: possible sushi link 20120404.1090246
Salmonellosis, multiple serotypes - USA: pet turtles 20120331.1086557
2009
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Salmonellosis, serotype Typhimurium - USA (11): peanut butter 20090210.0606
Salmonellosis, serotype Typhimurium - USA: RFI 20090108.0077
2007
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Salmonellosis, serotype Tennessee, peanut butter - USA (17) 20070603.1796
Salmonellosis, serotype Tennessee, peanut butter - USA (multistate) 20070215.0563
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