Two Listeria monocytogenes outbreaks in a cancer centre: onsite food premises and their potential health risk to patients

Abstract Background This report describes two L. monocytogenes outbreak investigations that occurred in March and September of 2018 and that linked illness to a food premises located in an Ontario cancer centre. The cancer centre serves patients from across the province. Methods In Ontario, local pu...

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Main Authors: J. Leigh Hobbs, Christina Lee, Brian Thompson, Adrienne Andrew, Christine Navarro, Vinita Dubey, Anne Maki, Adrienne Kong, Meghan Griffin, Kelvin Chau, Allana M. Murphy, Marina Lombos, Anna L. Majury, Monica Gerrie, Erin Szidonya, Jackson Chung, Omar Ozaldin, Toral Patel, Nicholas Brandon, Bryna Warshawsky
Format: Article
Language:English
Published: BMC 2023-07-01
Series:BMC Public Health
Subjects:
Online Access:https://doi.org/10.1186/s12889-023-16371-7
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author J. Leigh Hobbs
Christina Lee
Brian Thompson
Adrienne Andrew
Christine Navarro
Vinita Dubey
Anne Maki
Adrienne Kong
Meghan Griffin
Kelvin Chau
Allana M. Murphy
Marina Lombos
Anna L. Majury
Monica Gerrie
Erin Szidonya
Jackson Chung
Omar Ozaldin
Toral Patel
Nicholas Brandon
Bryna Warshawsky
author_facet J. Leigh Hobbs
Christina Lee
Brian Thompson
Adrienne Andrew
Christine Navarro
Vinita Dubey
Anne Maki
Adrienne Kong
Meghan Griffin
Kelvin Chau
Allana M. Murphy
Marina Lombos
Anna L. Majury
Monica Gerrie
Erin Szidonya
Jackson Chung
Omar Ozaldin
Toral Patel
Nicholas Brandon
Bryna Warshawsky
author_sort J. Leigh Hobbs
collection DOAJ
description Abstract Background This report describes two L. monocytogenes outbreak investigations that occurred in March and September of 2018 and that linked illness to a food premises located in an Ontario cancer centre. The cancer centre serves patients from across the province. Methods In Ontario, local public health agencies follow up with all reported laboratory-confirmed cases of listeriosis to identify possible sources of disease acquisition and to carry out investigations, including at suspected food premises. The Canadian Food Inspection Agency (CFIA) is notified of any Listeria-positive food product collected in relation to a case. The CFIA traces Listeria-positive product through the food distribution system to identify the contamination source and ensure the implicated manufacturing facility implements corrective measures. Results Outbreaks one and two each involved three outbreak-confirmed listeriosis cases. All six cases were considered genetically related by whole genome sequencing (WGS). In both outbreaks, outbreak-confirmed cases reported consuming meals at a food premises located in a cancer centre (food premises A) before illness onset. Various open deli meat samples and, in outbreak two, environmental swabs (primarily from the meat slicer) collected from food premises A were genetically related to the outbreak-confirmed cases. Food premises A closed as a result of the investigations. Conclusions When procuring on-site food premises, healthcare facilities and institutions serving individuals with immuno-compromising conditions should consider the potential health risk of foods available to their patient population.
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spelling doaj.art-02f9efdfd7904484b5e48828e302ce822023-07-30T11:26:10ZengBMCBMC Public Health1471-24582023-07-012311910.1186/s12889-023-16371-7Two Listeria monocytogenes outbreaks in a cancer centre: onsite food premises and their potential health risk to patientsJ. Leigh Hobbs0Christina Lee1Brian Thompson2Adrienne Andrew3Christine Navarro4Vinita Dubey5Anne Maki6Adrienne Kong7Meghan Griffin8Kelvin Chau9Allana M. Murphy10Marina Lombos11Anna L. Majury12Monica Gerrie13Erin Szidonya14Jackson Chung15Omar Ozaldin16Toral Patel17Nicholas Brandon18Bryna Warshawsky19Public Health OntarioPublic Health OntarioToronto Public HealthToronto Public HealthToronto Public HealthToronto Public HealthPublic Health OntarioCanadian Food Inspection Agency, Office of Food Safety and RecallCanadian Food Inspection Agency, Office of Food Safety and RecallCanadian Food Inspection Agency, Office of Food Safety and RecallPublic Health OntarioPublic Health OntarioPublic Health OntarioPublic Health Agency of Canada National Microbiology LaboratoryPublic Health Agency of Canada National Microbiology LaboratoryPublic Health OntarioToronto Public HealthToronto Public HealthPublic Health OntarioPublic Health OntarioAbstract Background This report describes two L. monocytogenes outbreak investigations that occurred in March and September of 2018 and that linked illness to a food premises located in an Ontario cancer centre. The cancer centre serves patients from across the province. Methods In Ontario, local public health agencies follow up with all reported laboratory-confirmed cases of listeriosis to identify possible sources of disease acquisition and to carry out investigations, including at suspected food premises. The Canadian Food Inspection Agency (CFIA) is notified of any Listeria-positive food product collected in relation to a case. The CFIA traces Listeria-positive product through the food distribution system to identify the contamination source and ensure the implicated manufacturing facility implements corrective measures. Results Outbreaks one and two each involved three outbreak-confirmed listeriosis cases. All six cases were considered genetically related by whole genome sequencing (WGS). In both outbreaks, outbreak-confirmed cases reported consuming meals at a food premises located in a cancer centre (food premises A) before illness onset. Various open deli meat samples and, in outbreak two, environmental swabs (primarily from the meat slicer) collected from food premises A were genetically related to the outbreak-confirmed cases. Food premises A closed as a result of the investigations. Conclusions When procuring on-site food premises, healthcare facilities and institutions serving individuals with immuno-compromising conditions should consider the potential health risk of foods available to their patient population.https://doi.org/10.1186/s12889-023-16371-7ListeriosisListeria monocytogenesDeli meatOutbreakFood safetyFoodborne illness
spellingShingle J. Leigh Hobbs
Christina Lee
Brian Thompson
Adrienne Andrew
Christine Navarro
Vinita Dubey
Anne Maki
Adrienne Kong
Meghan Griffin
Kelvin Chau
Allana M. Murphy
Marina Lombos
Anna L. Majury
Monica Gerrie
Erin Szidonya
Jackson Chung
Omar Ozaldin
Toral Patel
Nicholas Brandon
Bryna Warshawsky
Two Listeria monocytogenes outbreaks in a cancer centre: onsite food premises and their potential health risk to patients
BMC Public Health
Listeriosis
Listeria monocytogenes
Deli meat
Outbreak
Food safety
Foodborne illness
title Two Listeria monocytogenes outbreaks in a cancer centre: onsite food premises and their potential health risk to patients
title_full Two Listeria monocytogenes outbreaks in a cancer centre: onsite food premises and their potential health risk to patients
title_fullStr Two Listeria monocytogenes outbreaks in a cancer centre: onsite food premises and their potential health risk to patients
title_full_unstemmed Two Listeria monocytogenes outbreaks in a cancer centre: onsite food premises and their potential health risk to patients
title_short Two Listeria monocytogenes outbreaks in a cancer centre: onsite food premises and their potential health risk to patients
title_sort two listeria monocytogenes outbreaks in a cancer centre onsite food premises and their potential health risk to patients
topic Listeriosis
Listeria monocytogenes
Deli meat
Outbreak
Food safety
Foodborne illness
url https://doi.org/10.1186/s12889-023-16371-7
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