Investigation of a Multistate Outbreak of Listeria monocytogenes Infections Linked to Frozen Vegetables Produced at Individually Quick-Frozen Vegetable Manufacturing Facilities
In 2016, the U.S. Food and Drug Administration (FDA), the Centers for Disease Control and Prevention (CDC), and state partners investigated nine Listeria monocytogenes infections linked to frozen vegetables. The investigation began with two environmental L. monocytogenes isolates recovered from Manu...
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Format: | Article |
Language: | English |
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Elsevier
2023-08-01
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Series: | Journal of Food Protection |
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Online Access: | http://www.sciencedirect.com/science/article/pii/S0362028X23068011 |
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author | Asma Madad Katherine E. Marshall Tyann Blessington Cerisé Hardy Monique Salter Colin Basler Amanda Conrad Steven Stroika Yan Luo Asha Dwarka Terri Gerhardt Yamir Rosa Katie Cibulskas Hilary E. Rosen Brandon Adcock David Kiang Scott Hutton Mickey Parish Brett Podoski Bhavini Patel Stelios Viazis Beth Melius Michelle M. Boyle Jessica Brockmeyer Yi Chen Karen Blickenstaff Matthew Wise |
author_facet | Asma Madad Katherine E. Marshall Tyann Blessington Cerisé Hardy Monique Salter Colin Basler Amanda Conrad Steven Stroika Yan Luo Asha Dwarka Terri Gerhardt Yamir Rosa Katie Cibulskas Hilary E. Rosen Brandon Adcock David Kiang Scott Hutton Mickey Parish Brett Podoski Bhavini Patel Stelios Viazis Beth Melius Michelle M. Boyle Jessica Brockmeyer Yi Chen Karen Blickenstaff Matthew Wise |
author_sort | Asma Madad |
collection | DOAJ |
description | In 2016, the U.S. Food and Drug Administration (FDA), the Centers for Disease Control and Prevention (CDC), and state partners investigated nine Listeria monocytogenes infections linked to frozen vegetables. The investigation began with two environmental L. monocytogenes isolates recovered from Manufacturer A, primarily a processor of frozen onions, that were a match by whole genome sequencing (WGS) to eight clinical isolates and historical onion isolates with limited collection details. Epidemiologic information, product distribution, and laboratory evidence linked suspect food items, including products sourced from Manufacturer B, also a manufacturer of frozen vegetable/fruit products, with an additional illness. The environmental isolates were obtained during investigations at Manufacturers A and B. State and federal partners interviewed ill people, analyzed shopper card data, and collected household and retail samples. Nine ill persons between 2013 and 2016 were reported in four states. Of four ill people with information available, frozen vegetable consumption was reported by three, with shopper cards confirming purchases of Manufacturer B brands. Two identified outbreak strains of L. monocytogenes (Outbreak Strain 1 and Outbreak Strain 2) were a match to environmental isolates from Manufacturer A and/or isolates from frozen vegetables recovered from open and unopened product samples sourced from Manufacturer B; the investigation resulted in extensive voluntary recalls. The close genetic relationship between isolates helped investigators determine the source of the outbreak and take steps to protect public health. This is the first known multistate outbreak of listeriosis in the United States linked to frozen vegetables and highlights the significance of sampling and WGS analyses when there is limited epidemiologic information. Additionally, this investigation emphasizes the need for further research regarding food safety risks associated with frozen foods. |
first_indexed | 2024-03-12T22:09:34Z |
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institution | Directory Open Access Journal |
issn | 0362-028X |
language | English |
last_indexed | 2024-03-12T22:09:34Z |
publishDate | 2023-08-01 |
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series | Journal of Food Protection |
spelling | doaj.art-f5083b839a304f318f83b2c2726759ea2023-07-24T04:10:21ZengElsevierJournal of Food Protection0362-028X2023-08-01868100117Investigation of a Multistate Outbreak of Listeria monocytogenes Infections Linked to Frozen Vegetables Produced at Individually Quick-Frozen Vegetable Manufacturing FacilitiesAsma Madad0Katherine E. Marshall1Tyann Blessington2Cerisé Hardy3Monique Salter4Colin Basler5Amanda Conrad6Steven Stroika7Yan Luo8Asha Dwarka9Terri Gerhardt10Yamir Rosa11Katie Cibulskas12Hilary E. Rosen13Brandon Adcock14David Kiang15Scott Hutton16Mickey Parish17Brett Podoski18Bhavini Patel19Stelios Viazis20Beth Melius21Michelle M. Boyle22Jessica Brockmeyer23Yi Chen24Karen Blickenstaff25Matthew Wise26Center for Food Safety and Applied Nutrition, Food and Drug Administration, College Park, MD 20740, USA; Corresponding author.Centers for Disease Control and Prevention, Atlanta, GA 30329, USACenter for Food Safety and Applied Nutrition, Food and Drug Administration, College Park, MD 20740, USACenter for Food Safety and Applied Nutrition, Food and Drug Administration, College Park, MD 20740, USACenter for Food Safety and Applied Nutrition, Food and Drug Administration, College Park, MD 20740, USACenters for Disease Control and Prevention, Atlanta, GA 30329, USACenters for Disease Control and Prevention, Atlanta, GA 30329, USACenters for Disease Control and Prevention, Atlanta, GA 30329, USACenter for Food Safety and Applied Nutrition, Food and Drug Administration, College Park, MD 20740, USACenter for Food Safety and Applied Nutrition, Food and Drug Administration, College Park, MD 20740, USAOhio Department of Agriculture, Reynoldsburg, OH 43068, USAOhio Department of Agriculture Consumer Protection Laboratory, Reynoldsburg, OH 43068, USAOhio Department of Health, Columbus, OH 43215, USACalifornia Department of Public Health, Los Angeles, CA 90013, USAFood and Drug Branch, California Department of Public Health, Sacramento, CA 95814, USAFood and Drug Laboratory Branch, California Department of Public Health, Richmond, CA 94804, USAIdaho Department of Health and Welfare, Boise, ID 83720, USACenter for Food Safety and Applied Nutrition, Food and Drug Administration, College Park, MD 20740, USACenter for Food Safety and Applied Nutrition, Food and Drug Administration, College Park, MD 20740, USACenter for Food Safety and Applied Nutrition, Food and Drug Administration, College Park, MD 20740, USACenter for Food Safety and Applied Nutrition, Food and Drug Administration, College Park, MD 20740, USAWashington State Department of Health, Shoreline, WA 98155, USAMaryland Department of Health, Baltimore, MD 21201, USAConnecticut Department of Public Health, Hartford, CT 06134, USACenter for Food Safety and Applied Nutrition, Food and Drug Administration, College Park, MD 20740, USACenter for Food Safety and Applied Nutrition, Food and Drug Administration, College Park, MD 20740, USACenters for Disease Control and Prevention, Atlanta, GA 30329, USAIn 2016, the U.S. Food and Drug Administration (FDA), the Centers for Disease Control and Prevention (CDC), and state partners investigated nine Listeria monocytogenes infections linked to frozen vegetables. The investigation began with two environmental L. monocytogenes isolates recovered from Manufacturer A, primarily a processor of frozen onions, that were a match by whole genome sequencing (WGS) to eight clinical isolates and historical onion isolates with limited collection details. Epidemiologic information, product distribution, and laboratory evidence linked suspect food items, including products sourced from Manufacturer B, also a manufacturer of frozen vegetable/fruit products, with an additional illness. The environmental isolates were obtained during investigations at Manufacturers A and B. State and federal partners interviewed ill people, analyzed shopper card data, and collected household and retail samples. Nine ill persons between 2013 and 2016 were reported in four states. Of four ill people with information available, frozen vegetable consumption was reported by three, with shopper cards confirming purchases of Manufacturer B brands. Two identified outbreak strains of L. monocytogenes (Outbreak Strain 1 and Outbreak Strain 2) were a match to environmental isolates from Manufacturer A and/or isolates from frozen vegetables recovered from open and unopened product samples sourced from Manufacturer B; the investigation resulted in extensive voluntary recalls. The close genetic relationship between isolates helped investigators determine the source of the outbreak and take steps to protect public health. This is the first known multistate outbreak of listeriosis in the United States linked to frozen vegetables and highlights the significance of sampling and WGS analyses when there is limited epidemiologic information. Additionally, this investigation emphasizes the need for further research regarding food safety risks associated with frozen foods.http://www.sciencedirect.com/science/article/pii/S0362028X23068011Foodborne illness outbreaksIndividually quick-frozen vegetablesListeria monocytogenes |
spellingShingle | Asma Madad Katherine E. Marshall Tyann Blessington Cerisé Hardy Monique Salter Colin Basler Amanda Conrad Steven Stroika Yan Luo Asha Dwarka Terri Gerhardt Yamir Rosa Katie Cibulskas Hilary E. Rosen Brandon Adcock David Kiang Scott Hutton Mickey Parish Brett Podoski Bhavini Patel Stelios Viazis Beth Melius Michelle M. Boyle Jessica Brockmeyer Yi Chen Karen Blickenstaff Matthew Wise Investigation of a Multistate Outbreak of Listeria monocytogenes Infections Linked to Frozen Vegetables Produced at Individually Quick-Frozen Vegetable Manufacturing Facilities Journal of Food Protection Foodborne illness outbreaks Individually quick-frozen vegetables Listeria monocytogenes |
title | Investigation of a Multistate Outbreak of Listeria monocytogenes Infections Linked to Frozen Vegetables Produced at Individually Quick-Frozen Vegetable Manufacturing Facilities |
title_full | Investigation of a Multistate Outbreak of Listeria monocytogenes Infections Linked to Frozen Vegetables Produced at Individually Quick-Frozen Vegetable Manufacturing Facilities |
title_fullStr | Investigation of a Multistate Outbreak of Listeria monocytogenes Infections Linked to Frozen Vegetables Produced at Individually Quick-Frozen Vegetable Manufacturing Facilities |
title_full_unstemmed | Investigation of a Multistate Outbreak of Listeria monocytogenes Infections Linked to Frozen Vegetables Produced at Individually Quick-Frozen Vegetable Manufacturing Facilities |
title_short | Investigation of a Multistate Outbreak of Listeria monocytogenes Infections Linked to Frozen Vegetables Produced at Individually Quick-Frozen Vegetable Manufacturing Facilities |
title_sort | investigation of a multistate outbreak of listeria monocytogenes infections linked to frozen vegetables produced at individually quick frozen vegetable manufacturing facilities |
topic | Foodborne illness outbreaks Individually quick-frozen vegetables Listeria monocytogenes |
url | http://www.sciencedirect.com/science/article/pii/S0362028X23068011 |
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