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...

Full description

Bibliographic Details
Main Authors: 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
Format: Article
Language:English
Published: Elsevier 2023-08-01
Series:Journal of Food Protection
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0362028X23068011
_version_ 1797773654096871424
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
format Article
id doaj.art-f5083b839a304f318f83b2c2726759ea
institution Directory Open Access Journal
issn 0362-028X
language English
last_indexed 2024-03-12T22:09:34Z
publishDate 2023-08-01
publisher Elsevier
record_format Article
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
work_keys_str_mv AT asmamadad investigationofamultistateoutbreakoflisteriamonocytogenesinfectionslinkedtofrozenvegetablesproducedatindividuallyquickfrozenvegetablemanufacturingfacilities
AT katherineemarshall investigationofamultistateoutbreakoflisteriamonocytogenesinfectionslinkedtofrozenvegetablesproducedatindividuallyquickfrozenvegetablemanufacturingfacilities
AT tyannblessington investigationofamultistateoutbreakoflisteriamonocytogenesinfectionslinkedtofrozenvegetablesproducedatindividuallyquickfrozenvegetablemanufacturingfacilities
AT cerisehardy investigationofamultistateoutbreakoflisteriamonocytogenesinfectionslinkedtofrozenvegetablesproducedatindividuallyquickfrozenvegetablemanufacturingfacilities
AT moniquesalter investigationofamultistateoutbreakoflisteriamonocytogenesinfectionslinkedtofrozenvegetablesproducedatindividuallyquickfrozenvegetablemanufacturingfacilities
AT colinbasler investigationofamultistateoutbreakoflisteriamonocytogenesinfectionslinkedtofrozenvegetablesproducedatindividuallyquickfrozenvegetablemanufacturingfacilities
AT amandaconrad investigationofamultistateoutbreakoflisteriamonocytogenesinfectionslinkedtofrozenvegetablesproducedatindividuallyquickfrozenvegetablemanufacturingfacilities
AT stevenstroika investigationofamultistateoutbreakoflisteriamonocytogenesinfectionslinkedtofrozenvegetablesproducedatindividuallyquickfrozenvegetablemanufacturingfacilities
AT yanluo investigationofamultistateoutbreakoflisteriamonocytogenesinfectionslinkedtofrozenvegetablesproducedatindividuallyquickfrozenvegetablemanufacturingfacilities
AT ashadwarka investigationofamultistateoutbreakoflisteriamonocytogenesinfectionslinkedtofrozenvegetablesproducedatindividuallyquickfrozenvegetablemanufacturingfacilities
AT terrigerhardt investigationofamultistateoutbreakoflisteriamonocytogenesinfectionslinkedtofrozenvegetablesproducedatindividuallyquickfrozenvegetablemanufacturingfacilities
AT yamirrosa investigationofamultistateoutbreakoflisteriamonocytogenesinfectionslinkedtofrozenvegetablesproducedatindividuallyquickfrozenvegetablemanufacturingfacilities
AT katiecibulskas investigationofamultistateoutbreakoflisteriamonocytogenesinfectionslinkedtofrozenvegetablesproducedatindividuallyquickfrozenvegetablemanufacturingfacilities
AT hilaryerosen investigationofamultistateoutbreakoflisteriamonocytogenesinfectionslinkedtofrozenvegetablesproducedatindividuallyquickfrozenvegetablemanufacturingfacilities
AT brandonadcock investigationofamultistateoutbreakoflisteriamonocytogenesinfectionslinkedtofrozenvegetablesproducedatindividuallyquickfrozenvegetablemanufacturingfacilities
AT davidkiang investigationofamultistateoutbreakoflisteriamonocytogenesinfectionslinkedtofrozenvegetablesproducedatindividuallyquickfrozenvegetablemanufacturingfacilities
AT scotthutton investigationofamultistateoutbreakoflisteriamonocytogenesinfectionslinkedtofrozenvegetablesproducedatindividuallyquickfrozenvegetablemanufacturingfacilities
AT mickeyparish investigationofamultistateoutbreakoflisteriamonocytogenesinfectionslinkedtofrozenvegetablesproducedatindividuallyquickfrozenvegetablemanufacturingfacilities
AT brettpodoski investigationofamultistateoutbreakoflisteriamonocytogenesinfectionslinkedtofrozenvegetablesproducedatindividuallyquickfrozenvegetablemanufacturingfacilities
AT bhavinipatel investigationofamultistateoutbreakoflisteriamonocytogenesinfectionslinkedtofrozenvegetablesproducedatindividuallyquickfrozenvegetablemanufacturingfacilities
AT steliosviazis investigationofamultistateoutbreakoflisteriamonocytogenesinfectionslinkedtofrozenvegetablesproducedatindividuallyquickfrozenvegetablemanufacturingfacilities
AT bethmelius investigationofamultistateoutbreakoflisteriamonocytogenesinfectionslinkedtofrozenvegetablesproducedatindividuallyquickfrozenvegetablemanufacturingfacilities
AT michellemboyle investigationofamultistateoutbreakoflisteriamonocytogenesinfectionslinkedtofrozenvegetablesproducedatindividuallyquickfrozenvegetablemanufacturingfacilities
AT jessicabrockmeyer investigationofamultistateoutbreakoflisteriamonocytogenesinfectionslinkedtofrozenvegetablesproducedatindividuallyquickfrozenvegetablemanufacturingfacilities
AT yichen investigationofamultistateoutbreakoflisteriamonocytogenesinfectionslinkedtofrozenvegetablesproducedatindividuallyquickfrozenvegetablemanufacturingfacilities
AT karenblickenstaff investigationofamultistateoutbreakoflisteriamonocytogenesinfectionslinkedtofrozenvegetablesproducedatindividuallyquickfrozenvegetablemanufacturingfacilities
AT matthewwise investigationofamultistateoutbreakoflisteriamonocytogenesinfectionslinkedtofrozenvegetablesproducedatindividuallyquickfrozenvegetablemanufacturingfacilities