A multistate outbreak of Listeria monocytogenes infections with 46 culture-confirmed cases, seven deaths, and three stillbirths or miscarriages in eight states has been linked to eating sliceable turkey deli meat. Cases have been reported from Pennsylvania (14 cases), New York (11 in New York City and seven in other locations), New Jersey (five), Delaware (four), Maryland (two), Connecticut (one), Massachusetts (one), and Michigan (one). Culture dates ranged from July 18 to September 30, 2002; case-finding is ongoing. Outbreak isolates share a relatively uncommon pulsed-field gel electrophoresis (PFGE) pattern.
One intact food product and 25 environmental samples from a poultry processing plant have yielded L. monocytogenes. The isolate from the food product had a PFGE pattern different from the outbreak strain; however, two environmental isolates from floor drains shared a PFGE pattern indistinguishable from that of outbreak patient isolates, suggesting that the plant might be the source of the outbreak. The investigation to identify a definite source or sources for this outbreak is ongoing.
On the basis of these findings, the plant, operated by Pilgrim’s Pride Foods and located in Franconia, Pennsylvania, recalled 27.4 million lbs. of fresh and frozen ready-to-eat turkey and chicken products on October 12, and the company voluntarily suspended operations. The products subject to this recall were produced during May 1–October 11. A list of recalled products is available at http://www.fsis.usda.gov/oa/recalls/prelease/pr090-2002products.htm.Continue Reading Public Health Dispatch: Outbreak of Listeriosis — Northeastern United States, 2002
February 2005
Multistate Outbreak of Listeriosis — United States, 2000
Since May 2000, 29 illnesses caused by a strain of Listeria monocytogenes (LM) have been identified in 10 states: New York (15 cases); Georgia (three); Connecticut, Ohio, and Michigan (two each); and California, Pennsylvania, Tennessee, Utah, and Wisconsin (one each). Dates of LM isolation ranged from May 17 through November 26 with 26 (90%) infections occurring since July 15. When subtyped, the LM isolates from these cases were indistinguishable by pulsed-field gel electrophoresis (PulseNet pattern numbers GX6A16.0014 by Asc1 and GX6A12.0017 by Apa1) and ribotyping (DUP-1053). This report summarizes the investigation, which linked these cases of listeriosis to eating deli turkey meat.
Eight perinatal and 21 nonperinatal cases were reported. Among the 21 nonperinatal case-patients, the median age was 65 years (range: 29–92 years); 13 (62%) were female. The 29 cases have been associated with four deaths and three miscarriages/stillbirths.Continue Reading Multistate Outbreak of Listeriosis — United States, 2000
Listeriosis and Pasteurized Milk
Epidemiologic Notes and Reports Update
Listeriosis and Pasteurized Milk
Listeria monocytogenes can be cultured from approximately 5% of raw (unpasteurized) milk samples, and case reports have shown that disease in humans can be caused by consumption of unpasteurized contaminated milk (1-4). Other reports suggesting that L. monocytogenes is relatively resistant to heat have raised concern about the effectiveness of pasteurization for eliminating this organism from milk (1,5). In an outbreak of listeriosis that occurred in Massachusetts in 1983, pasteurized whole or 2% milk was implicated as the source of infection (6). An inspection of the milk-producing plant detected no apparent breach in the pasteurization process, thereby prompting further interest in the effectiveness of pasteurization. Since then, several studies have shown that L. monocytogenes is inactivated by standard pasteurization practices (4,7-10). This report summarizes information regarding the effectiveness of pasteurization in eliminating L. monocytogenes from milk.
Current state and local regulations throughout the United States specify time and temperature conditions for pasteurization. These regulations call for milk to be heated to at least 71.7 C for 15 seconds (i.e., high-temperature short-time (HTST) process) or to 62.8 C for 30 minutes (11). In one study using milk artificially inoculated with L. monocytogenes, investigators found that 0.9 seconds at 71.7 C is needed for each one log10 reduction in the number of L. monocytogenes organisms (7). Other studies of artificially inoculated milk have concluded that at the same temperature, a period of 2.75 to 3.1 seconds is needed for each log10 reduction (4). Since the concentration of L. monocytogenes likely to be present in contaminated raw milk is estimated to be approximately 10 organisms per mL, these data suggest that there is a substantial margin of safety in the HTST pasteurization process (4). Another study found that at 62 C, each log10 reduction in the number of surviving L. monocytogenes organisms could be achieved in 6 to 20 seconds, well within the 30 minutes required for pasteurization at this temperature (8). Other investigators also have concluded that L. monocytogenes will not survive the normal milk pasteurization process (9) and have questioned previously reported methods that suggested L. monocytogenes could survive pasteurization (8,9).Continue Reading Listeriosis and Pasteurized Milk
Listeriosis and Pregnancy: What is Your Risk?
When you’re expecting, it’s natural to be concerned about your health and that of your unborn baby. Maintaining a healthful diet, drinking plenty of liquids, and taking prenatal vitamins are all important for the health of the expectant mother and her baby. Food safety is also very important. This information will help you make safe decisions when selecting and preparing food for yourself and/or your family.
Sometimes, what we eat can make us sick. Food contaminated by harmful bacteria can cause serious illness. One type of bacteria, Listeria monocytogenes ( pronounced lis-TIR-ee-ya mon-o-si-TAH-gin-eez) , can cause an illness called listeriosis. The Centers for Disease Control and Prevention ( CDC) estimates that 2,500 people become seriously ill with listeriosis each year in the United States. Of these, one in five die from the disease. Listeriosis can be particularly dangerous for pregnant women and their unborn babies. Foodborne illness caused by Listeria in pregnant women can result in premature delivery, miscarriage, fetal death, and severe illness or death of a newborn from the infection.
What is Listeria?
Listeria is a type of bacteria found everywhere in soil and ground water and on plants. Animals and people can carry Listeria in their bodies without becoming sick. Despite being so widespread, most infections in humans result from eating contaminated foods.Continue Reading Listeriosis and Pregnancy: What is Your Risk?
Listeria Outbreak–October 2000-January 2001
Outbreak of Listeriosis Associated With Homemade Mexican-Style Cheese — North Carolina, October 2000–January 2001
On November 13, 2000, health-care providers at a hospital in Winston-Salem, North Carolina, contacted the local health department about three cases of listeriosis within a 2-week period in recent Mexican immigrants. The North Carolina General Communicable Disease Control Branch, in collaboration with the Forsyth County Health Department, the North Carolina Departments of Agriculture and Consumer Services (NCDA&CS) and Environment and Natural Resources, the Food and Drug Administration (FDA), and CDC investigated this outbreak of Listeria monocytogenes infections. This report summarizes the results of the investigation, which implicated noncommercial, homemade, Mexican-style fresh soft cheese produced from contaminated raw milk sold by a local dairy farm as the causative agent. Culturally appropriate education efforts are important to reduce the risk for L. monocytogenes transmission through Mexican-style fresh soft cheese.
A case was defined as L. monocytogenes (isolated from a normally sterile site or with placental tissue staining positive using immunohistochemical techniques) in a mother of a stillborn or premature infant (<37 weeks' gestation), or a mother with a febrile illness, who was a Winston-Salem resident during October 24, 2000–January 1, 2001. Through active case finding, 12 cases were identified. On initial interview, most patients reported eating unlabeled Mexican-style fresh soft cheese bought at local markets or from door-to-door vendors. A case-control study was conducted to determine risk factors for illness; the questionnaire addressed symptoms, diet, and grocery-shopping histories during the month preceding illness. L. monocytogenes isolates from patients, raw milk, and cheese were tested using pulsed-field gel electrophoresis (PFGE). Environmental inspections of homes, local markets, and dairy farms were conducted.Continue Reading Listeria Outbreak–October 2000-January 2001