Skip to main content
×
Home

Nationwide outbreak of Salmonella Montevideo infections associated with contaminated imported black and red pepper: warehouse membership cards provide critical clues to identify the source

  • L. GIERALTOWSKI (a1), E. JULIAN (a2), J. PRINGLE (a3), K. MACDONALD (a4), D. QUILLIAM (a2), N. MARSDEN-HAUG (a4), L. SAATHOFF-HUBER (a5), D. VON STEIN (a6), B. KISSLER (a7), M. PARISH (a8), D. ELDER (a8), V. HOWARD-KING (a8), J. BESSER (a3), S. SODHA (a3), A. LOHARIKAR (a1), S. DALTON (a3), I. WILLIAMS (a3) and C. BARTON BEHRAVESH (a3)...
Summary
SUMMARY

In November 2009, we initiated a multistate investigation of Salmonella Montevideo infections with pulsed-field gel electrophoresis pattern JIXX01.0011. We identified 272 cases in 44 states with illness onset dates ranging from 1 July 2009 to 14 April 2010. To help generate hypotheses, warehouse store membership card information was collected to identify products consumed by cases. These records identified 19 ill persons who purchased company A salami products before onset of illness. A case-control study was conducted. Ready-to-eat salami consumption was significantly associated with illness (matched odds ratio 8·5, 95% confidence interval 2·1–75·9). The outbreak strain was isolated from company A salami products from an environmental sample from one manufacturing plant, and sealed containers of black and red pepper at the facility. This outbreak illustrates the importance of using membership card information to assist in identifying suspect vehicles, the potential for spices to contaminate ready-to-eat products, and preventing raw ingredient contamination of these products.

  • View HTML
    • Send article to Kindle

      To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      Nationwide outbreak of Salmonella Montevideo infections associated with contaminated imported black and red pepper: warehouse membership cards provide critical clues to identify the source
      Available formats
      ×
      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your Dropbox account. Find out more about sending content to Dropbox.

      Nationwide outbreak of Salmonella Montevideo infections associated with contaminated imported black and red pepper: warehouse membership cards provide critical clues to identify the source
      Available formats
      ×
      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your Google Drive account. Find out more about sending content to Google Drive.

      Nationwide outbreak of Salmonella Montevideo infections associated with contaminated imported black and red pepper: warehouse membership cards provide critical clues to identify the source
      Available formats
      ×
Copyright
The online version of this article is published within an Open Access environment subject to the conditions of the Creative Commons Attribution-NonCommercial-ShareAlike licence . The written permission of Cambridge University Press must be obtained for commercial re-use.
Corresponding author
*Author for correspondence: Dr L. Gieraltowski, 1600 Clifton Road NE, MS A38, Atlanta, GA 30329, USA. (Email: lax2@cdc.gov)
References
Hide All
1.Centers for Disease Control and Prevention. Vital signs: incidence and trends of infection with pathogens transmitted commonly through food – foodborne diseases active surveillance network, 10 U.S. Sites, 1996–2010. Morbidity and Mortality Weekly Report 2011; 60: 749755.
2.Centers for Disease Control and Prevention. Multistate outbreak of E. coli O157:H7 infections linked to eating raw refrigerated, prepackaged cookie dough. (http://www.cdc.gov/ecoli/2009/0630.html). Accessed 5 July 2011.
3.Centers for Disease Control and Prevention. Multistate outbreak of Salmonella infections associated with frozen pot pies – United States, 2007. Morbidity and Mortality Weekly Report 2008; 57: 12771280.
4.Centers for Disease Control and Prevention. Multistate outbreak of Salmonella infections associated with peanut butter and peanut butter-contained products – United States, 2008–2009. Morbidity and Mortality Weekly Report 2009; 58: 16.
5.Cavallaro E, et al. Salmonella Typhimurium infections associated with peanut products. New England Journal of Medicine 2011; 365: 601610.
6.Centers for Disease Control and Prevention. A nationwide outbreak of Salmonella Montevideo infections associated with salami products made with contaminated imported black and red pepper – United States, July 2009–April 2010. Morbidity and Mortality Weekly Report 2010; 59: 16471650.
7.Barton Behravesh C, et al. 2008 Outbreak of Salmonella Saintpaul infections associated with raw produce (Supplemental Appendix). New England Journal of Medicine 2011; 364: 918927.
8.World Health Organization: Collaborating Centre for Reference and Research on Salmonella. Antigenic formulae of the Salmonella serovars, 9th edn.Paris, 2007. (http://www.scacm.org/free/Antigenic%20Formulae%20of%20the%20Salmonella%20Serovars%202007%209th%20edition.pdf). Accessed 29 September 2011.
9.Ribot EM, et al. Standardization of pulsed-filed gel electrophoresis protocols for the subtyping of Escherichia coli O157:H7, Salmonella, and Shigella for PulsetNet. Foodborne Pathogens and Disease 2006; 3: 5967.
10.Lienau E, et al. Identification of a Salmonellosis outbreak by means of molecular sequencing. New England Journal of Medicine 2011; 364: 981982.
11.HPA Guidelines for assessing the microbiological safety of ready-to-eat foods. Table 5 (http://www.hpa.org.uk/Topics/InfectiousDiseases/InfectionsAZ/FoodSampling/FoodSamplingGuidelines/). Accessed 3 May 2012.
12.U.S. Food and Drug Administration. Recalls, market withdrawals, and safety alerts (http://www.fda.gov/Safety/Recalls/default.htm). Accessed July 2012.
13.U.S. Department of Agriculture Food Safety and Inspection Services. FSIS recalls (http://www.fsis.usda.gov/Fsis_Recalls/index.asp). Accessed July 2012.
14.Taylor J, et al. An outbreak of Salmonella Chester infection in Canada: rare serotype, uncommon exposure, and unusual population demographic facilitate rapid identification of food vehicle. Journal of Food Protection 2012; 75: 738742.
15.Gossner CM, et al. Nationwide outbreak of Salmonella enterica serotype 4,[5],12:i:- infection associated with consumption of dried pork sausage, France, November to December 2011. Eurosurveillance 2012; 17(5).
16.Shah L, et al. Challenges of investigating community outbreaks of cyclosporiasis, British Columbia, Canada. Emerging Infectious Diseases 2009: 15: 12861288.
17.Schneider J, et al. Multistate outbreak of multidrug-resistant Salmonella Newport infections associated with ground beef, October to December 2007. Journal of Food Protection 2011; 74: 13151319.
18.United States Department of Health and Human Services. Pathogens and Filth in Spices Risk Profile Team, personal communication, 30 November 2011.
19.Messier S, Smith H, Tittiger F. Survival of Salmonella typhimurium and Staphylococcus aureus in Genoa salami of varying salt concentration. Canadian Journal of Veterinary Research 1989; 53: 8486.
20.Luzzi I, et al. An Easter outbreak Salmonella typhimurium DT 104a associated with traditional pork salami in Italy. Eurosurveillance 2007; 12: 3
21.Emberland KE, et al. Outbreak of Salmonella Kedougou in Norway associated with salami, April–June 2006. Eurosurveillance 2006; 11: 27
22.Sauer C, et al. Foodborne illness outbreak associated with a semi-dry fermented sausage product. Journal of Food Protection 1997; 60: 12
23.Pontello M, et al. A community-based outbreak of Salmonella enterica serotype Typhimurium associated with salami consumption in Northern Italy. Epidemiology and Infection 1998; 120: 209214.
24.United States Food and Drug Administration. Federal Food, Drug and Cosmetic Act, 2004 (http://www.fda.gov/regulatoryinformation/legislation/federalfooddrugandcosmeticactfdcact/default.htm). Accessed 29 September 2011.
25.Centers for Disease Control and Prevention. Foodborne Active Surveillance Network (FoodNet) Population Survey Atlas of Exposures. Atlanta, Georgia: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, 2006–2007.
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

Epidemiology & Infection
  • ISSN: 0950-2688
  • EISSN: 1469-4409
  • URL: /core/journals/epidemiology-and-infection
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Keywords:

Type Description Title
WORD
Supplementary Materials

Gieraltowski Supplementary Material
Appendix

 Word (68 KB)
68 KB

Metrics

Altmetric attention score

Full text views

Total number of HTML views: 9
Total number of PDF views: 199 *
Loading metrics...

Abstract views

Total abstract views: 241 *
Loading metrics...

* Views captured on Cambridge Core between September 2016 - 21st November 2017. This data will be updated every 24 hours.