2015 United States E. coli outbreak

Last updated
2015 United States E. coli outbreak
English nameEscherichia coli O157:H7 [1]
DateIllnesses started on dates ranging from October 6, 2015 to November 3, 2015. [1]
DurationThis outbreak appears to be over. [1]
Location California, Colorado, Missouri, Montana, Utah, Virginia, and Washington
Type Escherichia coli outbreak
CauseContaminated celery in chicken salad at various retailers
Deaths0
Non-fatal injuries19

The 2015 United States E. coli outbreak was an incident in the United States involving the spread of Escherichia coli O157:H7 through contaminated celery which was consumed in chicken salad at various large retailers. [1] [2] A product recall covering more than one dozen states and over 155,000 products has taken place as a result of the incident. [3]

Contents

Cases

Nineteen cases of E. coli were linked to the outbreak, across seven states, primarily in the western half of the United States. Of these reported cases, five resulted in hospitalization, with two patients developing hemolytic-uremic syndrome, a type of kidney failure; no deaths occurred as a result of the outbreak. [1] This outbreak was therefore the second largest to occur in the U.S. in 2015, behind the far more severe Chipotle outbreak, which totaled about sixty cases. [4]

Locations affected

A total of 19 cases of E. coli linked to the outbreak were reported, throughout seven states: California, Colorado, Missouri, Montana, Utah, Virginia, and Washington. Recalls of Costco rotisserie chicken salad, which was deemed the source of the outbreak, occurred throughout the entire United States, with Costco claiming to have removed all infected products by November 20, 2015. [1]

Epidemiology

The epidemiologic evidence collected during the outbreak suggested that rotisserie chicken salad made and sold in Costco Wholesale stores in several states was the likely source of the outbreak. [1]

Related Research Articles

<i>Escherichia coli</i> Enteric, rod-shaped, gram-negative bacterium

Escherichia coli ( ESH-ə-RIK-ee-ə KOH-ly) is a gram-negative, facultative anaerobic, rod-shaped, coliform bacterium of the genus Escherichia that is commonly found in the lower intestine of warm-blooded organisms. Most E. coli strains are harmless, but some serotypes such as EPEC, and ETEC are pathogenic and can cause serious food poisoning in their hosts, and are occasionally responsible for food contamination incidents that prompt product recalls. Most strains are part of the normal microbiota of the gut and are harmless or even beneficial to humans (although these strains tend to be less studied than the pathogenic ones). For example, some strains of E. coli benefit their hosts by producing vitamin K2 or by preventing the colonization of the intestine by pathogenic bacteria. These mutually beneficial relationships between E. coli and humans are a type of mutualistic biological relationship — where both the humans and the E. coli are benefitting each other. E. coli is expelled into the environment within fecal matter. The bacterium grows massively in fresh fecal matter under aerobic conditions for three days, but its numbers decline slowly afterwards.

<i>Escherichia coli</i> O157:H7 Serotype of the bacteria Escherichia coli

Escherichia coli O157:H7 is a serotype of the bacterial species Escherichia coli and is one of the Shiga-like toxin–producing types of E. coli. It is a cause of disease, typically foodborne illness, through consumption of contaminated and raw food, including raw milk and undercooked ground beef. Infection with this type of pathogenic bacteria may lead to hemorrhagic diarrhea, and to kidney failure; these have been reported to cause the deaths of children younger than five years of age, of elderly patients, and of patients whose immune systems are otherwise compromised.

<span class="mw-page-title-main">Foodborne illness</span> Illness from eating spoiled food

Foodborne illness is any illness resulting from the contamination of food by pathogenic bacteria, viruses, or parasites, as well as prions, and toxins such as aflatoxins in peanuts, poisonous mushrooms, and various species of beans that have not been boiled for at least 10 minutes.

<span class="mw-page-title-main">Coliform bacteria</span> Group of bacterial species

Coliform bacteria are defined as either motile or non-motile Gram-negative non-spore forming bacilli that possess β-galactosidase to produce acids and gases under their optimal growth temperature of 35–37 °C. They can be aerobes or facultative aerobes, and are a commonly used indicator of low sanitary quality of foods, milk, and water. Coliforms can be found in the aquatic environment, in soil and on vegetation; they are universally present in large numbers in the feces of warm-blooded animals as they are known to inhabit the gastrointestinal system. While coliform bacteria are not normally causes of serious illness, they are easy to culture, and their presence is used to infer that other pathogenic organisms of fecal origin may be present in a sample, or that said sample is not safe to consume. Such pathogens include disease-causing bacteria, viruses, or protozoa and many multicellular parasites.

<span class="mw-page-title-main">Romaine lettuce</span> Variety of lettuce

Romaine or cos lettuce is a variety of lettuce that grows in a tall head of sturdy dark green leaves with firm ribs down their centers. Unlike most lettuces, it is tolerant of heat. In North America, romaine is often sold as whole heads or as "hearts" that have had the outer leaves removed and are often packaged together.

The 2006 North American E. coli outbreak was an Escherichia coli O157:H7 outbreak from prepackaged spinach. The outbreak occurred in September 2006, and its origin was an Angus cattle ranch that had leased land to a spinach grower. At least 276 consumer illnesses and 3 deaths have been attributed as a result from the outbreak.

Escherichia coli O121 is a pathogenic serotype of Escherichia coli, associated with Shiga toxin, intestinal bleeding, and hemolytic-uremic syndrome (HUS). HUS, if left untreated, can lead to kidney failure.

Escherichia coli O104:H21 is a rare serotype of Escherichia coli, a species of bacteria that lives in the lower intestines of mammals. Although there are many serotypes of E. coli, when in animals, there are benefits or do not cause disease. Some serotypes of E. coli have been recognized as pathogenic to humans, e.g. E. coli O157:H7, E. coli O121 and E. coli O104:H21.

Topps Meat Company was a privately owned family company founded in 1940 by Benjamin Sachs in Manhattan, New York. The company later relocated to Elizabeth, New Jersey. The company produced and distributed frozen ground beef patties and other meat products processed at its 3,000-square-foot (280 m2) plant in Elizabeth and posted about $8.8 million a year in sales, according to information reported by Dun & Bradstreet. In 2003, the company was purchased by Strategic Investment and Holdings, an investment firm based in Buffalo, New York and by 2007 it was "one of the country’s largest manufacturers of frozen hamburgers." In 2007 the company ceased operations following Escherichia coli O157:H7 contamination of products and the ensuing recall.

XL Foods Inc. is a Canadian meat packing company. The company is a subsidiary of Nilsson Brothers Inc. based in Edmonton, Alberta. From 2009 until 2013, XL Foods' Lakeside Packers Division was located just west of Brooks, Alberta, in Newell County. This facility was the second largest beef-processing operation in Canada. During this period the company was by far the largest employer in Brooks, employing more than 2,200 people in 2012.

Raw meat generally refers to any type of uncooked muscle tissue of an animal used for food. In the meat production industry, the term ‘meat’ refers specifically to mammalian flesh, while the words ‘poultry’ and ‘seafood’ are used to differentiate between the tissue of birds and aquatic creatures.

Escherichia coli O104:H4 is an enteroaggregative Escherichia coli strain of the bacterium Escherichia coli, and the cause of the 2011 Escherichia coli O104:H4 outbreak. The "O" in the serological classification identifies the cell wall lipopolysaccharide antigen, and the "H" identifies the flagella antigen.

Shigatoxigenic Escherichia coli (STEC) and verotoxigenic E. coli (VTEC) are strains of the bacterium Escherichia coli that produce Shiga toxin. Only a minority of the strains cause illness in humans. The ones that do are collectively known as enterohemorrhagic E. coli (EHEC) and are major causes of foodborne illness. When infecting the large intestine of humans, they often cause gastroenteritis, enterocolitis, and bloody diarrhea and sometimes cause a severe complication called hemolytic-uremic syndrome (HUS). Cattle is an important natural reservoir for EHEC because the colonised adult ruminants are asymptomatic. This is because they lack vascular expression of the target receptor for Shiga toxins. The group and its subgroups are known by various names. They are distinguished from other strains of intestinal pathogenic E. coli including enterotoxigenic E. coli (ETEC), enteropathogenic E. coli (EPEC), enteroinvasive E. coli (EIEC), enteroaggregative E. coli (EAEC), and diffusely adherent E. coli (DAEC).

Pathogenic <i>Escherichia coli</i> Strains of E. coli that can cause disease

Escherichia coli is a gram-negative, rod-shaped bacterium that is commonly found in the lower intestine of warm-blooded organisms (endotherms). Most E. coli strains are harmless, but pathogenic varieties cause serious food poisoning, septic shock, meningitis, or urinary tract infections in humans. Unlike normal flora E. coli, the pathogenic varieties produce toxins and other virulence factors that enable them to reside in parts of the body normally not inhabited by E. coli, and to damage host cells. These pathogenic traits are encoded by virulence genes carried only by the pathogens.

The 1996 Odwalla E. coli outbreak began on October 7, 1996, when American food company Odwalla produced a batch of unpasteurized apple juice using blemished fruit contaminated with the E. coli bacterium, which ultimately killed a 16-month-old girl and sickened 70 people in California, Colorado, Washington state, and British Columbia, of whom 25 were hospitalized and 14 developed hemolytic uremic syndrome. Odwalla made and marketed unpasteurized fruit juices for the health segment of the juice market.

1992–1993 Jack in the Box <i>E. coli</i> outbreak Fast food disease outbreak

The 1992–1993 Jack in the Box E. coli outbreak occurred when the Escherichia coli O157:H7 bacterium killed four children and infected 732 people across four states. The outbreak involved 73 Jack in the Box restaurants in California, Idaho, Washington, and Nevada, and has been described as "far and away the most infamous food poison outbreak in contemporary history." The majority of the affected were under 10 years old. Four children died and 178 others were left with permanent injury including kidney and brain damage.

<span class="mw-page-title-main">Spinach in the United States</span>

Driven by fresh-market use, the consumption of spinach has been on the rise in the United States. Per capita use of fresh-market spinach averaged 1 kilogram (2.2 lb) during 2004–06, the highest since the mid-1940s. The fresh market now accounts for about three-fourths of all US spinach consumed. Much of the growth over the past decade has been due to sales of triple-washed, cello-packed spinach and, more recently, baby spinach. These packaged products have been one of the fastest-growing segments of the packaged salad industry.

References

  1. 1 2 3 4 5 6 7 "Multistate Outbreak of Shiga toxin-producing Escherichia coli O157:H7 Infections Linked to Costco Rotisserie Chicken Salad". CDC: Escherichia Coli. United States Centers for Disease Control and Prevention. Retrieved 2 December 2015.
  2. "E. Coli Scare Spreads To Walmart, Starbucks, Target". msn.com. Retrieved 2015-12-02.
  3. "E. coli recall affects major retailers across the U.S. - Dec. 1, 2015". money.cnn.com. December 2015. Retrieved 2015-12-02.
  4. "E.coli O26 Infections Linked to Chipotle Mexican Grill (Final Update)". Archived from the original on 2015-11-06.