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April 2009                                                                       Volume 16 - Number 3

    

 

Disaster Preparedness...

     

 

 

Salmonella Outbreak 2008-2009

By Drew Benziger

 

 

As far back as Sept 1st 2008 illnesses relating to the consumption of tainted peanut products had been reported, but it wasn’t until November that a potential epidemic outbreak was identified (1).  The break came when the Center for Disease Control’s PulseNet staff observed a small, yet highly dispersed twelve-state cluster of Salmonella Typhimurium cultures, all exhibiting a distinct DNA finger print (actually a Pulsed-Field Gel Electrophoresis (PFGE) Pattern (2)).  On the 25th of November, nearly 6 weeks after the first illnesses were reported; an initial epidemiologic assessment began and several weeks later an additional assessment identified still another S. Typhimurium cluster that correlated with the original strain and the investigations were combined (3).

  

With the epidemiologic assessments in full gear, health officials began the process of interviewing patients suffering from the infection in an attempt to ascertain the source.  Specifically through patient interviews, the Minnesota Department of Health investigators were able to narrow down the source of the contaminated food to a common food brand (King Nut creamy peanut butter) served at multiple institutions throughout the state.  In January, King Nut peanut butter contaminated with S. Typhimurium was tied to clusters of cases at 16 facilities in 5 states (3). 

 

While King Nut peanut butter appeared to be at the heart of the outbreak, ongoing interviews indicated that not everyone ate the peanut butter but may have instead consumed peanut butter containing products.  King Nut peanut butter is produced by the Peanut Corporation of America (PCA) at a single facility in Blakely, Georgia. The PCA facility in Blakely also produced peanut paste which along with the peanut butter is used in a variety of products such as cookies, crackers, and candy, ice cream and pet treats (4).  

 

The outbreak strain of S. Typhimurium has been isolated in packages of Austin Toasty peanut butter crackers. In response, Austin and Keebler brand peanut butter crackers, produced after 01 July 2008 and manufactured at a facility known to have received peanut paste from the PCA facility, have been recalled by the Kellogg Company(3).  

 

In fact, the 2008 salmonella outbreak has prompted one of the largest food recalls in the nation’s history (5). As of January 28, at least 431 peanut butter containing products have been recalled by 54 companies that had used ingredients produced by the PCA facility after July 1 2008 (6).  In February, the peanut butter product recall impacted emergency response efforts in Arkansas and Kentucky when peanut butter products packaged in commercial meal kits prompted a recall of the response meals. Unfortunately, meals had been distributed prior to the recall forcing FEMA to issue warnings to dispose the meals containing peanut butter products (7).

 

As of March 3, 2009, the number of reported S. Typhimurium cases stand at 677 in 45 states, contributing to 9 fatalities, with the most recently reported illness beginning on February 8, 2009(8).  The outbreak appears to continue, possibly for another several years (9), however the number of incidents have shown decline since December 2008 (8).

 

Article Reference

 

  1. MSNBC Today - http://www.msnbc.msn.com/id/29305315/

 

  1. CDC PFGE Process  - http://www.cdc.gov/salmonella/typhimurium/pfge_process.html

 

  1. CDC MMWR - http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5804a4.htm

 

  1. CNN - http://www.cnn.com/2009/HEALTH/01/23/peanut.probe.salmonella/

 

  1. MSNBC Today - http://www.msnbc.msn.com/id/29040751/

 

  1. FDA - www.fda.gov/oc/opacom/hottopics/Salmonellatyph.html

 

  1. Government Technology / Emergency Management - http://www.govtech.com/em/articles/616625

 

  1. CDC Update - http://www.cdc.gov/salmonella/typhimurium/update.html

 

  1. Atlanta Constitution Journal - http://www.ajc.com/services/content/printedition/2009/02/26/peanut0226.html

 

Statement Attesting to Original Work

"This paper, examination, report, or the section thereof for which I have indicated responsibility, is my own work. Any assistance I received in its preparation is acknowledged within the report or examination, in accordance with academic practice. For any data, ideas, words, diagrams, pictures, or other information from any source, quoted or not, I have cited the sources fully and completely in the text, in endnotes, or in footnotes and bibliographical entries, as required. Furthermore, I certify that the material was prepared by me specifically for this class and has not been submitted, in whole or significant part, to any other class in this university or elsewhere, or used for any purpose other than satisfying the requirements of this class, except that I am allowed to submit this material to a professional publication, peer reviewed journal, or professional conference. In adding my name following the word 'Signature', I intend that this certification will have the same authority and authenticity as a document executed with my hand-written signature."

Signature:         Drew Benziger                          Date: 08-Mar-2009