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Multistate Outbreak of Salmonella Braenderup Infections Associated with Mangoes

Posted September 14, 2012 02:15 PM ET

At a Glance:

Case Count: 121
States: 15
Deaths: 0
Hospitalizations: 25
Recall: Yes

More Information:

Latest Case Count Map

Persons infected with the outbreak strain of Salmonella Braenderup cluster, by State

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Latest Epi Curve

Persons infected with the outbreak strain of Salmonella Braenderup, by date of illness onset

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Highlights

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A total of 121 persons infected with the outbreak strain of Salmonella Braenderup have been reported from 15 states.
- The number of ill persons identified in each state is as follows: California (93), Delaware (1), Hawaii (4), Idaho (1), Illinois (2), Maine (1), Michigan (1), Montana (1), Nebraska (1), New Jersey (1), New York (3), Oregon (1), Texas (2), Washington (8), and Wisconsin (1).
- 25 ill persons have been hospitalized. No deaths have been reported.
Collaborative investigation efforts of state, local, and federal public health and regulatory agencies indicate that mangoes are a likely source of this outbreak.
- On August 29, Splendid Products of Burlingame, California issued a voluntary recall of certain lots of Daniella brand mangoes because they may be contaminated with Salmonella bacteria.
- On September 13, FDA placed Agricola Daniella on Import Alert. This means that Agricola Daniella mangoes will be denied admission into the United States unless the importer shows they are not contaminated with Salmonella, such as by using private laboratories to test the mangoes.
Consumers who purchased Daniella brand mangoes are advised not to eat them and discard any remaining Daniella mangoes.
- Daniella brand mangoes can be identified by product stickers. For mangoes without stickers, consumers should ask their retailer for brand information
- When in doubt, throw it out.
CDC will update the public on the progress of this investigation as information becomes available.

September 14, 2012

Case Count Update

A total of 121 persons infected with the outbreak strain of Salmonella Braenderup have been reported from 15 states. The 17 new cases are from 4 states: California (13), Hawaii (1), Illinois (1), and Washington (2).

Among persons for whom information is available, illness onset dates range from July 3, 2012 to August 27, 2012. Ill persons range in age from less than 1 year to 86 years, with a median age of 30 years. Fifty-four percent of ill persons are female. Among 73 persons with available information, 25 (34%) patients reported being hospitalized. No deaths have been reported.

Illnesses that occurred after August 20, 2012, might not be reported yet due to the time it takes between when a person becomes ill and when the illness is reported.

Recall Update

On September 13, 2012, the FDA warned consumers against eating mangoes from Agricola Daniella, a mango supplier with multiple plantations and a single packing house located in Sinaloa, Mexico. Testing by the FDA has found Salmonella in mangoes from this producer.

FDA has placed Agricola Daniella on Import Alert. This means that Agricola Daniella mangoes will be denied admission into the United States unless the importer shows they are not contaminated with Salmonella, such as by using private laboratories to test the mangoes.

August 30, 2012

Case Count Update

A total of 105 persons infected with the outbreak strain of Salmonella Braenderup have been reported from 16 states. The number of ill people identified in each state is as follows: California (80), Delaware (1), Hawaii (3), Idaho (1), Illinois (1), Louisiana (1), Maine (1), Michigan (1), Montana (1), Nebraska (1), New Jersey (1), New York (3), Oregon (1), Texas (2), Washington (6), and Wisconsin (1).

Among persons for whom information is available, illness onset dates range from July 3, 2012 to August 11, 2012. Ill persons range in age from less than 1 year to 86 years, with a median age of 30 years old. Fifty-four percent of ill persons are female. Among 69 persons with available information, 25 (36%) patients reported being hospitalized. No deaths have been reported.

Illnesses that occurred after August 6, 2012, might not be reported yet due to the time it takes between when a person becomes ill and when the illness is reported.

Recall

On August 29, 2012, Splendid Products of Burlingame, California, voluntarily recalled certain lots of Daniella brand mangoes, a product of Mexico, because they may be one source contributing to the multistate outbreak of Salmonella Braenderup infections.

The recalled mangoes can be identified by the Daniella brand sticker and one of the following PLU numbers: 3114, 4051, 4311, 4584 or 4959. The mangoes were sold at various retail stores throughout the United States between July 12, 2012 and August 29, 2012.

Initial Announcement

August 29, 2012

CDC is collaborating with public health officials in several states and the U.S. Food and Drug Administration (FDA) to investigate a multistate outbreak of Salmonella Braenderup infections. Joint investigation efforts indicate that mangoes are a likely source of this outbreak.

Public health investigators are using DNA “fingerprints” of Salmonella bacteria obtained through diagnostic testing with pulsed-field gel electrophoresis, or PFGE, to identify cases of illness that may be part of this outbreak. They are using data from PulseNet, the national subtyping network made up of state and local public health laboratories and federal food regulatory laboratories that performs molecular surveillance of foodborne infections... (show more »)

A total of 103 persons infected with the outbreak strain of Salmonella Braenderup have been reported from 16 states. The majority of ill persons (78) have been reported from California. This number may change as more cases are confirmed. Most persons became ill during July. Among persons for whom information is available, illness onset dates range from July 3, 2012 to August 11, 2012. Ill persons range in age from 1 to 86 years, with a median age of 32 years old. Fifty-five percent of ill persons are female. Among 69 persons with available information, 25 (36%) patients reported being hospitalized. No deaths have been reported.

This PFGE pattern has been seen before in PulseNet, and in the past typically caused 2 to 3 cases per month. Therefore, some reported cases may not be part of this outbreak. Illnesses that occurred after August 5, 2012, might not be reported yet due to the time it takes between when a person becomes ill and when the illness is reported.

Investigation of the Outbreak

State public health officials are interviewing ill persons to obtain information regarding foods they might have eaten and other exposures in the week before illness. Preliminary information indicates that mangoes are a likely source for the Salmonella Braenderup infections. Approximately 70% of ill persons interviewed report consuming mangoes in the week before becoming ill. Among ill persons in California, approximately 80% are of Hispanic ethnicity. Many of the ill persons in California report purchasing mangoes from Hispanic markets or grocery stores. Investigations are ongoing to determine the specific type and source of mangoes that might be linked with illness.

CDC and state and local public health partners are continuing laboratory surveillance through PulseNet to identify additional ill persons and to interview ill persons about foods eaten before becoming ill. FDA is continuing to work closely with CDC and state partners during this investigation. CDC will update the public on the progress of this investigation as information becomes available.(« show less)

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