Skip to main content Accessibility help
×
Home

Multistate outbreak of Salmonella Paratyphi B variant L(+) tartrate(+) and Salmonella Weltevreden infections linked to imported frozen raw tuna: USA, March–July 2015

  • R. Hassan (a1) (a2), S. Tecle (a3), B. Adcock (a3), M. Kellis (a4), J. Weiss (a4), A. Saupe (a5), A. Sorenson (a6), R. Klos (a7), J. Blankenship (a8), T. Blessington (a8), L. Whitlock (a1), H. A. Carleton (a1), J. Concepción-Acevedo (a1), B. Tolar (a1), M. Wise (a1) and K. P. Neil (a1)...

Abstract

Foodborne non-typhoidal salmonellosis causes approximately 1 million illnesses annually in the USA. In April 2015, we investigated a multistate outbreak of 65 Salmonella Paratyphi B variant L(+) tartrate(+) infections associated with frozen raw tuna imported from Indonesia, which was consumed raw in sushi. Forty-six (92%) of 50 case-patients interviewed ate sushi during the week before illness onset, and 44 (98%) of 45 who specified ate sushi containing raw tuna. Two outbreak strains were isolated from the samples of frozen raw tuna. Traceback identified a single importer as a common source of tuna consumed by case-patients; this importer issued three voluntary recalls of tuna sourced from one Indonesian processor. Four Salmonella Weltevreden infections were also linked to this outbreak. Whole-genome sequencing was useful in establishing a link between Salmonella isolated from ill people and tuna. This outbreak highlights the continuing foodborne illness risk associated with raw seafood consumption, the importance of processing seafood in a manner that minimises contamination with pathogenic microorganisms and the continuing need to ensure imported foods are safe to eat. People at higher risk for foodborne illness should not consume undercooked animal products, such as raw seafood.

  • 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. 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.

      Multistate outbreak of Salmonella Paratyphi B variant L(+) tartrate(+) and Salmonella Weltevreden infections linked to imported frozen raw tuna: USA, March–July 2015
      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 <service> account. Find out more about sending content to Dropbox.

      Multistate outbreak of Salmonella Paratyphi B variant L(+) tartrate(+) and Salmonella Weltevreden infections linked to imported frozen raw tuna: USA, March–July 2015
      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 <service> account. Find out more about sending content to Google Drive.

      Multistate outbreak of Salmonella Paratyphi B variant L(+) tartrate(+) and Salmonella Weltevreden infections linked to imported frozen raw tuna: USA, March–July 2015
      Available formats
      ×

Copyright

Corresponding author

Author for correspondence: R. Hassan, E-mail: ykm6@cdc.gov

References

Hide All
1.Scallan, E et al. (2011) Foodborne illness acquired in the United States – major pathogens. Emerging Infectious Diseases 17, 715.
2.Centers for Disease Control and Prevention (2017) Surveillance for Foodborne Disease Outbreaks. United States, 2015: Annual Report.
3.Barrett, KA et al. (2017) Fish-associated foodborne disease outbreaks: United States, 1998–2015. Foodborne Pathogens and Disease 14, 537543.
4.Centers for Disease Control and Prevention. Multistate outbreak of Salmonella Bareilly and Salmonella Nchanga infections associated with a raw scraped ground tuna product (final update). Available at http://www.cdc.gov/salmonella/bareilly-04-12/ (Accessed 20 May 2016).
5.Hoffmann, M et al. (2015) Tracing origins of the Salmonella Bareilly strain causing a food-borne outbreak in the United States. The Journal of Infectious Diseases 213, 502508.
6.Van Voorhees, D, Alan, L and Liddel, M (2015) Fisheries of the United States. National Marine Fisheries Service, Office of Science and Technology.
7.Miyake, M et al. Recent Developments in the Tuna Industry: Stocks, Fisheries, Management, Processing, Trade and Markets. Food and Agriculture Organization of the United Nations (FAO) Fisheries and Aquaculture Technical Paper 2010 No. 543. Rome, Italy: Food and Agriculture Organization of the United Nations.
8.Avery, T. Discover the history of sushi. The History Kitchen. Available at http://www.pbs.org/food/the-history-kitchen/history-of-sushi/ (Accessed 19 May 2016).
9.Wine, F (2005) Sushi in America. Food & Wine. Available at http://www.foodandwine.com/articles/sushi-in-america (Accessed 20 May 2016).
10.Sustainable Fisheries Partnership (2010) Indonesian Tuna Supply Chain Analysis. Honolulu, HI: Sustainable Fisheries Partnership.
11.Centers for Disease Control and Prevention (2013) Standard operating procedure for PulseNet PFGE of Escherichia coli O157:H7, Escherichia coli non-O157 (STEC), Salmonella serotypes, Shigella sonnei and Shigella flexneri.
12.Centers for Disease Control and Prevention (2006–2007) Foodborne Active Surveillance Network (FoodNet) Population Survey Atlas of Exposures.
13.Katz, L et al. (2017) A comparative analysis of the Lyve-SET phylogenomics pipeline for genomic epidemiology of foodborne pathogens. Frontiers in Microbiology 8, 375375.
14.Allard, M et al. (2016) Practical value of food pathogen traceability through building a whole-genome sequencing network and database. Journal of Clinical Microbiology 54, 19751983.
15.U.S. Food and Drug Administration. Import Alert 16–81. Available at https://www.accessdata.fda.gov/cms_ia/importalert_49.html (Accessed 3 October 2017).
16.den Bakker, H et al. (2014) Rapid whole-genome sequencing for surveillance of Salmonella enterica serovar enteritidis. Emerging Infectious Diseases 20, 13061314.
17.Allard, M et al. (2013) On the evolutionary history, population genetics and diversity among isolates of Salmonella enteritidis PFGE pattern JEGX01.0004. PLoS ONE 8, e55254.
18.Jackson, B et al. (2016) Implementation of nationwide real-time whole-genome sequencing to enhance listeriosis outbreak detection and investigation. Clinical Infectious Diseases 63, 380386.
19.Gould, LH et al. (2017) Outbreaks of disease associated with food imported into the United States, 1996–2014. Emerging Infectious Diseases 23, 525528.
20.Iwamoto, M et al. (2010) Epidemiology of seafood-associated infections in the United States. Clinical Microbiology Reviews 23, 399411.
21.Centers for Disease Control and Prevention (2017) Foodborne diseases active surveillance network (FoodNet): FoodNet 2015 Surveillance Report (Final Data).
22.U.S. Food and Drug Administration. Fresh and frozen seafood: selecting and serving it safely. Available at https://www.fda.gov/Food/FoodborneIllnessContaminants/BuyStoreServeSafeFood/ucm077331.htm (Accessed 22 June 2017).
23.U.S. Department of Health & Human Services. Who's at risk. Available at https://www.foodsafety.gov/risk/index.html (Accessed 22 June 2017).

Keywords

Type Description Title
WORD
Supplementary materials

Hassan et al. supplementary material
Table S1

 Word (14 KB)
14 KB

Metrics

Altmetric attention score

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed