新たなサルモネラ感染食中毒が発生 42州400人/米国

画像 サルモネラ菌食中毒が9月以降、42州で388人に発症し、18%の人が入院したと、CDC米国疾病管理・予防センターが発表した。
 Salmonella typhimuriumが原因で鳥肉、チーズ、卵が感染源のことが多い。CDCによれば、毎年約4万人の感染報告があるが、さらに多くのケースが報告されてない。メキシコ産peppersからの2007年4-8月のサルモネラ菌感染者は1,400人に上った。10-11月のサルモネラ菌で汚染された乾燥したペットフードでは少なくとも79人の発症があった。
 ミネソタのキングナットピーナッツバターと関連したサルモネラ感染で3人の死亡が関連している可能性がある。
 キングナット社はキングナットピーナッツバターの製造番号が「8」で始まる製品の販売を中止するように呼びかけている。会社は直接消費者に販売はせず、食品会社を通して販売している。(ABC)
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 ケロッグがピーナッツバタークッキーの販売停止 (MSN)
 1/14 人気のキーブラーとオースティンのピーナッツバタークラッカーを売るのをやめると発表された。
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サルモネラ 1000人以上、最大規模の食物由来流行感染に/米国
http://kurie.at.webry.info/200807/article_23.html
トマト農家の落胆 業界は議会に調査を要求/米国 サルモネラ
http://kurie.at.webry.info/200807/article_12.html
ハラペーニョからサルモネラ菌検出/米国
http://kurie.at.webry.info/200807/article_46.html
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Salmonella Outbreak Sickens 388 Across U.S.: CDC
Approximately 1 in 5 Sickened Has Been Hospitalized; Source Remains Unclear
January 7, 2009
http://abcnews.go.com/Health/wireStory?id=6595827

Photo: Salmonella Outbreak Sickens 388 Across U.S.: CDC
An outbreak of salmonella food poisoning has made 388 people sick across 42 states, sending 18 percent of them to the hospital, U.S. health officials said on Wednesday.
(ABC News Photo Illustration)

WASHINGTON (Reuters) - An outbreak of salmonella food poisoning has made 388 people sick across 42 states, sending 18 percent of them to the hospital, U.S. health officials said on Wednesday.

The U.S. Centers for Disease Control and Prevention is trying to trace the source of the outbreak, which began in September. The Department of Agriculture, state health officials and the Food and Drug Administration are also involved.

The CDC said poultry, cheese and eggs are the most common source of this particular strain, known as Salmonella typhimurium.

"It is often difficult to identify sources of foodborne outbreaks. People may not remember the foods they recently ate and may not be aware of all of the ingredients in food. That's what makes these types of investigations very difficult," said CDC spokesman David Daigle.

Daigle did not specify how many people were hospitalized, but the percentage he gave puts that figure at about 70.

"Because foods of animal origin may be contaminated with Salmonella, people should not eat raw or undercooked eggs, poultry, or meat. Persons also should not consume raw or unpasteurized milk or other dairy products. Produce should be thoroughly washed," he said.

Only Ohio state health officials have agreed to have their state named as one of those affected, with an estimated 50 cases.

Every year, approximately 40,000 people are reported ill with salmonella in the United States, the CDC says, but it said many more cases are never reported.

There have been several recent high-profile outbreaks of foodborne illness in the United States, including a strain of Salmonella carried by peppers from Mexico and that sickened 1,400 people from April to August of 2007 and an E. coli epidemic in 2006, traced to California spinach, that killed three.

Salmonella-contaminated dry pet food sickened at least 79 people, including many young children, in October and November.

(Reporting by Maggie Fox)

Copyright 2009 Reuters News Service. All rights reserved. This material may not be published, broadcast, rewritten, or redistributed.

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Salmonella in 42 States; Minn. Eyes Peanut Butter
CDC says salmonella outbreak reaches almost 400 cases in 42 states; Minn. eyes peanut butter
By MIKE STOBBE AP Medical Writer
ATLANTA January 9, 2009 (AP)
http://abcnews.go.com/Health/wireStory?id=6615354


Federal officials have not yet identified the cause of a salmonella outbreak striking almost 400 people in 42 states, but state officials in Minnesota said Friday they believe peanut butter may be involved. On Friday, the Minnesota Department of Health said preliminary laboratory testing found salmonella bacteria in a 5-pound container of King Nut brand creamy peanut butter. The tests have not linked it to the type of salmonella in the national outbreak, but additional results are expected early next week.

Minnesota officials did not immediately identify the company that manufactures the peanut butter or say where else it is distributed.

The product apparently is not sold in grocery stores, but is distributed in Minnesota to long-term care facilities, hospitals, schools, universities, restaurants, delis, cafeterias and bakeries.

State officials urged establishments that have the product to avoid serving it, pending further instructions as the investigation progresses.

The U.S. Center for Disease Control and Prevention said Friday that 399 cases have been confirmed nationally, with about one in five of victims hospitalized. They have not confirmed any deaths associated with the outbreak.

Minnesota health officials also said an elderly woman who died there had the illness at the time of her death, but it's not clear that salmonella was the cause.

The report of peanut butter contamination comes almost two years after ConAgra recalled its Peter Pan brand peanut butter, which was eventually linked to at least 625 salmonella cases in 47 states.

Nationally, all the current illnesses began between Sept. 3 and Dec. 29, but most of the people grew sick after Oct. 1.

Most people develop diarrhea, fever and abdominal cramps 12 to 72 hours after infection. The illness usually lasts four to seven days, and most people recover without treatment.

Officials say steps to protect against the illness include careful handling and preparation of raw meat, and frequent hand washing.

CDC officials say the cases in the current outbreak have all been genetically fingerprinted as the Typhimurium type, which is among the most common forms of salmonella food poisoning.

―――
On the Net:
CDC information on the investigation: http://www.cdc.gov/salmonella/
Copyright 2009 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten, or redistributed.

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Minnesota case may offer clue to U.S. salmonella outbreak
http://edition.cnn.com/2009/HEALTH/01/12/salmonella.minnesota/index.html

* Story Highlights
* Officials link salmonella in Minnesota to same bacterial strain causing U.S. outbreak
* The 410 cases in 43 states might be responsible for three deaths, CDC says
* Minnesota bacteria traced to institutionally distributed King Nut peanut butter
* Recall issued after salmonella found in open five-pound tub of King Nut peanut butter

WASHINGTON (CNN) -- Federal and state health officials said Monday that salmonella linked last week in Minnesota to King Nut peanut butter was caused by the same strain of bacteria responsible for an ongoing outbreak of 410 salmonella cases in 43 states.

Salmonella bacteria are transmitted to humans by eating contaminated foods.

The infection may have contributed to three deaths, the Centers for Disease Control and Prevention said Monday.

"Preliminary analysis of an epidemiologic study conducted by CDC and public health officials in multiple states comparing foods eaten by ill and well persons has suggested peanut butter as a likely source," the disease agency said in a written statement. "To date, no association has been found with common brand names of peanut butter sold in grocery stores."

A spokesman for the Food and Drug Administration said Monday that the agency has been collaborating with the CDC, the U.S. Department of Agriculture and public health officials in many states to investigate the outbreak of infections due to Salmonella enterica serotype Typhimurium.

"This new information from Minnesota will not change what we are currently doing as part of the investigation," said FDA spokesman Michael Herndon. What you need to know about food poisoning »

The Minnesota bacteria were linked last week to institutionally distributed peanut butter, sold under the King Nut brand name.

One of the Minnesota patients, a 70-year-old woman who was a nursing home resident, proved fatal, said Doug Schultz, a Minnesota public health department spokesman.
Health Library

* Salmonella infection

"We do not know to what extent the salmonella contributed to the death," said Schultz, who added that the patient had other underlying illnesses.

Late last week, King Nut Companies, based in Ohio, recalled King Nut peanut butter. President and CEO Martin Kanan said the product is manufactured by a Lynchburg, Virginia-based company, Peanut Corporation of America.

"King Nut took this action as soon as it was informed that salmonella had been found in an open five-pound tub of King Nut peanut butter," the company said Saturday in a posting on its Web site.

King Nut, which distributes peanut butter through food service accounts, does not sell directly to consumers.

Kanan said King Nut has asked customers to stop distributing peanut butter with lot codes beginning with "8" and has canceled orders with the manufacturer.
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* King Nut peanut butter recalled
* CDC investigating salmonella outbreak in 42 states
* The top health stories of 2008

The first cases nationwide were reported September 3, but most occurred between October 1 and December 31, the CDC said last week. About 18 percent of cases were hospitalized as a result of their illness, and patients have ranged from 2 months to 98 years of age.

California has reported the highest case count with 55, followed by Ohio with 53, Massachusetts with 39, Minnesota with 30 and Michigan with 20.

The other 37 states are each reporting from one to 19 cases.

The seven states that have reported no cases connected to the outbreak are Montana, New Mexico, Louisiana, Mississippi, South Carolina, Florida and Alaska.

Strains of salmonella linked to outbreaks in the past have been traced to contaminated eggs, meat, poultry, vegetables, pet food and peanut butter.

Contaminated tomatoes were blamed for an outbreak in the fall of 2006 caused by salmonella Typhimurium, which sickened at least 183 people in 21 states. Most people suffered from diarrhea and fever for about a week. No one is known to have died in that outbreak.

Salmonella infections can be treated with antibiotics, though some strains are resistant to these drugs, according to the CDC. Most people infected develop diarrhea, fever and abdominal cramps within a few days of infection and the illness can last up to a week.
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Most recover without treatment, but some may suffer dehydration and, in severe cases, require hospitalization.

Children, senior citizens, people with chronic illnesses and those with weak immune systems tend to be at highest risk for complications, according to the National Institutes of Health.

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Kellogg Halts Sales of Peanut Butter Crackers
Cereal giant calls action 'precautionary' as salmonella outbreak probe continues; 5 deaths now linked; victim count up to 430 in 43 states
By Steven Reinberg, HealthDay Reporter
http://health.msn.com/nutrition/articlepage.aspx?cp-documentid=100231342

Cereal giant calls action 'precautionary' as salmonella outbreak probe continues; 5 deaths now linked; victim count up to 430 in 43 states.

THURSDAY, Jan. 15 (HealthDay News) -- Cereal giant Kellogg has asked stores to stop selling its popular Keebler and Austin brand peanut butter crackers, as health officials reported two more deaths in the nationwide salmonella outbreak that is linked to peanut butter.

Kellogg, of Battle Creek, Mich., said it hadn't received any complaints or discovered any problems with the crackers, but took the action as a "precautionary measure" after one of its peanut paste suppliers, Peanut Corp. of America, announced a nationwide recall of peanut butter made in a Georgia plant.

The company is "removing product from retail store shelves and encouraging customers and consumers to hold and not eat these products until regulatory officials complete their investigation of PCA," a news release on the Kellogg Co. Web site said late Wednesday.

"We are taking these voluntary actions out of an abundance of caution," CEO David Mackay said in the news release.

The crackers are Toasted Peanut Butter Sandwich Crackers, Peanut Butter and Jelly Sandwich Crackers, Cheese and Peanut Butter Sandwich Crackers, and Peanut Butter-Chocolate Sandwich Crackers.

Meanwhile, health officials in Minnesota and Idaho said Wednesday that one death in each state had been linked to the outbreak, which has now sickened at least 430 people in 43 states. Another death in Minnesota and two in Virginia were confirmed Tuesday, the Associated Press reported.

Although their causes of death haven't been determined, all five adults had salmonella infection when they died. The U.S. Centers for Disease Control and Prevention said the salmonella outbreak may have contributed to their deaths, the news service said.

Peanut Corp. of America, based in Lynchburg, Va., issued a recall Tuesday of 21 lots of peanut butter for possible salmonella contamination. The product was made at a plant in Blakely, Ga., on or after July 1, 2008, and sold under the brand name Parnell's Pride and by the King Nut Company as King Nut, the AP said.

Peanut Corp., which also has plants in Virginia and Texas, makes the product for bulk distribution to institutions, food service industries and private label food companies.

The recall follows findings that bacteria in an open container of King Nut creamy peanut butter in Minnesota was a genetic match to the strain of salmonella that has struck across the country.

Peanut Corp. issued a statement from its owner and president, Stewart Parnell, according to the AP. "We deeply regret that this has happened," Parnell said. "Out of an abundance of caution, we are voluntarily withdrawing this produce and contacting our customers."

On Monday, Minnesota health officials reported that lab tests on a tainted five-pound tub of peanut butter collected from a long-term care facility produced the genetic match. The Minnesota report, issued on its Department of Health Web site, was a follow-up to initial tests done last week.

Officials from the Minnesota Departments of Health and Agriculture had issued a product warning Friday after preliminary testing indicated the presence of salmonella in the peanut butter.

Late Saturday, King Nut, of Solon, Ohio, announced it had issued a recall of King Nut peanut butter and Parnell's Pride peanut butter with the lot code "8." Both brands are manufactured by Peanut Corp.

On Sunday, Kanan told the AP that the recall involved 1,000 cases of peanut butter.

Reports of people sickened in the outbreak have occurred between Sept. 3 and Dec. 31, 2008, with most illnesses starting after Oct. 1. About 18 percent of those who fell ill were hospitalized.

The strain of salmonella has been identified as Salmonella Typhimurium, the most common of the more than 2,500 types of salmonella bacteria in the United States. It's often found in uncooked eggs and meats, said CDC officials.

The recall and the potential link to the multi-state outbreak come two years after ConAgra recalled its Peter Pan brand peanut butter, which had been linked to at least 625 salmonella cases in 47 states.

More information

To learn more about salmonella, visit the U.S. Centers for Disease Control and Prevention.
SOURCE: Jan. 14, 2009, news release, Kellogg Co., Battle Creek, Mich; Jan. 12, 2009, news release, Minnesota Department of Health and Minnesota Department of Agriculture; Jan. 12, 2009, news release, U.S. Centers for Disease Control and Prevention; Jan. 10, 2009, statement, King Nut Company, Solon, Ohio; Jan 10, 2009, online statement, Peanut Corporation of America; Associated Press

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