Blog E. coli E. coli O103 E. coli O103 outbreaks E. coli O121 E. Coli O121 outbreaks Food Recalls Foodborne Illness Investigations Foodborne Illness Outbreaks outbreak history

Two varieties of E. coli behind multiple U.S. outbreak infections

The following is a highlight listing of outbreaks in recent times that have been brought on by E. coli O103 and E. coli O121.


E. coli O121 outbreaks

2017 Outbreak of STEC O121 at an Athletic Middle, Colorado

  • Organism:
  • Non-O157 STEC
  • Car:
  • Leisure water

In September 2017 Colorado public health officers investigated an outbreak of E. coli O121 associated with leisure swimming at Villa Sport Athletic Middle situated in Colorado Springs. Three confirmed instances and three main instances all went to the pool on the identical day, September 9, 2017. Two instances have been hospitalized. Each developed the hemolytic uremic syndrome. No one died.

2015-2016 Outbreak of E. coli O121 linked to Basic Mills’ Flour

  • Organism:
  • Non-O157 STEC
  • Car:
  • flour

In June 2016 the CDC introduced that public well being officers have been investigating a multistate outbreak of E. coli O121 linked to flour produced at the Basic Mills’ Kansas City, Missouri facility. In interviews with unwell individuals, sixteen (76%) reported that they or someone in their family used flour in the week earlier than they turned ailing. Twelve (55%)of 22 individuals reported using Gold Medal brand flour. On September 29, 2016, the outbreak was declared to be over. There were 63 unwell individuals reported by 24 states. Seventeen individuals have been hospitalized. One individual developed the hemolytic uremic syndrome. Nobody had died. Illness onset dates ranged from December 21, 2015, to September 5, 2016. The FDA recognized STEC O121 in an open pattern of Basic Mills flour collected from the houses of sick persons in Colorado, Arizona, and Oklahoma. On Might 31, 2016, Common Mills recalled several sizes and varieties of Gold Medal Flour, Gold Medal Wondra Flour, and Signature Kitchens Flour. On July 1 Common Mills expanded the recall. the recall was expanded once more on July 25, 2016.

2014 Outbreak of E. coli O121 Linked to Uncooked Clover Sprouts from Evergreen Recent Sprouts

  • Organism:
  • Non-O157 STEC
  • Car:
  • Greens, Sprouts, Clover Sprouts

On Might 21, 2014, an outbreak of E. coli O121 linked to consumption of clover sprouts was introduced by well being officers in Washington and Idaho. On August 1, 2014, the CDC declared the outbreak over. In complete 19 sufferers had been confirmed with E. coli O121. Sufferers resided in California, Idaho, Michigan, Montana, Utah, and Washington. Amongst these individuals with info, seven (44%) of 16 have been hospitalized. No unwell individuals developed HUS, and no deaths have been reported. Epidemiologic and traceback investigations carried out by local, state, and federal officials indicated that contaminated uncooked clover sprouts produced by Evergreen Recent Sprouts, LLC of Idaho was the most probably supply of the outbreak. Sprouts have been eaten in sandwiches at several meals establishments together with Jimmy John’s Gourmand Sandwich places in King and Spokane counties in addition to two Pita Pit places in Spokane County. In Kootenai county, case-patients had eaten raw clover sprouts at Jimmy John’s and Daanen’s Deli. The producer also distributed sprouts to different restaurants and retail grocery shops in the northwest.

2012-2013 E. coli O121 linked to Farm Wealthy Products Frozen Mini Meals and Snack Gadgets

  • Organism:
  • Non-O157 STEC
  • Car:
  • Frozen Snacks, poultry, hen

On March 28, 2013, Farm Wealthy Products Corporation announced a recall of 196,222 kilos of frozen hen quesadilla and numerous other heat-treated, not absolutely cooked frozen mini meals and snack gadgets because of attainable contamination with E. coli O121. The recall was initiated after patients residing in 16 states have been recognized by public well being investigators. As of Might 30, 2013, 35 sufferers had been recognized. Eighty-two % of ailing individuals have been 21 years of age or younger, 31% have been hospitalized. Amongst individuals for whom info was obtainable, illness onset dates ranged from December 30, 2012, to April 15, 2013. Two individuals developed the hemolytic uremic syndrome. A pattern of Farm Rich frozen hen mini quesadilla collected from a affected person’s residence was constructive for the outbreak strain of E. coli O121. On April four, 2013, the recall was expanded to all merchandise produced at its Waycross, Georgia plant with “Best By” dates ranging from January 1, 2013, to September 29, 2014, as a consequence of attainable contamination with Escherichia coli O121 bacteria (“E. coli O121”). Along with Farm Rich model products, Market Day model products are being recalled.

2009 E. coli O157: H7 and Non-O157 E. coli Linked to Dungeness Valley Creamery Uncooked Entire Milk, Washington

  • Organism:
  • coli O157: H7, Non-O157 STEC
  • Car:
  • Dairy, Milk, Unpasteurized, Uncooked Milk

An outbreak was linked to the consumption of raw, unpasteurized, entire milk produced by the Dungeness Valley Creamery. There have been a total of three instances. There have been two E. coli strains implicated. One pressure was confirmed as E. coli O121. The opposite strain was suspected and was E. coli O157: H7. Uncooked milk was authorized to sell and buy in Washington, offered the dairy underwent a collection of inspections and was licensed. This dairy had been licensed since 2006.

2007 non-O157 E. Coli at a Jefferson County Jail Linked to Pasteurized American Cheese or Margarine

  • Organism:
  • Non-O157 STEC
  • Car:
  • Dairy, American Cheese Fat or Oils, Margarine

An outbreak attributed to 3 non-O157 strains of E. coli bacteria, occurred on the Jefferson County Jail, in Colorado. The strains of E. coli associated with this outbreak have been: O121; O26; O84. A report from the Centers for Disease Management and Prevention named pasteurized, American fashion, cheese, or margarine, because the automobiles for this outbreak.

2006 Utah Wendy’s Restaurant Lettuce

  • Organism:
  • Non-O157 STEC
  • Car:
  • Vegetable, Leafy greens, Unknown Iceberg lettuce

Iceberg lettuce that had been ready and served to patrons of the Wendy’s Restaurant, in Ogden, Utah, and to attendees of a catered academics’ convention at a junior high school(CORE academy) was implicated in an outbreak of E.coli O121: H19. This can be a uncommon strain of E.coli. Three individuals developed kidney failure. Lettuce was the only food that each one of the sickened individuals had eaten. The lettuce was not out there for testing after the outbreak was acknowledged.

2006 Nebraska Day Care

  • Organism:
  • Non-O157 STEC
  • Car:
  • Individual-to-Individual

An outbreak of E. coli O121 occurred amongst youngsters who attended a Nebraska daycare program. The infection was spread from person-to-person. All instances required hospitalization.

E. coli O103 outbreaks

2019 Multistate Outbreak of E. coli O103 Infections Linked to Floor Beef

  • Organism:
  • Non-O157 STEC
  • Car:
  • floor beef

In April 2019 public well being officers introduced a multistate outbreak of Escherichia coli O103 infections. Preliminary epidemiologic info means that ground beef is the source of this outbreak. On June 19, 2019, the outbreak seemed to be over. In complete 209 individuals contaminated with the outbreak strain had been reported by 10 states: Florida, Georgia, Illinois, Indiana, Kentucky, Minnesota, Mississippi, Ohio, Tennessee, and Virginia. Twenty-nine individuals had been hospitalized. Two instances of hemolytic uremic syndrome have been reported. There were no deaths. Sicknesses started on dates from March 1, 2019, to Might 1, 2019. Ailing individuals in this outbreak ate ground beef from many sources. Some floor beef was recalled but investigators were not positive if all producers had been identified. On April 24, 2019, Grant Park Packing in Franklin Park, Illinois recalled approximately 53,200 pounds of uncooked ground beef merchandise. K2D Foods, doing business as Colorado Premium Foods in Carrollton, Georgia recalled approximately 113,424 pounds of uncooked floor beef products on April 23, 2019.

2015 Outbreak of Gastrointestinal Sickness Linked to Unpasteurized Apple Cider, Illinois

  • Organism:
  • Cryptosporidium, non-O157 STEC
  • Car:
  • unpasteurized apple cider

In November 2015 public well being officers in Illinois investigated an outbreak of gastrointestinal illness amongst people who attended the Pike County Fall Colour Drive. An estimated 30,000 individuals attended the pageant. One-hundred-four instances have been identified. Consumption of apple cider was a big danger factor for diarrheal sickness. The cider was produced by Yoder Brothers Dairy Farm. Ten samples of cider have been examined for Cryptosporidium and E. coli. Subtype Cryptosporidium parvum IIaA17G2R2 as recognized in one cider pattern and in all five stool specimens submitted for Cryptosporidium subtyping. E. coli O130: H11 was identified in 6 cider samples. Two of eight stool specimens that tested constructive for Shiga Toxin E. coli. Serotypes have been recognized as E. coli O103 and O111. Investigators decided that cider manufacturing occurred outside on a farm within 200 ft of a calf pen. Individuals involved in cider production handled cattle and didn’t change or disinfect garments and boots between cattle operations and cider processing. Cider was unpasteurized and containers have been unlabeled.

2010 Outbreak of E. coli O103 E. coli O145: NM Linked to Consumption of Venison, Minnesota

  • Organism:
  • Non-O157 STEC
  • Car:
  • Recreation, Venison

An outbreak of non-O157 Shiga toxin-producing Escherichia coli occurred amongst college students at a high school in Minnesota, in November 2010. The scholars had handled and consumed venison from a wild white-tailed deer in a highschool class. Consuming undercooked venison and not washing arms after handling uncooked venison have been related to sickness. E. coli O103: H2 2 isolates) and non-Shiga toxin-producing E. coli O145: NM 1 isolate) have been isolated from ailing college students and the venison.

2004 Outbreak of E. coli O26: H11 and E. coli O103: H2, Wyoming

  • Organism:
  • Non-E.coli O157: H7
  • Car:
  • Unknown

Between July and November 2004, in Lincoln County, Wyoming, six reported instances of enterohemorrhagic E. coli have been identified. An in depth meals historical past questionnaire was carried out with the instances along with enhanced laboratory testing by means of the Wyoming Public Health Laboratory. 5 of the six isolates have been serotyped as E.coli O26: H11, the sixth was O103: H2. No widespread exposures have been discovered.

2000 Outbreak of E. coli O103 linked to Consumption of Punch, Washington

  • Organism:
  • Non-O157 STEC
  • Car:
  • Beverage, Drink, Punch

An outbreak of E. coli O103 occurred in Washington state on July 2000. The implicated car was contaminated fruit punch. Sicknesses have been confirmed by the use of serology (blood work). Eighteen individuals have been unwell. Two have been hospitalized. There were no deaths.

About E. coli infections

The symptoms of E. coli infections differ for every individual but typically embrace severe stomach cramps and bloody diarrhea. If there’s fever, it’s often not lower than 101 levels F (38.5 degrees C). Most sufferers recuperate inside five to seven days. Others can develop extreme or even life-threatening symptoms and problems.

About 5 % to 10 % of those who are recognized with E. coli infections develop a probably life-threatening kidney failure complication, often known as a hemolytic uremic syndrome (HUS). Signs of HUS embrace fever, stomach pain, feeling very drained, decreased frequency of urination, small unexplained bruises or bleeding, and pallor.

Many individuals with HUS recuperate within a couple of weeks, however some endure everlasting injuries or demise. This condition can happen among individuals of any age however is commonest in youngsters younger than 5 years previous because of their immature immune methods. Older adults are also at greater danger as a result of of deteriorating immune methods. Different individuals with compromised immune methods similar to transplant recipients, HIV sufferers, and most cancers patients.

People who expertise HUS signs should seek emergency medical care immediately. Individuals with HUS must be hospitalized because it will probably cause other critical and ongoing issues reminiscent of hypertension, continual kidney illness, mind injury, and neurologic issues.