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  1. #1
    Senior Member JohnDoe2's Avatar
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    73 People in 18 States Sickened by Cucumbers

    73 People in 18 States Sickened by Cucumbers



    By MARY CLARE JALONICK Associated Press
    WASHINGTON April 26, 2013 (AP)

    The Food and Drug Administration is detaining imports of cucumbers from a Mexican company after they were linked to salmonella illnesses in 18 states.
    The FDA placed the restrictions against Daniel Cardenas Izabal and Miracle Greenhouse of Culiacán, Mexico. The alert means the United States won't accept the imports unless the company can show testing that proves the cucumbers are safe.
    The federal Centers for Disease Control and Prevention said Thursday that 73 people may have been sickened by the cucumbers.
    Salmonella can cause diarrhea, abdominal cramps and fever within a few days of eating a contaminated product. Salmonella can be life-threatening to those with weakened immune systems.
    The cucumbers were distributed by Tricar Sales, Inc. of Rio Rico, Arizona. California reported the most illnesses, with 28 people sickened.
    http://abcnews.go.com/Politics/wireStory/fda-detains-imports-mexican-cucumbers-19044650#.UXwCUJjn9jo
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  2. #2
    Super Moderator Newmexican's Avatar
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    Multistate Outbreak of Salmonella Saintpaul Infections Linked to Imported Cucumbers

    Posted April 25, 2013 12:30 PM ET

    Latest Case Count Map

    Click map to view case count map.

    Latest Epi Curve

    Click graph to view epi curve graph.




    Highlights


    • Read the Advice to Consumers »
    • A total of 73 persons infected with the outbreak strain of Salmonella Saintpaul have been reported from 18 states.
    • 27% of ill persons have been hospitalized, and no deaths have been reported.
    • 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 consumption of imported cucumbers is the likely source of infection for the ill persons.

    • On April 24, 2013, the U.S. Food and Drug Administration placed Daniel Cardenas Izabal and Miracle Greenhouse of Culiacán, Mexico on Import Alert.
      • Cucumbers from these two firms will be denied admission into the United States unless the suppliers show that they are not contaminated with Salmonella.

    • Currently, there is no evidence that contaminated cucumbers supplied by Daniel Cardenas Izabal and Miracle Greenhouse are still on the market.

    • 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 with before becoming ill.






    Initial Announcement

    April 25, 2013


    CDC is collaborating with public health officials in many states and the U.S. Food and Drug Administration (FDA) to investigate an outbreak of SalmonellaSaintpaul infections linked to imported cucumbers supplied by Daniel Cardenas Izabal and Miracle Greenhouse of Culiacán, Mexico and distributed by Tricar Sales, Inc. of Rio Rico, Arizona.


    Public health investigators are using the PulseNet system to identify cases of illness that may be part of this outbreak. In PulseNet, the national subtyping network of public health and food regulatory agency laboratories coordinated by CDC, DNA "fingerprints" of Salmonella bacteria are obtained through diagnostic testing with pulsed-field gel electrophoresis, or PFGE, to identify cases of illness that may be part of this outbreak.


    A total of 73 persons infected with the outbreak strain of Salmonella Saintpaul have been reported from 18 states. The number of ill persons identified in each state is as follows: Arizona (9), California (2 8, Colorado (1), Idaho (2), Illinois (3), Louisiana (1), Massachusetts (1), Maryland (1), Minnesota ( 8, Nevada (1), New Mexic0 (2), North Carolina (1), Ohio (1), Oregon (2), South Dakota (2), Texas (6), Virginia (2), and Wisconsin (2).

    Among persons for whom information was available, illness onset dates range from January 12, 2013 to April 6, 2013. Ill persons range in age from less than 1 year to 80 years, with a median age of 23 years. Sixty percent of ill persons are female. Among 51 persons with available information, 14 (27%) ill persons have been hospitalized. No deaths have been reported.

    This outbreak can be visually described with a chart showing the number of persons who became ill each day. This chart is called an epidemic curve or epi curve. Illnesses that occurred after March 23, 2013 might not yet be reported due to the time it takes between when a person becomes ill and when the illness is reported. This takes an average of 2 to 3 weeks. Please see theSalmonella Outbreak Investigations: Timeline for Reporting Cases for more details.
    Investigation of the Outbreak

    Preliminary epidemiologic, laboratory, and traceback investigations conducted by officials in local, state, and federal public health, agriculture, and regulatory agencies indicate that exposure to imported cucumbers supplied by Daniel Cardenas Izabal and Miracle Greenhouse of Culiacán, Mexico and distributed by Tricar Sales, Inc. of Rio Rico, Arizona is the likely source of this outbreak of Salmonella Saintpaul infections.


    In interviews, ill persons answered questions about foods eaten and other exposures during the week before becoming ill. Thirty (67%) of 45 ill persons interviewed reported eating various types of cucumbers purchased or consumed at multiple locations or restaurants. This proportion is significantly higher than results from a survey of healthy persons [PDF - 787 KB] in which 44% reported eating cucumbers in the 7 days before they were interviewed. An additional 5 (11%) of 45 ill persons reported that they may have eaten cucumbers. No other foods that were reported eaten by interviewees were associated with illness.


    Reviewing shipping records, with assistance from its partner state agencies, FDA traced cucumbers eaten by six ill people to the distributer, Tricar Sales, Inc., and further, to the suppliers, Daniel Cardenas Izabal and Miracle Greenhouse. On April 24, 2013, the suppliers were placed on Import Alert. Cucumbers from these two firms will be denied admission into the United States unless the suppliers show that they are not contaminated with Salmonella.


    The number of illnesses reported has declined substantially since a peak in early March. Currently, there is no evidence that contaminated cucumbers are still on the market. However, due to the time it takes between when a person becomes ill and when the illness is reported, additional ill persons may be identified. 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 with before becoming ill.

    Center for Disease Control

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