A multi-state outbreak of Salmonella Poona linked to imported Mexican cucumbers has apparently sickened more than 300 people from 27 states and hospitalized 53 of them, according to an alert posted Friday afternoon by the New Mexico Department of Health and additional reporting by Food Safety News.
A statement released Friday by the California Department of Public Health reported that there has been one related death in California, and that additional cases were continuing to come in.
The U.S. Centers for Disease Control and Prevention (CDC) released information on the outbreak at 8 p.m. Eastern Time Friday night.
According to CDC, “Among people for whom information is available, illnesses started on dates ranging from July 3, 2015 to August 26, 2015. Ill people range in age from less than 1 year to 99, with a median age of 13. Fifty-four percent of ill people are children younger than 18 years. Fifty-seven percent of ill people are female. Among 160 people with available information, 53 (33%) report being hospitalized. One death has been reported from California.”
Fifteen confirmed cases were announced Friday in New Mexico, as well as 11 confirmed cases (with two suspected) reported from eight counties in Montana.
Thursday’s total case count was 285, and the total on Friday was said to have climbed higher than that.
“I know that it’s over 300 now,” Mark DiMenna, deputy director of the Albuquerque Environmental Health Department, told Food Safety News.
He said the breakdown of the 285 S. Poona cases by state as of Sept. 3 was as follows: AK (8), AR (6), AZ (60), CA (51), CO (14), ID (8), IL (5), KS (1), LA (3), MN (12), MO (7), MT (11), NE (2), NM (15), NV (7), NY (4), ND (1), OH (2), OK (5), OR (3), SC (6), TX (9), UT (30), VA (1), WA (9), WI (2), WY (3).
He said that Albuquerque health inspectors come in from the field on Friday and contacted anybody in grocery stores or restaurants who might have received the Mexican cucumbers.
“We contacted anybody who we knew had gotten them and asked them to pull them off the shelves,” he said, adding that barring an official recall, product removal would be on a voluntary basis.
While DiMenna wouldn’t name the distributor involved, he noted that several outlets in his area had already been contacted by them.
“It’s an indication of the scale of that distributor,” he said.
On Friday, a San Diego produce distributor, Andrew & Williamson Fresh Produce, recalled cucumbers imported from Mexico for Salmonella risk. Andrew & Williamson also supplies vegetables to Red Lobster and In-And-Out restaurants, among others, according to an Oklahoma City TV station.
California health department officials stated that Andrew & Williamson had initiated a voluntary recall of their garden cucumbers after being informed of the epidemiologic association between these cucumbers and the Salmonella Poona outbreak.
“The recalled garden cucumbers can be identified in distribution channels as ‘Limited Edition’ brand pole grown cucumbers. The labeling on these cases indicates the product was grown and packed by Rancho Don Juanito in Mexico. These cucumbers were distributed between August 1 – September 3, 2015,” the department stated.
The Mexican cucumbers being linked to the current S. Poona outbreak are not the long, thin ones that come wrapped in plastic (English cucumbers) nor the small pickle-shaped type (Persian cucumbers). They are the thick-skinned, unwrapped type of garden-variety cucumbers and were sent to grocery stores and restaurants in New Mexico and other states through a produce distributor.
CDC reported Friday that several state health and agriculture departments are collecting leftover cucumbers from restaurants and grocery stores where ill people reported eating or shopping to test for the presence of Salmonella.
“The San Diego County Health and Human Services Agency isolated Salmonella from cucumbers collected during a visit to the Andrew & Williamson Fresh Produce facility. DNA ‘fingerprinting’ is being conducted to determine the PFGE pattern of the Salmonella isolated from these cucumbers. Results of additional product testing will be reported when available,” CDC stated.
The New Mexico Health Department noted in its Friday announcement that officials there were working with CDC, FDA, the New Mexico Environment Department, the Albuquerque Environmental Health Department, and multiple other state health departments on the outbreak investigation.
According to the state health department there, the 15 New Mexico cases are seven residents of Bernalillo County, two residents of Doña Ana County, two residents of Sandoval County, and one resident from McKinley, Santa Fe, and Valencia counties, respectively, with one case of unknown residence at this time.
Several of the New Mexicans sickened were hospitalized, ranged in age from 1 to 65 years of age, and approximately 60 percent are female. Illness onset ranged from July 30 to late August, according to the health department.
New Mexico health officials recommended that New Mexicans not buy, sell, eat, or serve cucumbers grown commercially in Mexico until additional information is available from the CDC and FDA.
“If you have any concerns we recommend that you ask your retail grocer where the cucumbers you purchased were grown. When in doubt as to their origin, do not eat them, and throw them out,” they stated.
California health officials sent out a photo of a box of the recalled cucumbers, noting that, “It is unlikely that cucumbers in retail grocery stores will have any identifying brand information. CDPH recommends that consumers check with their grocer to determine if the cucumbers they purchased are impacted by this warning.”
People who are at high risk for Salmonella infection include: infants, elderly, those with compromised immune systems, including persons on immunosuppressive therapies or medications, and pregnant women. Healthy adults rarely develop severe illness. It is important for people at high risk to follow the standard CDC guidance about Salmonella. People can decrease their risk of Salmonella infection through proper food handling and preparation and by practicing proper hand washing and hygiene practices.
Eating food contaminated with Salmonella can cause salmonellosis, an uncommon but potentially serious infection. Salmonellosis is characterized by an acute onset of headache, abdominal pain, diarrhea, nausea, and sometimes vomiting. Dehydration, especially among infants, may be severe.
This is not the first Salmonella outbreak linked to cucumbers. An outbreak of Salmonella Newport in 2014 affected a total of 275 people in 29 states and the District of Columbia, with illness onsets occurring during May 20 to Sept. 30, 2014. That outbreak was linked to cucumbers grown in the Delmarva region of Maryland’s Eastern Shore.