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                Outbreaks of Foodborne Illness

Outbreaks of Foodborne Illness

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                        Foodborne Pathogens Home
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          Outbreaks of Foodborne Illness
          Outbreak Investigation of Salmonella: Jule's Cashew Brie (April 2021)Outbreaks of Foodborne Illness Outbreak Investigation of Salmonella: Jule's Cashew Brie (April 2021)
  
  					CDC declares outbreak over; FDA investigation has ended
	
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    PrintThe FDA, along with CDC, state and local partners, investigated a multistate outbreak of *Salmonella* infections linked to the consumption of Jule’s Cashew Brie, a vegan, or plant-based cheese alternative. On April 23, 2021, Jule’s Foods of Carlsbad, California, conducted a voluntary recall of all varieties of Jule’s Foods products.

As of July 7, 2021, CDC announced that the outbreak is over. There are a total of 20 illnesses in four states. Two additional strains of *Salmonella*, *Salmonella* Typhimurium and *Salmonella* Chester, have been linked to this outbreak. The illnesses of *Salmonella* Chester have the same genetic fingerprint as *Salmonella* found in a sample of Jule’s Cashew Brie collected by the California Department of Public Health (CDPH).

Illnesses of *Salmonella* Duisburg and *Salmonella* Urbana have been previously reported and are linked to this outbreak. Other strains of *Salmonella*have been identified in raw and finished product samples and environmental samples but have not been linked to illnesses.

Based on FDA traceback investigation and sample results, the cashews used by Jule’s Foods have been identified as the likely source of contamination in the Jule’s Cashew Brie products. The FDA worked with the cashew supplier to ensure that potentially contaminated product was removed from the market and that the supplier implemented corrective actions.

Recommendation

CDC announced that the outbreak is over. There are no recommendations for consumers, restaurants, or retailers.


Product Images

Outbreak Investigation of Salmonella Duisburg Jule's Brie
Map of U.S. Distribution of Recalled Jule's Foods Products

Outbreak Investigation of Salmonella Duisburg - Cashew Brie Products - Map of U.S. Distribution (04-23-2021)
Case Count Map Provided by CDC

Outbreak Investigation of Salmonella in Cashew Brie Products - CDC Case Count Map (July 7, 2021)
Case Counts

Total Illnesses: 20
Hospitalizations: 5
Deaths: 0
Last Illness Onset: May 9, 2021
States with Cases: CA (15), FL (2), MD (1), TN (2)
Product Distribution*: Arkansas, California, Colorado, Connecticut, Florida, Louisiana, Maryland, Minnesota, Nevada, New York, New Jersey, Ohio, Oregon, Pennsylvania, Rhode Island, Tennessee, Texas
*Distribution has been confirmed for states listed, but product could have been distributed further, reaching additional states
Useful Links

Jule's Foods Recall
	What is *Salmonella*
	Food Safety Tips for Consumers & Retailers During an Outbreak
	Who to Contact
	CDC's Outbreak Page


Previous Updates

**May 7, 2021**

The FDA, along with CDC and state and local partners, are investigating a multistate outbreak of *Salmonella* Duisburg and *Salmonella* Urbana infections linked to the consumption of Jule’s Cashew Brie, a vegan, or plant-based cheese alternative. On April 23, 2021, Jule’s Foods of Carlsbad, California, conducted a voluntary recall of all varieties of Jule’s Foods products. As of May 7, 2021, CDC announced that seven people infected with the outbreak strains of *Salmonella* Duisburg and *Salmonella* Urbana have been reported from three states.

As part of this investigation, investigators from the Tennessee Department of Health (TDH) and the California Department of Public Health (CDPH) collected product samples of Jule’s Cashew Brie. Whole Genome Sequencing (WGS) analysis, or DNA fingerprinting, conducted independently by both TDH and CDPH determined that the samples of Jule’s Cashew Brie were contaminated with the same strain of *Salmonella* Urbana that made people sick.

FDA investigators collected samples of several ingredients, in-process (or aging) products, and finished cashew-based products at the Jule’s Foods facility. Samples of un-opened, raw cashews collected from the Jule’s Foods facility also tested positive for the same strain of *Salmonella* Urbana as the TDH and CDPH product samples and two California clinical isolates.

Based on FDA traceback investigation and these sample results, the cashews have been identified as the likely source of contamination in the Jule’s Cashew Brie products. The FDA is working with the firm that supplied the cashews to ensure that all potentially contaminated product has been withdrawn from the market. When notified about the potential contamination of their product by the FDA, the firm that supplied cashews to Jule’s Foods contacted their customers to request that the product be removed from use. The firm reported that it does not sell products directly to consumers.

**April 23, 2021**

The FDA, along with CDC and state and local partners are investigating a multistate outbreak of *Salmonella* Duisburg infections linked to the consumption of Jule’s Cashew Brie, a vegan, or plant-based cheese alternative. The firm, Jule’s Foods of Carlsbad, California, is conducting a voluntary recall of all varieties of Jule’s Foods products.

CDC identified an outbreak of five *Salmonella* Duisburg illnesses, which is considered a rare *Salmonella* serotype. All samples taken from ill patients are highly related according to Whole Genome Sequencing (WGS) analysis, or DNA fingerprinting of the pathogen. Of the five people interviewed, three (60%) reported eating Jule’s Truffle Cashew Brie– the only common product identified.

California Department of Public Health and Tennessee Department of Health state investigators collected samples of Jule’s Cashew Brie (including Cashew Brie (Classic), Truffle Cashew Brie, and Black Garlic Cashew Brie) from various retail locations. Preliminary results indicated that the Jule’s Cashew Brie products collected and analyzed in California may have been contaminated with *Salmonella*. Additional analysis subsequently confirmed the presence of *Salmonella* and additional analysis is ongoing to determine if the type of *Salmonella* found in these products matches the outbreak strain.

Based on these preliminary sample results, on April 21, 2021, the firm agreed to voluntarily recall all Jule’s Cashew Brie products. These tested products were sold on the firm’s website and in select retail locations. Additional distribution information is included in the firm’s recall announcement and below. Additionally, as a precaution the firm is also recalling its plant-based dairy alternative Jule’s Spinach Artichoke Dip and Jule’s Vegan Ranch Dressing. These products were sold directly to customers via the internet.

Who to Contact

**Consumers who have symptoms**should contact their health care provider to report their symptoms and receive care.

To report a **complaint**or **adverse event**(illness or serious allergic reaction), you can

Call an FDA Consumer Complaint Coordinatorif you wish to speak directly to a person about your problem.
	Complete an electronic Voluntary MedWatch form online.
	Complete a paper Voluntary MedWatch form that can be mailed to FDA.Submit Questions/Get Assistance

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                                                                                  Content current as of:
      07/07/2021
              
              
Regulated Product(s)
		 Food & BeveragesTopic(s)
			  OutbreakOutbreaks of Foodborne Illness

          
                        Investigations of Foodborne Illness Outbreaks
          Public Health Advisories from Investigations of Foodborne Illness Outbreaks
          Food Safety Tips for Consumers & Retailers During an Outbreak of Foodborne Illness
          Food Safety Resources for Produce Shippers and Carriers During a Foodborne Illness Outbreak
          Outbreak Investigation Reports
          How to Report Seafood-Related Toxin and Scombrotoxin Fish Poisoning Illnesses
          About the CORE Network
          CORE Annual Reports
          CORE Publications


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