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                Outbreaks of Foodborne Illness

Outbreaks 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
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                        Foodborne Pathogens Home
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          Outbreaks of Foodborne Illness
          Investigations of Foodborne Illness OutbreaksOutbreaks of Foodborne Illness Investigations of Foodborne Illness Outbreaks
  
  	
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*Note: Not all recalls and alerts result in an outbreak of foodborne illness*. Check recent Food Recalls and Safety Alerts.

The following is a list of outbreak and adverse event investigations primarily being managed by FDA’s CORE Response Teams. The investigations are in a variety of stages, meaning that some have limited information, while others may be near completion.

A public health advisory will be issued for investigations that have resulted in specific, actionable steps for consumers to take to protect themselves. Please direct your attention to those pages for the most up to date information on the investigation and for consumer protection information.

Outbreak and adverse event investigations that do not result in specific, actionable steps for consumers may or may not conclusively identify a source or reveal any contributing factors. Adverse event investigations rely on self-reported data. Although these reports may name a particular product, FDA will only indicate a product category in the table and will not publicly name a specific product until there is sufficient evidence to implicate that product as a cause of illnesses or adverse events. If a cause and/or contributing factors are identified that could inform future prevention, FDA commits to providing a summary of those findings.

What's New

An outbreak of *Listeria monocytogenes* (ref #1214) in a not yet identified food has been added to the table. FDA’s investigation is ongoing.
	For the outbreak of *Salmonella* Newport (ref #1201) in an unidentified food, the outbreak has ended and FDA’s investigation has closed.
	For the outbreak of *Salmonella* Sundsvall and Oranienburg (ref #1203) linked to cantaloupe, the advisory was updated on January 19, 2024. The outbreak has ended, and FDA’s investigation is closed.
	For the investigation of elevated lead levels in Cinnamon Applesauce Pouches (ref # 1198) the complaints/adverse event reports in the advisory were updated. Refer to the advisory for additional information.Subscribe to Updates


Active Investigations

Date
			Posted
			Reference
			#
			Pathogen
			or
			Cause of
			Illness
			Product(s)
			Linked to
			Illnesses
			(if any)
			Total
			Case
			Count
			Investigation
			Status
			Outbreak/
			Event
			Status
			Recall
			Initiated
			Traceback
			Initiated
			On-Site
			Inspection
			Initiated
			Sample
			Collection
			&
			Analysis
			Initiated1/24/2024
			1214
			*Listeria
			monocytogenes*
			Not
			Yet
			Identified
			26
			Active
			Ongoing
			SeeAdvice12/6/2023
			1205
			*Listeria
			monocytogenes*
			Not
			Yet
			Identified
			3
			Active
			Ongoing
			SeeAdvice
			
			✔
			✔
			✔11/15/2023
			989
			*Listeria
			monocytogenes*
			Peaches,
			Plums,
			and
			Nectarines
			SeeAdvisory
			Active
			Ongoing
			SeeAdvisory
			SeeAdvisory
			
			✔
			✔11/8/2023
			1198
			Elevated
			Lead
			Levels
			Apple
			Cinnamon
			Puree
			SeeAdvisory
			Active
			Ongoing
			SeeAdvisory
			SeeAdvisory
			✔
			✔
			✔

Closed Investigations

2023 Investigations
	Date
			Posted
			Reference
			#
			Pathogen
			or
			Cause of
			Illness
			Product(s)
			Linked to
			Illnesses
			(if any)
			Total
			Case
			Count
			Investigation
			Status
			Outbreak/
			Event
			Status
			Recall
			Initiated
			Traceback
			Initiated
			On-Site
			Inspection
			Initiated
			Sample
			Collection
			&
			Analysis
			Initiated11/22/2023
			1201
			*Salmonella*
			Newport
			Not
			Identified
			45
			Closed
			Ended
			Ongoing
			SeeAdvice
			
			✔11/22/2023
			1203
			*Salmonella*
			Sundsvall
			and
			Oranienburg
			Cantaloupe
			SeeAdvisory
			Closed
			Ended
			Ongoing
			SeeAdvisory
			SeeAdvisory
			✔
			
			✔11/15/2023
			1192
			*E. coli*
			O103
			Not
			Identified
			12
			Closed
			Ended
			SeeAdvice
			
			✔11/1/2023
			1195
			*E. coli*
			O121:H19
			Not
			Identified
			37
			Closed
			Ended
			SeeAdvice
			
			✔
			✔
			✔10/4/2023
			1190
			*Salmonella*
			Thompson
			Onions
			SeeAdvisory
			Closed
			Ended
			SeeAdvisory
			SeeAdvisory
			✔
			✔
			✔8/30/2023
			1179
			*Salmonella*
			Newport
			Watermelon
			and
			Cantaloupe
			11
			Closed
			EndedSee
			Advice
			
			✔
			✔
			✔8/30/2023
			1174
			*Cryptosporidium*
			Not
			Identified
			11
			Closed
			EndedSee
			Advice
			
			✔8/9/2023
			1172
			*Listeria**monocytogenes*
			Ice
			Cream
			SeeAdvisory
			Closed
			Ended
			SeeAdvisory
			SeeAdvisory
			✔
			✔
			✔7/26/2023
			1171
			*Cyclospora
			cayetanensis*
			Not
			Identified
			59
			Closed
			EndedSee
			Advice
			
			✔
			
			✔7/26/2023
			1165
			*E. coli*
			O26
			Not
			Identified
			13
			Closed
			EndedSee
			Advice
			
			✔7/12/2023
			1166
			*E. coli* 
			O157:H7
			Not
			Identified
			12
			Closed
			EndedSee
			Advice
			
			✔7/6/2023
			1163
			*Cyclospora
			cayetanensis*
			Not
			Identified
			140
			Closed
			EndedSee
			Advice
			
			✔
			
			✔6/14/2023
			1159
			*Cyclospora
			cayetanensis*
			Not
			Identified
			72
			Closed
			EndedSee
			Advice
			
			✔
			✔
			✔6/14/2023
			1157
			*Salmonella*
			Paratyphi B
			var. L(+)
			tartrate+
			Pico
			de Gallo
			37
			Closed
			EndedSee
			Advice
			
			✔
			✔
			✔5/24/2023
			1156
			*Salmonella*
			Enteritidis
			Raw
			Cookie
			Dough
			SeeAdvisory
			Closed
			Ended
			SeeAdvisory
			
			✔
			✔
			✔5/24/2023
			1155
			*Cyclospora
			cayetanensis*
			Broccoli
			20
			Closed
			EndedSee
			Advice
			
			✔
			
			✔4/26/2023
			1152
			Not
			Identified
			Morel
			Mushroom
			SeeAdvisory
			Closed
			Ended
			SeeAdvisory
			
			✔
			
			✔3/29/2023
			1141
			*Salmonella*
			Infantis
			Raw
			Flour
			SeeAdvisory
			Closed
			Ended
			SeeAdvisory
			SeeAdvisory
			✔
			✔
			✔3/8/2023
			1144
			*Salmonella*
			Hartford
			Not
			Identified
			54
			Closed
			EndedSee
			Advice
			
			✔
			✔
			✔3/1/2023
			1143
			Hepatitis
			A Virus
			Frozen
			Strawberries
			SeeAdvisory
			Closed
			Ended
			SeeAdvisory
			SeeAdvisory
			✔
			✔
			✔2/15/2023
			1123
			*Listeriamonocytogenes*
			Leafy
			Greens
			SeeCDC
			Notice
			Closed
			Ended
			SeeCDC
			Notice
			
			✔
			✔
			✔

2022 Investigations
	Date
			Posted
			Reference
			#
			Pathogen
			or
			Cause of
			Illness
			Product(s)
			Linked to
			Illnesses
			(if any)
			Total
			Case
			Count
			Investigation
			Status
			Outbreak/
			Event
			Status
			Recall
			Initiated
			Traceback
			Initiated
			On-Site
			Inspection
			Initiated
			Sample
			Collection
			&
			Analysis
			Initiated12/28/2022
			1137
			*Salmonella*
			Typhimurium
			Alfalfa
			Sprouts
			SeeAdvisory
			Closed
			Ended
			SeeAdvisory
			SeeAdvisory
			✔
			✔
			✔11/16/2022
			1113
			*Salmonella*
			Typhimurium
			Not
			Identified
			274
			closed
			EndedSee
			Advice
			
			✔
			
			✔11/9/2022
			1127
			*Listeriamonocytogenes*
			Enoki
			Mushrooms
			SeeAdvisory
			Closed
			Ended
			SeeAdvisory
			SeeAdvisory
			✔
			✔
			✔10/24/2022
			1121
			*E. coli***
			O157:H7
			Not
			Identified
			11
			Closed
			EndedSee
			Advice
			
			✔10/12/2022
			1115
			*E. coli*
			O121:H19
			Frozen
			Falafel
			See
			Advisory
			Closed
			EndedSee
			Advisory
			See
			Advisory
			✔
			✔
			✔9/28/2022
			1105
			*Salmonella*
			Litchfield
			Seafood
			See
			Advisory
			Closed
			EndedSee
			Advisory
			See
			Advisory
			✔
			✔
			✔9/14/2022
			1106
			*Listeria
			monocytogenes*
			Brie
			and
			Camembert
			Cheese
			See
			Advisory
			Closed
			EndedSee
			Advisory
			See
			Advisory
			✔
			✔
			✔8/31/2022
			1097
			*Salmonella*
			Mississippi
			Not
			Identified
			103
			Closed
			EndedSee
			Advice
			
			✔8/17/2022
			1095
			*Salmonella*
			Typhimurium
			Cantaloupe
			87
			Closed
			EndedSee
			Advice
			
			✔
			✔
			✔8/17/2022
			1087
			*Salmonella*
			Senftenberg
			Not
			Identified
			35
			Closed
			EndedSee
			Advice
			
			✔8/17/2022
			1081
			*E. coli*
			O157:H7
			Not
			Identified
			See
			CDC
			Notice
			Closed
			EndedSee
			CDC
			Notice
			
			✔
			✔
			✔8/3/2022
			1080
			*Cyclospora
			cayetanensis*
			Not
			Identified
			84
			Closed
			EndedSee
			Advice
			
			✔
			✔
			✔7/27/2022
			1084
			*Cyclospora
			cayetanensis*
			Not
			Identified
			43
			Closed
			EndedSee
			Advice
			
			✔
			
			✔6/29/2022
			1076
			Not
			Identified
			Frozen
			Food
			See
			Advisory
			Closed
			EndedSee
			Advisory
			See
			Advisory
			✔
			✔
			✔6/22/2022
			1075
			*Salmonella*
			Braenderup
			Not
			Identified
			75
			Closed
			EndedSee
			Advice
			
			✔6/22/2022
			1072
			*Salmonella*
			Paratyphi B
			var. L(+)
			tartrate+
			Not
			Identified
			14
			Closed
			EndedSee
			Advice
			
			✔6/15/2022
			1070
			*Listeriamonocytogenes*
			Not
			Identified
			12
			Closed
			EndedSee
			Advice
			
			✔6/8/2022
			1068
			*E. coli*
			O157:H7
			Not
			Identified
			10
			Closed
			EndedSee
			Advice
			
			✔6/1/2022
			1066
			Hepatitis
			A Virus
			Strawberries
			See
			Advisory
			Closed
			EndedSee
			Advisory
			
			✔
			✔5/25/2022
			1067
			*Salmonella*
			Senftenberg
			Peanut
			Butter
			See
			Advisory
			Closed
			EndedSee
			Advisory
			See
			Advisory
			✔
			✔
			✔4/20/2022
			1064
			None
			Identified
			Dry
			Cereal
			558
			adverse
			event
			reports
			Closed
			EndedSee
			Advice
			
			
			✔
			✔4/13/2022
			1057
			*Listeriamonocytogenes*
			Ice
			Cream
			See
			Advisory
			Closed
			EndedSee
			Advisory
			See
			Advisory
			✔
			✔3/30/2022
			1060
			None
			Identified
			Meal
			Replacement
			Drink
			6
			adverse
			event
			reports
			Closed
			EndedSee
			Advice
			
			✔
			
			✔3/16/2022
			1055
			*Salmonella*
			Saintpaul
			Not
			Identified
			60
			Closed
			EndedSee
			Advice
			
			✔2/17/2022
			1056
			*Cronobacter
			sakazakii*
			Powdered
			Infant
			Formula
			See
			Advisory
			Closed
			EndedSee
			Advisory
			See
			Advisory
			✔
			✔
			✔2/9/2022
			1040
			*Listeriamonocytogenes*
			Not
			Identified
			20
			Closed
			EndedSee
			Advice
			
			✔
			✔
			✔2/2/2022
			1054
			Enteroinvasive*E. coli*
			O143:H26
			Not
			Identified
			16
			Closed
			EndedSee
			Advice
			
			✔1/10/22
			1050
			*E. coli*
			O121:H19
			Romaine
			4
			Closed
			Ended
			
			✔

2021 Investigations
	Date
			Posted
			Reference
			#
			Pathogen
			or
			Cause of
			Illness
			Product(s)
			Linked to
			Illnesses
			(if any)
			Total
			Case
			Count
			Investigation
			Status
			Outbreak
			Status
			Recall
			Initiated
			Traceback
			Initiated
			On-Site
			Inspection
			Initiated
			Sample
			Collection
			&
			Analysis
			Initiated12/29/2021
			1052
			*E. coli*
			O157:H7
			Packaged
			Salad
			See
			Advisory
			Closed
			EndedSee
			Advisory
			
			✔
			✔
			✔12/20/2021
			1039
			*Listeriamonocytogenes*
			Packaged
			Salad
			See
			Advisory
			Closed
			EndedSee
			Advisory
			See
			Advisory
			✔
			✔
			✔12/15/2021
			1048
			*Listeriamonocytogenes*
			Packaged
			Salad
			See
			Advisory
			Closed
			EndedSee
			Advisory
			See
			Advisory
			✔
			✔
			✔11/24/2021
			1044
			*Salmonella*
			Javiana
			CutCantaloupe
			65
			Closed
			EndedSee
			Advice
			
			✔
			✔
			✔11/17/2021
			1043
			*E. coli*
			O157:H7
			Spinach
			See
			Advisory
			Closed
			EndedSee
			Advisory
			
			✔
			✔
			✔10/6/2021
			1029
			*Listeriamonocytogenes*
			Not
			Identified
			20
			Closed
			EndedSee
			Advice
			
			✔
			✔
			✔9/15/2021
			1031
			*Salmonella*
			Oranienburg
			Red,
			Yellow,
			and
			White
			Onions
			See
			Advisory
			Closed
			EndedSee
			Advisory
			See
			Advisory
			✔
			✔
			✔9/15/2021
			1025
			*Salmonella*
			Thompson
			Seafood
			See
			Advisory
			Closed
			Ended See
			Advisory
			See
			Advisory
			✔
			✔
			✔8/11/2021
			1026
			*Cyclospora*
			Not
			Identified2
			401
			Closed
			EndedSee
			Advice
			
			✔7/14/2021
			1019
			*Salmonella*
			Typhimurium
			Salad
			Greens
			See
			Advisory
			Closed
			EndedSee
			Advisory
			See
			Advisory
			✔
			✔
			✔7/14/2021
			1020
			*Cyclospora*
			Not
			Identified2
			1301
			Closed
			EndedSee
			Advice
			
			✔
			✔
			✔7/14/2021
			1010
			*E. coli*
			O121
			Cake
			Mix
			See
			CDC
			Notice
			Closed
			EndedSee
			CDC
			Notice
			
			✔
			✔
			✔6/9/2021
			1007
			*Salmonella*
			Weltevreden
			Shrimp
			See
			Advisory
			Closed
			EndedSee
			Advisory
			See
			Advisory
			✔4/21/2021
			1003
			*Salmonella*
			Cashew
			Brie
			See
			Advisory
			Closed
			EndedSee
			Advisory
			See
			Advisory
			✔
			✔
			✔4/28/2021
			1004
			*E. coli*
			O145:H28
			Not
			Identified
			16
			Closed
			EndedSee
			Advice
			
			✔3/17/2021
			999
			Acute
			Non-viral
			Hepatitis
			Alkaline
			Bottled
			Water
			See
			Advisory
			Closed
			EndedSee
			Advisory
			See
			Advisory
			
			✔
			✔2/17/2021
			995
			*Listeriamonocytogenes*
			Hispanic
			-style
			fresh 
			and
			soft 
			cheese
			See
			Advisory
			Closed
			EndedSee
			Advisory
			See
			Advisory
			
			✔
			✔2/17/2021
			994
			*E. coli*
			O157:H7
			Not
			Identified
			See 
			CDC
			Notice
			Closed
			EndedSee
			CDC
			Notice
			
			✔1/13/2021
			990
			*Salmonella*
			Miami
			Not
			Identified
			65
			Closed
			EndedSee
			Advice
			
			✔
			
			✔

1 This cluster represents a subset of the total number of domestically-acquired cases of *cyclosporiasis* cases in the U.S.

2 Based on CDC’s epidemiological investigation of two large multistate outbreaks of *cyclosporiasis*, ill people reported eating a variety of leafy greens before becoming sick. For both investigations, CDC, FDA, and state and local partners conducted epidemiologic and traceback investigations and collected and analyzed product and environmental samples. All samples collected were reported as negative for *Cyclospora*. Due to the lack of additional detail in the epidemiological data and the absence of supporting evidence collected from traceback and sample collection, FDA could not identify a specific product as the source of either outbreak.

2020 Investigations
	Date
			Posted
			Reference
			#
			Pathogen
			or
			Cause of
			Illness
			Product(s)
			Linked to
			Illnesses
			(if any)
			Total
			Case
			Count
			InvestigationStatus
			Outbreak
			Status
			Recall
			Initiated
			Traceback
			Initiated
			On-Site
			Inspection
			Initiated
			Sample
			Collection
			&
			Analysis
			Initiated12/23/2020
			11
			*Salmonella*
			Potsdam
			Not
			Identified
			7
			Closed
			EndedSee
			Advice
			
			✔
			✔
			✔11/18/2020
			E-441626
			*E. coli*
			O157:H7
			Leafy
			Greens
			See
			Advisory
			Closed
			EndedSee
			Advisory
			
			✔
			✔
			✔11/18/2020
			5
			*E. coli*
			O157:H7
			Not
			Identified
			See
			Advisory
			Closed
			EndedSee
			Advisory
			
			✔
			✔
			✔11/18/2020
			7
			*E. coli*
			O157:H7
			Not
			Identified
			See
			Advisory
			Closed
			EndedSee
			Advisory
			
			✔
			✔
			✔11/18/2020
			E-439945
			*Salmonella*
			Newport
			Not
			Identified
			80
			Closed
			EndedSee
			Advice
			
			✔
			✔
			✔11/18/2020
			4
			*Salmonella*
			Paratyphi B
			Not
			Identified
			18
			Closed
			EndedSee MN
			Release
			andAdvice
			
			✔
			
			✔11/18/2020
			E-442972
			*Salmonella*
			Thompson
			Not
			Identified
			34
			Closed
			EndedSee
			Advice
			
			✔11/18/2020
			E-435502
			*Salmonella*
			Enteritidis
			Peaches
			See
			Advisory
			Closed
			EndedSee
			Advisory
			See
			Advisory
			✔
			✔
			✔

Related Links

CDC Investigations

FSIS Investigations

Table Definitions

**Date Posted**: Date the investigation is posted to the table. This happens once CORE begins to actively coordinate an investigation. In collaboration with federal and state partners, CORE initiates response activities to control the outbreak or adverse events.

**Reference Number**: This number is assigned to incidents that CORE is working on. Each foodborne illness investigation on the table will have a unique reference number and this is provided to help users of this table differentiate between investigations. Those reference numbers beginning with an “E” have carried over from an older numbering system that will not be used by CORE in the future.

**Pathogen or Cause of Illness**: A bacterium, virus, other microorganism, toxin, or other contaminant that can cause disease.

**Product(s) Linked to Illnesses (if any)**: During an outbreak or adverse event investigation, the FDA and CDC, along with state and local authorities collect and analyze three types of information: epidemiological information, laboratory analyses of food and/or samples taken from food production environments, and traceback investigation findings. Each outbreak or adverse event is unique and the information available to investigators varies from outbreak to outbreak – however, through rigorous analysis of the information collected, investigators are often able to identify a likely or confirmed food source of an outbreak or adverse events. It is important to note that before a specific food is linked to an outbreak or adverse events, the investigation of a commodity or a specific food by the FDA, CDC and state and local partners does not mean that the food is the cause of an outbreak or adverse events. In many cases the investigation is also looking to rule out specific foods even as it identifies the particular suspect. If there is evidence that a specific food is linked to illnesses, it will be reflected here and health authorities will warn the public about that food.

**Total Case Count**: Updated weekly. For outbreak investigations, the case count is provided to the FDA by the CDC. Case counts are dynamic and the exact number of illnesses constantly changes during an investigation. This number is provided in order to provide an estimate of the size of an outbreak each week. In the case of adverse event investigations, FDA will provide the number of adverse events that have been self-reported by consumers to FDA consumer complaint coordinators and the CFSAN Adverse Event Reporting System (CAERS), which could include duplicate reports. More formalized data will be published in CDC Investigation Notices or in FDA and CDC advisories, should they be posted.

**Investigation Status**: Communicates whether this outbreak is still under investigation by CORE or the investigational activities have ended. Options for this column would be either “Active” or “Closed”. At times an FDA investigation may be active after an outbreak has ended.

**Outbreak/Event Status**: Communicates whether this outbreak or series of adverse event reports is ongoing or has ended.

**Recall Initiated**: A recall occurs when a firm takes a product off the market because there is reason to believe that it may cause consumers to become ill. In some situations, FDA may request the company recall a potentially contaminated food. In other situations, FDA may issue a mandatory recall if there is a reasonable probability that the food is adulterated under certain FDA authorities, and that the food could cause serious illnesses or death.

**Traceback Initiated**: Used to identify the source and distribution of the implicated food and remove the contaminated product from the marketplace, to distinguish between two or more implicated food products, and to determine potential routes and/or sources of contamination in order to help prevent future illnesses. For additional information, see *How the FDA Uses Traceback to Respond to Foodborne Illness Outbreaks*.

**On-site Inspection Initiated**: Includes, among other things, a review of operational processes and samples are collected from food products or the environments where the food was grown, processed, transported or stored (countertops, equipment, bins etc.).

**Collection & Analysis of Samples** **Initiated**: collection and analysis of samples for the presence or absence of a pathogen in a food or in the environment surrounding the food.

Who to Contact if you Have Symptoms of Foodborne Illness

Consumers who have symptoms of foodborne illness****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 have three choices:

Call an FDA Consumer Complaint Coordinator if 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.Visit www.fda.gov/fcic for additional consumer and industry assistance.

                                                                                  Content current as of:
      01/24/2024
              
              
Regulated Product(s)
		 Food & BeveragesOutbreaks 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


                        Foodborne Pathogens
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