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                Outbreaks of Foodborne Illness

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          FDA Investigated Multistate Outbreak of Salmonella Mbandaka Infections Linked to Kellogg’s Honey Smacks CerealOutbreaks of Foodborne Illness FDA Investigated Multistate Outbreak of Salmonella Mbandaka Infections Linked to Kellogg’s Honey Smacks Cereal
  
  	
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The FDA, CDC, along with state and local officials investigated a multi-state outbreak of *Salmonella*Mbandaka infections linked to Kellogg's Honey Smacks sweetened puffed wheat cereal. The FDA worked with Kellogg’s to voluntarily recall Honey Smacks from the market and conducted an inspection at the manufacturing facility owned by Kerry, Inc., resulting in a warning letter identifying specific problems at the facility.

The FDA is working with Kellogg’s to ensure Honey Smacks are safe when they are again available to consumers and is continuing to warn consumers against eating any Honey Smacks with a marked “best if used by” date before June 14, 2019.


On this Page

What was the Problem and What was Done?
	What are the Symptoms of **Salmonella** Infection?
	Who is at Risk?
	What Products were Recalled?
	What Do Restaurants and Retailers Need To Do?
	What Do Consumers Need To Do?
	Who to Contact
 Case Counts

**Total Illnesses:** 135**Hospitalizations:** 34**Deaths:** 0**Last illness onset:** 8/29/2018**States with Cases:** AL, AZ, CA, CO, CT, DE, FL, GA, IL, IN, KY, LA, ME, MD, MA, MI, MN, MS, MT, NC, NH, NJ, NY, OH, OK, OR, PA, RI, SC, TN, TX, UT, VA, WA, WI, WV


What was the Problem and What was Done?

On May 17, 2018 the FDA learned about a cluster of *Salmonella*Mbandaka illnesses in multiple states.
	In the following weeks, the FDA, CDC, and state partners worked together to collect additional information to identify a food item of interest. Interviews with ill people allowed health partners to identify Kellogg's Honey Smacks cereal as a possible source of the illnesses.
	As a result of discussions with the Kellogg company and the contract manufacturer, Kerry Inc. on June 14, 2018, The Kellogg Company voluntarily recall Honey Smacks cereal.
	On June 14, 2018 the FDA began collecting environmental and product samples from the contract manufacturer's facility.
	On June 15, 2018 the FDA updated our web posting to include a list of known countries where the recalled product was distributed and to advise that consumers not eat and discard recalled Kellogg's Honey Smacks cereal.
	On September 26, 2018 the FDA and CDC updated their web postings to include additional cases linked to this outbreak. The CDC also reports that this outbreak investigation is over. Consumers should still check their homes and throw away any recalled cereal.What are the Symptoms of *Salmonella* Infections?

Most people infected with *Salmonella* develop diarrhea, fever, and abdominal cramps. The illness usually lasts 4 to 7 days, and most people recover without treatment. Most people infected with *Salmonella* develop diarrhea, fever, and abdominal cramps 12 to 72 hours after infection.

In some people, the diarrhea may be so severe that they need to be hospitalized. In these patients, the *Salmonella* infection may spread from the intestines to the blood stream and then to other body sites and can cause death unless the person is treated promptly with antibiotics.

**Learn more:**

FDA *Salmonella*
	Multistate Outbreak of *Salmonella* Mbandaka Infections
	FoodSafety.gov on *Salmonella*
	CDC *Salmonella*Who is at Risk?

Children are the most likely to get salmonellosis. The rate of diagnosed infections in children less than five years old is higher than the rate in all other people. Children younger than five, the elderly, and those people with weakened immune systems are more likely to have severe infections. It is estimated that approximately 400 persons in the United States die each year with acute salmonellosis.

What Products were Recalled?

Kellogg's Honey Smacks Cereal

Description (Retail)
			Size
			BEST if Used By DateHoney Smacks (with limited distribution outside the U.S.)
			15.3 oz.
			JUN 14, 2018 through JUN 14, 2019Honey Smacks
			23 oz.
			JUN 14, 2018 through JUN 14, 2019

What Do Restaurants and Retailers Need To Do?

Retailers should not sell and should discard all recalled products. The recalled products were distributed across the United States including Guam and Saipan, and internationally in:
Aruba/Curaçao/Saint Maarten (Netherlands Antilles), the Bahamas, Barbados, Tortola (British Virgin Islands), Costa Rica, Guatemala, Haiti, Mexico, Panama, and Tahiti (French Polynesia).

Retailers, restaurants, and other food service operators should always practice safe food handling and preparation measures. It is recommended that they wash hands, utensils, and surfaces with hot, soapy water before and after handling food.

Wash and sanitize display cases and refrigerators regularly.
	Wash and sanitize cutting boards, surfaces, and utensils used to prepare, serve, or store food.
	Wash hands with hot water and soap following the cleaning and sanitation process.
	Regular frequent cleaning and sanitizing of food contact surfaces and utensils used in food preparation may help to minimize the likelihood of cross-contamination.What Do Consumers Need To Do?

The FDA is advising consumers to not eat and discard recalled Kellogg's Honey Smacks cereal. If already purchased, consumers should throw it away or return to the place of purchase for a refund.

Consumers should always practice safe food handling and preparation measures. It is recommended that they wash hands, utensils, and surfaces with hot, soapy water before and after handling food.

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 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.Submit Questions/Get Assistance

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                                                                                  Content current as of:
      09/28/2018
              
              
Regulated Product(s)
		 Food & Beverages
			  			     			  						              
			
			
			
			
			
						  Cereal/Breakfast FoodTopic(s)
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				  CORE NetworkOutbreaks 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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