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                Outbreaks of Foodborne Illness

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          Outbreaks of Foodborne Illness
          FDA Investigated Multistate Outbreak of Salmonella Braenderup Linked to Shell Eggs from Rose Acre FarmsOutbreaks of Foodborne Illness FDA Investigated Multistate Outbreak of Salmonella Braenderup Linked to Shell Eggs from Rose Acre Farms
  
  	
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**On this page:**

Fast Facts
	What was the Problem and What was Done About It?
	Timeline
	What are the Symptoms of *Salmonella*?
	Who is at Risk?
	What Specific Products were Recalled?
	What Do Restaurants and Retailers Need To Do?
	What Do Consumers Need To Do?
	Who Should be Contacted?*The U.S. Food and Drug Administration along with the Centers for Disease Control and Prevention (CDC) and state and local officials investigated a multistate outbreak of Salmonella infections linked to* *recalled eggs produced by Rose Acre Farms’ Hyde County farm.*


Fast Facts

The FDA advised consumers not to eat recalled eggs produced by Rose Acre Farms’ Hyde County farm. According to Rose Acre Farms’ recall notice and the subsequent recall from Cal-Maine Foods, Inc., these eggs are sold under multiple brand names, including Coburn Farms, Country Daybreak, Food Lion, Glenview, Great Value, Nelms, Sunshine Farms, Publix, and Sunups. Recalled eggs were also sold to restaurants.
	CDC reported 45 cases in 10 states with 11 hospitalizations and no deaths.
	After learning that all of the people who became ill ate eggs or egg dishes, the FDA was able to trace back the source of some of the eggs to the Rose Acre Farms’ Hyde County farm. FDA investigators then inspected the farm and collected samples for testing. FDA analysis of the samples revealed that the same strain of *Salmonella*Braenderup that caused the illnesses was present at the Hyde County Egg facility, tying the facility to the outbreak.
	As a result of the findings and discussions between the FDA and the firm, Rose Acre Farms voluntarily recalled eggs from the farm in Hyde County, North Carolina. Following Rose Acre Farms’ recall, Cal-Maine Foods, Inc. voluntarily recalled eggs purchased from Rose Acre Farms and produced at the Hyde County facility.What was the Problem and What was Done About It?

The FDA advised consumers not to eat recalled eggs produced by Rose Acre Farms’ Hyde County farm. These eggs were sold under multiple brand names, including Coburn Farms, Country Daybreak, Food Lion, Glenview, Great Value, Nelms, Sunshine Farms, Publix, and Sunups. Recalled eggs were also sold to restaurants.

The CDC reported that 45 people infected with the outbreak strain of*Salmonella* Braenderup were reported from 10 states: Alaska (1), Colorado (1), Florida (2), New Jersey (2), New York (14), North Carolina (6), Pennsylvania (6), South Carolina (4), Virginia (8), and West Virginia (1). 11 people were hospitalized, and no deaths were reported.

After learning that all of the people who became ill ate eggs or egg dishes before the onset of illness, the FDA was able to trace back the source of some of the eggs to the Rose Acre Farms’ Hyde County farm. FDA investigators then inspected the farm and collected samples for testing. During the inspection, FDA investigators observed objectionable conditions and practices which are summarized here. FDA analysis of the samples revealed that the same rare strain of *Salmonella*Braenderup that caused the illnesses was present at the Hyde County Egg facility, tying the facility to the outbreak.

As a result of these findings and discussions between the FDA and the firm, Rose Acre Farms voluntarily recalled shell eggs from the Hyde County egg farm. The affected Rose Acre Farms recalled eggs are identified with plant number P-1065 and Julian date ranges of 011 through date of 102 printed on either the side portion or the principal side of the carton or package. These eggs were sold under multiple brand names including Coburn Farms, Country Daybreak, Food Lion, Glenview, Great Value, Nelms, and Sunshine Farms. Recalled eggs were also sold to restaurants.

Following Rose Acre Farms’ recall, Cal-Maine Foods, Inc. voluntarily recalled eggs purchased from Rose Acre Farms and produced at the Hyde County facility. These eggs were repackaged and sold under multiple brand names, including Publix and Sunups.

Timeline

On March 5, 2018, the FDA learned about a cluster of *Salmonella* Braenderup infections in multiple states.

In the following weeks, the FDA, CDC, and state partners worked together to collect additional information and conduct traceback activities to identify a food item of interest. Interviews with ill people allowed health partners to identify eggs as a possible source of the illnesses. The FDA collected and reviewed extensive records to identify the source of the eggs that people ate.

From March 26 – April 11, 2018, the FDA conducted a thorough inspection of the Rose Acre Farms’ Hyde County farm and collected samples for testing.

On April 11, 2018, laboratory analysis by the FDA confirmed that a sample containing *Salmonella* from the Hyde County Egg Farm facility matches the rare outbreak strain. This evidence demonstrates that eggs from the Rose Acre Farms’ Hyde County farm are the likely source of the outbreak.

On April 13, 2018, Rose Acre Farms voluntarily recalled eggs with plant number P-1065 and Julian date ranges of 011 through 102, printed on the cartons (for more specific information on recalled products, see the list below).

On April 16, 2018, Cal-Maine Foods, Inc. voluntarily recalled eggs purchased from Rose Acre Farms and produced at the Hyde County facility. These eggs were re-packaged with plant number P-1359D, a Julian date of 048A or 049A, and a best by date of April 2, 2018 or April 3, 2018.

On May 1, 2018, as a result of monitoring the Rose Acre Farms’ Hyde County egg recall, FDA determined that the recalled eggs were distributed to the U.S. Virgin Islands and internationally to the following locations: United Arab Emirates, Hong Kong, Mexico, Bahamas, Haiti, Aruba (Netherlands), Cayman Islands (British Overseas Territory), Saint Martin (Netherlands), Turks & Caicos (British Overseas Territory), and Saint Barthélemy (France).

On May 4, 2018, the FDA disclosed a list of domestic consignors who further distributed the products to foreign consignees and the foreign consignees. This information was made available to enable foreign authorities and regulatory counterparts to follow-up with foreign establishments that received the recalled eggs and take appropriate action. It is unknown if Rose Acres Farms is the only egg supplier of these domestic consignors or foreign consignees. The FDA was not aware if eggs from Rose Acres Farms were further processed. Therefore, the FDA was advised consumers not to eat recalled eggs produced by Rose Acre Farms’ Hyde County farm.

Below is a list of foreign consignees that the FDA had reason to believe received eggs from Rose Acre Farms through the domestic firms listed.  It is possible that this list may not include all foreign consignees who may have received the eggs.  However, this list represents the best information currently available to the FDA:

Domestic Firm: Fresh Point South Florida (Pompano Beach, FL)
	Consignee
			CITY, ISLAND (COUNTRY)Abaco Groceries
			March Harbor, Abaco, BahamasAssociated Food Dist S.A.
			Port Au Prince, HaitiFrasa Int L Trading N.V.
			Oranjestad, ArubaISLAND SUPPLY CO
			Grand Cayman, Cayman IslandsCARIBE EXPORT PUERTO RICO
			Cole Bay, St MartinPARROT CAY RESORT
			Parrot Cay, Turks CaicosQUALITY FOOD ST. CROIX
			Christiansted, U.S. Virgin IslandsSARL CHEZ JOJO
			Lorient, St BarttsTHE FOODSTORE LIMITED
			Hope Town, Abaco, Bahamas

Domestic Firm: Dolphin Shipping and Trading (McDonough, GA)
	Consignee
			City, CountryShun Hing Hoo G/F
			Hong KongAbuseedo Trading Establishment, Ltd
			Dubai, United Arab EmiratesMaxim's Caterers Limited
			Hong KongGeneral Hero
			Hong Kong

Domestic Firm: Parker-Migliorini International (Salt Lake City, Utah)
	Consignee
			City, CountryShun Hing Hoo G/F
			Hong KongTai Cheong Eggs Co. LTD. Hong Kong
			Hong Kong

Domestic Firm: Eastern Quality Foods (Ponte Vedra, FL)
	Consignee
			City, CountryOperadora Merco S.A.P.I. DE C.V.
			Monclova, Coahuila, Mexico

Domestic Firm: C&O Food Services (Ocean, NJ)
	Consignee
			City, CountryLuen Tai Hong
			Hong Kong

On June 14, 2018, the CDC reported that the outbreak appears to be over and that there were 45 cases in 10 states with 11 hospitalizations and no deaths.

What are the Symptoms of *Salmonella*?

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 the patient needs 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.

Multistate Outbreak of Salmonella Braenderup Infections Linked to Rose Acre Farms Shell Eggs
	FDA *Salmonella*
	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 persons. Children younger than 5 years of age, the elderly, and those people with weakened immune systems are more likely to have severe infections. It is estimated that approximately 400 persons die each year with acute salmonellosis.

What Specific Products were Recalled?

**Recalled products have a stamped PLANT NUMBER of P-1065 and a LOT CODE or JULIAN DATE between 011 and 102 or a PLANT NUMBER P-1359D and JULIAN DATE 048A or 049A.**

**Plant numbers and Julian dates are printed on individual boxes, with the Julian date following the Plant number, for example P-1359D-048A.**

Brand/Retailer
			Item Description
			Plant Number
			Julian Date
			UPCCOUNTRY DAYBREAK
			A LARGE X 30 DOZEN

			A LARGE X15 DOZEN

			A JUMBO X24 DOZEN

			A MEDIUM X30 DOZEN

			A XLARGE X30 DOZEN

			A JUMBO X12 DOZEN
			P-1065
			Between 011 and 102
			077236000302

			077236000500

			077236000203

			077236000401

			077236000500****FOOD LION
			A JUMBO X 12 DOZEN

			A MEDIUM X15 DOZEN

			A XLARGE X 15 DOZEN

			A 18PK LARGE X15 DOZEN

			A LARGE X15 DOZEN

			A 6PK LARGE X 15 DOZEN
			P-1065****
			Between 011 and 102****
			035826089618

			035826089649

			035826089625

			035826089601

			035826089588

			035826089632****LOOSE
			A USDA SMALL X 30 DOZEN

			A USDA MEDIUM  X 30 DOZEN

			A XLARGE X15 DOZEN

			A XLARGE X30 DOZEN

			A MEDIUM X 15 DOZEN

			A MEDIUM X30 DOZEN

			USDA  AA XLARGE X30 DOZEN

			USDA  AA XLARGE X15 DOZEN

			USDA AA LARGE X30 DOZEN

			USDA AA LARGE X15 DOZEN

			USDA AA MEDIUM X30 DOZEN

			AA XLARGE X30 DOZEN

			USDA AA LARGE PFG X 30 DOZEN

			USDA AA LARGE PFG X 15 DOZEN

			USDA A XLARGE X30 DOZEN
			P-1065****
			Between 011 and 102****
			N/ANELMS****
			A JUMBO X24
			P-1065****
			Between 011 and 102****
			634181000018****WAFFLE HOUSE
			LOOSE USDA A LARGE X 30 DOZEN
			P-1065****
			Between 011 and 102****
			N/A****CRYSTAL FARMS
			A MEDIUM X30

			A 18PK MEDIUM X 30

			A 2.5 DOZ MEDIUM X 25
			P-1065****
			Between 011 and 102****
			077236000203

			077236000258

			077236000124****COUNTRY DAYBREAK
			A XLARGE X15 DOZEN

			USDA GRADE A XLARGE X 240 DOZEN PULP

			USDA GRADE A LARGE RACK X 240 DOZEN PULP
			P-1065****
			Between 011 and 102****
			077236000401

			077236700400

			077236700301****COBURN FARMS
			A MEDIUM MP X 30 DOZEN

			A  LARGE X 30 DOZEN

			A 18PK LARGE X 30 DOZEN
			P-1065****
			Between 011 and 102****
			051933182608

			051933190801

			051933182509****SUNSHINE FARMS
			A JUMBO X 12 DOZEN
			P-1065****
			Between 011 and 102****
			804879457336****GLENVIEW
			USDA AA LOOSE LARGE (6-2.5 FLATS) X 15 DOZEN

			USDA AA LOOSE LARGE (12-2.5 FLATS) X 30 DOZEN

			USDA AA LOOSE MEDIUM (6-2.5 FLATS) X 15 DOZEN

			USDA AA LOOSE XLARGE (6-2.5 FLATS) X 15 DOZEN

			USDA AA LOOSE MEDIUM (12-2.5 FLATS) X 30 DOZEN

			USDA AA LOOSE XLARGE (12-2.5 FLATS) X 30 DOZEN
			P-1065****
			Between 011 and 102****
			N/A****GREAT VALUE
			GRADE A USDA 18PK XLARGE X 24 DOZEN RPC

			GRADE A USDA 12PK XLARGE X 24 DOZEN RPC

			GRADE A USDA TWIN 18PK LARGE X 24 DOZEN RPC

			GRADE A USDA 6PK LARGE X 15 DOZEN

			GRADE A USDA 12PK MEDIUM X 15 DOZEN

			GRADE A USDA 12PK LARGE X 24 DOZEN RPC

			GRADE A USDA 18PK LARGE X 24 DOZEN RPC

			GRADE A 12PK JUMBO X  22 DOZEN RPC

			GRADE A USDA 5DZ LARGE X 5 DOZEN
			P-1065****
			Between 011 and 102****
			078742127132

			078742127128

			078742127101

			078742127095

			078742127224

			078742127071

			078742127088

			078742127149

			078742127118****PUBLIX GRADE
			A extra large EGGS 18PK
			P-1359D
			048A or 049A

			(Best By Date of APR 02 or APR 03)****
			0 41415 00966 0SUNUPS
			GRADE A LARGE EGGS 18PK
			P-1359D****
			048A or 049A****
			0 28621 36398 4XLG LOOSE GENERIC
			15 DZ
			P-1359D****
			(Best By Date of APR 02 or APR 03)****
			N/ARESTRICTED EGGS
			
			P-1359D****
			048A or 049A****
			N/ABREAKING STOCK
			30DZ
			P-1359D****
			(Best By Date of APR 02 or APR 03)****
			N/A

What Do Restaurants and Retailers Need To Do?

Restaurants and retailers should not sell or utilize any recalled shell eggs listed above. Restaurants and retailers should dispose of any of the listed shell eggs by throwing them in the garbage or return them to the place of purchase for credit or refund.

Restaurants and retailers who have served any potentially contaminated or recalled products need to be concerned about cross–contamination of food processing equipment and the food processing environment. They should follow the steps below:

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.What Do Consumers Need To Do?

People should not eat any shell eggs from the lots listed above. If they have any of the listed products, they should throw them in the garbage or return them to the place of purchase for credit or refund.

People who think they might have become ill from eating possibly contaminated eggs should talk to their health care providers.
	Consumers should always practice safe food handling and preparation measures. Wash hands, utensils, and surfaces with hot, soapy water before and after handling raw eggs and raw egg-containing foods.
	Cook eggs until both the yolk and the white are firm. Scrambled eggs should not be runny.
		Casseroles and other dishes containing eggs should be cooked to 160° F. Use a food thermometer to be sure.
		For recipes that call for eggs that are raw or undercooked when the dish is served – like Caesar salad dressing and  homemade ice cream – use either shell eggs that have been treated to destroy *Salmonella*, by pasteurization or another approved method, or pasteurized egg products.
	For food preparation surfaces and food cutting utensils that may have come in contact with the potentially contaminated eggs, it is very important that the consumers thoroughly clean these areas and items.

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:
      06/14/2018
              
              
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